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Dicyclomine Coupon - Dicyclomine 20mg tablet

dicyclomine

Generic Bentyl
Used for Irritable Bowel Syndrome

Dicyclomine, also known by its brand name Bentyl, is an anticholinergic medication that's used to treat spasms of the muscles in the stomach and intestines in adults with irritable bowel syndrome (IBS). This medication is available as generic tablets, capsules, and liquid that are taken by mouth four times daily. There's also an injection form of dicyclomine that's available as brand name and generic; it's injected into the muscle for people who can't take pills by mouth. Common side effects include dizziness, dry mouth, and blurry vision.

Reviewed by:Last reviewed on March 31, 2024
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What is Dicyclomine?

Featuring Nabila Ismail, PharmDReviewed by Daisy Chau, PharmD | July 31, 2024

What is Dicyclomine used for?

How Dicyclomine works

Dicyclomine is an anticholinergic medication. It works by blocking a chemical called acetylcholine from attaching to receptors in your stomach and intestines. Typically, acetylcholine causes the muscles in your gut to contract.

By blocking acetylcholine, dicyclomine relaxes the muscles in the stomach and intestines to lessen cramping in people with IBS.

When does Dicyclomine start working?Time passed since treatment started:
HOURS
DAYS
WEEKS
Full effect
MONTHS

Drug facts

Common BrandsBentyl
Drug ClassAnticholinergic
Controlled Substance ClassificationNot a controlled medication
Generic StatusLower-cost generic available
AvailabilityPrescription only
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Side effects of Dicyclomine

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Dizziness (40%)
  • Dry mouth (33%)
  • Blurred vision (27%)
  • Nausea (14%)

Less Common Side Effects

  • Sleepiness
  • Weakness
  • Nervousness

Dicyclomine serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Severe changes in mood, thoughts, or behavior: psychosis, distress, hallucinations (seeing or hearing things that aren't there), confusion, feelings of extreme happiness (euphoria)
  • Irregular heartbeat: fainting, dizziness or lightheadedness, chest discomfort, shortness of breath, fatigue

Source: DailyMed

The following Dicyclomine side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Rare

Confusion (especially in the elderly)

dizziness, lightheadedness that continues, or fainting

eye pain

skin rash or hives

Incidence not known

Cough

difficulty with swallowing

fast irregular, pounding, or racing heartbeat or pulse

fever

hives or welts

hoarseness

irritation

itching skin

joint pain, stiffness, or swelling

puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

redness of the skin

shortness of breath

skin rash

tightness in the chest

trouble with breathing

wheezing

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Constipation

decreased sweating

dryness of the mouth, nose, throat, or skin

Less common or rare

Bloated feeling

blurred vision

difficult urination

difficulty with swallowing

drowsiness

false sense of well-being

headache

increased sensitivity of eyes to light

loss of memory

nausea or vomiting

redness or other signs of irritation at the place of injection

trouble with sleeping

unusual tiredness or weakness

Incidence not known

Decreased interest in sexual intercourse

inability to have or keep an erection

loss in sexual ability, desire, drive, or performance

loss of taste

For patients using scopolamine:

After you stop using scopolamine, your body may need time to adjust. The length of time this takes depends on the amount of scopolamine you were using and how long you used it. During this period of time check with your doctor if you notice any of the following side effects:

Anxiety

irritability

nightmares

pupil of one eye is larger (patch only)

sensitivity of eyes to light (patch only)

trouble in sleeping

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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Pros and cons of Dicyclomine

Pros

  • Typically taken by mouth
  • Available as an oral liquid that's taken by mouth; good option for people who can't swallow tablets
  • Available as a lower-cost generic

Cons

  • Taken 4 times per day
  • Older adults are more likely to have side effects from the medication
  • Might not be recommended for people with kidney or liver problems
  • Can't take if you're breastfeeding because of potentially serious harm to infants
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Pharmacist tips for Dicyclomine

pharmacist
  • You can take dicyclomine with or without food. If the medication upsets your stomach, you can try taking it with food to help.
  • For the dicyclomine oral solution: Make sure to only use a medication dose cup or oral syringe from the pharmacy to measure out your dose. Don't use household spoons because they aren't accurate and using them might cause you to take the wrong dose.
  • Dicyclomine can affect your ability to think, focus, and react. Don't drive, operate machinery, or do anything that requires concentration until you know how this medication affects you.
  • You might have dry mouth while you're taking dicyclomine because this medication causes your body to make less saliva. Make sure to drink plenty of water when you're taking this medication to help relieve dry mouth.
  • It's also important to drink lots of water and stay hydrated while you're taking dicyclomine because the medication can make it easier for you to overheat in hot temperatures. Dicyclomine can cause your body to sweat less, which can affect how well your body can cool down.
  • Avoid alcohol while you're taking dicyclomine. In addition to possibly making dicyclomine side effects like sleepiness worse, alcohol can worsen your IBS symptoms.
  • Tell your prescriber and pharmacist about all the medications you're taking and planning to take. Dicyclomine can interact with certain medications, and these interactions can make side effects worse. Your prescriber and pharmacist can make sure it's safe for you to take all your medications with dicyclomine.
  • Talk to your gastroenterologist about the risks and benefits of taking dicyclomine if you're pregnant or thinking of becoming pregnant. It's not completely clear how safe the medication is if it's taken during pregnancy.
  • Don't take dicyclomine if you're breastfeeding. This medication can get into breast milk and possibly cause serious side effects, such as severe breathing problems, in breastfed babies. Talk to your primary care provider if you're taking dicyclomine and want to breastfeed your baby. They might be able to recommend safer options for you.
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Common questions about Dicyclomine

The brand name Bentyl is available only as the injection form of dicyclomine that's given into the muscle for people who can't take the medication by mouth. Bentyl tablets, capsules, and oral solution have been discontinued, but they're still available under the generic name dicyclomine.

One study showed that people started to feel an improvement in symptoms like stomach pain and tenderness within 2 weeks of taking dicyclomine. Keep in mind that each person can have a different experience with the medication and that it might take you more or less time for symptom relief. Talk to your gastroenterologist or primary care provider if you're concerned with how well dicyclomine is working for you.

It takes about 10 hours for most of the dicyclomine to leave your body after a single dose. This time frame is estimated based on the half-life of dicyclomine. If you're having side effects from the medication, they might last as long as it takes for the medication to clear your system.

Maybe. A study showed that dicyclomine lessened the number of reflux episodes in a group of 15 people with gastroesophageal reflux disease (GERD). But we need more research done to know whether this medication is beneficial if you have both GERD and IBS. Ask your primary care provider or gastroenterologist if you have GERD and IBS to see what suggestions they have to help relieve your acid reflux. They might recommend proton pump inhibitors or histamine-2 antagonists. Don't take antacids, though, because they can affect how well dicyclomine works for you.

Yes, dicyclomine should help with diarrhea that's caused by irritable bowel syndrome (IBS). The medication relaxes the muscles in the stomach and intestines, which helps slow down gut movement. This helps lessen the feeling of needing to go to the bathroom. Dicyclomine also can help with gas and bloating. But be sure to speak with your primary care provider or gastroenterologist if you're having diarrhea, gas, or bloating that's not getting better after you start taking dicyclomine. There might be other options to help relieve these symptoms.

Yes, it's possible for dicyclomine to make you sleepy. In clinical studies, about 9% of people who took the medication reported sleepiness. Contact your primary care provider or prescriber if you're too tired to the point where it's affecting your ability to go about your day. They might consider lowering your dicyclomine dose or switching you to another medication.

It's recommended to avoid or limit alcohol while you're taking dicyclomine. Alcohol can make dicyclomine side effects like sleepiness and dizziness worse. In addition, alcohol might make certain symptoms of IBS, like nausea and stomach upset, flare up. Talk to your healthcare professional about your drinking habits and whether dicyclomine is appropriate for you.

There are a few medications that you might want to avoid taking with dicyclomine because of drug interactions. You shouldn't take other anticholinergic medications with dicyclomine; otherwise, your risk for side effects is greater. Additionally, dicyclomine can have the opposite effects as metoclopramide (Reglan) and glaucoma medications. This means that dicyclomine can make these medications work less well for you. Let your gastroenterologist, primary care provider, and pharmacist know about all the medications you take so they can make sure they're safe to take with dicyclomine.

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Risks and warnings for Dicyclomine

Dicyclomine can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

Faster heart rate (caution in people with heart conditions)

  • Risk factors: Medical conditions that cause the heart to beat fast | Heart problems | High blood pressure

Let your care team know if you have heart problems, such as heart failure, past heart attacks, high blood pressure, or other medical conditions that cause your heart to beat faster than usual. It's possible for dicyclomine to cause your heart rate to go up, which can worsen certain heart conditions. Tell your care team if you notice a change in your heart rate or if you feel your heart pounding or racing.

Changes in mood, thoughts, or behaviors

  • Risk factors: Age 65 years or older | Mental health conditions

Dicyclomine can sometimes cause changes to your mood, thoughts, or ability to think. It can cause symptoms such as confusion or memory loss. It can also lead to feelings of distress, seeing or hearing things that aren't really there (hallucinations), or extreme happiness (euphoria). Typically, these symptoms go away within 12 to 24 hours after you stop taking dicyclomine. Please let a healthcare professional (HCP) know right away if you experience any changes to your mood, thoughts, or behaviors.

Changes to bodily functions

  • Risk factors: Age 65 years or older

Dicyclomine can cause changes to your autonomic nervous system, also known as the involuntary functions of your body. For example, the muscles of your gut might slow down, which can lead to constipation. Your body might also make less saliva, which can lead to dry mouth. Dicyclomine can also affect other functions, such as your heartbeat or vision.

In addition, you might sweat less, which can make you feel thirstier and put you at risk for heat stroke. Don't take dicyclomine without asking your HCP first if you have a fever because the medication might make it worse.

Let your HCP know if you experience any unusual and bothersome changes to your bodily functions.

Muscle weakness (caution in people with myasthenia gravis)

  • Risk factors: Taking a higher dose of dicyclomine than recommended

Though rare, dicyclomine can cause extreme muscle weakness and possibly paralysis. This is very unlikely if you take dicyclomine as prescribed. But muscle weakness is possible if you take a higher dose of the medication than what your prescriber recommended. Don't take dicyclomine if you have a condition called myasthenia gravis, unless your prescriber says it's safe to do so. Let an HCP know right away if you feel any muscle weakness or difficulty moving your body while you're taking dicyclomine.

Strong caution in people with certain gut problems

Let your HCP know before you take dicyclomine for diarrhea if you've ever had a colostomy (or any similar procedures). Sometimes, diarrhea is a sign that you have a block in your gut, especially if you've had these procedures done. Taking dicyclomine in these situations can be harmful.

Also tell your prescriber if you think you have food poisoning to see whether it's safe for you to take dicyclomine. Taking this medication when you have food poisoning can lead to a very dangerous gut problem called toxic megacolon.

In addition, don't take dicyclomine if you have severe ulcerative colitis. Taking large doses of dicyclomine can slow the gut down to a stop. This can result in serious problems, like severe inflammation and swelling of the colon.

Trouble urinating (caution in people with prostate problems)

Use dicyclomine with caution if you have prostate problems. This medication can worsen prostate problems and lead to difficulty urinating. Let your HCP know if you have worsening symptoms of your prostate problem or have trouble urinating while you're taking dicyclomine.

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Dicyclomine dosage

The average cost for 30 tablets of 20mg of Dicyclomine is $10.19 with a free GoodRx coupon. This is 59.21% off the average retail price of $24.98.
capsuleCapsule
DosageQuantityPrice as low asPrice per unit
10mg90 capsules$14.33$0.16
cartonCarton
DosageQuantityPrice as low asPrice per unit
five 2ml vials of 20mg/2ml1 carton$42.90$42.90
ml of oral solutionMl of oral solution
DosageQuantityPrice as low asPrice per unit
10mg/5ml100 ml$13.13$0.13
tabletTablet
DosageQuantityPrice as low asPrice per unit
20mg30 tablets$10.19$0.34
40mg30 tablets$513.56$17.12

Typical dosage for Dicyclomine

The typical starting dose is 20 mg by mouth four times daily. After one week, your prescriber might raise your dose to 40 mg by mouth four times daily.

Dicyclomine is also available as an injection that's given into the muscle for people who can't take the medication by mouth.

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Interactions between Dicyclomine and other drugs

Dicyclomine may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Dicyclomine. Please note that only the generic name of each medication is listed below.

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking any of these medicines, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using medicines in this class with any of the following medicines is not recommended. Your doctor may decide not to treat you with a medication in this class or change some of the other medicines you take.

Using medicines in this class with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

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How much does Dicyclomine cost?

To access savings, use a GoodRx coupon and pay just a fraction of the retail price.
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Dicyclomine contraindications

Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Dicyclomine will not be safe for you to take.

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What are alternatives to Dicyclomine?

There are a number of medications that your doctor can prescribe in place of Dicyclomine. Compare a few possible alternatives below.
Dicyclomine
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Dicyclomine images

Blue Round Ww 27 - Dicyclomine Hydrochloride 20mg Tablet
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References

Best studies we found

Azer, S. A., et al. (2023). Reflux esophagitis. StatPearls.

Chartwell RX, LLC. (2023). DICYCLOMINE HYDROCHLORIDE capsule; tablet [package insert]. DailyMed.

Drugs and Lactation Database (LactMed). (2023). Dicyclomine. National Institute of Child Health and Human Development.

GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.

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