CLISTAR TABLET

CLISTAR TABLET is a combination medicine used to treat irritable bowel syndrome, peptic ulcers, enterocolitis (swelling in the intestine), and symptoms related to intestinal infection. Irritable bowel syndrome is a common disease that affects the large intestine. Peptic ulcers are sores that develop on the lining of the stomach and intestine due to erosion of the stomach protective lining.
 
CLISTAR TABLET is a combination of three drugs, namely: Clidinium (anti-cholinergic), Chlordiazepoxide (benzodiazepine), and Dicyclomine (anti-cholinergic). Clidinium works by reducing stomach acid and decreases intestinal spasms. Dicyclomine helps in decreasing stomach cramps and spasms. Chlordiazepoxide decreases abnormal activity in the brain. 
 
You are advised to take CLISTAR TABLET for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side-effects such as weakness, tiredness, dry mouth, nausea, constipation, and drowsiness. Most of these side-effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side-effects persistently.
 
Avoid taking CLISTAR TABLET if you are pregnant or planning for pregnancy, as it may cause birth defects. CLISTAR TABLET may pass into breastmilk, so avoid taking CLISTAR TABLET if you are breastfeeding. CLISTAR TABLET may cause drowsiness, blurred vision or vision changes, do not drive or handle machinery unless you are alert. Avoid consumption of alcohol while taking CLISTAR TABLET as it may cause increased drowsiness. Keep your doctor informed about all the medicines you are taking, including prescription, non-prescription medicines and herbal supplements.

CLISTAR TABLET is a combination medicine used to treat irritable bowel syndrome, peptic ulcers, enterocolitis (swelling in the intestine), and symptoms related to intestinal infection. CLISTAR TABLET is a combination of three drugs, namely: Clidinium, Chlordiazepoxide and Dicyclomine. Clidinium and Dicyclomine belong to a group of medicines called anticholinergics, whereas Chlordiazepoxide belongs to a group of medicines called benzodiazepine. Clidinium works by reducing stomach acid and decreasing intestinal spasms. Dicyclomine helps in decreasing stomach cramps and spasms. Chlordiazepoxide decreases abnormal activity in the brain. 

• Weakness
• Tiredness
• Dry mouth
• Nausea
• Constipation
• Sleepiness
• Blurred vision
• Drowsiness

Do not take CLISTAR TABLET if you are allergic to any of its contents. Inform your doctor before taking CLISTAR TABLET if you have glaucoma, enlarged prostate, bladder neck obstruction, vision problems, urination problems, depression, liver and kidney problems, if you are 65years or older, if you use opioid (narcotic) medicines such as codeine, hydrocodone, hydromorphone, methadone, morphine, oxycodone, and tramadol. CLISTAR TABLET may be habit-forming, so inform your doctor if you have a history of drug addiction or abuse. Please do not stop taking CLISTAR TABLET on your own as it might cause withdrawal symptoms. Avoid taking CLISTAR TABLET if you are pregnant or planning for pregnancy, as it may cause congenital disabilities (birth defects). CLISTAR TABLET may pass into breastmilk, so avoid taking CLISTAR TABLET if you are breastfeeding. CLISTAR TABLET may cause drowsiness, blurred vision or vision changes, do not drive or handle machinery unless you are alert. Avoid consumption of alcohol while taking CLISTAR TABLET as it may cause increased drowsiness. CLISTAR TABLET should not be given to children as safety and effectiveness were not established.

Drug-Drug Interactions: CLISTAR TABLET may interact with pain killers (codeine, hydrocodone, hydromorphone, methadone, morphine, oxycodone, tramadol, acetaminophen), blood thinner (warfarin), anti-psychotic (chlorpromazine, fluphenazine, thioridazine), anti-depressants (isocarboxazid, phenelzine, selegiline, tranylcypromine, duloxetine, fluoxetine, sertraline), muscle relaxant (cyclobenzaprine), anti-convulsant (pregabalin, gabapentin), anti-anxiety (alprazolam), antihistamine (cetirizine, diphenhydramine), anti-hypertensive (metoprolol), anti-spasmodic (hyoscyamine), anti-diarrhoeal (loperamide), and anti-emetic (promethazine).

Drug-Food Interactions: Avoid consumption of alcohol while taking CLISTAR TABLET as it may cause increased drowsiness. 

Drug-Disease Interactions: Inform your doctor if you have arrhythmia (irregular heartbeat), gastrointestinal obstruction, glaucoma, infectious diarrhoea, acute alcohol intoxication, drug dependence, autonomic neuropathy (nerve damage), respiratory depression, seizures, prolonged low blood pressure, depression, psychoses, obesity, high blood pressure, porphyria, fever, or tardive dyskinesia (uncontrollable movements of the face).

• CODEINE
• HYDROCODONE
• MORPHINE
• METHADONE
• OXYCODONE
• TRAMADOL
• ACETAMINOPHEN
• WARFARIN
• CHLORPROMAZINE
• FLUPHENAZINE
• THIORIDAZINE
• ISOCARBOXAZID
• PHENELZINE
• SELEGILINE
• TRANYLCYPROMINE
• DULOXETINE
• FLUOXETINE
• SERTRALINE
• CYCLOBENZAPRINE
• PREGABALIN
• GABAPENTIN
• ALPRAZOLAM
• CETIRIZINE
• DIPHENHYDRAMINE
• METOPROLOL
• HYOSCYAMINE
• LOPERAMIDE
• PROMETHAZINE

• Eat smaller meals more often.
• Avoid smoking and alcohol consumption.
• Maintain a healthy weight by regular exercising.
• Avoid carbonated and caffeinated beverages.
• Practise relaxation techniques and avoid stress by doing yoga or meditation.
• Avoid foods such as high-fat food, spicy food, chocolates, citrus fruits, pineapple, tomato, onion, garlic, tea and soda. 
• Avoid deep-fried and spicy foods.
• Foods containing probiotics may help in providing relief from gas and bloating.

Irritable bowel syndrome (IBS): It is a common disease that affects the large intestine. IBS is also known as irritable colon, spastic colon, spastic colitis, and mucous colitis. An irritable bowel syndrome is a group of intestinal symptoms that occur together. The exact cause is unknown, but common causes of IBS are acidity, stress, carbonated foods and beverages, irregular hormone levels, certain food and medications. Symptoms include abdominal pain, cramps, bloating, gas, constipation, and/or diarrhoea. 

Peptic ulcers: Peptic ulcers are sores that develop on the lining of the stomach and intestine due to erosion of the stomach protective lining. Symptoms include nausea, changes in appetite, bloody or dark stools, unexplained weight loss, vomiting, and indigestion. 

Enterocolitis: It is an inflammation of the digestive tract caused by bacteria, virus, parasites, fungus, or other causes. Symptoms include loss of appetite, nausea, vomiting, abdominal pain, mucus-like discharge from the rectum and diarrhoea.