MEDICATION GUIDE

• Chlordiazepoxide hydrochloride and clidinium bromide capsules contains a benzodiazepine medicine. Taking chlordiazepoxide hydrochloride and clidinium bromide capsules with opioid medicines, alcohol, or other central nervous system (CNS) depressants (including street drugs) can cause severe drowsiness, breathing problems (respiratory depression), coma, and death. Get emergency help right away if any of the following happens:
• shallow or slowed breathing
• breathing stops (which may lead to the heart stopping)
• excessive sleepiness (sedation) Do not drive or operate heavy machinery until you know how takingchlordiazepoxide hydrochloride and clidinium bromide capsules with opioids affects you.
  
• Risk of abuse, misuse, and addiction. There is a risk of abuse, misuse, and addiction with benzodiazepines, including chlordiazepoxide hydrochloride and clidinium bromide capsules, which can lead to overdose or death.
• Serious side effects including coma and death have happened in people who have abused or misused benzodiazepines, including chlordiazepoxide hydrochloride and clidinium bromide capsules. These serious side effects may also include delirium, paranoia, suicidal thoughts or actions, seizures, and difficulty breathing. Call your healthcare provider or go to the nearest hospital emergency room right away if you get any of these serious side effects.
• You can develop an addiction even if you take chlordiazepoxide hydrochloride and clidinium bromide capsules as prescribed by your healthcare provider.
• Take chlordiazepoxide hydrochloride and clidinium bromide capsules exactly as your healthcare provider prescribed.
• Do not share your chlordiazepoxide hydrochloride and clidinium bromide capsules with other people.
• Keep chlordiazepoxide hydrochloride and clidinium bromide capsules in a safe place and away from children.
• Physical dependence and withdrawal reactions. Chlordiazepoxide hydrochloride and clidinium bromide capsules can cause physical dependence and withdrawal reactions.
• Do not suddenly stop using chlordiazepoxide hydrochloride and clidinium bromide capsules. Stopping chlordiazepoxide hydrochloride and clidinium bromide capsules suddenly can cause serious and life-threatening side effects, including unusual movements, responses, or expressions, seizures, sudden and severe mental or nervous system changes, depression, seeing or hearing things that others do not see or hear, an extreme increase in activity or talking, losing touch with reality, and suicidal thoughts or actions. Call your healthcare provider or go to the nearest hospital emergency room right away if you get any of these symptoms.
• Some people who suddenly stop benzodiazepines have symptoms that can last for several weeks to more than 12 months, including anxiety, trouble remembering, learning, or concentrating, depression, problems sleeping, feeling like insects are crawling under your skin, weakness, shaking, muscle twitches, burning or prickling feeling in your hands, arms, legs or feet, and ringing in your ears.
• Physical dependence is not the same as drug addiction. Your healthcare provider can tell you more about the differences between physical dependence and drug addiction.
• Do not take more chlordiazepoxide hydrochloride and clidinium bromide capsules than prescribed or take chlordiazepoxide hydrochloride and clidinium bromide capsules for longer than prescribed. 

• Chlordiazepoxide hydrochloride and clidinium bromide capsules is a prescription medicine that is used with other therapies for the treatment of:
  • stomach (peptic) ulcers
  • irritable bowel syndrome (IBS)
  • inflammation of the colon called acute enterocolitis
• Chlordiazepoxide hydrochloride and clidinium bromide capsules contains the medicines chlordiazepoxide HCl and clidinium bromide.
• Chlordiazepoxide hydrochloride and clidinium bromide capsules contains chlordiazepoxide hydrochloride that can be abused or lead to dependence. Keep chlordiazepoxide hydrochloride and clidinium bromide capsules in a safe place to prevent misuse and abuse. Selling or giving away chlordiazepoxide hydrochloride and clidinium bromide capsules may harm others. Tell your healthcare provider if you have abused or been dependent on alcohol, prescription medicines or street drugs.
• It is not known if chlordiazepoxide hydrochloride and clidinium bromide capsules is safe and effective in children.

• have glaucoma
• have an enlarged prostate
• have a blockage of your bladder that causes problems with urination
• are allergic to chlordiazepoxide hydrochloride or clidinium bromide

• have eye problems
• have problems urinating or emptying your bladder
• have coordination problems
• have kidney or liver problems
• have a history of depression, mental illness, or suicidal thoughts
• have a history of drug or alcohol abuse or addiction
• have bleeding problems
• are pregnant or plan to become pregnant. Chlordiazepoxide hydrochloride and clidinium bromide capsules may harm your unborn baby. Avoid taking chlordiazepoxide hydrochloride and clidinium bromide capsules during the first trimester of pregnancy. Tell your healthcare provider right away if you become pregnant during treatment with chlordiazepoxide hydrochloride and clidinium bromide capsules.
• are breastfeeding or plan to breastfeed. Chlordiazepoxide hydrochloride and clidinium bromide may pass through your breast milk and may harm your baby.

Talk to your healthcare provider about the best way to feed your baby if you take chlordiazepoxide hydrochloride and clidinium bromide capsules. Chlordiazepoxide hydrochloride and clidinium bromide capsules may decrease the amount of breast milk your body makes.

, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Taking chlordiazepoxide hydrochloride and clidinium bromide capsules with certain other medicines can cause side effects or affect how well chlordiazepoxide hydrochloride and clidinium bromide capsules or the other medicines work. Do not start or stop other medicines without talking to your healthcare provider. Especially tell your healthcare provider if you:

• take a monoamine oxidase inhibitor (MAOI) medicine or an anti-psychotic medicine called phenothiazine.

• Take chlordiazepoxide hydrochloride and clidinium bromide capsules exactly as your healthcare provider tells you to take it.
• Your healthcare provider may change your dose of chlordiazepoxide hydrochloride and clidinium bromide capsules if needed. Do not change your dose of chlordiazepoxide hydrochloride and clidinium bromide capsules or suddenly stop taking chlordiazepoxide hydrochloride and clidinium bromide capsules without talking with your healthcare provider.
• If you take too much chlordiazepoxide hydrochloride and clidinium bromide capsules, call your healthcare provider or go to the nearest hospital emergency room right away.

• Chlordiazepoxide hydrochloride and clidinium bromide capsules can make you sleepy or dizzy and can slow your thinking and motor skills.

• Do not drive, operate heavy machinery, or do other dangerous activities until you know how chlordiazepoxide hydrochloride and clidinium bromide affects you.
•  Do not drink alcohol or take other drugs that may make you sleepy or dizzy while taking chlordiazepoxide hydrochloride and clidinium bromide without first talking to your healthcare provider. When taken with alcohol or drugs that cause sleepiness or dizziness, chlordiazepoxide hydrochloride and clidinium bromide may make your sleepiness or dizziness much worse. 

                • dry mouth                                • nausea                                             • skin problems

                • blurred vision                          • constipation                                    • swelling

• irregular menstrual (periods) cycles
• increase and decreased desire for sex (libido)
• problems starting to urinate
• drowsiness, coordination problems, and confusion may happen, especially in people who are elderly or weak

These are not all the possible side effects of chlordiazepoxide hydrochloride and clidinium bromide capsules.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

• Store chlordiazepoxide hydrochloride and clidinium bromide capsules at room temperature 77°F (25°C).
• Keep chlordiazepoxide hydrochloride and clidinium bromide capsules and all medicines out of the reach of children.

Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not take chlordiazepoxide hydrochloride and clidinium bromide capsules for a condition for which it was not prescribed. Do not give chlordiazepoxide hydrochloride and clidinium bromide capsules to other people, even if they have the same symptoms that you have. It may harm them. You can ask your pharmacist or healthcare provider for information about chlordiazepoxide hydrochloride and clidinium bromide capsules that is written for health professionals.

: chlordiazepoxide hydrochloride, USP and clidinium bromide,USP

: Lactose monohydrate, maize starch, talc, D&C Yellow No. 10, FD&C Blue No. 1, titanium dioxide, gelatin, shellac, propylene glycol, black iron oxide and potassium hydroxide.

Alkem Laboratories Ltd.,

INDIA.

Ascend Laboratories, LLC

Parsippany, NJ 07054

For more information, call 1-877-ASC-RX01 (877-272-7901).