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Urecholine may be prescribed for the treatment of post-operative urinary retention, neurogenic bladder atony, and for diagnostic purposes like the Urecholine test. Urecholine is a brand name for the medication bethanechol chloride, a cholinergic agent used to treat certain bladder problems. It works by increasing the muscle tone of the bladder and causing it to contract, which can improve the ability to urinate.

Uses and Dosage

Urecholine is typically available in tablet form and should be taken by mouth on an empty stomach, typically 3 to 4 times per day as directed by a healthcare provider. Take the medication at the same time each day to maintain consistent levels in the body. Taking Urecholine on an empty stomach can help reduce the risk of nausea and vomiting.

Take Urecholine regularly and follow all instructions provided by a healthcare provider. The recommended dosages of Urecholine vary depending on the individual and the condition being treated. The recommended dose for adults is typically 25-50 mg three to four times a day as directed by a healthcare provider. Dosage adjustments may be necessary for patients with impaired renal or hepatic function. Children's dosages are based on body weight and are determined by a doctor.

Side Effect

Common Side Effects of Urecholine (Bethanecol)

  • Drooling
  • Watery eyes
  • Diarrhea
  • Nausea
  • Stomach cramps
  • Sweating
  • Urinary urgency (feeling you need to empty your bladder right away)

Serious Side Effects of Urecholine (Bethanecol):

  • Abdominal cramps or discomfort
  • Asthma attacks
  • Colicky pain
  • Constricted pupils
  • Diarrhea
  • Drop in blood pressure with reflex fast heart rate
  • Feeling unwell (malaise)
  • Flushing (warmth heat about the face sweating)
  • Headache
  • Nausea and belching
  • Salivation
  • Stomach rumbling noises
  • Tearing
  • Urinary urgency

Form and Strength

Urecholine (Bethanecol) is available in the following forms and strength:

Urecholine: Tablet

  • 10mg
  • 25mg
  • 50mg


  • Patients with a history of asthma or other respiratory conditions may be at increased risk of developing bronchospasm or wheezing.
  • Urecholine may exacerbate certain heart conditions, such as coronary artery disease or congestive heart failure.
  • Patients with a history of gastrointestinal obstruction, ulcers, or other stomach problems should use Urecholine with caution.
  • Urecholine may interact with other medications, including anticholinergics, acetylcholinesterase inhibitors, and other drugs that affect heart or gastrointestinal function.
  • Urecholine may cause side effects such as nausea, vomiting, and abdominal discomfort, which should be reported to a physician if they persist or are severe.
  • Urecholine may cause a drop in blood pressure, especially in patients with preexisting hypotension or taking antihypertensive medications and should be used with caution in such patients.
  • Urecholine may cause dizziness, blurred vision, or other neurological effects, and patients should avoid driving or using heavy machinery until they know how the medication affects them.
  • Urecholine may exacerbate bladder outlet obstruction or other conditions that cause urinary retention and should not be used in such cases unless directed by a healthcare provider.

Frequently Asked Questions (FAQ)

What should be done if a dose of Urecholine is missed?

If a dose of Urecholine is missed, it should be taken as soon as possible. However, if it is nearing the time for the next scheduled dose, then the missed dose should be skipped, and the regular dosing schedule should be resumed.

How long will it take for Urecholine to work?

Urecholine starts working within 30 minutes from the time you take it, and you should feel the full effects within 60 to 90 minutes.

How long does it take for Urecholine to work?

The onset of action of Urecholine varies depending on the individual and the condition being treated. Patients should follow their healthcare provider's instructions for how long to take the medication and when to expect to see improvement in symptoms.

Can Urecholine be used long-term?

Urecholine can be used for prolonged periods of time if necessary for treating certain bladder conditions. However, regular monitoring by a healthcare provider is necessary to evaluate the continued need for the medication and assess for potential adverse effects.


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Online Pharmacies Canada has provided information from third parties intended to increase awareness and does not contain all the information about Urecholine (Bethanecol). Talk to your doctor or other qualified medical practitioners for medical attention or advice, or if you have any concerns about Urecholine (Bethanecol).