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Operational Medicine 2001
Scopolamine (Isopto-Hyoscine, TransdermScop)

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Category:

  • Nervous system  

Description:

  • Mydriatic, cycloplegic, antiemetic, antivertigo agent, anticholinergic

Indications:

  • Systemic: reduction of secretions before surgery, calm delirium

  • Transdermal: motion sickness, vertigo

  • Ophth: uveitis, iritis, cycloplegia, mydriasis

Contraindications:

  • Narrow-angle glaucoma, increased intraocular pressure, adhesions between iris and lens

  • Unstable cardiovascular status, myasthenia gravis, GI or GU obstruction

Precautions:

  • Pregnancy category C

  • Children, elderly, prostatic hypertrophy, Down’s syndrome

  • Debilitated COPD, asthma, CHF, hypertension, dysrhythmia, hiatal hernia

Adverse Reactions (Side Effects):

  • CNS: anxiety, confusion, delirium, delusions, depression, dizziness, drowsiness, excitement, headache, flushing, hallucinations, incoherence, irritability, restlessness

  • CV: palpitations, paradoxical bradycardia, postural hypotension, tachycardia

  • EENT: blurred vision, difficulty swallowing, dilated pupils, photophobia

  • GI: abdominal distress, constipation, dry mouth, paralytic ileus, nausea, vomiting

  • GU: hesitancy, retention

  • METAB: decreased sweating, fever

  • MISC: nasal congestion, suppression of lactation, urticaria

SubCutaneous Self-Injection Video
 5-Minute Training Video for those learning to give themselves this type of injection.
Download - CD - DVD
 www.brooksidepress.org

Dosage:

Administered topically, intravenously, intramuscularly, subcutaneously

  • Adult:            

    • Preoperatively: 

      • SC/IM/IV 0.32-0.65mg; dilute IV with sterile water; transderm 1.5mg

    • Uveitis or iritis: 

      • OPHTH 1-2 drops 3-4 times daily; 1-2 drops before refraction

    • Motion sickness: 

      • Place 1 patch behind ear 4-5 hours before travel, replace every 72 hours as needed

    • Nausea associated with analgesia and opiate anesthesia: 

      • Transderm 1.5mg every 72 hours

  • Child:            

    • OPHTH: 1-2 drops twice daily for 2 days before refraction

    • Preoperatively: 

      • SC 0.006 mg/kg or 0.2 mg/meter square

Approved for public release; Distribution is unlimited.

The listing of any non-Federal product in this CD is not an endorsement of the product itself, but simply an acknowledgement of the source. 

Operational Medicine 2001

Health Care in Military Settings

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300

Operational Medicine
 Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
  January 1, 2001

 United States Special Operations Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323

*This web version is provided by The Brookside Associates Medical Education Division.  It contains original contents from the official US Navy NAVMED P-5139, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense.

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