Cogentin (Benztropine)

Do's 

• Take Cogentin orally as prescribed by your healthcare provider, usually 2 to 4 times a day with meals and at bedtime, or as a single dose at bedtime. 
• Measure your dose with a special measuring spoon or device to ensure accuracy if using the oral solution. 
• Take Cogentin regularly at the same time each day to optimize its effectiveness and aid in remembering to take it. 
• Take Cogentin at least 1 hour before antacids containing magnesium, aluminum, or calcium. 
• Allow at least 1-2 hours between doses of Cogentin and certain drugs for diarrhea (adsorbent antidiarrheals such as kaolin, pectin, and attapulgite). 
• Take Cogentin at least 2 hours after ketoconazole to avoid interactions. 
• Follow your healthcare provider's instructions closely. 
• Talk to your healthcare provider if you notice that the medication is no longer effective. 

 Don'ts 

• Do not use a household spoon to measure Cogentin oral solution, as it may not provide the correct dose. 

The dosage and administration of Cogentin (benztropine) may vary depending on the individual's medical condition, age, and response to therapy. Your healthcare provider may start you at a low dose and gradually increase it to find the best dose for you. Antacids and some drugs for diarrhea may affect the absorption of Cogentin or the absorption of other medications when taken together. If you are taking Cogentin for Parkinson's disease, your healthcare provider may adjust the dose of your other medications, such as levodopa. When Cogentin is used for a long time, it may not work as well.  

Common Side Effects:

• Dry mouth
• Blurred vision
• Constipation
• Urinary retention (difficulty urinating)
• Dizziness
• Drowsiness
• Nervousness
• Confusion
• Memory problems
• Increased heart rate
• Heat intolerance
• Sweating

Serious Side Effects:

• Allergic reactions (rash, itching, swelling, severe dizziness, difficulty breathing)
• High fever
• Rapid or irregular heartbeat
• Hallucinations or delusions
• Severe confusion or disorientation
• Mood changes, depression, or unusual laziness
• Unusual muscle weakness
• Eye pain, blurred vision, or seeing halos around lights

This is not an exhaustive list, and other side effects may occur. If you experience any unusual or severe side effects while taking cogentin,  contact your healthcare provider for medical advice.

Tell your doctor about any allergies, including benztropine or other medications. Inform your doctor about your medical history, especially:

• Glaucoma
• Breathing problems
• Diarrhea caused by infection
• Heart problems
• Blood pressure issues
• Intestinal problems
• Blockages in stomach, bladder, or intestines
• Kidney or liver disease
• Mental/mood problems
• Muscle or nerve conditions
• Seizures
• Stomach problems
• Stroke
• Thyroid problems
• Urinary problems
• History of substance abuse

It may cause dizziness, drowsiness, or blurred vision. Avoid driving, operating machinery, or activities requiring alertness until effects wear off.

It may decrease saliva production, increasing the risk of dental problems. Practice good dental hygiene and schedule regular check-ups.

It may decrease sweating, increasing the risk of heat stroke. Avoid strenuous activities or hot environments. Stay hydrated and dress lightly in hot weather. Seek medical attention if you experience fever, confusion, headache, or dizziness.

Older adults may be more sensitive to side effects, especially dizziness, drowsiness, memory problems, difficulty urinating, and constipation.

Children may be more sensitive to effects on heart rate.

Use only during pregnancy if clearly needed. Discuss risks and benefits with your doctor.