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Hyoscine

Antimuscarinic · Symptom control

Also known as Hyoscine hydrobromide, Hyoscine butylbromide

AntimuscarinicSymptom control
CDSCO approved
EXCRETION
not curated
INTERACTIONS
none in our sources
PREGNANCY
not curated

Mechanism

Hyoscine is an antimuscarinic drug used to reduce bowel colic and excessive respiratory secretions.

Indications

Bowel colicExcessive respiratory secretionsGastro-intestinal pain (bowel colic)Motion sickness (prophylactic)Sedation and amnesia during labour (historical use)Control of maniacal states (historical use)motion sickness

Dosing

Adult
Subcutaneous injection: generally every 4 hours as required; hourly use may be necessary for excessive respiratory secretions. If symptoms persist, can be given regularly via a continuous infusion device. Hyoscine hydrobromide can also be given sublingually (e.g., Kwells® tablets) for bowel colic.

Pharmacokinetics

Onset
Administration before symptoms have set in is more effective for motion sickness.
Protein binding
Not specified, but has better blood-brain barrier penetration than atropine.
Metabolism
more completely metabolized

Side effects

Common
Dry mouthSedationAmnesiaFatigueDrowsinessN-REM sleep (low doses)Excitation (high doses)other anticholinergic side effects

Drug interactions

Intravenous Anaesthetics
Moderate
Textbook

Delirium, convulsions, and other excitatory effects during recovery from intravenous anaesthetics.

Excitatory effects are generally suppressed by opioids.

Source: KDT 7e · p385

Related guidelines

Other Antimuscarinic drugs

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Continue into a citation-backed clinical answer with the drug context already attached.

Sources: KD Tripathi 7e, Katzung, BNF, Harriet Lane·Verified: 2026-05-10 · House clinical team