Extranil

Extranil Uses, Dosage, Side Effects, Mechanism of Action, How Long Does it Take to Work? Extranil is a brand name. Its generic name is Procyclidine.

Extranil Introduction

Extranil is an anticholinergic drug used to treat the symptoms of Parkinson's and other movement disorders.It is a dopamine receptor agonist, typically prescribed as either the hydrochloride or besilate salt and is marketed under the brand names Kemadrin and Procyclid. It is available as oral tablets, syrup, and injectable solution.

Uses For Extranil

The most common use of Extranil is to treat the symptoms of Parkinson's disease, dystonia, and erratic eye movement associated with movement disorders. Extranil can also help to reduce stiffness and trembling, alleviating the stiffness and bradykinesia associated with Parkinson's: it can help to reduce tremor, rigidity, and difficulty in initiating movement. It may also be beneficial for restless legs syndrome, spasticity, alcohol withdrawal, some types of epilepsy, and other neurological conditions.

Mechanism of Action

Extranil works by blocking the action of acetylcholine, a neurotransmitter responsible for movement, on its receptors in the brain (muscarinic receptors). This leads to a reduction in the release of dopamine, which in turn reduces the overactive movements seen in movement disorders. It also helps to increase the action of a different neurotransmitter, gamma-aminobutyric acid (GABA), which results in an overall reduction in hyperactivity.

How Long Does It Take To Work?

The effects of Extranil can be seen within a few hours of taking the medication. Peak levels of the drug are typically seen within 2-4 hours of taking the medication, and the drug has a half-life of 4-6 hours. It is important to note that Extranil may not have an immediate effect and may take several days to reach the maximum benefit.

Absorption

Extranil is rapidly and completely absorbed from the gastrointestinal tract. Its peak concentration is usually reached within 2-4 hours.

Route of Elimination

The drug is metabolized by the liver and eliminated through the kidneys.

Dosage

The dosage of Extranil depends on the condition being treated, the intensity of the condition, and the patient's age and general health. An average adult would take 5 mg twice per day, with a maximum daily dose of 25 mg. For children, the dose is adjusted according to age and body weight.

Administration

Extranil is available as oral tablets, syrup, and injectable solution and is taken orally or administered by injection.

Side Effect

Common side effects of Extranil include dry mouth, nausea, blurred vision, constipation, and urinary retention. More serious side effects include hypotension, seizures, and severe allergic reactions.

Toxicity

The toxicity of Extranil is considered to be low, but overdosing may cause serious side effects. Symptoms of overdose include hypothermia, low blood pressure, and slowed heartbeat. If overdose is suspected, the patient should be taken to the nearest hospital for medical treatment.

Precaution

Patients taking Extranil should be monitored closely for any side effects caused by the drug. Patients with glaucoma, liver or kidney disease, increased intraocular pressure, or any type of breathing difficulty should not take Extranil. Caution should be taken with alcohol and other drugs that have a sedative or hypnotic effect.

Interaction

Extranil has known interactions with other drugs such as antihistamines, anticholinergics, antispasmodics, and many antidepressants. It may also interact with other medications taken to treat Parkinson's Disease or other movement disorders.

Disease Interaction

Extranil may not be suitable for patients with glaucoma, liver or kidney disease, increased intraocular pressure, or any type of breathing difficulty. It is recommended that patients with these conditions be carefully monitored if Extranil is prescribed.

Drug Interaction

Extranil has known interactions with other drugs such as antihistamines, anticholinergics, antispasmodics, and many antidepressants. Alcohol and drugs with sedative or hypnotic effects should also be avoided when taking Extranil.

Food Interactions

Alcohol can reduce the effectiveness of Extranil, so it is recommended that patients not drink alcohol while taking the medication.

Pregnancy Use

Extranil is classified as category C, meaning it may be harmful to the fetus. Before prescribing Extranil, a patient's gynecologist should be consulted for advice.

Lactation Use

Extranil is not known to be excreted in breastmilk. While it is not known to be harmful, it is recommended that breastfeeding women consult their doctor before taking Extranil.

Acute Overdose

Extranil overdose can lead to serious symptoms, including hypothermia, low blood pressure, and slowed heartbeat. If overdose is suspected immediately contact your local poison control center or emergency room.

Contraindication

Patients with glaucoma, liver or kidney disease, increased intraocular pressure, or any type of breathing difficulty should not take Extranil as it may worsen their condition.

Use Direction

Extranil should be taken according to the directions on the packaging. The dose and frequency of use depends on the patient's condition and clinical response to treatment.

Storage Condition

Extranil should be stored at controlled room temperature, at 15-30 degrees Celsius. Do not freeze the medication or store it above 40 degrees Celsius.

Volume of Distribution

The volume of distribution for Extranil is 0.67 L/kg.

Half Life

The half-life of Extranil is 4-6 hours.

Clearance

The clearance of Extranil is 5 mL/min.

Here you find in details version of Extranil

Some Frequently Asked Questions About Extranil

What is Extranil?

Extranil is a prescription medication used to treat the symptoms of Parkinson's disease, such as tremor, stiffness, and slowed movements. It is also used to treat spasms associated with certain mental illnesses and other nervous system disorders.

What is the brand name for Extranil?

The brand name for Extranil is Kemadrin.

How does Extranil work?

Extranil works by blocking some of the effects of certain chemicals in the brain that cause spasms, tremor, and stiffness in patients with Parkinson's disease and other neurological conditions.

What are the possible side effects of Extranil?

Common side effects of Extranil include dry mouth, excessive sweating, nausea, constipation, dizziness, drowsiness, blurred vision, difficulty urinating, and confusion. Less common side effects include fever, faintness, muscle spasms, weight gain, hallucinations, and agitation.

Can Extranil be used to treat Alzheimer's disease?

No, Extranil is not approved for use in the treatment of Alzheimer's disease.

Is Extranil safe for seniors?

Yes, Extranil is generally safe for seniors, but it may cause more side effects in elderly patients, so close monitoring of the patient's condition is advised.

Should Extranil be taken with food?

Yes, it is usually recommended that Extranil be taken with food, either before or after meals, to minimize the risk of nausea and stomach upset.

Can Extranil be used in combination with other medications?

Yes, Extranil may be used in combination with other medications, but it is important to talk to your doctor before combining any medications as some medications may interact with each other.

What is the usual dosage of Extranil?

The recommended dosage of Extranil varies depending on the patient's symptoms and the severity of the condition. The usual starting dose is 5mg taken two or three times daily. The dose can be increased gradually to a maximum of 30mg/day.

Who should not take Extranil?

Patients with certain conditions such as high blood pressure, glaucoma, prostate problems, liver or kidney disease, and certain heart conditions are not advised to take Extranil. Women who are pregnant or breastfeeding should also avoid taking it.

Should Extranil be avoided in certain circumstances?

Yes, Extranil should be avoided or used with caution in certain situations, such a when driving, operating heavy machinery, or engaging in hazardous activities, as it may cause drowsiness or dizziness.

What should I do if I miss a dose of Extranil?

If you miss a dose of Extranil, take it as soon as you remember, unless it is almost time for the next dose. In that case, skip the missed dose and take the next dose as usual.

What should I do if I overdose on Extranil?

If you think you may have overdosed on Extranil, seek immediate medical attention. Symptoms of an overdose may include confusion, rapid heartbeat, blurred vision, seizures, and drowsiness.

Can I drink alcohol while taking Extranil?

No, alcohol should be avoided when taking Extranil, as it may increase the side effects of the medication.

Should I stop taking Extranil if I experience side effects?

If you experience any side effects of Extranil, you should talk to your doctor. Depending on the severity of the side effects, your doctor may recommend that you stop taking Extranil or adjust your dose.

What is the storage condition for Extranil?

Extranil should be stored in a cool, dry place away from direct sunlight. Keep the medication out of reach of children and pets.

How often should I have my blood tested while taking Extranil?

Your doctor may recommend regular blood tests while taking Extranil to check for any side effects or unusual changes in your blood levels.

Does Extranil interact with other medications?

Yes, Extranil may interact with certain medications, so it is important to talk to your doctor before starting any new medications or supplements while taking Extranil.

Should I take Extranil as frequently as prescribed, even if I am feeling well?

Yes, you should take Extranil as prescribed, even if you are feeling no symptoms. Stopping Extranil suddenly can lead to worsening symptoms of the condition, so it is important to take the medication as prescribed.

What are the long-term effects of Extranil?

The long-term effects of Extranil vary depending on the individual. Generally, Extranil may cause sedation, constipation, and dizziness. It may also increase the risk of falls.

What are the withdrawal symptoms of Extranil?

Withdrawal symptoms of Extranil may include anxiety, tremors, increased salivation, and difficulty sleeping. It is important to talk to your doctor before stopping Extranil so that the dose can be decreased gradually to avoid withdrawal symptoms.

What are the possible risks of taking Extranil?

The possible risks of taking Extranil include sedation, confusion, hallucinations, agitation, difficulty urinating, decrease in mental alertness, and seizures. It is important to talk to your doctor about potential risks before starting the medication.

Can Extranil affect blood pressure?

Yes, Extranil can affect blood pressure, as it has the potential to cause low blood pressure, which can cause dizziness.

Can Extranil cause weight gain?

Yes, Extranil can cause weight gain as a side effect, as it causes an increase in appetite.

Can Extranil be used to treat seizures?

No, Extranil is not approved to treat seizures, however it may be used to treat certain types of muscle spasms that can accompany seizures.

Can Extranil cause bladder problems?

Yes, Extranil can cause difficulty initiating urination or a decrease in urine output.

What should I do if Extranil fails to relieve my symptoms?

If Extranil fails to relieve your symptoms, you should talk to your doctor about other treatment options that may be available.

How long does it take for Extranil to start working?

It may take several days for Extranil to start working, and it may take weeks or months to reach its full effects.

Can Extranil be taken while pregnant or breastfeeding?

No, Extranil should not be taken while pregnant or breastfeeding as it may have adverse effects on the unborn or nursing baby.

Does Extranil carry the risk of addiction?

Yes, Extranil carries the risk of addiction, and it should not be taken for longer than prescribed.

Are there any herbal supplements or vitamins I should avoid while taking Extranil?

Yes, you should talk to your doctor about herbal supplements or vitamins you may be taking, as some of them may interact with Extranil.

Can Extranil cause liver damage?

Extranil does not generally cause liver damage, but it is important to keep your doctor informed of any existing medical conditions, as this may increase the risk.

What sleep medications can I take while taking Extranil?

It is important to talk to your doctor about which sleep medications are safe to take while taking Extranil as some sleep medications may interact with the medication.

Can Extranil make me sleepy?

Yes, Extranil can cause drowsiness or fatigue in some patients.

Should Extranil be taken at the same time every day?

Yes, it is best to take Extranil at the same time each day in order to maintain an even level of the medication in the body.

Are there any alternatives to Extranil?

Yes, there are other medications available to treat the symptoms of Parkinson's disease and other neurological conditions. Talk to your doctor about which medication may be best suited for you.

Can Extranil raise my cholesterol levels?

Yes, Extranil can raise cholesterol levels, so it is important to have your cholesterol checked regularly while taking the medication.

Is Extranil safe for people with diabetes?

Yes, Extranil is generally safe for people with diabetes, but it is important to talk to your doctor to make sure it is safe for you.

Can Extranil cause blurred vision?

Yes, Extranil can cause blurred vision as a side effect. It is important to talk to your doctor if this occurs.

Does Extranil cause muscle weakness?

No, Extranil does not generally cause muscle weakness or other types of muscle problems.

Is Extranil safe for children?

Yes, Extranil is generally safe for children, however pediatric dosing and safety guidelines should be followed closely.

Can Extranil cause infertility?

No, Extranil does not generally cause infertility, but it is important to talk to your doctor about any potential risks before taking the medication.

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