Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes Mictoryl (Propiverine). If you are concerned about side effects, discuss the risks and benefits of Mictoryl (Propiverine) with your doctor.

The following side effects have been reported by at least 1% of people taking Mictoryl (Propiverine). Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

• abdominal pain
• changed sense of taste
• Constipation
• dizziness
• Dry Mouth
• fatigue
• flushing
• headache
• heartburn
• itching
• loss of appetite (children)
• nausea
• rash
• sleep disturbance (children)
• tremor
• trouble concentrating (children)
• vomiting

Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

• confusion
• decreased blood pressure with drowsiness
• difficulty emptying the bladder
• difficulty speaking
• fast or pounding heartbeat
• hallucinations (seeing or hearing things that aren't there)
• restlessness
• vision changes

Stop taking the medication and seek immediate medical attention if any of the following occur:

• signs of a serious allergic reaction (e.g., abdominal cramps, difficulty breathing, nausea and vomiting, or swelling of the face and throat)

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking Mictoryl (Propiverine).

30 mg
Each orange and white, size 3, modified-release capsule contains 30 mg of white to off-white Mictoryl (Propiverine) hydrochloride pellets (equivalent to 27.28 mg Mictoryl (Propiverine)). Nonmedicinal ingredients: ammonio methacrylate copolymer type A, ammonio methacrylate copolymer type B, citric acid, gelatin, lactose monohydrate, magnesium stearate, methacrylic acid-methyl methacrylate copolymer (1:1), methacrylic acid-methyl methacrylate copolymer (1:2), povidone, red iron oxide E172, talc, titanium dioxide E171, triethyl citrate, and yellow iron oxide E172.

45 mg
Each orange size 2, modified-release capsule contains 45 mg of white to off-white Mictoryl (Propiverine) hydrochloride pellets (equivalent to 40.92 mg Mictoryl (Propiverine)). Nonmedicinal ingredients: ammonio methacrylate copolymer type A, ammonio methacrylate copolymer type B, citric acid, gelatin, lactose monohydrate, magnesium stearate, methacrylic acid-methyl methacrylate copolymer (1:1), methacrylic acid-methyl methacrylate copolymer (1:2), povidone, red iron oxide E172, talc, titanium dioxide E171, triethyl citrate, and yellow iron oxide E172.

Mictoryl Pediatric

5 mg
Each white, lenticular shape tablet contains 5 mg of Mictoryl (Propiverine) hydrochloride (equivalent to 4.55 mg Mictoryl (Propiverine)). Nonmedicinal ingredients: acacia gum, calcium carbonate, cellulose powdered, glucose monohydrate, kaolin heavy, lactose monohydrate, macrogol 6000, magnesium stearate, silica colloidal anhydrous, sucrose, talc, and titanium dioxide E171.

Do not take Mictoryl (Propiverine) if you:

• are allergic to Mictoryl (Propiverine) or any ingredients of the medication
• have a bowel obstruction
• have or may have urinary retention (blocked urine flow)
• have Myasthenia Gravis
• have decreased muscle tone in the intestines
• have severe Ulcerative Colitis (inflammation of the digestive tract)
• have toxic megacolon (dilated large intestine)
• have angle-closure Glaucoma
• have moderate to severely reduced liver function
• have a fast heartbeat
• have a rare hereditary problem of galactose intolerance, glucose-galactose malabsorption or Lapp lactase deficiency
• have a rare hereditary problem of fructose intolerance or do not produce enough of the enzyme sucrose-isomaltase

There may be an interaction between Mictoryl (Propiverine) and any of the following:

• amantadine
• antipsychotics (e.g., Chlorpromazine, Clozapine, Haloperidol, Olanzapine, Quetiapine, Risperidone)
• atropine
• benzodiazepines (e.g., Alprazolam, Diazepam, Lorazepam)
• Benztropine
• beta-2 agonists (e.g., formoterol, salbutamlol, salmeterol)
• Flavoxate
• isoniazid
• Metoclopramide
• Pilocarpine
• tricyclic antidepressants (e.g., Amitriptyline, Clomipramine, Desipramine, Trimipramine)

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

• stop taking one of the medications,
• change one of the medications to another,
• change how you are taking one or both of the medications, or
• leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Mictoryl (Propiverine). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Mictoryl (Propiverine).

Abnormal heart rhythms: Mictoryl (Propiverine) may cause a heart rhythm disturbance called QT prolongation. If you have a history of QT prolongation or are taking certain medications (e.g., Amiodarone, Sotalol), discuss with your doctor how Mictoryl (Propiverine) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Mictoryl (Propiverine), and whether any special monitoring is needed.

Glaucoma: Mictoryl (Propiverine) may cause the symptoms of glaucoma (increased pressure in the eye) to become worse. If you have glaucoma, discuss with your doctor how Mictoryl (Propiverine) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Mictoryl (Propiverine), and whether any special monitoring is needed. Report any changes in vision to your doctor as soon as possible while you are taking Mictoryl (Propiverine).

Kidney function: If you have reduced kidney function or Kidney Disease, discuss with your doctor how Mictoryl (Propiverine) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Mictoryl (Propiverine), and whether any special monitoring is needed.

Lactose intolerance: Mictoryl (Propiverine) contains lactose. If you have galactose intolerance (galactosemia, glucose-galactose malabsorption, or Lapp lactase deficiency) you should not take Mictoryl (Propiverine). Talk to your doctor about other alternatives.

Liver function:  If you have liver problems, discuss with your doctor how Mictoryl (Propiverine) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Mictoryl (Propiverine), and whether any special monitoring is needed.

Pregnancy: Mictoryl (Propiverine) should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking Mictoryl (Propiverine), contact your doctor immediately.

Breast-feeding: It is not known if Mictoryl (Propiverine) passes into breast milk. If you are a breast-feeding mother and are taking Mictoryl (Propiverine), it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: Children generally develop bladder control by the age of 5 years. Mictoryl (Propiverine) is not recommended for children earlier than 5 years of age.