News
Hyoscine butylbromide Intravenous for Adults
Who can administer
May be administered by registered competent doctor or nurse/midwife
Available preparations
Buscopan 20mg per 1ml ampoule
Reconstitution
Draw up using a 5 micron filter needle
Already in solution
May be diluted with Sodium chloride 0.9% or Glucose 5% if required
Methods of intravenous administration
Slow Intravenous Injection (ref 1)
- Administer over 3 to 5 minutes (rapid administration may cause a marked drop in blood pressure)
Dose in adults
Usual dose
- Give 20mg stat, repeated after thirty minutes if required (may be required more frequently in endoscopy)
- Maximum daily dose 100mg (this is not applicable in palliative care situations where the drug is given via subcutaneous syringe driver)
Monitoring
As hyoscine butylbromide may cause tachycardia, hypotension and anaphylaxis, use with caution in patients with cardiac conditions and in cardiac surgery. Monitoring of these patients is advised.
Storage
Store below 250C
References
SPC April 2020
1: Medusa Injectable medicines guide, downloaded 09/09/2021
Therapeutic classification
Antimuscarinic