Donnatal

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Donnatal is a proprietary combination medication for the treatment of intestinal cramping due to various causes, often administered as part of a GI Cocktail[1]. It is classed as an anticholinergic antispasmodic drug. Donnatal is marketed by PBM Pharmaceuticals. It is available as tablets, capsules, extended release tablets and elixir. Active ingredients are listed as: phenobarbital, hyoscyamine, atropine and scopolamine.

The use of the drug is somewhat controversial[citation needed] as some medical authorities[who?] believe that single drugs work either better or more safely than fixed combinations, and some[who?] have criticized the inclusion of phenobarbital in this type of drug. Recent clinical trials showed that Donnatal was no more effective than plain antacid in relieving the symptoms of dyspepsia.[1][2] The medication has been marketed for decades and continues to have its adherents.

[edit] References

  1. ^ a b Berman DA, Porter RS, Graber M (2003). "The GI Cocktail is no more effective than plain liquid antacid: a randomized, double blind clinical trial". J Emerg Med 25 (3): 239–44. doi:10.1016/S0736-4679(03)00196-3. PMID 14585449. 
  2. ^ Bowman J, Jones J (2006). "Towards evidence-based emergency medicine: best BETs from the Manchester Royal Infirmary. Use of lidocaine in the gastrointestinal cocktail for the treatment of dyspepsia". Emerg Med J 23 (11): 873–4. PMID 17057145. http://emj.bmj.com/cgi/pmidlookup?view=long&pmid=17057145. 

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