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Bentyl Toxicity - Symptoms, Diagnosis, Treatment, and Prevention

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Bentyl is an anticholinergic drug and an effective antispasmodic agent, but it also has an abusive and toxic potential. Read the article to know more.

Written by

Dr. Osheen Kour

Medically reviewed by

Dr. Sugandh Garg

Published At March 13, 2023
Reviewed AtMarch 13, 2023

Introduction

Bentyl, also known as Dicyclomine, is widely used as a drug to treat irritable bowel syndrome (IBS), motion sickness, intestinal hypermotility, and dysmenorrhea. The drug is mainly used via parenteral and oral routes as an effective muscle relaxant and anti-spasmodic agent. Although Bentyl is effective against various disorders, its usage can cause side effects too. At higher doses, Bentyl can cause delirium and physical dependence. In some rare cases, the drug also has the potential for substance abuse and can alter psychological imbalance in a person. Therefore, people should use this drug with proper safety measures and doctors' consultations.

What Are the Uses of Bentyl?

The everyday use of Bentyl drug is as follows:

What Are the Common Side Effects of Bentyl?

Common Side Effects:

  • Nausea.

  • Mouth dryness.

  • Blurry vision.

  • Weakness.

  • Drowsiness.

  • Dizziness.

  • Nervousness.

  • Vomiting.

  • Constipation.

  • Headache.

  • Bloating.

  • Loss of appetite.

  • Stomach pain.

  • Difficulty in urinating.

  • Constipation.

Serious Side Effects:

  • Episodes of temporary memory loss.

  • Hallucinations.

  • Confusion.

  • Irritation.

  • Delusions.

  • Inflammation of the skin.

  • Skin rashes and redness.

  • Hives.

  • Anxiety.

  • Rapid heartbeats.

  • Breathing difficulty.

  • Excessive tiredness.

  • Fainting.

  • Muscle

  • weakness

  • Coma.

What Are the Symptoms of Bentyl Toxicity?

The symptoms caused by Bentyl toxicity are as follows:

  • Dilated pupils.

  • Dizziness.

  • Nervousness.

  • Dry mouth.

  • Dry skin.

  • Hot flushing.

  • Excitement.

  • Headache.

  • Vomiting.

  • Blurred vision.

  • Upset stomach.

  • Hallucinations.

  • Swallowing difficulties.

Which Drugs Can Interact With Bentyl?

The drugs that can interact with Benty include:

  • Medication for glaucoma.

  • Asthma medication or bronchodilators.

  • Remedy for heart diseases.

  • Medicine for Parkinson’s disease.

  • Treatment for allergies and colds (antihistamines).

  • Remedy for overactive bladder.

  • Cure for anxiety, depression, mental illness, and mood disorders.

  • Remedy for irritable bowel syndrome, stomach problems, and motion sickness.

What Are the Contraindications for the Bentyl Drug?

The Bentyl drug is contraindicated if a person has the following medical conditions or has been diagnosed with them in the past. These include:

  • Glaucoma - Bentyl can increase the pressure in the eyes, which can cause harm to the eyes. Therefore, the drug is avoided in glaucoma or with medications for glaucoma.

  • Heart Problems - Bentyl can cause abnormal or rapid heart rate and can adversely affect a person already suffering from heart problems such as heart attack, congestive heart failure, and high blood pressure.

  • Myasthenia Gravis - This disease causes muscle weakness, and taking Bentyl in myasthenia gravis can lead to paralysis. Therefore, the drug should be avoided.

  • Severe Ulcerative Colitis - Bentyl can cause a reduction in the digestive tract movement. A person already suffering from ulcerative colitis can have grossly affected the movement of the digestive tract. This leads to bloating, stomach pain, fever, diarrhea, bloody stool, and increased heart rate.

  • Prostate Enlargement - Bentyl causes urine retention in a person and, therefore, can increase the risk of urinary retention or difficulty in urinating in enlarged prostate conditions.

  • Kidney and Liver Diseases - A person with kidney or liver disease cannot get rid of the Bentyl drug quickly, and contacts build up in the system. This can cause a risk of Bentyl side effects.

  • Intestinal Obstruction - Bentyl can cause severe intestinal obstruction and blockage if they have undergone colostomy or ileostomy.

How Is Bentyl Toxicity Diagnosed?

The doctor can diagnose Bentyl toxicity in the following ways:

  • Physical examination.

  • Blood investigations.

  • Liver function test.

  • Kidney or renal function test.

  • Chest X-rays.

  • Electrocardiogram (ECG).

  • CT (computed tomography) scans.

  • Ultrasounds (whole abdomen).

How Is Bentyl Toxicity Treated?

  • Initially, supportive treatment is given to a person by checking the vitals and airway. Breathing difficulties in severe cases of beryl toxicity are managed with intubation and mechanical ventilation support.

  • Bentyl toxicity is treated with activated charcoal therapy to absorb the toxins and eliminate the drug from a person's body.

  • Gastric lavage can also wash out the stomach and remove the Bentyl toxins from the body.

  • Vomiting is caused by Bentyl toxicity. Therefore emesis can also help reduce the drug effects in conscious patients.

  • Bentyl's excitement is caused by symptoms of sedatives such as benzodiazepines and short-acting barbiturates.

  • In some cases, the healthcare provider may use a cholinergic agent (parenteral) as an antidote to treat Bentyl toxicity in a person.

  • Other symptoms produced by Bentyl poisoning are monitored and treated conventionally by the doctor.

  • Chronic cases of Bentyl toxicity due to intentional abuse may also require rehabilitation therapy.

What Are the Precautions for Bentyl Drug?

  • Before taking Bentyl, a person should inform the doctor about any allergy to the medication.

  • Inform the doctor about the previous medical history, such as enlarged prostate, glaucoma, difficulty urinating, gastrointestinal tract blockage, overactive thyroid gland, myasthenia gravis, high blood pressure, neuropathy or other nerve disorders, hernia, liver, kidney, and heart diseases.

  • The doctor should also be informed about a person's prescription medications to avoid drug interaction with Bentyl.

  • Also, a person should inform his dentist if they are taking Bentyl drugs before starting any dental treatment.

  • A person should avoid taking alcohol if they are on Bentyl medication.

  • Women planning to conceive or pregnant women and breastfeeding mothers should inform the doctor if they are taking Bentyl. Breastfeeding should be avoided if a person is taking Bentyl.

  • The Bentyl drug can cause heat stroke and fever due to a lack of sweating in high temperatures. Therefore, necessary precautions should be taken to avoid such incidents.

  • The drug also causes drowsiness and blurring of vision. Therefore, risky activities such as driving should be avoided after taking this medication.

  • Also, older adults should take the Bentyl drug with proper knowledge about risks and benefits as it is unsafe for them and affects kidneys after age 65. The conditions can be effectively treated with other medications as well.

Conclusion

Bentyl is a prescription drug to treat many health conditions, but its overdose or misuse can cause side to a person. Therefore, Bentyl should be taken consciously in a prescribed dose to avoid fatal consequences. Furthermore, a person should consult the doctor for timely medical intervention.

Frequently Asked Questions

1.

Can Bentyl Impact Blood Pressure? Does It Lead to Diarrhea?

Bentyl (Dicyclomine) can impact some individuals' blood pressure. It may cause a decrease in blood pressure due to its anticholinergic effects, leading to dizziness or lightheadedness. Additionally, Bentyl can cause dry mouth and blurred vision as common side effects. Patients should be cautious if they have pre-existing blood pressure issues and should consult their healthcare provider if any concerns arise.

2.

What Are the Potential Side Effects of Bentyl on the Kidneys?

Some potential side effects of Bentyl on the kidneys may include urinary retention or difficulty in urination. Since Bentyl is an anticholinergic medication, it can affect the bladder's ability to empty properly, leading to these issues. If individuals experience any kidney-related symptoms while taking Bentyl, they should seek medical advice promptly to assess the situation and consider alternative treatments if necessary.

3.

Are There Any Long-term Side Effects Associated with Bentyl Usage?

There is limited information on the long-term side effects of Bentyl (Dicyclomine). Most studies and clinical trials have focused on short-term usage. However, as with any medication, there is a possibility of long-term effects that may not have been extensively studied yet. Patients should regularly communicate with their healthcare providers and report any new or concerning symptoms while taking Bentyl for prolonged periods to ensure proper monitoring and management.

4.

Who Should Avoid Taking Bentyl?

Individuals with a past history of hypersensitivity reactions to Dicyclomine or its components should avoid taking Bentyl. Additionally, those with certain medical conditions, such as glaucoma, myasthenia gravis, or severe ulcerative colitis, may not be suitable candidates for Bentyl usage. It is important to inform doctors about the pre-existing conditions or allergies before starting Bentyl or any other medication to ensure safe and appropriate treatment options.

5.

Who Should Avoid Taking Bentyl?

Individuals with a past history of hypersensitivity reactions to Dicyclomine or its components should avoid taking Bentyl. Additionally, those with certain medical conditions, such as glaucoma, myasthenia gravis, or severe ulcerative colitis, may not be suitable candidates for Bentyl usage. It is important to inform doctors about the pre-existing conditions or allergies before starting Bentyl or any other medication to ensure safe and appropriate treatment options.

6.

Is It Safe to Administer Dicyclomine in Individuals with Chronic Kidney Disease (CKD)?

The use of Dicyclomine in individuals with Chronic Kidney Disease (CKD) should be approached with caution. Since Dicyclomine is primarily metabolized in the liver and its metabolites are excreted through the kidneys, patients with impaired kidney function may experience a slower elimination of the drug from their system. Dosing adjustments may be necessary to prevent potential adverse effects. Patients with CKD must consult their healthcare provider before taking Dicyclomine to ensure proper dosage and monitoring.

7.

Is Dicyclomine the Generic Name for Bentyl?

Yes, Dicyclomine is the generic name for Bentyl. It is a brand name for the medication that contains Dicyclomine as its active ingredient. Generic drugs like Dicyclomine have the same active ingredients, dosage form, strength, and intended use as their brand-name counterparts. They are generally more affordable and widely available once the brand-name patent expires. 

8.

What Is an Alternative Name for Dicyclomine?

An alternative name for Dicyclomine is Bentylol. Both Dicyclomine and Bentylol refer to the same medication with the same active ingredient. The use of different names for the same drug can sometimes occur due to regional variations, different manufacturers, or brand preferences in different countries or regions. 

9.

Is Benzethonium Chloride Considered Harmful?

Benzethonium chloride can be considered harmful if used inappropriately or in high concentrations. It is an antiseptic and preservative commonly found in various personal care products, topical medications, and disinfectants. It is generally safe for most individuals when used as directed and in the proper formulations. However, misuse or overuse of benzethonium chloride products may cause skin irritation or allergies. 

10.

Can Benzethonium Chloride Negatively Affect the Skin?

When used in appropriate concentrations and formulations, Benzethonium chloride is generally considered safe for skin contact. It is commonly used as an antiseptic in various topical products like hand sanitizers, disinfectants, and first-aid solutions. However, some may experience skin irritation or allergic reactions in response to benzethonium chloride. If any adverse reactions occur, it is advisable to discontinue use and seek medical advice for proper evaluation and alternative recommendations.

11.

How Does Benzethonium Chloride Affect the Body?

The effects of benzethonium chloride on the body primarily revolve around its antiseptic properties. When used as intended, it can kill or stop the growth of bacteria and fungus, making it a valuable ingredient in disinfectants and antiseptic solutions. However, excessive or inappropriate use may lead to some individuals' skin irritation or allergic reactions. It is essential to use products containing benzethonium chloride as directed and to be cautious if any adverse reactions occur.

12.

In What Ways Is Benzalkonium Chloride Harmful?

Benzalkonium chloride can be harmful when used inappropriately or in high concentrations. It is a common ingredient in various household and personal care products, such as disinfectants, hand sanitizers, and cleaning agents. Skin irritation and dryness may result from prolonged or recurrent exposure to high doses of benzalkonium chloride. Additionally, excessive use of items containing this substance might result in the emergence of germs that are resistant to antibiotics, endangering the general public health. Following product instructions and using benzalkonium chloride-containing products responsibly is essential to minimize potential harm.

13.

When Is the Recommended Time to Take Bentyl?

The recommended time to take Bentyl (Dicyclomine) may vary based on individual needs and the treatment condition. It is often taken before meals to aid with the symptoms of irritable bowel syndrome (IBS) or other digestive problems. The prescription-writing healthcare provider's directions must be adhered to, nevertheless. Bentyl can be taken at the times advised to maximize its efficacy and reduce the possibility of negative effects.

14.

What Are the Common Reasons Why People Use Bentyl?

Dicyclomine, the active ingredient in Bentyl, is used by people for various conditions, chief among them the symptoms of irritable bowel syndrome (IBS) and other gastrointestinal diseases. Bentyl functions as an antispasmodic, helps in relaxing smooth muscles of the gastrointestinal system and also, ease cramping. It can also be prescribed to manage certain bladder problems and aid in treating peptic ulcers. As with any medication, individuals should only take Bentyl under the guidance of a healthcare professional to ensure safe and appropriate use.

15.

Does Bentyl Function as a Painkiller?

Bentyl (Dicyclomine) is not primarily used as a painkiller. It is an antispasmodic medication that relaxes the gastrointestinal tract and the bladder muscles. Reducing muscle spasms can alleviate symptoms like abdominal cramps and irritable bowel syndrome (IBS) discomfort. However, individuals should consult their healthcare provider for pain relief to explore alternative medications or treatments suited to their specific pain-related needs.
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Dr. Sugandh Garg
Dr. Sugandh Garg

Internal Medicine

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