PRO-BANTHINE TABLETS 15MG
Active substance(s): PROPANTHELINE BROMIDE
Pro-Banthine® 15mg tablets
Read all of this leaflet carefully before you start
taking this medicine because it contains important
information for you.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or
• This medicine has been prescribed for you. Do not pass
it on to others. It may harm them, even if their signs of
illness are the same as yours.
• If you get any side effects talk to you doctor or
pharmacist. This includes any possible side effects not
listed in this leaflet. See section 4.
What is in this leaflet:
1. What Pro-Banthine is and what it is used for
2. What you need to know before you take Pro-Banthine
3. How to take Pro-Banthine tablets
4. Possible side effects
5. How to store Pro-Banthine tablets
6. Contents of the pack and other information
1. WHAT PRO-BANTHINE IS AND WHAT IT IS
Pro-Banthine tablets contain the active ingredient
propantheline bromide which belongs to a group of drugs
known as “antispasmodics”. They work by relaxing the
muscles of the intestines.
Pro-Banthine tablets are used to treat disorders in the
gastrointestinal tract which involve muscle spasm. They
are also for use by adults who have problems holding their
urine, which results in wetting (enuresis), and excessive
2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE
Do not take Pro-Banthine tablets if you have:
• an allergy to propantheline bromide or any of the other
ingredients of Pro-Banthine (see Section 6, and also
end of Section 2)
• an obstruction in your gut (gastrointestinal tract), or it is
inflamed or does not function normally. These may show
themselves as abdominal pain, bloating, reflux or fever
• a partial or complete blockage of the bowel that leads to
constipation or bloating of the stomach (paralytic ileus)
• toxic megacolon (a very dilated colon accompanied by
bloating and sometimes fever, abdominal pain or shock)
• a hiatus hernia (a condition in which a portion of the
stomach protrudes upward into the chest, through an
opening in the diaphragm)
• pyloric stenosis (a narrowing of the outlet from your
stomach which delays food passing out of your stomach
and may lead to vomiting)
• severe ulcerative colitis (ulcers and inflammation in
the large bowel), as Pro-Banthine tablets may worsen
• any obstruction in your urinary tract
• a muscle weakening disease such as myasthenia
gravis or weakness of the intestinal muscles
• heart problems following severe bleeding
• an enlarged prostate gland
• an eye disease called closed angle glaucoma.
Warning and Precautions
Talk to your doctor or pharmacist before taking
Pro-Banthine if any of the following conditions applies to you:
• pregnancy, likely to become pregnant or are breast-feeding
• diarrhoea, especially if you have a colostomy (opening
of the colon by surgery) or ileostomy (opening of the
small intestine by surgery)
• severe heart disease, especially if an increase in
heart rate is undesirable, or an irregular heart beat,
heart failure, reduced heart function or any other heart
problem (coronary heart disease, congestive heart
failure, cardiac arrhythmias)
ulcerative colitis (ulcers and inflammation in the large
bowel) as taking Pro-Banthine tablets may result in lifethreatening complications of other intestinal conditions
autonomic neuropathy (a disease of the nervous system
affecting the bladder muscles, the heart, the digestive
tract, and the genital organs)
liver or kidney problems
an overactive thyroid gland
high blood pressure
Pro-Banthine should be used with caution in elderly
patients and patients with Down’s syndrome.
These tablets may induce fever and heat stroke in patients
in hot weather due to decreased sweating.
These tablets are not recommended for children.
Other Medicines and Pro-Banthine tablets
Tell your doctor or pharmacist if you are taking, have
recently taken or might take any other medicines.
In particular, tell your doctor or pharmacist if you are taking
any of the following medicines, because Pro-Banthine may
interact with them:
• nefopam (a pain killer): the risk of side effects may
increase if you take Pro-Banthine tablets
• paracetamol: its absorption may be reduced by
• medicines to reduce high blood pressure: ProBanthine tablets may increase the risk of side effects
• anti-diabetic medicines: your insulin requirement may
be reduced if you take Pro-Banthine tablets
• antidepressants: Pro-Banthine tablets may increase
the risk of side effects
• disopyramide (to treat irregular heartbeat): ProBanthine tablets may increase the risk of side effects
• ketoconazole (to treat fungal infections): Pro-Banthine
tablets may reduce its absorption
• nitrofurantoin (to treat infections): Pro-Banthine tablets
may enhance its absorption
• antihistamines: Pro-Banthine tablets may increase the
risk of side effects
• antimuscarinic drugs such as belladonna alkaloids
(to affect the nervous system): Pro-Banthine tablets may
increase the risk of side effects
• haloperidol (to treat psychosis): Pro-Banthine tablets
may reduce its effects
• clozapine or phenothiazines (to treat psychosis): ProBanthine tablets may increase the risk of side effects
• digoxin (to treat heart failure): taking Pro-Banthine
tablets with slow-dissolving digoxin tablets may cause
increased digoxin levels in your blood
• domperidone (to treat nausea and vomiting):
Pro-Banthine tablets may reduce its effects on
• amantadine (to treat Parkinson’s disease and some
viral infections): Pro-Banthine tablets may increase the
risk of side effects
• levodopa (to treat Parkinson’s disease): Pro-Banthine
tablets may reduce its absorption
• memantine (to treat dementia in Alzheimer’s disease):
the effects of Pro-Banthine tablets may be enhanced by
• metoclopramide (to treat nausea, vomiting and
migraine): Pro-Banthine tablets may reduce its effects
on gastrointestinal activity
• nitrates (to treat angina): Pro-Banthine tablets may
reduce the effects of sublingual nitrate tablets (failure to
dissolve under the tongue owing to dry mouth)
parasympathomimetics (drugs that are used to
affect the nervous system e.g. stimulating digestive
secretions; slowing the heart; constricting the pupils;
dilating blood vessels): Pro-Banthine tablets may
reduce the effects of these drugs.
If you are not sure which medicines you are already taking,
please ask your doctor or pharmacist.
Pregnancy and breast-feeding
Tell your doctor if you are pregnant, think you may be
pregnant or planning to have a baby, ask your doctor or
pharmacist for advice before taking this medicine.
Do not breast-feed if you are taking Pro-Banthine tablets
unless told to by your doctor.
Ask your doctor or pharmacist for advice before taking any
Driving and using machines
Do not drive or use machinery as Pro-Banthine tablets may
make you feel drowsy or cause blurred vision.
Pro-Banthine tablets contain lactose and sucrose
Lactose and sucrose are ingredients present in ProBanthine tablets – if you have been told by your doctor
that you have an intolerance to some sugars, contact your
doctor before taking this product.
3. HOW TO TAKE PRO-BANTHINE TABLETS
Always take Pro-Banthine tablets exactly as your doctor
has told you. Check with your doctor or pharmacist if you
are not sure.
Tablets should be taken at least one hour before meals as
food affects their action. Swallow the tablets whole with
The usual starting dose is one tablet before each meal
and two tablets at bedtime. Your doctor will then adjust the
dose according to your response to the tablets. This may
be increased to a maximum of eight tablets a day.
nausea (feeling sick) and vomiting
dry mouth, feeling thirsty and finding it difficult to
dry skin, feeling hot with reddening of the face and neck
but with very little sweating, heat stroke
dryness of the airways (this may make it difficult to
cough up phlegm)
confusion in the elderly
If you are elderly, you may be particularly sensitive to
the side effects of Pro-Banthine tablets. Tell your doctor
immediately if you experience any of the side effects listed
Reporting of side effects
If you get any side effects, talk to your doctor or
pharmacist. This includes any possible side effects not
listed in this leaflet.
You can also report side effects (see details below).
By reporting side effects you can help provide more
information on the safety of this medicine.
United Kingdom: Yellow Card Scheme.
5. HOW TO STORE PRO-BANTHINE TABLETS
Keep out of the sight and reach of children.
Keep the tablets in the original pack to protect from light
and store below 25°C.
Do not use Pro-Banthine tablets after the expiry date which
is stated on the carton after ‘Expiry:’ and on blister after
‘Exp:’. The expiry date refers to the last day of that month.
Medicines should not be disposed of via wastewater or
household waste. Ask your pharmacist how to dispose of
medicines no longer required. These measures will help to
protect the environment.
6. FURTHER INFORMATION
The dosage is the same as stated for adults, but the elderly
should take special care when taking Pro-Banthine tablets
because they are more susceptible to the side effects.
What Pro-Banthine tablets contain
The active substance in each tablet is propantheline
Pro-Banthine tablets are not recommended for use in
The other ingredients in the tablet are: lactose
monohydrate, talc, corn (maize) starch, magnesium
stearate and light liquid paraffin.
If you take more Pro-Banthine tablets than you should
If you accidentally take more tablets than you should, or
you suspect that a child has swallowed the tablets, contact
your doctor straight away or go to your nearest hospital
casualty department immediately. Take this leaflet and the
pack of tablets along with you, if you can.
The sugar coating contains: sucrose, calcium carbonate,
saccharin sodium, titanium dioxide (E171), magnesium
carbonate light, castor oil virgin, talc, ferric oxide red
(E172), ferric oxide yellow (E172) and carnauba wax
(see also end of Section 2 for lactose and sucrose.)
Symptoms of excessive overdosage are restlessness,
hallucinations, delirium, convulsion, circulatory failure,
respiratory depression, paralysis of voluntary muscles
If you forget to take Pro-Banthine tablets
If you forget to take your tablets, take your next dose as
soon as you remember unless it is time for your next dose.
Do not take a double dose to make up for a forgotten dose.
If in doubt about what you should do, please contact your
doctor or pharmacist.
If you have any further questions on the use of this product,
ask your doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause side effects,
although not everybody gets them.
Stop taking Pro-Banthine tablets and seek immediate
medical attention if you experience any of the following:
• Eye pain, severe difficulty focusing your eyes or being
very sensitive to light
• Severe difficulty urinating and emptying the bladder.
Tell your doctor if you experience any of the following:
• increase or decrease in your heart rate; palpitations
(unpleasant or unusual sensation of your heart beating)
or irregular heartbeat
What Pro-Banthine tablets look like and contents of
Pro-Banthine tablets are unmarked, pink, sugar-coated
The tablets are supplied in blister packs containing 100 or
112 tablets or in bottles containing 1000 or 5000 tablets.
Not all pack sizes may be marketed.
Marketing Authorisation Holder
Kyowa Kirin Limited
Galabank Business Park, Galashiels,
TD1 1QH, United Kingdom
Haupt Pharma Wülfing GmbH
Bethelner Landstrasse 18
This leaflet was last revised in March 2018.
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.