Tricalm

Tricalm Uses, Dosage, Side Effects, Mechanism of Action, How Long Does it Take to Work? Tricalm is a brand name. Its generic name is Trihexyphenidyl.

Tricalm

Tricalm (popularly known as Artane) is an anticholinergic medication used for treating symptoms of certain neurological disorders. It is usually prescribed to the patients who are suffering from Parkinson’s disease, restless leg syndrome, spastic paralysis, and certain other conditions. It is also given to the people who are having difficulty in urinating or who have an enlarged prostate.

Uses For

Tricalm is mainly used to treat the symptoms of Parkinson’s disease, including stiff or rigid muscles, tremors, spasms and difficulty in controlling voluntary movements. Additionally, it can be used to treat extreme muscle spasms or spasticity (such as cerebral palsy, stroke and multiple sclerosis), dysphagia (difficulty in swallowing), wet macular dystrophy, peripheral neuropathy and urinary incontinence associated with certain neurological disorders.

Mechanism of Action

Tricalm belongs to a class of medications known as anticholinergics. It works by inhibiting the action of the chemical messenger acetylcholine, which is primarily responsible for the transmission of nerve impulses between nerve cells. By blocking the action of acetylcholine in certain areas of the brain, Tricalm helps to reduce the symptoms of Parkinson’s disease and other neurological conditions.

How Long Does It Take To Work?

The effects of Tricalm can be noticed within 1-2 hours of the intake. However, the degree of relief from symptoms may vary, depending on the patient’s condition.

Absorption

Tricalm is rapidly and extensively absorbed after oral ingestion and reaches peak plasma concentration in 2-3 hours. It is highly lipophilic, hence, has better absorption in acidic environment.

Route of Elimination

Tricalm is mainly eliminated in the urine as a major metabolic product, with minimal amount excreted in feces.

Dosage

The usual starting dose of trihexyphenidyl is one or two 2-mg tablets taken three or four times each day before meals and at bedtime. Depending on the severity of the patient’s condition, the dosage can be gradually increased, up to a maximum daily dose of 48 mg (6 tablets). The dosage should be adjusted as per the patient’s requirement.

Administration

Tricalm should be taken orally, with or without food. It is advised to swallow the tablets whole and not to crush, chew or break it.

Side Effects

Common side effects of Tricalm include drowsiness, dry mouth, constipation, blurred vision, stomach upset, headache, dizziness, restlessness, irritability and anxiety. Apart from these, severe side effects that may occur include vomiting, confusion, mild jaundice, sweating, pale skin, slurred speech, difficulty in urination, tremors and inability to move the arms or legs.

Toxicity

Usually Tricalm is considered to be safe and well tolerated however, its prolonged or high doses can result in toxicity, which often presents as agitation, confusion, delusions, hallucination, severe muscle weakness, rapid heartbeat, and fever. Patients should seek immediate medical attention if any of these side effects are noticed.

Precaution

It is important to consult a doctor before taking Tricalm, especially if you are pregnant, breastfeeding, or have any allergies. Patients should inform their physician if they are taking any other medications since drug interactions may occur with this medicine.

Interactions

Tricalm can interact with certain medications, such as anticonvulsants, antiparkinsonian medicines, narcotic analgesics, antihistamines, tricyclic antidepressants, MAO inhibitors, muscle relaxants, and sedatives. Additionally, it can also interact with certain foods and beverages such as alcohol and citrus fruits.

Disease Interaction

Patients with Parkinson's disease, kidney or liver disease, heart disease, and glaucoma should not take Tricalm without consulting their doctor. Additionally, prostate enlargement, urinary tract obstruction, intestinal obstruction, and myasthenia gravis can also lead to increased side effects or reduced efficacy of Tricalm.

Drug Interaction

Tricalm can interact with medications such as tranquilizers, sedatives, alcohol, anti-diabetic drugs, muscle relaxants, antihistamines, heart medications, and antidepressants. Hence, it is advised to inform your doctor about all the medications you are taking before using Tricalm.

Food Interactions

Food containing alcohol, citrus fruits, or high levels of calcium and potassium can affect the absorption of Tricalm. Thus, it is advised to take it with food or with some other beverage like milk or water.

Pregnancy Use

Tricalm is not recommended for pregnant women as it may cause harm to the developing fetus. If you are pregnant or planning to become pregnant, it is important to inform your doctor before using Tricalm.

Lactation Use

Acute Overdose

In case of acute overdose, symptoms can include dizziness, confusion, fast heart rate, hallucinations, restlessness, seizures, convulsions, rapid breathing, abnormal body movements, and in some cases, death. If these symptoms are observed, immediate medical attention should be sought.

Contraindication

Tricalm is contraindicated in patients with known hypersensitivity to the drug, narrow angle glaucoma, gastrointestinal obstruction, paralytic ileus, and severe liver impairment.

Use Direction

It is recommended to take Tricalm exactly as prescribed by your doctor. The dosage should be taken at evenly spaced intervals and according to the directions on the product package. If you have any doubts about the directions or dosage, talk to your doctor or pharmacist.

Storage Condition

Tricalm should be stored in a cool, dry place away from direct sunlight and should not be exposed to extremes of heat or cold. It should be kept out of reach of children and pets.

Volume of Distribution

Tricalm has a relatively large volume of distribution (about 30-50 liters/kg body weight). This indicates that it distributes well in the body and is readily accessible to its target tissues.

Half Life

The half-life of Tricalm is 10-12 hours. This means that half of the dose will be eliminated from the body within 10-12 hours of taking the medication.

Clearance

Tricalm has an estimated total body clearance of 10 ml/minute/kg. This indicates that it is rapidly metabolized and eliminated in the urine and feces.

Here you find in details version of Tricalm

Some Frequently Asked Questions About Tricalm

What is Tricalm?

Tricalm is an antispasmodic medication that is used to treat muscle stiffness, tremors, and spasms in people with conditions such as Parkinson's disease or other movement disorders.

Is Tricalm a controlled substance?

No, Tricalm is not a controlled substance. It is not a narcotic or an abused substance.

What are the side effects of Tricalm?

Common side effects of Tricalm can include dry mouth, blurred vision, dizziness, drowsiness, or constipation. Rare side effects can include fast heart beat, urinating more than usual, confusion, mental or mood changes, shortness of breath, chest pain, or some serious allergic reactions.

What should I do if I experience side effects from Tricalm?

If you experience any side effects, stop taking the medication and speak with your doctor. Your doctor may be able to adjust the dose to help reduce your symptoms or suggest an alternative treatment.

How should I store Tricalm?

Tricalm should be stored in a cool, dry place away from direct light and moisture. Do not store the medication in the bathroom. Keep all medications out of the reach of children and pets.

Can I take Tricalm with other medications?

You should always tell your doctor if you are taking other medications, as some medications may interact with Tricalm. It is important to always follow your doctor’s instructions when taking Tricalm with other medications.

Do I need to take Tricalm with food?

No, Tricalm is typically taken without food. However, it is best to always follow the instructions provided by your doctor.

Can I take Tricalm while pregnant?

No, Tricalm should not be taken during pregnancy. Speak with your doctor before taking any medications while pregnant.

What are the warning signs of an allergic reaction to Tricalm?

Signs of an allergic reaction to Tricalm can include rash, itching, swelling, difficulty breathing, or tightness in the chest. Seek emergency medical attention if you experience any of these symptoms.

What is the typical dosage of Tricalm?

The typical dosage of Tricalm depends on the individual and their condition. It is important to always follow the instructions and dosage provided by your doctor.

What should I do if I miss a dose of Tricalm?

If you miss a dose of Tricalm, take it as soon as you remember and continue with your regular schedule. Do not take two doses at once.

What should I avoid while taking Tricalm?

You should avoid drinking alcohol while taking Tricalm, as it can increase the risk of certain side effects. Also, avoid performing activities or tasks where your alertness or reaction time may be impaired.

Can Tricalm be used to treat conditions other than Parkinson's disease?

Yes, Tricalm can also be used to treat muscle stiffness, tremors, and spasms in people with other movement disorders such as dystonia.

How long does it take for Tricalm to start working?

The effects of Tricalm can start to be felt within a few hours, but some people may not notice the full effects until after a few days or even weeks of taking the medication.

Are there any alternatives to Tricalm?

Yes, there are other medications that are used to treat muscle stiffness, tremors, and spasms in people with conditions such as Parkinson's disease. Speak to your doctor about other possible treatments.

Can I stop taking Tricalm suddenly?

No, you should never stop taking Tricalm suddenly without your doctor's approval. Your doctor will guide you on how to gradually reduce your dose over time, if necessary.

Can I take Tricalm while breastfeeding?

It is not recommended to take Tricalm while breastfeeding due to the potential risk to the baby. Speak with your doctor about alternatives.

What should I do if I experience severe drowsiness with Tricalm?

You should stop taking Tricalm and speak with your doctor about alternative treatments. Your doctor may be able to reduce the dosage or suggest an alternative medication.

What is the best time of day to take Tricalm?

It is best to follow the instructions provided by your doctor. Tricalm can be taken with or without food.

Can I drink grapefruit juice while taking Tricalm?

No, grapefruit juice can interact with Tricalm and cause certain side effects. It is best to avoid drinking grapefruit juice while taking this medication.

Are there any foods I should avoid while taking Tricalm?

It is best to avoid alcohol, caffeine, and spicy foods while taking Tricalm as they can increase the risk of certain side effects.

What is the most common side effect of taking Tricalm?

The most common side effect of taking Tricalm is dry mouth.

Can I take extra doses of Tricalm if I miss a dose?

No, you should never take extra doses of Tricalm. If you miss a dose, take it as soon as you remember and continue with your regular schedule. Do not take two doses at once.

How long does it take for Tricalm to start working?

The effects of Tricalm can start to be felt within a few hours, but some people may not notice the full effects until after a few days or even weeks of taking the medication.

Does Tricalm interact with any other medications?

Yes, some medications can interact with Tricalm. It is important to always tell your doctor or pharmacist if you are taking any other medications to avoid any potential interactions.

Can Tricalm be taken long-term?

Tricalm can be taken long-term, provided it is being taken under the guidance of a doctor. Some people may need to take Tricalm indefinitely to control their symptoms.

Can Tricalm cause weight gain?

Yes, weight gain can be a side effect of taking Tricalm. Speak with your doctor if you experience any weight gain while taking this medication.

Can I take Tricalm with other medications?

You should always tell your doctor if you are taking other medications, as some medications may interact with Tricalm. It is important to always follow your doctor’s instructions when taking Tricalm with other medications.

Should I avoid driving or operating machine with Tricalm?

Yes, you should avoid driving or operating heavy machinery while taking Tricalm as it can cause drowsiness or impaired alertness. Speak to your doctor about the side effects of this medication before driving or operating machinery.

What are the risks of not taking Tricalm as prescribed?

If you do not take Tricalm as prescribed, you may not be able to control the symptoms of your condition and could experience an increased risk of side-effects.

Will Tricalm interact with birth control medications?

Yes, Tricalm can interact with some birth control medications. Speak with your doctor or pharmacist about the possible interactions before taking Tricalm.

Are there any supplements I should avoid while taking Tricalm?

Yes, you should avoid taking supplements such as Gingko Biloba, St. John's Wort, ginseng, yohimbe, and kava kava while taking Tricalm. Speak to your doctor or pharmacist for more information.

Can Tricalm be used in children?

Yes, Tricalm can be used to treat certain conditions in children. However, it is only to be used under the guidance of a doctor and only when other treatments or therapies have been unsuccessful.

Can I take Tricalm with other medications?

You should always tell your doctor if you are taking other medications, as some medications may interact with Tricalm. It is important to always follow your doctor’s instructions when taking Tricalm with other medications.

Can I take Tricalm if I have kidney disease?

No, Tricalm should not be taken if you have kidney disease. Speak with your doctor to find out if there are other treatment options.

How long does Tricalm stay in my system?

Tricalm usually stays in the system for up to 8 hours after intake, but this can depend on many factors, including general health and other medications being taken.

How should I take Tricalm?

Tricalm should be taken as directed by your doctor. It can be taken with or without food and should be taken at regular intervals throughout the day.

Can I take Tricalm with other medications?

You should always tell your doctor if you are taking other medications, as some medications may interact with Tricalm. It is important to always follow your doctor’s instructions when taking Tricalm with other medications.

Is Tricalm a narcotic?

No, Tricalm is not a narcotic or an abused substance.

Can Tricalm be used to treat other conditions?

Yes, Tricalm can also be used to treat muscle stiffness, tremors, and spasms in people with other movement disorders such as dystonia.

Can I take Tricalm if I am pregnant?

No, Tricalm should not be taken during pregnancy. Speak with your doctor before taking any medications while pregnant.

Does Tricalm affect blood pressure?

Yes, Tricalm can affect blood pressure. It is important to monitor your blood pressure regularly while taking this medication.

Can Tricalm affect my mood?

Yes, Tricalm can affect mood. If you experience any mental or mood changes while taking this medication, speak with your doctor.

Can I take Tricalm with prescription medications?

Yes, you can take Tricalm with prescription medications, but you should always tell your doctor or pharmacist if you are taking any other medications to avoid any potential interactions.