KAOLIN, PECTIN, BELLADONNA & OPIUM

Brand & Generic Names

Amogel PG
Donnagel-PG
Donnapectolin-PG
Kapectolin PG
Quiagel PG

Basic Information

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

Uses

Reduces intestinal cramps and diarrhea.

Dosage & Usage Information

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

When to take:
As needed for diarrhea, no more often than every 4 hours.

If you forget a dose:
Take when you remember.

What drug does:
Blocks nerve impulses at parasympathetic nerve endings, preventing muscle contractions and gland secretions of organs involved.
Makes loose stools less watery, but may not prevent loss of fluids.
Anesthetizes surface membranes of intestines and blocks nerve impulses.

Time lapse before drug works:
15 to 30 minutes.

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

Overdose

SYMPTOMS:
Fecal impaction, rapid pulse, dizziness, fever, hallucinations, confusion, slurred speech, agitation, flushed face, convulsions, deep sleep, slow breathing, slow pulse, warm skin, constricted pupils, coma.

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 anticholinergic, narcotic, kaolin or pectin.
• You have trouble with stomach bloating, difficulty emptying your bladder completely, narrow-angle glaucoma, severe ulcerative colitis.

Before you start, consult your doctor:

• If you have open-angle glaucoma, angina, chronic bronchitis or asthma, hiatal hernia, liver disease, enlarged prostate, myasthenia gravis, peptic ulcer, impaired liver or kidney function, fever over 101F, any chronic medical problem with heart disease, peptic ulcer, asthma or others.
• 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:

• Adverse reactions and side effects may be more frequent and severe than in younger persons.
• More likely to be drowsy, dizzy, unsteady or constipated.
• Fluid loss caused by diarrhea, especially if taking other medicines, may lead to serious disability. Consult doctor.

Pregnancy:
Risk to unborn child outweighs benefits. Don't use.

Breast-feeding:
Drug passes into milk. Avoid drug or discontinue nursing until you finish medicine. Consult doctor for advice on maintaining milk supply.

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:

• Great potential for abuse.
• Consult doctor about fluids, diet and rest.

Possible Interaction with Other Drugs

GENERIC NAME	COMBINED EFFECT
------------------------	-----------------------
Amantadine	Increased belladonna effect.
Analgesics*	Increased analgesic effect.
Antidepressants*	Increased sedative effect.
Antihistamines*	Increased sedative effect.
Carteolol	Increased narcotic effect.
	Dangerous sedation.
Central nervous system	Increased depressant effect of
(CNS) depressants*	both.
Cortisone drugs*	Increased internal-eye pressure.
Digoxin	Decreases absorption of digoxin.
	Separate doses by at least 2 hours.
Haloperidol	Increased internal eye pressure.
Ketoconazole	Decreased ketoconazole effect.
Lincomycins*	Decreased absorption of lincomycin.
	Separate doses by at least 2 hours.
MAO inhibitors*	Increased belladonna effect.
Meperidine	Increased belladonna effect.
Methylphenidate	Increased belladonna effect.
Mind-altering drugs*	Increased sedative effect.
Narcotics, other*	Increased narcotic effect.
Nitrates*	Increased internal-eye pressure.
Orphenadrine	Increased belladonna effect.
Phenothiazines*	Increased sedative effect of
	paregoric.
Pilocarpine	Loss of pilocarpine effect in
	glaucoma treatment.
Potassium	Possible intestinal
supplements*	ulcers with oral potassium tablets.
Sedatives*	Excessive sedation.
Sleep inducers*	Increased effect of sleep inducers.
Sotalol	Increased narcotic effect.
	Dangerous sedation.
Tranquilizers*	Increased tranquilizer effect.
Vitamin C	Decreased belladonna effect. Avoid
	large doses of vitamin C.
All other oral	Decreased absorption of other
medicines	medicines. Separate doses
	by at least 2 hours.

Possible Interaction with Other Substances

INTERACTS WITH	COMBINED EFFECT
---------------	---------------
Alcohol:	Increases alcohol's intoxicating
	effect, increased diarrhea,
	prevents action of kaolin and
	pectin. Avoid.
Beverages:	No problems expected.
Cocaine:	Aggravates underlying disease.
	Avoid.
Foods:	No problems expected.
Marijuana:	Impairs physical and mental
	performance, aggravates underlying
	disease. Avoid.
Tobacco:	Aggravates underlying disease.
	Avoid.