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Urecholine is genitourinary tract medication used to treat troubles with urinating (urinary retention) caused by surgery, delivering a baby, or other conditions.

Bethanechol is a synthetic ester that stimulates the muscles in your bladder to promote the production of contractions that help you empty your bladder. The drug also stimulates the motility and tone of your gastrointestinal tract to support proper digestive function. These actions allow Urecholine to treat urinary retention caused by several conditions including delivering a baby.

Dosage and Administration

The dose of Urecholine that is prescribed may vary depending on the individual and severity of urinary retention being treated. Follow all directions that you receive from your healthcare provider and read packaging labels carefully to ensure the best therapeutic results during treatment. Do not change your dose of this medication on your own.

  • Swallow tablets whole
  • Take without food 1 hour before or 2 hours after eating
  • Most adults start by taking 5 to 10mg and repeating in hourly intervals until an effective result is achieved or 50mg has been taken
  • Adult doses tend to range from 10 to 50mg taken 3 or 4 times daily
  • Urecholine tablets may take up to 90 minutes to improve your symptoms and last for one hour
  • Contact your healthcare provider if your urinary retention does not improve after 90 minutes
  • Store at room temperature away from children and pets

Side Effects

Bethanechol may cause some side effects to occur while stimulating contractions in your bladder to allow you to empty your bladder. Speak with your healthcare provider to learn more about any symptoms that you may have during treatment.

Common Urecholine side effects:

  • Urgent need to urinate
  • Stomach cramps, diarrhea
  • Nausea
  • Burping, increased production of saliva
  • Headache, dizziness
  • Increased sweating, flushing
  • Generally ill-feeling
  • Watery eyes, changes in vision

Serious Side Effects

Some more serious adverse reactions may develop during treatment with Urecholine. Contact your healthcare provider immediately if you notice any of the following side effects:

  • Slow heartbeats
  • Light-headedness, feeling faint
  • Wheezing, tightness in your chest, difficulty breathing

Allergic Reactions

Do not take Urecholine if you are allergic to bethanechol. Stop using this medication and contact your healthcare provider right away if you develop any of the following signs of an allergic reaction:

  • Hives
  • Difficulty breathing
  • Swelling of your face, lips, tongue, or throat


Do not use Urecholine if you have any of the following conditions:

  • Slow heartbeats or very low blood pressure
  • Coronary artery disease
  • Asthma
  • An overactive thyroid gland
  • Epilepsy or another seizure disorder
  • Active stomach or intestinal ulcer
  • Blocked digestive tract
  • Peritonitis
  • Bladder obstruction or other urination problems
  • Parkinson’s disease
  • If you recently had bladder or intestinal surgery

To ensure your safety when taking Urecholine, tell your healthcare provider if you have ever had any of the following:

  • Problems urinating, bladder infection
  • Stomach or intestinal disorder
  • Heart problems
  • Low blood pressure
  • Thyroid disorder
  • Breathing problems

Tell your healthcare provider if you are pregnant before taking Urecholine to determine whether it is safe or not for you to take this medication.

Do not breastfeed during treatment with Urecholine.

Avoid driving or performing any hazardous activities until you know how this medication will affect you. Urecholine may cause your reactions to be impaired.

Avoid moving too fast when standing from a seated or laying position to not become dizzy.

Some drugs may interact with Urecholine and cause some side effects. Tell your healthcare provider about all the medicines you take, including over the counter medications, but especially any drugs used to lower blood pressure like mecamylamine.

Urecholine is not an approved treatment for anyone under the age of 18.

Form and Strength

This urinary retention medication is available in tablet form.

Urecholine tablet strengths:

  • 10mg
  • 25mg
  • 50mg

All three Urecholine tablet strengths are available in quantities of 100.


How long does it take Urecholine to start working?

You should notice the effects from your dose of Urecholine within 30 minutes of taking it, but it can take up to 90 minutes to experience the medication’s full effects. Since a common side effect from taking this medication is urinary urgency, you should expect to need to use a restroom within this time frame after taking your doses throughout the day.

What happens if you take Urecholine with food?

Urecholine is recommended to be taken on an empty stomach because when it is taken after eating it could cause nausea or vomiting. Taking your doses an hour before or two hours after eating can help minimize these effects while treating your urinary retention. Follow all your healthcare provider’s instructions for the best results.



Additional information

Brand Name:


Scientific Name:


Other Names:

Duvoid, Urivoid


10mg, 25mg, 50mg

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