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Generic Name: choline and dexpanthenol (KOE leen and dex PAN than all)
Brand Names: Ilopan Choline

What is choline and dexpanthenol?

The exact way that choline and dexpanthenol works is unknown.

Choline and dexpanthenol increases the rate at which your stomach and intestines move during digestion. It also increases the rate at which your stomach empties into your intestines. These actions provide relief from slow movement of the stomach, which may occur after abdominal surgery or prolonged therapy with antibiotics, or which may be caused by gallbladder inflammation, irritable bowel, ileitis, laxative withdrawal, or splenic flexure syndrome.

Choline and dexpanthenol may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about choline and dexpanthenol?

Take choline and dexpanthenol exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Who should not take choline and dexpanthenol?

• an obstruction in your stomach or

• hemophilia.

These conditions make it dangerous to use choline and dexpanthenol.

How should I take choline and dexpanthenol?

Take choline and dexpanthenol exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse or doctor to explain them to you.

Choline and dexpanthenol is usually taken three times a day. Follow your doctor's instructions.

What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take only your next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?

Symptoms of a choline and dexpanthenol overdose are unknown.

What should I avoid while taking choline and dexpanthenol?

Follow any special instructions your doctor gives you regarding foods, beverages, or activities.

Choline and dexpanthenol side effects

Other, less serious side effects are more likely to occur and are usually mild. Continue to take choline and dexpanthenol and talk to your doctor if you experience

• itching, tingling, red patches, or a rash;

• dizziness; or

• vomiting, diarrhea, or upset stomach.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect choline and dexpanthenol?

Choline and dexpanthenol should not be taken within 1 hour of succinylcholine (Quelicin, Anectine). The combination may cause difficulty breathing.

Rarely, allergic reactions have occurred when choline and dexpanthenol has been used with the following drugs:

• narcotic pain killers such as morphine (MS Contin, MSIR, others), codeine, hydrocodone (Vicodin, Hycodan), oxycodone (Percocet, Percodan, Tylox), oxymorphone (Numorphan), and others;

• barbiturates such as phenobarbital (Luminal, Solfoton), secobarbital (Seconal), pentobarbital (Nembutal), and amobarbital (Amytal); and

• some antibiotics.

Before taking choline and dexpanthenol, tell your doctor and pharmacist about all medicines that you are taking, so that your therapies can be monitored for interactions.

Drugs other than those listed here may also interact with choline and dexpanthenol. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Where can I get more information?

• Your pharmacist has more information about choline and dexpanthenol written for health professionals that you may read.

What does my medication look like?

Choline and dexpanthenol is available with a prescription under the brand name Ilopan-Choline in 25 mg and 50 mg tablets. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.