Drug lookup
Drug reference

methscopolamine

Quaternary amine, muscarinic antagonist · Anticholinergic

Quaternary amine, muscarinic antagonistAnticholinergicATC A03AB01
CDSCO approvedATC A03AB01
EXCRETION
not curated
INTERACTIONS
4 major
SEVERE in our sources
PREGNANCY
not curated
Top interactions
  • Potassium ChlorideSevereDatabaseDDInter
  • Potassium CitrateSevereDatabaseDDInter
  • TopiramateSevereDatabaseDDInter
  • ZonisamideSevereDatabaseDDInter

Mechanism

Quaternary ammonium derivative of scopolamine, therefore lacks the central actions of scopolamine because it does not cross the blood-brain barrier.

Indications

Temporary relief of symptoms of allergic rhinitisSinusitisCommon coldPeptic ulcer disease (formerly)IBS (off-label use, to prevent pain and fecal urgency)

Dosing

Adult
2.5 mg a half hour before meals and 2.5 to 5 mg at bedtime.

Contraindications

  • Colitis
  • Reflux esophagitis
  • Bowel obstruction

Side effects

Common
DizzinessDry mouthNauseaBlurred vision

Drug interactions

Potassium Chloride
Severe
Database

Clinical effect not specified

Source: DDInter

Potassium Citrate
Severe
Database

Clinical effect not specified

Source: DDInter

Topiramate
Severe
Database

Clinical effect not specified

Source: DDInter

Zonisamide
Severe
Database

Clinical effect not specified

Source: DDInter

8 additional low-confidence interactions hidden — those rows lack a documented mechanism or management plan in our sources.

Related guidelines

Other Quaternary amine, muscarinic antagonist drugs

Ask House about methscopolamine

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

Sources: Goodman & Gilman 14e·Verified: 2026-05-10 · House clinical team