Chlordiazepoxide+clidinium+dicyclomine+ranitidine

Do not take Chlordiazepoxide+clidinium+dicyclomine+ranitidine if you are allergic to any of its contents. Inform your doctor 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. Chlordiazepoxide+clidinium+dicyclomine+ranitidine may be habit-forming, so inform your doctor if you have a history of drug addiction or abuse. Keep your doctor informed about all the medicines you are taking, including prescription, non-prescription medicines and herbal supplements. Please do not stop taking Chlordiazepoxide+clidinium+dicyclomine+ranitidine on your own as it might cause withdrawal symptoms. Avoid taking Chlordiazepoxide+clidinium+dicyclomine+ranitidine if you are pregnant or planning for pregnancy, as it may cause congenital disabilities (birth defects). Chlordiazepoxide+clidinium+dicyclomine+ranitidine may pass into breastmilk, so avoid taking Chlordiazepoxide+clidinium+dicyclomine+ranitidine if you are breastfeeding. Chlordiazepoxide+clidinium+dicyclomine+ranitidine may cause drowsiness, blurred vision or vision changes; do not drive or handle machinery unless you are alert. Avoid consumption of alcohol while taking Chlordiazepoxide+clidinium+dicyclomine+ranitidine as it may cause increased drowsiness. Chlordiazepoxide+clidinium+dicyclomine+ranitidine should not be given to children as safety and effectiveness were not established.

Drug-Drug Interactions: Chlordiazepoxide+clidinium+dicyclomine+ranitidine may interact with pain killers (codeine, hydrocodone, hydromorphone, methadone, morphine, oxycodone, tramadol, acetaminophen, ibuprofen), 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), anti-emetic (promethazine), and vitamin (cyanocobalamin).

Drug-Food Interactions: Avoid consumption of alcohol while taking Chlordiazepoxide+clidinium+dicyclomine+ranitidine 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, gastrointestinal bleeding, tardive dyskinesia (uncontrollable movements of the face), liver or kidney problems.

• Eat smaller meals more often.
• Avoid smoking and alcohol consumption. Alcohol intake leads to increased production of stomach acid, thereby increases acidity and heartburn.
• 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.

• Do not stop taking Chlordiazepoxide+clidinium+dicyclomine+ranitidine on your own as it may cause withdrawal symptoms.
• Take Chlordiazepoxide+clidinium+dicyclomine+ranitidine only as prescribed by the doctor. Do not exceed the dose and duration as Chlordiazepoxide+clidinium+dicyclomine+ranitidine may be habit-forming, especially in people with a history of drug addiction or abuse, and in those who are alcoholic.