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The safety and warning information for benztropine is crucial for ensuring its safe use. Please review the following points and consult with your healthcare provider if you have any questions or concerns:

• Cognitive Impairment: Some users may experience confusion or difficulty thinking clearly while on benztropine. It is advised not to drive or engage in activities requiring intense concentration when starting this medication or adjusting the dose, until you understand how it affects you.

• Gastrointestinal Risks: Inform your healthcare provider if you are taking tricyclic antidepressants, phenothiazines, haloperidol, or other anticholinergics. These can interact with benztropine, potentially causing reduced or halted gut movement (paralytic ileus), which can lead to serious complications. Report any stomach pain or discomfort to your provider immediately.

• Risk of Heat Stroke: Benztropine can impair your body’s ability to sweat, increasing the risk of heat stroke, especially during hot weather, dehydration, chronic alcohol use, or physical labor. Maintain hydration and avoid excessive sun exposure. Seek medical attention if you develop a fever or feel overheated but are unable to sweat.

• Muscular Side Effects: High doses of benztropine may lead to muscle weakness, characterized by tension followed by relaxation. If you experience this, contact your healthcare provider as a dose adjustment may be necessary.

• Mental Health Effects: Large doses of benztropine can cause confusion, excitement, or in rare cases, hallucinations. If you have a history of mental health issues, inform your provider, as close monitoring may be required when starting this medication.

• Contraindications: Benztropine should not be used in children under the age of 3 years, as it may pose serious health risks.

Always ensure to follow your healthcare provider’s guidance and report any unusual symptoms or concerns promptly to ensure safe usage of benztropine.

Common side effects:

• Drowsiness
• Dizziness
• Constipation
• Dry mouth
• Nausea
• Blurred vision

Less common but important to monitor:

• Nervousness
• Flushing
• Slowed gut movement
• Faster heartbeat

Serious side effects:

• High fever
• Severe stomach or abdominal pain
• Chest pain
• Severe dizziness or fainting
• Fast or irregular heartbeat
• Mental or mood changes such as confusion or memory problems
• Difficulty urinating
• Vision changes like seeing rainbows around lights at night
• Allergic reaction (rash, itching, swelling, severe dizziness, or trouble breathing)

Interactions with high risk of serious adverse effects and should be avoided:

• Potassium tablets/capsules

Interactions with moderate risk that may require dose adjustment, closer monitoring, or timing changes:

• Pramlintide
• Clozapine
• Glucagon
• Glycopyrrolate
• Methacholine
• Metoclopramide
• Quetiapine
• Revefenacin
• Scopolamine
• Secretin Human
• Tiotropium

Interactions with low risk that usually do not require a change in therapy:

• Betel Nut
• Chlorpromazine
• Haloperidol
• Opioid pain relievers (such as codeine, hydrocodone)
• Alcohol
• Marijuana (cannabis)
• Drugs for sleep or anxiety (such as Alprazolam, Lorazepam, Zolpidem)
• Muscle relaxants (such as Carisoprodol, Cyclobenzaprine)
• Antihistamines (such as Cetirizine, diphenhydramine)