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Methscopolamine HBr 0.5 mg/mL/Potassium Citrate 100 mg/mL Oral Solution

FDA-approved generic
Dose form
Oral Solution
Active ingredients
Methscopolamine Hydrobromide
Potassium Citrate

The Methscopolamine HBr 0.5 mg/mL and Potassium Citrate 100 mg/mL Oral Solution is a liquid formulation designed for oral administration, providing precise dosing and ease of use. This solution is particularly beneficial for patients requiring specific dosage strengths or those who have difficulty swallowing tablets or capsules.

This compounded oral solution is used in the management of gastrointestinal disorders, such as peptic ulcers and irritable bowel syndrome (IBS), by reducing stomach acid secretion and alleviating associated symptoms. Additionally, it aids in the treatment of urinary tract disorders by helping to prevent the formation of kidney stones through urinary alkalization.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Methscopolamine Hydrobromide
Potassium Citrate
Oral Solution
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Methscopolamine HBr 0.5 mg/mL/Potassium Citrate 100 mg/mL Oral Solution is a compounded medication designed to address specific gastrointestinal and renal conditions requiring individualized therapy. This liquid formulation allows for precise dosing and is beneficial for patients who have difficulty swallowing pills or require a customized dosage strength.

Methscopolamine hydrobromide is an anticholinergic agent that works by inhibiting the action of acetylcholine on muscarinic receptors in the smooth muscles of the gastrointestinal tract. This leads to a reduction in gastric acid secretion and decreases gastrointestinal motility, making it useful in managing conditions such as peptic ulcers, irritable bowel syndrome, and other hypermotility disorders.

Potassium Citrate is an alkalinizing agent that helps to neutralize acids in the body. It is commonly used to prevent the formation of certain types of kidney stones by increasing the urinary pH and citrate levels. This makes the urine less acidic, reducing the risk of uric acid and cystine stone formation. It is also beneficial in managing conditions like renal tubular acidosis.

By combining Methscopolamine HBr and Potassium Citrate in an oral solution, this formulation offers a synergistic approach to treating both gastrointestinal discomfort and urinary conditions associated with acid imbalance. The anticholinergic properties of Methscopolamine help alleviate abdominal cramps and spasms, while Potassium Citrate aids in correcting urinary pH levels.

The liquid form allows for flexible dosing adjustments tailored to individual patient needs, ensuring optimal therapeutic outcomes. This is particularly advantageous for pediatric patients, elderly patients, or others who may have trouble swallowing solid dosage forms or require non-standard dose strengths.

Patients and prescribers should be aware of potential side effects. Methscopolamine HBr may cause dry mouth, blurred vision, constipation, and urinary retention due to its anticholinergic effects. Potassium Citrate may cause gastrointestinal discomfort and, in rare cases, hyperkalemia, especially in patients with renal impairment. Regular monitoring of electrolyte levels and renal function may be recommended.

As with any medication, it is important to use this compounded formulation under the supervision of a qualified healthcare professional who can provide guidance on appropriate dosing and monitor for any adverse effects. Adherence to prescribed dosages and schedules will help maximize the benefits of the therapy while minimizing potential risks.

If you have any questions, reach out to us.

Drug Interactions

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When considering the use of Methscopolamine HBr 0.5 mg/mL/Potassium Citrate 100 mg/mL Oral Solution, it is crucial to be aware of potential drug interactions that may affect the efficacy and safety of this formulation. Methscopolamine is an anticholinergic agent, while potassium citrate is an alkalinizing agent. Both components can interact with various medications, necessitating careful management and monitoring by healthcare providers.

Methscopolamine may interact with other anticholinergic drugs, such as atropine, scopolamine, and certain antihistamines, leading to an increased risk of anticholinergic side effects like dry mouth, constipation, urinary retention, and confusion. Patients should be advised to report any unusual symptoms to their healthcare provider. Additionally, methscopolamine can enhance the sedative effects of central nervous system depressants, including benzodiazepines, opioids, and alcohol, potentially leading to increased drowsiness or dizziness.

Potassium citrate can interact with medications that affect potassium levels in the body. Concurrent use with potassium-sparing diuretics, such as spironolactone or triamterene, or with ACE inhibitors and angiotensin receptor blockers, may increase the risk of hyperkalemia, a condition characterized by elevated potassium levels that can lead to serious cardiac issues. Regular monitoring of serum potassium levels is recommended for patients on these combinations.

Furthermore, the alkalinizing effect of potassium citrate can alter the absorption and excretion of certain drugs. For instance, it may affect the bioavailability of medications that require an acidic environment for optimal absorption, such as ketoconazole or certain antiretrovirals. It may also influence the renal excretion of drugs like lithium, potentially necessitating dosage adjustments.

Patients and prescribers should also be aware of the potential interaction between potassium citrate and medications that can cause gastrointestinal irritation, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids. The combination may increase the risk of gastrointestinal discomfort or ulceration.

It is essential for patients to inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs and supplements, to ensure safe and appropriate use of Methscopolamine HBr 0.5 mg/mL/Potassium Citrate 100 mg/mL Oral Solution. Healthcare providers should conduct a thorough medication review and consider potential interactions when prescribing this formulation.

If you have any questions or need further information regarding drug interactions with this formulation, please reach out to us at Bayview Pharmacy.

How Does it Work

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The Methscopolamine HBr 0.5 mg/mL and Potassium Citrate 100 mg/mL Oral Solution is a compounded liquid formulation designed to provide precise dosing and ease of administration for patients requiring specific therapeutic interventions. This formulation combines two active ingredients, each serving distinct roles in managing certain medical conditions.

Methscopolamine HBr is an anticholinergic agent that works by inhibiting the action of acetylcholine, a neurotransmitter involved in the parasympathetic nervous system. By blocking acetylcholine, Methscopolamine HBr reduces the secretions of certain organs, decreases gastrointestinal motility, and helps manage symptoms associated with peptic ulcers and other gastrointestinal disorders. This action is particularly beneficial in reducing stomach acid production and controlling spasms in the digestive tract, thereby alleviating discomfort and promoting healing in conditions such as peptic ulcers.

Potassium Citrate, on the other hand, is an alkalinizing agent that helps to neutralize excess acid in the body. It is commonly used to prevent the formation of kidney stones and to treat conditions that cause acidosis, such as renal tubular acidosis. By increasing urinary pH and citrate levels, Potassium Citrate reduces the crystallization of certain compounds in the urine, thereby preventing stone formation and promoting kidney health. Additionally, it helps maintain the body's acid-base balance, which is crucial for normal cellular function and overall metabolic processes.

The combination of Methscopolamine HBr and Potassium Citrate in a liquid oral solution offers a synergistic approach to managing conditions that involve both gastrointestinal discomfort and the risk of kidney stone formation. The liquid form allows for easy swallowing, making it suitable for patients who have difficulty swallowing pills or require a specific dosage strength that is not available in standard tablet or capsule forms. This formulation ensures that patients receive an accurate dose with each administration, enhancing therapeutic efficacy and patient compliance.

For prescribers, this compounded formulation provides a customizable option to tailor treatment to the individual needs of patients, especially those with complex medical conditions requiring a multifaceted approach. The precise dosing capability of the liquid form allows for adjustments based on patient response and tolerance, ensuring optimal therapeutic outcomes.

If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or specific needs you may have regarding this or other compounded medications.

Other Uses

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The Methscopolamine HBr 0.5 mg/mL and Potassium Citrate 100 mg/mL oral solution is a versatile formulation that may have applications beyond its primary indications. Methscopolamine HBr, an anticholinergic agent, is primarily used to reduce stomach acid secretion and manage peptic ulcers. However, its antispasmodic properties can also be beneficial in alleviating symptoms of irritable bowel syndrome (IBS) and other gastrointestinal disorders characterized by spasms and cramping. By relaxing smooth muscle tissue, Methscopolamine HBr can help reduce abdominal pain and discomfort associated with these conditions, offering patients an improved quality of life.

Potassium Citrate, on the other hand, is commonly used to prevent certain types of kidney stones by alkalinizing the urine. Beyond this, it may also be beneficial in managing conditions that require urinary alkalization, such as cystinuria, a genetic disorder that leads to the formation of cystine stones. Additionally, Potassium Citrate can be used to correct hypokalemia (low potassium levels) in patients who cannot tolerate oral potassium supplements in solid form, providing a liquid alternative that is easier to ingest and dose accurately.

For prescribers, this oral solution offers a customizable approach to patient care, allowing for precise dosing adjustments based on individual patient needs. This is particularly advantageous for patients with swallowing difficulties or those requiring specific dosage strengths not available in commercial preparations. The liquid formulation ensures that patients receive the exact amount of medication prescribed, minimizing the risk of under or overdosing. Furthermore, the combination of Methscopolamine HBr and Potassium Citrate in a single solution may enhance patient compliance by reducing the number of separate medications a patient needs to take.

Patients should be aware that while this formulation can offer significant benefits, it is essential to use it under the guidance of a healthcare professional. Potential side effects, such as dry mouth, blurred vision, or urinary retention from Methscopolamine HBr, and gastrointestinal discomfort or hyperkalemia from Potassium Citrate, should be monitored. Patients are encouraged to discuss any concerns or unusual symptoms with their healthcare provider to ensure safe and appropriate use of this medication.

If you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or specific needs you may have regarding this or other compounded medications.

Frequently Asked Questions

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What is Methscopolamine HBr 0.5 mg/mL/Potassium Citrate 100 mg/mL Oral Solution used for?

This oral solution is typically used to manage conditions that require the effects of Methscopolamine, such as reducing stomach acid and controlling muscle spasms, along with the benefits of Potassium Citrate, which can help in alkalizing urine and preventing kidney stones.

How should I take this oral solution?

Take the prescribed dose of the oral solution by mouth, using a proper measuring device to ensure accurate dosing. Follow your healthcare provider's instructions regarding the timing and frequency of doses.

Can I take this medication with food?

It is generally recommended to follow your healthcare provider's advice regarding food intake. Some medications may be taken with food to reduce stomach upset, while others may need to be taken on an empty stomach for optimal absorption.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with this oral solution?

Possible side effects may include dry mouth, dizziness, blurred vision, or constipation. If you experience severe side effects or signs of an allergic reaction, seek medical attention immediately.

How should I store this medication?

Store the oral solution at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets. Do not freeze the solution.

Can I drive or operate machinery while taking this medication?

This medication may cause dizziness or blurred vision. Avoid driving or operating heavy machinery until you know how the medication affects you.

Is this medication safe for children?

The safety and effectiveness of this medication in children have not been established. Consult your healthcare provider for advice specific to pediatric use.

Can I take this medication if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before taking this medication to discuss potential risks and benefits.

What should I do in case of an overdose?

In case of an overdose, seek emergency medical attention immediately. Symptoms of overdose may include severe dizziness, confusion, or difficulty breathing.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Methscopolamine HBr 0.5 mg/mL/Potassium Citrate 100 mg/mL Oral Solution
Oral Solution
420 mL
controlled

Take orally

Four times daily