BUSCOPAN Solution for injection Ref.[50883] Active ingredients: Butylscopolamine

Source: Medicines & Healthcare Products Regulatory Agency (GB)  Revision Year: 2021  Publisher: Opella Healthcare France SAS T/A Sanofi, 82 Avenue Raspail, 94250 Gentilly, France

4.1. Therapeutic indications

Buscopan ampoules are indicated in acute spasm, as in renal or biliary colic; in radiology for differential diagnosis of obstruction and to reduce spasm and pain in pyelography and in other diagnostic procedures where spasm may be a problem, e.g. gastro-duodenal endoscopy.

4.2. Posology and method of administration

Adults

One ampoule (20 mg) intramuscularly or intravenously, repeated after half-an-hour if necessary. Intravenous injection should
be performed slowly, (in rare cases a marked drop in blood pressure and even shock may be produced by Buscopan). When
used in endoscopy this dose may need to be repeated more frequently.
Maximum daily dose of 100 mg.

Special populations

Elderly: No specific information on the use of this product in the elderly is available. Clinical trials have included patients over
65 years and no adverse reactions specific to this age group have been reported.

Paediatric population: Not recommended for children.

Buscopan Ampoules should not be taken on a continuous daily basis or for extended periods without investigating the cause
of abdominal pain.

Diluent

Buscopan injection solution may be diluted with dextrose or sodium chloride 0.9% injection solutions.

4.9. Overdose

Symptoms

Serious signs of poisoning following acute overdosage have not been observed in man. In the case of overdosage, anticholinergic symptoms such as urinary retention, dry mouth, reddening of the skin, tachycardia, inhibition of gastrointestinal motility, and transient visual disturbances may occur, and Cheynes-Stokes respiration has been reported.

Therapy

Symptoms of Buscopan overdosage respond to parasympathomimetics. For patients with glaucoma, pilocarpine should be given locally. Cardiovascular complications should be treated according to usual therapeutic principles. In case of respiratory paralysis: intubation, artificial respiration should be considered. Catheterisation may be required for urinary retention.

In addition, appropriate supportive measures should be used.

6.3. Shelf life

Unopened: 36 months.

Once opened, use immediately and discard any unused contents.

6.4. Special precautions for storage

Store below 30°C. Keep the ampoules in the outer carton.

6.5. Nature and contents of container

1 ml clear glass (Ph. Eur. Type I) ampoules with coloured identification rings, marketed in cartons containing 10 ampoules.

6.6. Special precautions for disposal and other handling

For single use only. Any unused solution should be discarded.

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