Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Dental problems: Since one of the ingredients may cause a dry mouth, there is an increase risk of dental disease.
Dependence and withdrawal: Physical dependence (a need to take regular doses to prevent physical symptoms) has been associated with benzodiazepines such as chlordiazepoxide - clidinium. Severe withdrawal may occur if the dose is significantly reduced or suddenly discontinued. These symptoms include seizures, irritability, nervousness, sleep problems, agitation, tremors, diarrhea, abdominal cramps, vomiting, memory impairment, headache, muscle pain, extreme anxiety, tension, restlessness, and confusion. Reducing the dose gradually under medical supervision can help prevent or decrease these withdrawal symptoms.
Drowsiness/reduced alertness: Because chlordiazepoxide - clidinium may cause drowsiness and sedation, do not engage in activities that require mental alertness, judgment, and physical coordination (such as driving or operating machinery) while taking this medication. This is particularly true when first starting the medication and until you have established that chlordiazepoxide - clidinium does not affect you this way. Alcohol ingestion can increase the drowsiness effects and should be avoided.
Medical conditions: Tell your doctor if you have any of the following conditions, as it may influence whether your doctor recommends this medication:
- chronic obstructive pulmonary disease (COPD)
- glaucoma (open-angle)
- hiatus hernia
- high blood pressure
- intestinal blockage
- kidney disease
- liver disease
- mental illness
- myasthenia gravis
- overactive thyroid
- ulcerative colitis
- xerostomia (condition with severe loss of saliva)
People with an addiction to alcohol or other medications should not take chlordiazepoxide, except in rare situations under medical supervision.
Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks.
Breast-feeding: This medication may pass into breast milk. If you are a breast-feeding mother and are taking chlordiazepoxide - clidinium, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of using this medication have not been established for children.
Seniors: Seniors may be at increased risk for the sedative and impaired coordination effects of this medication. They need to use extra caution, for example, when getting up during the night.