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Potentially alarming idiosyncratic reactions may occur with ordinary therapeutic doses of hyoscine butylbromide. Hyoscine should be used with caution in patients with pyloric obstruction or urinary bladder neck obstruction. Hyoscine butylbromide should be used with special caution in the elderly or in individuals with impaired metabolic, liver, or kidney functions, because of the increased likelihood of CNS effects.
Effects on Ability to Drive and Use Machines: Since drowsiness, disorientation, and confusion may occur with the use of hyoscine, patients should be warned of the possibility and cautioned against engaging in activities that require mental alertness, such as driving a motor vehicle or operating dangerous machinery.
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