Why is this medication prescribed?

Cuvposa (generic name: glycopyrrolate) is primarily prescribed to reduce drooling caused by certain medical conditions, especially in pediatric patients. It is particularly used in cases where excessive drooling cannot be managed by other means, such as behavioral therapy or other medications.

Cuvposa is used to treat chronic severe drooling (sialorrhea) in children and adolescents aged 3 to 16 years with neurologic conditions such as cerebral palsy.

How should this medicine be used?

Here’s how it is generally used:

• Dosage: The dosage of Cuvposa is individualized based on the patient’s weight and response to treatment. It is typically started at a low dose and gradually increased to achieve the desired effect with the least amount of side effects.
• Administration: Cuvposa is an oral solution that should be taken exactly as prescribed by the healthcare provider. It can be taken with or without food.
• Measurement: Use the provided measuring device (such as an oral syringe or dosing spoon) to accurately measure the prescribed dose.
• Frequency: Cuvposa is usually taken 3 times a day (every 8 hours). Follow the dosing schedule recommended by the doctor.
• Avoiding Missed Doses: If a dose is missed, it should be taken as soon as remembered unless it is close to the next scheduled dose. In that case, skip the missed dose and resume the regular dosing schedule. Do not double the dose to catch up.
• Monitoring: Regular follow-up with the healthcare provider is important to monitor the response to treatment and any potential side effects.
• Storage: Store Cuvposa at room temperature away from light and moisture. Keep it out of reach of children.

It’s crucial to follow the doctor’s instructions carefully and not alter the dosage or frequency of Cuvposa without consulting them. This medication is prescribed for a specific condition and should not be used for other purposes unless directed by a healthcare professional.

Other uses for this medicine

• Hyperhidrosis: Cuvposa may be used to reduce excessive sweating (hyperhidrosis) in certain cases, although this is less common compared to its use for drooling.
• Gastrointestinal Conditions: It can be used to decrease gastric secretions in some gastrointestinal disorders.
• Respiratory Conditions: In some cases, it might be used to reduce airway secretions in patients with certain respiratory conditions.

What special precautions should I follow?

Special Precautions for Cuvposa:

• Allergies: Inform your healthcare provider if you have any allergies to glycopyrrolate or any other medications.
• Medical Conditions: Discuss with your doctor if you have any medical conditions, especially:
  • Glaucoma (increased pressure in the eye)
  • Obstructive gastrointestinal disorders (such as pyloric stenosis)
  • Urinary retention
  • Myasthenia gravis (a neuromuscular disorder)
• Pregnancy and Breastfeeding: Cuvposa should be used during pregnancy only if clearly needed and under the supervision of a healthcare provider. It is not known whether glycopyrrolate passes into breast milk, so breastfeeding should be avoided while taking Cuvposa.
• Children: Cuvposa is primarily used in children aged 3 to 16 years for the treatment of excessive drooling. Safety and effectiveness in younger children or adults have not been established.
• Driving and Operating Machinery: Cuvposa may cause dizziness or blurred vision as side effects. Use caution when driving or operating machinery until you know how this medication affects you.
• Interaction with Other Medications: Inform your doctor about all medications you are currently taking, including prescription, over-the-counter, and herbal products. Some medications may interact with glycopyrrolate, potentially affecting how it works or causing side effects.
• Regular Monitoring: Follow-up appointments with your healthcare provider are important to monitor your response to Cuvposa and to adjust the dosage if necessary.

By following these precautions and guidelines provided by your healthcare provider, you can ensure the safe and effective use of Cuvposa for its intended purpose. Always consult with a healthcare professional for personalized advice regarding medications and treatments.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with the use of Cuvposa. However, it is always a good idea to maintain a balanced diet and avoid excessive consumption of alcohol or caffeine, as these substances can potentially exacerbate certain side effects of medications.

What should I do if I forget a dose?

If you forget to take a dose of Cuvposa at the scheduled time, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one.

What side effects can this medication cause?

Cuvposa (glycopyrrolate) can cause several side effects, which may vary in severity and occurrence among individuals. It’s important to be aware of these potential side effects and to promptly report any concerning symptoms to your healthcare provider. Common side effects of Cuvposa include:

• Dry Mouth: This is a common side effect due to the medication’s anticholinergic properties, which reduce saliva production.
• Blurred Vision: Glycopyrrolate can affect the eyes, causing blurred vision or difficulty focusing.
• Constipation: It can lead to reduced bowel movements and constipation in some individuals.
• Urinary Retention: Difficulty or inability to urinate may occur, especially in individuals with pre-existing urinary issues.
• Dry Skin: Some people may experience dryness of the skin due to decreased sweating.
• Dizziness or Drowsiness: These side effects can affect alertness and concentration.
• Nausea or Vomiting: These gastrointestinal symptoms may occur, especially when starting the medication.
• Headache: Some individuals may experience headaches as a side effect.
• Fatigue: Feeling tired or lethargic can occur with the use of glycopyrrolate.
• Nasal Congestion: This side effect is less common but can occur.

Serious side effects are rare but can include allergic reactions (such as rash, itching, swelling), severe dizziness, difficulty breathing, and fast or irregular heartbeat. If you experience any severe or persistent side effects, seek immediate medical attention.

It’s important to note that this list is not exhaustive, and other side effects may occur. Always follow your healthcare provider’s instructions and inform them of any side effects you experience while taking Cuvposa. Adjustments to the dosage or treatment plan may be necessary to manage side effects effectively.

What should I know about storage and disposal of this medication?

Storage and Disposal of Cuvposa:

• Storage: Store Cuvposa oral solution at room temperature between 20°C to 25°C (68°F to 77°F). Keep the bottle tightly closed and protect it from light and moisture.
• Handling: Use the provided measuring device (such as an oral syringe or dosing spoon) to measure the correct dose of Cuvposa. Do not use a household spoon as it may not provide the correct measurement.
• Disposal: Dispose of any unused or expired Cuvposa properly according to local regulations and guidelines. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Consult your pharmacist or local waste disposal company for proper disposal methods.

In case of emergency/overdose

• Seek Medical Assistance: Immediately call emergency services (911) or your local poison control center (1-800-222-1222) for assistance.
• Symptom Management: If possible, provide information about the amount of medication taken and any symptoms experienced. Follow the instructions provided by emergency personnel or poison control.
• Do Not Drive Yourself: If you or someone else has taken an overdose of Cuvposa and is experiencing severe symptoms, do not attempt to drive to the hospital. Call for emergency medical transport.

What other information should I know?

• Regular Monitoring: Attend scheduled follow-up appointments with your healthcare provider to monitor your response to Cuvposa and adjust treatment as needed.
• Medication Interactions: Inform your healthcare provider about all medications you are currently taking, including prescription, over-the-counter, and herbal products. Some medications may interact with glycopyrrolate, affecting its effectiveness or increasing the risk of side effects.
• Patient Education: Understand the purpose of Cuvposa and how to use it correctly. If you have any questions or concerns about the medication, discuss them with your healthcare provider or pharmacist.
• Medical Alert: Inform healthcare providers (including dentists and surgeons) about your use of Cuvposa before undergoing any procedures or surgeries.
• Adherence: Take Cuvposa exactly as prescribed by your doctor. Do not adjust the dosage or stop taking the medication without consulting your healthcare provider.

By understanding these aspects of Cuvposa, you can ensure safe and effective use of the medication as part of your treatment plan. Always follow the guidance of your healthcare provider for personalized advice and care.