Using some drugs with chlordiazepoxide may raise the risk of serious or life-threatening respiratory issues, sedation, or coma. Inform your physician if you are currently taking or intend to take any opiate medications, including codeine (in Triacin-C, Tuzistra XR) or hydrocodone (in Anexsia, Norco, or Zyfrel) for coughing or codeine (in Fiorinal) for pain. Other opiate medications include fentanyl (Actiq, Duragesic, Subsys), hydromorphone (Dilaudid, Exalgo) (Conzip, Ultram, in Ultracet). The dosages of your medications may need to be adjusted, and your doctor will closely monitor you. If you take any of these medications along with chlordiazepoxide and clidinium and have any of the following symptoms, call your doctor right once or go to the emergency room right away: Unusual lightheadedness, dizziness, excessive tiredness, breathing difficulties, or inability to respond. Make sure your carer or family members are aware of any symptoms that could be significant so they can contact an emergency room or a doctor if you are unable to do so on your own.

Chlordiazepoxide may lead to addiction. Never exceed the recommended dosage, frequency, or duration. Always follow your doctor’s instructions. Inform your doctor if you use or have ever used illicit drugs, consumed excessive amounts of alcohol, or have ever misused any prescription drugs. Don’t consume alcohol or use illicit substances while receiving treatment. Using illicit substances or alcohol while taking chlordiazepoxide also increases your risk of developing these severe, sometimes fatal side effects. Additionally let your doctor know if you suffer from depression or any other mental disease now or in the past.

If you use chlordiazepoxide for a long period of time, especially several days to several weeks, you run the risk of developing a physical dependence, which is characterised by unpleasant physical symptoms that appear if a medication is abruptly stopped or given in reduced amounts. Without first consulting your doctor, never reduce the dosage of this drug or stop taking it altogether. Stopping the combination of clidinium and chlordiazepoxide abruptly can exacerbate your condition and result in withdrawal symptoms that could last anywhere from a few weeks to more than a year. Your chlordiazepoxide and clidinium dosage will likely be gradually decreased by your doctor. If you encounter any of the following symptoms, call your doctor or seek emergency medical attention: Unusual movements, ringing in the ears, anxiety, memory issues, difficulty concentrating, sleep issues, seizures, shaking, muscle twitching, changes in mental health, depression, burning or prickling sensations in the hands, arms, legs, or feet, thoughts of harming or killing yourself or others, excessive excitement, or losing touch with reality are some of the symptoms that can accompany these conditions.

Peptic ulcers, irritable bowel syndrome (IBS), which causes stomach pain, bloating, constipation, and diarrhoea, and enterocolitis are all conditions that can be treated with the combination of chlordiazepoxide and clidinium in addition to other drugs (swelling in the intestines). Chlordiazepoxide belongs to the group of drugs known as benzodiazepines. It functions by reducing the brain’s aberrant electrical activity. Clidinium belongs to the group of drugs known as anticholinergics. It aids in reducing cramps and stomach spasms.

Clidinium and chlordiazepoxide are available as a capsule to be swallowed. Usually taken before meals and before night, it is taken three to four times per day. Ask your doctor or pharmacist to explain any instructions on your prescription label that you are unsure about following. Use clidinium and chlordiazepoxide exactly as prescribed.

When you start therapy with chlordiazepoxide and clidinium as well as each time you fill your prescription, your doctor or pharmacist will give you the manufacturer’s patient information leaflet (Medication Guide). If you have any questions, carefully read the material and contact your doctor or pharmacist. The Medication Guide is also available on the manufacturer’s website or the Food and Drug Administration (FDA) website.

Ask your doctor or pharmacist for more details if you believe this drug should be used for something else.

Before taking chlordiazepoxide and clidinium,

• If you have any allergies, including to any of the substances in chlordiazepoxide and clidinium capsules, notify your doctor and pharmacist right away. Get a list of the components from your pharmacist.
• Inform your doctor and pharmacist about all prescription and over-the-counter drugs, vitamins, dietary supplements, and herbal products that you are now taking or intend to use. Incorporate any of the following: Warfarin (Coumadin, Jantoven), an anticoagulant, or an antipsychotic drug like chlorpromazine, fluphenazine, or thioridazine. Additionally, let your doctor or pharmacist know if you’re receiving any of the following monoamine oxidase (MAO) inhibitors or if you’ve recently stopped taking them: methylene blue, isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate). Your physician might need to adjust the dosage of your drugs or keep a close eye on you for side effects.
• If you have glaucoma, prostatic hypertrophy (an enlarged prostate), or a blocked bladder neck, let your doctor know (a blockage of your bladder that causes problems with urination). Most likely, your doctor will advise against using clidinium plus chlordiazepoxide.
• Inform your doctor if you now or ever had kidney or liver disease, visual issues, urinary issues, or any other health issues.
• If you are pregnant or plan to become pregnant, let your doctor know. Call your doctor right away if you get pregnant while taking this medicine. Medication containing clidinium may harm an unborn child.
• Describe to your doctor if you are nursing a baby. Medication that contains clidinium may cause your breast milk supply to drop.
• If you are 65 years of age or older, discuss the advantages and disadvantages of taking clidinium with chlordiazepoxide with your doctor. Because it is not as safe or effective as other medication(s) that can be used to treat the same illness, older persons should often avoid taking chlordiazepoxide with clidinium.
• You should be aware that this medicine may cause you to feel sleepy. Until you are aware of how it affects you, do not operate machinery or drive a car.

You should skip the missing dose and carry on with your regular dosing regimen if you take multiple doses throughout the day. To make up for a missing dose, do not take a second one.

Clidinium with chlordiazepoxide may have negative side effects. If any of these symptoms are severe or do not go away, let your doctor know right once:

• Weakness or fatigue
• Excitement
• Anger
• Mouth ache
• Eyesight changes or haziness
• Constipation
• Nausea
• Having trouble urinating
• Alterations in sex drive or capacity
• Irregular periods of time
• Coordination difficulties
• Confusion

Some adverse effects may be severe. Call your doctor right away if you have any of the following signs or those listed in the IMPORTANT CAUTION section:

• Slow or challenging speech
• Shuffled walking
• Inability to sit still or a continuous, fine tremor
• Breathing or swallowing challenges
• Rash
• Edoema of the lower legs, lower arms, feet, ankles, or hands
• Eyes or skin that have a yellow tint

You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting programme online or by phone if you have a serious side event (1-800-332-1088).

Keep this medication tightly closed in the original container and out of the reach of children. Keep it away from light, excessive heat, and moisture at room temperature (not in the bathroom).

Although many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning. http://www.upandaway.org

Unused prescriptions must be disposed of carefully to prevent pets, kids, and other people from ingesting them. You should not, however, dispose of this medication in the toilet. Instead, utilising a medicine take-back programme is the easiest approach to get rid of your medication. To find out about take-back programmes in your area, speak with your pharmacist or the garbage/recycling department in your city. If you do not have access to a take-back programme, see the FDA’s Safe Disposal of Medications website at http://goo.gl/c4Rm4p for additional information.

Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Moreover, information can be found online at https://www.poisonhelp.org/help. Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.

Overdose signs could include the following:

• Sleepiness
• Confusion
• Coma
• Sluggish reactions
• Mouth ache
• Fuzzy vision
• Bladder reluctance
• Constipation

Do not miss any of your doctor’s appointments. To determine how you react to clidinium with chlordiazepoxide, your doctor will request specific lab tests.

Never allow someone else to take your medication. If you have any queries regarding getting a prescription renewed, ask your pharmacist.

You should keep a written record of every drug you take, including prescription and nonprescription (over-the-counter) medications, vitamins, minerals, and other dietary supplements. Every time you see a doctor or are admitted to the hospital, you should carry this list with you. Also, it is crucial to have this knowledge on hand in case of emergency.