• U.S. Brand Names: ScopaceT [DSC];Transderm Scop®
• Canadian Brand Names: Buscopan®;Transderm-V®
• Pharmacologic Category: Anticholinergic Agent

• It is used to help motion sickness.
• It is used to treat irritable bowel syndrome.
• It is used to treat muscle spasms of the GI (gastrointestinal) tract.
• It is used to treat Parkinson's disease.
• Scopolamine helps keep chemical balance in the brain.
• It slows movement in the GI (gastrointestinal) tract, lowering the number of spasms.
• It affects the throwing up (vomiting) center in the brain.

How to take

• Take with or without food. Take with food if it causes an upset stomach.
• Drink lots of noncaffeine liquids unless told to drink less liquid by your doctor.
• If you are taking this drug for irritable bowel syndrome or spasms of the GI (gastrointestinal) tract, take 30 to 60 minutes before meals.
• Skin patch:
• Use skin patch behind the ear. Use 4 hours before travel starts.
• Wear only one patch at a time.
• Wash your hands after use.
• If the patch falls off, put a new one on.
• If this drug is needed for more than 3 days, throw away the old patch. Put a new one on behind the other ear.
• Injection:
• It is given as a shot into a muscle, vein, or into the fatty part of the skin.

Missed Dose

• Take a missed dose as soon as you think about it.
• If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
• Do not take two doses or extra doses.
• Many times this drug is taken on an as needed basis.

Storage

• Store at room temperature.
• Protect tablets from water. Do not store in a bathroom or kitchen.
• The shot will be given to you in a doctor's office. You will not store it at home.

Avoid

• If you have an allergy to scopolamine or any other part of this drug.
• Tell your doctor if you are allergic to any drugs. Make sure to tell about the allergy and what signs you had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
• If you have any of these health problems: A fast heartbeat, glaucoma, a bowel block, myasthenia gravis, an overactive thyroid gland, a slow-moving bowel tract, or trouble passing urine.

Precautions

• If you are 65 or older, use this drug with care. You could have more side effects.
• The patch may have metal. Take off the patch before an MRI.
• If you have kidney disease, talk with your doctor.
• If you have liver disease, talk with your doctor.
• If you have lung disease, talk with your doctor.
• If you are a man with problems passing urine, talk with your doctor.
• Check all drugs you are taking with your doctor. This drug may not mix well with some other drugs.
• You may not be alert. Avoid driving and doing other tasks or actions until you see how this drug affects you.
• Avoid beer, wine, or liquor or other drugs and natural products that slow your actions and reactions.
• You can get sunburned more easily. Avoid sun, sunlamps, and tanning beds. Use sunscreen and wear clothing and eyewear that protects you from the sun.
• Be careful in hot weather. Drink lots of fluids to stop fluid loss.
• Tell your doctor if you are pregnant or plan on getting pregnant.
• Tell your doctor if you are breast-feeding.

Side Effects

• Feeling lightheaded, sleepy, having blurred eyesight, or a change in thinking clearly. Avoid driving and doing other tasks or actions that call for you to be alert or have clear eyesight until you see how this drug affects you.
• Hard stools (constipation). Drinking more liquids, exercising, or adding fiber to your diet may help. Talk with your doctor about a stool softener or laxative.
• Dry mouth. Good mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.

Monitoring

• Change in the health problem being treated. Is it better, worse, or about the same?
• Dry mouth may cause more cavities. Take good care of your teeth. See a dentist often.
• Follow up with the doctor.

Contact a healthcare provider

• If you think there was an overdose, call your local poison control center or ER right away.
• Signs of a very bad reaction to the drug. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; or swelling of face, lips, tongue, or throat.
• Very bad dizziness or passing out.
• Change in thinking clearly and with logic.
• Not able to pass urine.
• Any rash.
• Health problem is not better or you are feeling worse.

General Statements

• If you have a very bad allergy, wear an allergy ID at all times.
• Do not share your drugs with others and do not take anyone else's drugs.
• Keep all drugs out of the reach of children and pets.
• Most drugs can be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
• In Canada, take any unused drugs to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.
• Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
• Call your doctor for help with any side effects. You may also call the FDA at 1-800-FDA-1088 or Health Canada's Vigilance Program at 1-866-234-2345.
• Talk with the doctor before starting any new drug, including OTC, natural products, or vitamins.

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