Norfolk and Suffolk NHS Foundation Trust
Pharmacy, Hellesdon Hospital, Norwich, NR6 5BE
http://www.nsft.nhs.uk/

Professor Stephen Bazire
01603-421452
steve.bazire@nsft.nhs.uk

What sort of side-effects might occur if I am taking this anticholinergic?

The table below will show you some of the main side effects you might get from an anticholinergic.

Side effect

What happens

What to do about it

COMMON (less than about 1 in 10 people might get these)

Blurred vision

Things look fuzzy and you can't focus properly.

Don't drive. See your doctor if you are worried.

Dry mouth

Not enough saliva or spit.

Suck boiled sweets or wine gums (but be careful if you are putting on weight). If it is still bad, your doctor may be able to give you a mouth spray.

Constipation

When you want to poop but can't (the opposite of diarrhoea). You can't pass a motion.

Make sure you eat enough fibre, cereal or fruit. Make sure you are drinking enough fluid. Make sure you keep active and get some exercise e.g. walking. If this does not help, ask your doctor or pharmacist for a mild laxative.

RARE (less than about 1 in 100 people might get these)

Stomach upset

This includes feeling sick and getting diarrhoea (the runs).

If you feel like this for more than a week after starting an anticholinergic, tell your doctor. Taking it with food may help.

Urine retention

Not much urine passed.

Contact your doctor now.

Dizziness

Feeling light-headed and faint.

Your dose may be too high, contact your doctor. Don't stand up too quickly. Try and lie down when you feel it coming. Don't drive.

Confusion

Your mind is all mixed up.

Your dose may be too high. Contact your doctor.

Do not be worried by this list of side effects. Some people get no side effects at all and others may get some effects that are not listed in this table. Side effects tend to be worse with higher doses. Starting with a lower dose sometimes helps. If you think you might have a side effect to your medicine, you should discuss this with your doctor, nurse of pharmacist. You should also see the manufacturer's information leaflet.

Updated 1.12

Main pharmacy contact points

Main Trust switchboard in Norwich, tel: 01603-421421
Dispensary and all enquiries, tel: 01603-421212, fax: 01603-421365
Pharmacy office tel: 01603-421319
Medicines Information tel: 01603-421212
Unthank Road pharmacy tel: 01603-750031
Deputy Director and Clinical Pharmacy Manager John Hunter, tel: 01603-421364

Opening hours:
Main pharmacy open Monday to Friday: 8.30-16.30 (open at 9.15 on Wednesdays for staff meeting)
Unthank Road pharmacy tel: 01603-671917 open 9.15-12.00 Monday to Friday, also Tuesday and Wednesday afternoons for dose assessments.

Service objectives:
The pharmacy service to Norfolk and Suffolk NHS Foundation Trust has five main aims:

  1. Efficient drug distribution and purchasing
  2. Provision of accurate and independent education and information about medicine therapy to service users and carers
  3. Information and education for Trust and other professionals, and voluntary helpers
  4. Clinical activities to help ensure the optimum use of drug therapies
  5. Medicine management to ensure the most cost-effective use is made of resources