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LIBRAX
Hyperacidity, GERD, and ulcers
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Drug Name:

LIBRAX CIV

Generic Name and Formulations:
Chlordiazepoxide HCl 5mg, clidinium bromide 2.5mg; caps.

Company:
Valeant Pharmaceuticals, Inc

Therapeutic Use:

Indications for LIBRAX:

Adjunct in peptic ulcer. Irritable bowel syndrome. Acute enterocolitis.

Adult:

Individualize. Usually 1–2 caps 3–4 times daily before meals and at bedtime. Elderly or debilitated: max 2 caps daily initially, then may increase gradually.

Children:

Not established.

Contraindications:

Glaucoma. GI or GU obstruction.

Warnings/Precautions:

Risks from concomitant use with opioids; see Interactions. Monitor for paradoxical reactions. Depression. Suicidal tendencies (monitor). Hepatic and renal impairment. Obtain LFTs and blood counts periodically in prolonged use. Drug or alcohol abuse. Write ℞ for smallest practical amount. Avoid abrupt cessation. Elderly. Debilitated. Pregnancy; avoid during the first trimester. Nursing mothers: not recommended.

Interactions:

Increased sedation, respiratory depression, coma, and death with concomitant opioids; reserve use in those for whom alternative treatment options are inadequate; if needed, limit dosages/durations to minimum and monitor. Additive CNS depressant effects with alcohol or other CNS depressants. Concomitant other psychotropic agents (eg, MAOIs, phenothiazines): not recommended. Increased constipation with concomitant other spasmolytic agents and/or a low residue diet. May rarely interfere with oral anticoagulants.

Pharmacological Class:

Benzodiazepine + anticholinergic.

Adverse Reactions:

Drowsiness, anticholinergic effects (eg, dry mouth, blurred vision, urinary hesitancy, constipation), ataxia, confusion; rare: jaundice, blood dyscrasias.

How Supplied:

Caps—100

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