Anticholinergic medications for cerebral palsy


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Examples


Brand Name Chemical Name
Cogentinbenztropine mesylate
Brand Name Chemical Name
Sinemetcarbidopa-levodopa
Brand Name Chemical Name
Robinulglycopyrrolate
Brand Name Chemical Name
Kemadrinprocyclidine hydrochloride
Brand Name Chemical Name
Artanetrihexyphenidyl hydrochloride

How It Works


Anticholinergic medications reduce uncontrollable body movements in people who have dystonic cerebral palsy.


Why It Is Used


Anticholinergic medications are used to treat muscle stiffness, tremors, and spasms. It is used for people who have nonspastic forms of cerebral palsy.


How Well It Works


These medications are primarily used to treat symptoms of Parkinson's disease and have not been well-studied as treatment for cerebral palsy. Although initially they help improve muscular problems in some people, the gains often are temporary. Over time, the medication may lose its effectiveness. The baclofen (antispasmodic) pump may work better for dystonic patients.


Side Effects


Common side effects of anticholinergic medications are dry eyes and blurred vision, constipation, and dry mouth. Anticholinergics should not be taken along with antihistamine medications that can be bought without a prescription (such as Benadryl) to treat colds, the flu, or allergies. Using anticholinergics with antihistamines further increases mouth dryness and dryness in other moist, mucus-lined areas in the body.

See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)


What To Think About


The most commonly used anticholinergic, benztropine mesylate (Cogentin), has not been approved for use in children younger than age 3. It cannot be used in people who have glaucoma.

Anticholinergics are also used to control drooling, but there are no guidelines for using them for this condition.

Complete the new medication information form (PDF) (What is a PDF document?) to help you understand this medication.


Credits


Author Sabra L. Katz-Wise
Author Ralph Poore
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Pat Truman
Primary Medical Reviewer Michael J. Sexton, MD

- Pediatrics
Specialist Medical Reviewer Louis Pellegrino, MD

- Developmental Pediatrics
Last Updated November 20, 2006

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Last updated: November 20, 2006
Author: Ralph Poore
Reviewed By: Michael J. Sexton, MD - Pediatrics, Louis Pellegrino, MD - Developmental Pediatrics
Editors: Susan Van Houten, RN, BSN, MBA, Pat Truman

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