Urecholine

acute post-operative Urinary retention, Urinary Retention, Urinary Bladder, Neurogenic

Treatment

3 FDA approvals

0 Active Studies for Urecholine

What is Urecholine

Bethanechol

The Generic name of this drug

Treatment Summary

Bethanechol is a synthetic chemical that mimics the effects of acetylcholine, an important neurotransmitter in the parasympathetic nervous system. It is primarily used to treat urinary retention after childbirth or surgery. Bethanechol is more long-lasting than acetylcholine, because it is not broken down by cholinesterase enzymes.

Bethanechol Chloride

is the brand name

image of different drug pills on a surface

Urecholine Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Bethanechol Chloride

Bethanechol

1990

100

Approved as Treatment by the FDA

Bethanechol, also called Bethanechol Chloride, is approved by the FDA for 3 uses which include Urinary Bladder, Neurogenic and Urinary Retention .

Urinary Bladder, Neurogenic

Urinary Retention

acute post-operative Urinary retention

Effectiveness

How Urecholine Affects Patients

Bethanechol works by targeting only muscarinic receptors. The special structure of the drug prevents it from entering the brain, so it does not cause any side effects related to the central nervous system.

How Urecholine works in the body

Bethanechol is a drug that stimulates the parasympathetic nervous system. It does this by connecting to specific receptors in the body, known as M3 receptors. These receptors are found in the bladder and intestines, and when activated, they can help to empty the bladder and restore normal digestion. Bethanechol specifically targets M3 receptors, without having an effect on other types of receptors, so it has minimal side effects.

When to interrupt dosage

The recommended dosage of Urecholine is contingent upon the diagnosed condition, such as non-obstructive postpartum urinary retention, acute post-operative Urinary retention and neurogenic atony of the urinary bladder. The measure of dosage shifts as per the administration mode noted in the accompanying table.

Condition

Dosage

Administration

acute post-operative Urinary retention

, 5.0 mg, 10.0 mg, 25.0 mg, 50.0 mg, 5.0 mg/mL

Oral, , Tablet, Tablet - Oral, Liquid, Liquid - Subcutaneous, Subcutaneous

Urinary Retention

, 5.0 mg, 10.0 mg, 25.0 mg, 50.0 mg, 5.0 mg/mL

Oral, , Tablet, Tablet - Oral, Liquid, Liquid - Subcutaneous, Subcutaneous

Urinary Bladder, Neurogenic

, 5.0 mg, 10.0 mg, 25.0 mg, 50.0 mg, 5.0 mg/mL

Oral, , Tablet, Tablet - Oral, Liquid, Liquid - Subcutaneous, Subcutaneous

Warnings

Urecholine Contraindications

Condition

Risk Level

Notes

Urinary Bladder Neck Obstruction

Do Not Combine

Peptic Ulcer

Do Not Combine

Vagotonia

Do Not Combine

Asthma

Do Not Combine

Bradycardia

Do Not Combine

Gastrointestinal Diseases

Do Not Combine

Mechanical Intestinal Obstruction

Do Not Combine

unknown bladder wall integrity

Do Not Combine

Urinary Bladder

Do Not Combine

Gastrointestinal tract structure

Do Not Combine

Urinary Bladder

Do Not Combine

Spastic gastrointestinal disturbances

Do Not Combine

Coronary Disease

Do Not Combine

Hypotension

Do Not Combine

Hyperthyroidism

Do Not Combine

Parkinson Disease

Do Not Combine

Asthma

Do Not Combine

Epilepsy

Do Not Combine

Peritonitis

Do Not Combine

There are 1 known major drug interactions with Urecholine.

Common Urecholine Drug Interactions

Drug Name

Risk Level

Description

Cimetropium

Moderate

Bethanechol may decrease the anticholinergic activities of Cimetropium.

Urecholine Toxicity & Overdose Risk

Symptoms of an overdose of bethanechol include nausea, vomiting, stomach pain, drooling, excessive sweating, and redness of the skin. In case of an overdose, atropine sulfate can be used as an antidote. For adults, a dose of 0.6 mg is recommended, while for children up to 12 years of age, a dose of 0.01 mg/kg is recommended (maximum single dose = 0.4 mg). The lethal dose of bethanechol in mice is 1510 mg/kg.

image of a doctor in a lab doing drug, clinical research

Urecholine Novel Uses: Which Conditions Have a Clinical Trial Featuring Urecholine?

Zero active clinical trials are currently assessing the potential of Urecholine to mitigate neurogenic atony of the urinary bladder, non-obstructive postpartum urinary retention and acute post-operative Urinary retention.

Condition

Clinical Trials

Trial Phases

Urinary Bladder, Neurogenic

0 Actively Recruiting

acute post-operative Urinary retention

0 Actively Recruiting

Urinary Retention

0 Actively Recruiting

Urecholine Reviews: What are patients saying about Urecholine?

5

Patient Review

3/22/2009

Urecholine for Cannot Empty Bladder

I've used this drug for five years, and after recently increasing the dosage from one to three per day, I experienced most of the listed side effects. The benefits simply aren't worth put up with these negative health consequences.

5

Patient Review

3/7/2011

Urecholine for Stomach Muscle Paralysis and Decreased Function

I'm so glad this medication not only helped with my stomach issues, but also my bladder function! It's really great to have a one-stop solution like this.

5

Patient Review

5/19/2012

Urecholine for Cannot Empty Bladder

This medication has allowed me to live a much more normal life. I no longer have to worry about being close to a restroom at all times, and the minor side effects are well worth it.

5

Patient Review

11/14/2013

Urecholine for Cannot Empty Bladder

Bethenechol has been the only medication that's worked for me since 2000. I've tried other brands and generics, but this one from Amneal is the best. If you're having trouble with other brands, give this one a shot.

4

Patient Review

12/18/2010

Urecholine for Cannot Empty Bladder

I've been taking this medication for about a week and have had fewer issues with bathroom trips and traveling. I'm not sure if my bladder is emptying better, but there's definitely been an improvement.

4

Patient Review

9/12/2010

Urecholine for Cannot Empty Bladder

I've found that I don't have to go to the washroom as frequently, and when I do go, I don't feel like I need to stay there as long. This medication has definitely helped me out.

3.3

Patient Review

7/20/2013

Urecholine for Stomach Muscle Paralysis and Decreased Function

This medication helps me digest my food properly.

2.3

Patient Review

11/25/2008

Urecholine for Cannot Empty Bladder

The manufacturer of this drug has changed the pill to a flat yellow one that is very difficult to work with. It breaks easily and crumbles to powder, making it hard to get the recommended dose.

2

Patient Review

10/19/2008

Urecholine for Cannot Empty Bladder

1.7

Patient Review

9/29/2008

Urecholine for Cannot Empty Bladder

1.3

Patient Review

1/10/2009

Urecholine for Cannot Empty Bladder

I completely agree with the first reviewer. The tablet is very flimsy and easily turns to powder. Additionally, it made my husband's urine much more cloudy and thick. We saw no improvement in quantity either.

Patient Q&A Section about urecholine

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is the generic name for Urecholine?

"Urecholine is a medication used to treat urinary retention and bladder issues. It works by increasing the activity of a certain neurotransmitter in the body, which helps to improve muscle function in the bladder. This can help to relieve the symptoms of urinary retention and improve the overall function of the bladder."

Answered by AI

What drug class is Urecholine?

"Urecholine is a cholinergic agent, which helps muscles work to empty urine from the bladder."

Answered by AI

What is Urecholine used for?

"The medication is used to treat bladder problems, such as the inability to urinate or to empty the bladder completely. The medication works by improving the ability of the bladder muscle to squeeze, thereby improving the individual's ability to urinate."

Answered by AI

How long does it take for Urecholine to work?

"Give this medication on an empty stomach, unless vomiting occurs. If vomiting does occur, give future doses of the medication with food. Be careful when measuring liquid forms of the medication. The medication will take effect quickly, in about 1 to 2 hours. After taking the medication, you should see an improvement in clinical signs."

Answered by AI