Dicycloverine, Hyoscine butylbromide, Propantheline
Issues for Surgery
For irritable bowel syndrome, smooth muscle spasm, adult enuresis or hyperhidrosis – loss of symptomatic relief if omitted.
Advice in the Perioperative period
Resume post-operatively, if needed, once enteral intake resumed.
Review if patient develops reduced gastrointestinal motility (e.g. ileus) post-operatively1, 2, 3.
Review appropriateness of continuing treatment if patient develops post-operative delirium1.
Interaction(s) with Common Anaesthetic Agents
Antimuscarinic action may be additive with agents that also have antimuscarinic effects such as atropine and glycopyrronium1, 2, 3.
Interaction(s) with other Common Medicines used in the Perioperative Period
Delayed Gastric Emptying
Antimuscarinics delay gastric emptying which may alter the absorption of concomitantly administered medication2.