Librax Side Effects
Generic Name: chlordiazepoxide / clidinium
Medically reviewed by Drugs.com. Last updated on Sep 10, 2020.
Note: This document contains side effect information about chlordiazepoxide / clidinium. Some of the dosage forms listed on this page may not apply to the brand name Librax.
For the Consumer
Applies to chlordiazepoxide / clidinium: oral capsule
Warning
Oral route (Capsule)
Risks From Concomitant Use With OpioidsConcomitant use of benzodiazepines and opioids may result in profound sedation, respiratory depression, coma, and death. Reserve concomitant prescribing of these drugs for use in patients for whom alternative treatment options are inadequate. Limit dosages and durations to the minimum required. Follow patients for signs and symptoms of respiratory depression and sedation.
Side effects requiring immediate medical attention
Along with its needed effects, chlordiazepoxide/clidinium may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking chlordiazepoxide / clidinium:
Incidence not known
- Abdominal or stomach pain
- chills
- clay-colored stools
- confusion
- cough or hoarseness
- dark urine
- difficulty with speaking
- dizziness
- drooling
- drowsiness
- fever with or without chills
- general feeling of tiredness or weakness
- headache
- itching or rash
- loss of appetite
- loss of balance control
- lower back or side pain
- muscle trembling, jerking, or stiffness
- nausea
- painful or difficult urination
- pale skin
- restlessness
- shakiness and unsteady walk
- shuffling walk
- sore throat
- sores, ulcers, or white spots on the lips or in the mouth
- stiffness of the limbs
- swelling
- twisting movements of the body
- uncontrolled movements, especially of the face, neck, and back
- unpleasant breath odor
- unsteadiness, trembling, or other problems with muscle control or coordination
- unusual bruising or bleeding
- unusual tiredness or weakness
- vomiting of blood
- yellow eyes or skin
Get emergency help immediately if any of the following symptoms of overdose occur while taking chlordiazepoxide / clidinium:
Symptoms of overdose
- Blurred vision
- change in consciousness
- difficulty having a bowel movement (stool)
- dry mouth
- lack of coordination
- loss of consciousness
- sleepiness or unusual drowsiness
Side effects not requiring immediate medical attention
Some side effects of chlordiazepoxide / clidinium may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Incidence not known
- Inability to have or keep an erection
- increase or loss in sexual ability, desire, drive, or performance
- increased or decreased interest in sexual intercourse
- menstrual changes
- skin blisters
For Healthcare Professionals
Applies to chlordiazepoxide / clidinium: oral capsule
General
The most commonly reported side effects included anticholinergic effects (e.g., blurred vision, constipation, dry mouth, urinary hesitancy).[Ref]
Psychiatric
The elderly and debilitated may be more susceptible to confusion; this side effect has occasionally been reported at the lower dosage ranges.[Ref]
Uncommon (0.1% to 1%): Decreased libido, increased libido
Rare (0.01% to 0.1%): Confusion[Ref]
Gastrointestinal
Constipation most commonly occurred when patients took spasmolytic agents concurrently and/or with a low residue diet.[Ref]
Uncommon (0.1% to 1%): Constipation, nausea
Frequency not reported: Dry mouth[Ref]
Hepatic
Uncommon (0.1% to 1%): Jaundice, liver dysfunction[Ref]
Hematologic
Uncommon (0.1% to 1%): Agranulocytosis, blood dyscrasias[Ref]
Nervous system
Uncommon (0.1% to 1%): Extrapyramidal symptoms
Rare (0.01% to 0.1%): Drowsiness
Very rare (less than 0.01%): Syncope
Frequency not reported: Anticholinergic effects, changes in EEG patterns (low-voltage fast activity)[Ref]
The elderly and debilitated may be more susceptible to drowsiness and syncope; the side effects have occasionally been reported at the lower dosage ranges.[Ref]
Genitourinary
Uncommon (0.1% to 1%): Minor menstrual irregularities
Frequency not reported: Urinary hesitancy[Ref]
Cardiovascular
Uncommon (0.1% to 1%): Edema[Ref]
Dermatologic
Uncommon (0.1% to 1%): Skin eruptions[Ref]
Other
The elderly and debilitated may be more susceptible to ataxia; this side effect has occasionally been reported at the lower dosage ranges.[Ref]
Rare (0.01% to 0.1%): Ataxia[Ref]
Ocular
Frequency not reported: Blurred vision[Ref]
References
1. Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0
2. "Product Information. Librax (chlordiazepoxide-clidinium)." Valeant Pharmaceuticals, Costa Mesa, CA.
More about Librax (chlordiazepoxide / clidinium)
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Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Some side effects may not be reported. You may report them to the FDA.