KAOLIN, PECTIN & PAREGORIC

Brand & Generic Names

Kapectolin with Paregoric
Parepectolin

Basic Information

• Habit forming? Yes
• Prescription needed? Yes
• Available as generic? No
• Drug class: Narcotic, antidiarrheal, antispasmodic

Uses

• Reduces intestinal cramps and diarrhea.
• Relieves pain.

Dosage & Usage Information

How to take:
Liquid--Swallow prescribed dosage (without diluting) after each loose bowel movement.

When to take:
After each loose bowel movement. No more often then every 4 hours.

If you forget a dose:
Take when you remember.

What drug does:
Makes loose stools less watery, but may not prevent loss of fluids.

Time lapse before drug works:
15 to 30 minutes.

Don't take with:
Any other medicine without consulting your doctor or pharmacist.

Overdose

SYMPTOMS:
Deep sleep; slow breathing; slow pulse; flushed, warm skin.

WHAT TO DO:

• Dial 911 (emergency) or O (operator) for an ambulance or medical help. Then give first aid immediately.
• If patient is unconscious and not breathing, give mouth-to- mouth breathing. If there is no heartbeat, use cardiac massage and mouth-to-mouth breathing (CPR). Don't try to make patient vomit. If you can't get help quickly, take patient to nearest emergency facility.
• See EMERGENCY Information.

Possible Adverse Reactions or Side Effects

Life-threatening:

Unusually rapid Discontinue. Seek heartbeat (over 100), emergency treatment. difficult breathing, slow heartbeat (under 50/minute).

Common:

(with large dosage) Weakness, increased sweating, red or flushed face, lightheadedness, headache, dry mouth, dry skin, drowsiness, dizziness, frequent urination, decreased sweating, constipation, confusion, tiredness.

Infrequent:

• Reduced taste sense, nervousness, eyes sensitive to sunlight, blurred vision.
• Diminished sex drive, memory loss.

Rare:

Bloating, abdominal cramps and vomiting, eye pain, hallucinations, shortness of breath, rash, itchy skin, slow heartbeat.

Warnings & Precautions

Don't take if:
You are allergic to any narcotic, kaolin or pectin.

Before you start, consult your doctor:

• If you have impaired liver or kidney function, chronic medical problem with heart disease, peptic ulcer, asthma or others, fever over 101F.
• If patient is child or infant.
• If you will have surgery within 2 months, including dental surgery, requiring general or spinal anesthesia.

Over age 60:
Fluid loss caused by diarrhea, especially if taking other medicines, may lead to serious disability. Consult doctor.

Pregnancy:
Abuse by pregnant woman will result in addicted newborn. Withdrawal of newborn can be life-threatening.

Breast-feeding:
Drug filters into milk. May harm child. Avoid.

Infants & children:
Fluid loss caused by diarrhea in infants and children can cause serious dehydration. Consult doctor before giving any medicine for diarrhea.

Prolonged use:

• Causes psychological and physical dependence. Not recommended.
• Talk to your doctor about the need for follow-up medical examinations or laboratory studies to check liver function, kidney function.

Skin & sunlight:
May cause rash or intensify sunburn in areas exposed to sun or sunlamp.

Driving, piloting or hazardous work:
Don't drive or pilot aircraft until you learn how medicine affects you. Don't work around dangerous machinery. Don't climb ladders or work in high places. Danger increases if you drink alcohol or take medicine affecting alertness and reflexes, such as antihistamines, tranquilizers, sedatives, pain medicine, narcotics and mind-altering drugs.

Discontinuing:
May be unnecessary to finish medicine. Follow doctor's instructions.

Others:
Consult doctor about fluids, diet and rest.

Possible Interaction with Other Drugs

GENERIC NAME	COMBINED EFFECT
------------------------	-----------------------
Analgesics,	Increased analgesic
other*	effect.
Antidepressants*	Increased sedative effect.
Antihistamines*	Increased sedative effect.
Carteolol	Increased narcotic effect.
	Dangerous sedation.
Digoxin	Decreases absorption of digoxin.
	Separate doses by at least 2 hours.
Lincomycins*	Decreases absorption of lincomycin.
	Separate doses by at least 2 hours.
Mind-altering drugs*	Increased sedative effect.
Narcotics, other*	Increased narcotic effect.
Phenothiazines*	Increased phenothiazine effect.
Sedatives*	Increased sedative effect.
Sleep inducers*	Increased sedative effect.
Sotalol	Increased narcotic effect.
	Dangerous sedation.
Tranquilizers*	Increased sedative effect.
All other oral	Decreases absorption
medicines	of other medicines.
	Separate doses by at least 2 hours.

Possible Interaction with Other Substances

INTERACTS WITH	COMBINED EFFECT
---------------	---------------
Alcohol:	Increases alcohol's intoxicating
	effect, increases diarrhea,
	prevents action of kaolin and
	pectin. Avoid.
Beverages:	No problems expected.
Cocaine:	Increased cocaine toxic effects,
	aggravates underlying disease.
	Avoid.
Foods:	No problems expected.
Marijuana:	Aggravates underlying disease.
	Avoid.
Tobacco:	Aggravates underlying disease.
	Avoid.