Indications 

Urecholine is a prescribed medication used to treat certain urinary problems, such as difficulty urinating after surgery or childbirth, and when the bladder has trouble contracting due to nerve issues, leading to urine retention. 

As a cholinergic agent, Urecholine works by enhancing bladder muscle contractions, leading to improved urination ability. 

Uses and Dosage 

Before taking Urecholine and with every prescription refill, carefully review its medication guide and patient information leaflet. If you have any questions, do not hesitate to consult your healthcare provider or pharmacist. 

Urecholine dosage is determined based on the patient’s medical condition and response to treatment. 

Typically, Urecholine is taken 3 to 4 times daily on an empty stomach (about one hour before or two hours after meals) to minimize the risk of nausea or vomiting. 

For optimal results, take this medication exactly as directed at around the same times daily. Avoid taking more than instructed or increasing the frequency beyond your doctor’s recommendation. 

Side Effects 

Listed below are the potential adverse effects of Urecholine. Inform your doctor promptly if any of these symptoms last or deteriorate. 

Common Side Effects 

• Urgent need to urinate 
• Stomach cramps, nausea, or diarrhea 
• Burping or increased saliva 
• Headache or dizziness 
• Sweating, flushing (sudden warmth, redness, or tingly feeling) 
• General feeling of being unwell 
• Watery eyes or changes in vision 

Serious Side Effects 

• Slow heartbeats 
• Feeling light-headed, possibly leading to fainting 
• Wheezing, chest tightness, or difficulty breathing 

Tell your doctor right away if you experience any of the above-listed serious side effects. 

Allergic Reactions 

Although rare, a severe allergic reaction to Urecholine may occur. Prompt medical assistance is necessary upon observing any indications of an allergic response, including: 

• Hives 
• Itchiness or swelling in the face, lips, tongue, or throat 
• Difficulty in breathing 

Not all side effects of Urecholine are included in this list. Report to your doctor if any unlisted effects are encountered. 

Cautions 

Before initiating Urecholine treatment, inform your doctor of any known allergies, particularly to bethanechol. 

Seek further guidance from your pharmacist regarding Urecholine, as it may include inactive ingredients that have the potential to trigger allergic reactions or other complications. 

To ensure Urecholine is safe for you, disclose to your physician your medical background, especially if you have a history of: 

• Recent stomach, intestinal, or bladder surgery 
• Stomach or intestinal issues like ulcers, blockage, or spasms 
• Peritonitis 
• Bladder blockage 
• Vagotonia (specific nerve condition) 
• Hyperthyroidism (overactive thyroid) 
• Lung diseases such as asthma or COPD 
• Heart conditions including coronary artery disease and slow heartbeat 
• History of seizures 
• Parkinson’s disease 
• Blood pressure disorders 

Inform all your healthcare providers of any current or recently started or stopped medications, including prescription and over-the-counter drugs, vitamins, and herbal supplements to lower the risk of drug interaction with Urecholine. 

The use of Urecholine may hinder the accuracy of certain lab tests, including amylase/lipase levels, resulting in potentially misleading results. Inform laboratory personnel and all medical practitioners involved in your care about your intake of this medication. 

Urecholine can cause drowsiness. Refrain from driving or operating machinery until you understand its impact on you. 

Urecholine should be administered during pregnancy only if absolutely necessary. Consult your doctor to weigh the potential risks and benefits. 

The transfer of bethanechol into breast milk is uncertain. Seek advice from your healthcare provider prior to nursing.