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Trihexyphenidyl / Benzhexol Hydrochloride

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Molecule Summary

Uses
Parkinson's disease
Therapy
Anti-Parkinsonian
Side Effects
Dry mouth, constipation, blurred vision, dizziness, mild nausea
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Molecule Description

Trihexyphenidyl / Benzhexol Hydrochloride is used to treat Parkinson's disease and movement disorder. Trihexyphenidyl / Benzhexol Hydrochloride has anti-spasmodic properties (relieves muscle spasms) and is recommended for Parkinson's disease. Parkinson's disease is a brain disorder that can lead to loss of control over certain body functions and is accompanied by shaking, stiffness, and difficulty with walking, balance and coordination. Trihexyphenidyl inhibits the action of certain chemicals in the brain responsible for symptoms of Parkinson's and also relaxes smooth muscles. Thus, it helps in relieving the rigidity and stiffness of the muscles.

Uses

Trihexyphenidyl / Benzhexol Hydrochloride is used to relieve symptoms of Parkinson's disease or movement disorders. Parkinson's disease's typical symptoms include shakiness, stiffness, tremors, excess salivation, and uncontrolled movements.

Contraindications

When should one not use Trihexyphenidyl / Benzhexol Hydrochloride

If you are allergic to trihexyphenidyl or any other ingredient of Trihexyphenidyl / Benzhexol Hydrochloride.

Side effects

Common side effects of this drug are:

  • Dry mouth
  • Constipation
  • Blurred vision
  • Dizziness
  • Mild nausea
  • Nervousness
  • Skin allergies

Precautions and Warnings

Pregnancy

Pregnancy

There is limited information on the safe use of Trihexyphenidyl / Benzhexol Hydrochloride in pregnancy. Hence, it is recommended not to use the same unless prescribed by your doctor.

Breast Feeding

Breast Feeding

Constituents of Trihexyphenidyl / Benzhexol Hydrochloride pass into breastmilk and can be harmful to the baby. It is advised to consult your doctor and avoid breastfeeding while on this therapy.

Driving

Driving

After taking this medicine, you may experience blurred vision, dizziness, mild nausea, and sometimes mental confusion. So it is advised to be cautious before driving and operating any machinery.

Alcohol

Alcohol

Alcohol intake during the treatment may worsen the side effects and can cause dizziness. So, it is advised to avoid alcohol intake along with this medicine.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • You have high pressure inside the eyes (glaucoma) or any eye-related disorder.
  • You have heart, liver or kidney problems or high blood pressure; this medicine should be used with caution.
  • You have a problem in passing urine (prostate problems in men), need to be monitored closely during the treatment.
  • You have stomach/intestinal problem like ulcer or heartburn.
  • You have myasthenia gravis, Trihexyphenidyl / Benzhexol Hydrochloride should be used cautiously as it can worsen the condition.
  • You are suffering from muscle weakness because you need to be monitored closely during the therapy as it can worsen the condition.
  • You are an elderly person as the dose modification may be required depending on any physiological dysfunction or health condition.

Mode of Action

How Does It Work?

Trihexyphenidyl / Benzhexol Hydrochloride works by decreasing the activity of certain chemical messengers (acetylcholine) in the brain. It also helps in reducing the stiffness of the muscles and improves muscle control. Hence, it allows the patients to move naturally.

Interactions

Interactions with other medicines

  • Concomitant use of Trihexyphenidyl / Benzhexol Hydrochloride and certain medicines should be avoided or taken with extra care. These medicines include Phenothiazines, Clozapine (used to treat mental conditions), Disopyramide (used to treat irregular heartbeat), Nefopam (for pain) and Amantadine (used for Parkinson's disease).
  • You may experience dry mouth, constipation, blurred vision and urinary retention if Trihexyphenidyl / Benzhexol Hydrochloride is taken along with certain medicines acting on the brain. Patients taking these medicines need to be monitored regularly.
  • The effect of Trihexyphenidyl / Benzhexol Hydrochloride may be increased when medicine used to treat low moods such as Amitriptyline, Doxepin, Selegiline and Phenelzine are coadministered, hence should be used with caution.
  • A gap of a minimum of 2 hrs should be kept between Trihexyphenidyl / Benzhexol Hydrochloride and anti-diarrhoeal such as Loperamide, antacids such as Aluminium hydroxide gel, Magnesium hydroxide and Ketoconazole (used to treat fungal infection).
  • The effect of other medicines such as Metoclopramide or Domperidone (to stop vomiting), Levodopa (used to treat Parkinson's disease), and Bethanechol (used to treat urinary problems) may decrease with Trihexyphenidyl / Benzhexol Hydrochloride.
  • Discuss with your doctor any other medicine, herbal preparation and supplements you are currently taking to avoid any possible drug interactions.

Interactions with food items

Take Trihexyphenidyl / Benzhexol Hydrochloride with or without food exactly as advised by your doctor. The consumption of acidic foods, such as citrus fruits and juices, may decrease the effectiveness of Trihexyphenidyl / Benzhexol Hydrochloride. It is advisable to avoid acidic food.

Dosage

Overdose

  • The symptoms of an overdose of Trihexyphenidyl / Benzhexol Hydrochloride include flushing, skin dryness, dilated pupils, dry mouth, faster heart rate, fever, high blood pressure, nausea, vomiting, rashes on the face, confusion, hallucination, restlessness, respiratory problem.
  • In case of an overdose, contact your doctor immediately or visit the nearest hospital. Significant overdose can also lead to death or coma.

Missed a Dose

If you missed any dose of this medicine, take it as soon as you remember. If it's time for your next dose, skip the missed dose and continue with your regular dose schedule. Do not take a double dose of medicine to compensate for the missed one.

Frequently Asked Questions (FAQs)

You may experience skin dryness, hallucination, mental confusion, raised body temperature, high blood pressure, nausea, vomiting, restlessness, sometimes even coma, or death. So it is advised to follow the doctor's instruction.

There is no proven cure for Parkinson's disease to date. Trihexyphenidyl / Benzhexol Hydrochloride can provide symptomatic relief and help improve quality of life.

It varies among individuals depending on their physiology and body structure.

Weight gain is not listed among the common side effects of this medicine. If you notice any unwanted change in your weight, talk to your doctor or dietician.

No, abrupt stopping of this medicine can lead to a withdrawal side effect or even worsen the condition. Do not stop the treatment without consulting a doctor. The doctor will gradually decrease the dose.

Dry mouth, nausea, constipation, blurred vision etc. are a few common side effects of this medicine. If you experience any of these side effects persistently, immediately inform the doctor.

Take Trihexyphenidyl / Benzhexol Hydrochloride exactly as told by your doctor, with or without food as advised. It is important to take it at the same time each day for maximum results.

You should not stop the treatment with Trihexyphenidyl / Benzhexol Hydrochloride abruptly. The sudden stop may make your condition worse. If you wish to stop the treatment, inform the doctor. The doctor will gradually decrease the dose or may switch to an alternative depending upon the medical condition.

Trihexyphenidyl / Benzhexol Hydrochloride is used to relieve symptoms of Parkinson's disease or movement disorders. Parkinson's disease's typical symptoms include shakiness, stiffness, tremors, excess salivation, and uncontrolled movements.

One may experience side effects like dry mouth, constipation, dizziness, mild nausea after taking Trihexyphenidyl / Benzhexol Hydrochloride, but not everyone experiences them. These side effects are usually temporary and go away with time. However, if you notice the side effects persist or worsen, please report to your doctor.

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