Can I Buy Bentyl Over The Counter
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You should avoid taking over-the-counter antacids together with dicyclomine. Doing so may reduce the amount of dicyclomine that is absorbed by your body. This could make dicyclomine less effective.
Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. This information is not a substitute for medical advice. Always speak with your healthcare professional about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking.
Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.
Dicyclomine is typically started at a dose of dicyclomine 20 mg one or more times per day although the ultimate regimen depends on the health needs of the patient and the judgement of the prescribing medical provider. Following oral administration, dicyclomine reaches peak plasma levels in under two hours in healthy volunteers. Dicyclomine is primarily excreted via the urine. Dicyclomine is considered an inexpensive medication, costing under 20 cents per dicyclomine 20 mg tablet at many pharmacies. Some insurance plans may cover costs associated with a dicyclomine tablet prescription. Additionally, dicyclomine coupons are sometimes available online or through other sources. Dicyclomine is typically available as 10 mg and 20 mg tablets and syrup formulations. Dicyclomine is also being evaluated in an ODT formulation.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: personal or family history of glaucoma (angle-closure type), enlarged prostate, problems with urination due to a blocked urinary tract, other stomach/intestinal problems (such as slow gut, blockage, ulcerative colitis, infection, little/no stomach acid, ileostomy/colostomy patients with diarrhea), overactive thyroid, heart problems (such as coronary artery disease, angina, congestive heart failure, fast/irregular heartbeat, heart problems due to severe bleeding), high blood pressure, heartburn problems (such as acid reflux, hiatal hernia, esophagus problems), certain nervous system problem (autonomic neuropathy), personal or family history of a substance use disorder (such as overuse of or addiction to drugs/alcohol), myasthenia gravis, liver problems, kidney problems.
This medication may make you sweat less, making you more likely to get heat stroke. Avoid doing things that may cause you to overheat, such as hard work or exercise in hot weather, or using hot tubs. When the weather is hot, drink a lot of fluids and dress lightly. If you overheat, quickly look for a place to cool down and rest. Get medical help right away if you have a fever that does not go away, mental/mood changes, headache, or dizziness.
This medication may interfere with certain laboratory tests (including gastric secretion tests), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug. Does Bentyl 10 Mg/5 Ml Oral Syrup interact with other drugs you are taking? Enter your medication into the WebMD interaction checker Check Interaction Overdose If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: large pupils, hot/dry skin, fever, severe dizziness, severe thirst, difficulty swallowing, mental/mood changes (such as confusion, unusual excitement), fast/irregular heartbeat, muscle weakness, inability to move (paralysis), slowed breathing, fainting, seizures. Notes Do not share this medication with others.
Antispasmodic drugs relax the muscles of the gut, relieving the spasm and distension that causes pain. Some such as Buscopan and Merbentyl may have associated side effects such as a dry mouth and blurred vision and difficulty passing water.
Plaintiff began working for Defendant Mercantile Bancorp, Inc. ("Mercantile") in February 1988 and she continued to work there until March 11, 2002. At the time she left Mercantile, Plaintiff was eligible for coverage under the terms of the Mercantile Bancorp., Inc. and Named Subsidiaries Long Term Disability Plan ("the Plan"). The Plan was established and is maintained by Mercantile for the purpose of providing for its participants or their beneficiaries benefits in the event of sickness, accident or disability, and is a "plan" within the meaning of ERISA § 3(3), 29 U.S.C. § 1002(3). Mercantile is the Plan Administrator and a named fiduciary under the Plan. (Plaintiff's Motion for Summary Judgment, Doc. # 22 Ex. 4 at II.) The Plan is administered by Mercantile through an insurance contract purchased from Continental. (Id.) Under the Plan, the term "Total Disability" is defined as follows:
Plaintiff consulted with gastroenterologist Dr. John Kim of the Mayo Clinic on December 20, 2001. He reported on her longstanding problems with constipation since the mid 1980's, and recommended that Plaintiff continue to take Bentyl, since it apparently resolved her constipation. He further suggested that Plaintiff take Milk of Magnesia to help her with her frequent bowel movements, and recommended a special diet to control her gas and flatulence. (AR 0071-72.) Plaintiff also saw Dr. Kim's supervisor, Dr. Glenn Alexander, that day, who also recommended Milk of Magnesia for Plaintiff's bowel movements. Dr. Alexander noted that he spent a significant amount of time educating Plaintiff about IBS, and that he informed her that her MS and medications could exacerbate her IBS symptoms. He noted that medication should be able to significantly improve her overall status. (AR 0073.) Plaintiff was seen by Dr. Pirko on December 21, 2001 to go over her study results. He reported on the results of her evaluation by the gastroenterology clinic and her December 2001 MRI results. Dr. Pirko also stated, among other things, that overall, Plaintiff's diagnosis of MS was well established. He recommended she try Avonex. Dr. Pirko's diagnoses for that visit was MS and IBS. (AR 0070-71.)
In their analysis of the first part, the Ruiz court stated, "The measure of whether a person is a fiduciary is not whether that person is formally designated as such." Id. at 990. Instead, "A court should look to whether a proposed fiduciary exercises control or authority over a particular benefit in an ERISA plan." Id. In support of this notion, the Ruiz court also cited Aetna Health Inc. v. Davila, 542 *959 U.S. 200, 124 S. Ct. 2488, 159 L. Ed. 2d 312, (2004), in which the Supreme Court held that HMOs making discretionary decisions regarding eligibility for plan benefits, must be treated as plan fiduciaries. Id. at 2502. In Davila, the Supreme Court noted that, "[a] benefit determination under ERISA . . . is generally a fiduciary act." Id. at 2501.
The court in Ruiz then analyzed the second part, holding that a specific provision in the plan granting discretionary authority over the eligibility of benefits was sufficient to grant the insurer the authority to construe its terms or determine eligibility for benefits. Id. at 990. Finally, Ruiz found that "the insurance policy and Certificate are plan documents," and the "plan documents granted [the insurer] the requisite discretionary authority." Id. at 991.
It is true that the Seventh Circuit Court of Appeals has held that it is not downright unreasonable to rely on the opinion of one physician over another. However, there needs to be a specific reason for rejecting another physician's reliable evidence. See Black & Decker Disability Plan v. Nord, 538 U.S. 822, 832, 123 S. Ct. 1965, 155 L. Ed. 2d 1034 (2003) (holding "Plan Administrators may not arbitrarily refuse to credit a claimant's reliable evidence, including the opinions of a treating physician"). Here Continental did not give any reason for rejecting or discounting Dr. Alexander's conclusions.[3] Defendant's decision in this case to deny Plaintiff's claim was therefore unreasonable.
Defendant also cites Donato v. Metropolitan Life Ins. Co., 19 F.3d 375 (7th Cir.1994) in support of their decision to choose the opinion of Dr. Truchelut and Dr. Sullivant over that of Dr. Alexander's. However, Donato, although similar in some aspects, is distinguishable from the case at hand. In Donato, as in this case, the insurer/administrator's decision came down to a permissible choice between that of the Plaintiff's doctors and, that of the insurer's medical consultant. However, in Donato, the insurer actually disagreed with Plaintiff's doctors. And the insurer stated specifically the reasons for the denial of Plaintiff's claim for disability benefits, i.e. the lack of recognition in the medical community of clinical ecology. In the case at hand, Dr. Truchelut never disagreed with Dr. Alexander's conclusion that Plaintiff had significant "GI/anorectal dysfunction." Instead, as Plaintiff correctly points out, Dr. Truchelut "punted," stating that Plaintiff's GI/anorectal dysfunction could still allow Plaintiff to do her job as long as she was close to a restroom, however he did not have enough evidence on file to come to the conclusion that this problem would render Plaintiff unable to work at all. Dr. Truchelut's suggestion that Plaintiff could still work as long as she was close to a restroom fit right along with Dr. Alexander's observations. And again, once *962 Continental had the required information on appeal to make that determination (i.e., the employer's response to Continental's inquiry of Plaintiffs job demands) they should have given a specific reason for rejecting Dr. Alexander's opinion. See Ladd v. ITT Corp., 148 F.3d 753, 756 (7th Cir.1998) (holding that had the consulting physician given reasons for disagreeing with the previous examining doctors' conclusions, the court would have had to affirm the consulting physician's decision). Defendant merely regurgitated Dr. Truchelut's previous conclusion, even though they had the evidence Dr. Truchelut lacked when he made his determination. This renders Continental's decision to deny Plaintiffs claim for disability benefits an arbitrary and capricious one. 781b155fdc