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Wheeless' Textbook of Orthopaedics
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Bethanechol/Urecholine, Duvoid


- Parasympathomimetic agent that has a direct stimulating effect on the detrussor, causing increased intravesicular pressure; - For neurogenic atony of the bladder with retention, acute post operative and post functional (non obstructive) urinary retention; - in doses of 5-10 mg SC or in oral doses of 50 mg or more, it may be of use in treating some pts with neurogenic bladder dysfunction; - Adult: 10-15 mg PO tid/qid or 5mg SQ tid/qid and PRN; - do not administer IM or IV; - Contraindicated in bladder outlet obstruction, Asthma, coronary artery dz; - Peds: 0.3-0.6 mg/kg/24hr PO DD tid/qid or 1/3 the oral dose SQ;



Original Text by Clifford R. Wheeless, III, MD.