Urised (Oral)

Atropine, hyoscyamine, methenamine, methylene blue, phenyl salicylate, and benzoic acid combination medicine is an anticholinergic, anti-infective, and analgesic. It is taken by mouth to help relieve the discomfort caused by urinary tract infections; however, it will not cure the infection itself. This combination medicine may also be used for other conditions as determined by your doctor.

This medicine is available only with your doctor's prescription.

If your symptoms do not improve within a few days or if they become worse, check with your doctor.

These medicines may make you sweat less, which can raise your body temperature. Be careful not to get overheated during exercise or in hot weather while taking this medicine, as overheating may lead to heat stroke. Also, hot baths or saunas may cause you to feel dizzy or faint while taking this medicine.

This medicine may cause blurred vision in some people. Make sure you know how you react to this medicine before driving, using machines, or doing anything else that could be dangerous if you cannot see well. If your vision remains blurred, check with your doctor.

This medicine may cause dryness in your mouth. For temporary relief, try sugarless candy or gum, melting bits of ice in your mouth, or using a saliva substitute. However, if your mouth stays dry for more than 2 weeks, check with your dentist. Ongoing dryness may increase the risk of dental issues, including tooth decay, gum disease, and fungal infections.

Do not take this medicine within 2 or 3 hours of taking antacids or medicine for diarrhea. Taking antacids or antidiarrhea medicines and this medicine too close together may stop this medicine from working properly.

In deciding to use a drug, the risks of using the medicine must be weighed against the beneficial it will do. This is a decision you and your clinician will make. For this medicine, the following should be considered:

Allergies

Inform your doctor if you have ever had any unusual or allergic reaction to this drug or any other drugs. As well inform your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Unusual excitement, nervousness, restlessness or irritability, and unusual warmth, dryness, and flushing of skin are more likely to occur in children, who are typically more sensitive to the effects of atropine and hyoscyamine (contained in this combination medicine). Additionally, when atropine and hyoscyamine are given to children during hot weather, a rapid raise in body temperature may occur. In infants and children, especially those with spastic paralysis or brain damage, this drug may be more likely to cause serious side effects.

Geriatric

Confusion or memory loss, constipation, difficult urination, excitement, agitation, sleepiness, or dryness of mouth may be more likely to occur in elderly patients, who are usually more sensitive than younger adults to the effects of atropine and hyoscyamine. Also, this combination medicine may cause eye pain in patients who have untreated glaucoma.

Breast Feeding

Studies in women suggest that this medication poses minimal chance to the infant when used during breastfeeding.

There are no adequate studies in women for determining infant chance when using this medication during breastfeeding. Weigh the potential benefits against the potential risks prior to using this medicine while breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your clinician may want to change the dose, or other precautions may be necessary. When you are using this drug, it is especially critical that your healthcare professional know if you are taking any of the medications listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this drug with any of the following drugs is not recommended. Your doctor may decide not to treat you with this drug or change some of the other medicines you take.

• Acetazolamide
• Ambenonium
• Amitriptyline
• Amoxapine
• Amphetamine
• Atomoxetine
• Benzphetamine
• Bupropion
• Carbamazepine
• Carbidopa
• Carbinoxamine
• Clomipramine
• Codeine
• Cyclobenzaprine
• Desipramine
• Desvenlafaxine
• Deutetrabenazine
• Dexmethylphenidate
• Dextroamphetamine
• Doxepin
• Doxylamine
• Duloxetine
• Entacapone
• Fenfluramine
• Fluoxetine
• Fluvoxamine
• Hydroxytryptophan
• Imipramine
• Isocarboxazid
• Levodopa
• Levomilnacipran
• Linezolid
• Lisdexamfetamine
• Mafenide
• Maprotiline
• Meperidine
• Methamphetamine
• Methylphenidate
• Milnacipran
• Mirtazapine
• Nortriptyline
• Ozanimod
• Paroxetine
• Phenelzine
• Phentermine
• Potassium Citrate
• Protriptyline
• Pseudoephedrine
• Rizatriptan
• Safinamide
• Selegiline
• Serdexmethylphenidate
• Sertraline
• Silver Sulfadiazine
• Solriamfetol
• Sulfabenzamide
• Sulfacetamide
• Sulfacytine
• Sulfadiazine
• Sulfamerazine
• Sulfamethazine
• Sulfamethoxazole
• Sulfanilamide
• Sulfapyridine
• Sulfasalazine
• Sulfathiazole
• Sulfisoxazole
• Sumatriptan
• Tapentadol
• Tramadol
• Tranylcypromine
• Trazodone
• Trimipramine
• Tryptophan
• Venlafaxine
• Vilazodone
• Viloxazine
• Vortioxetine
• Zolmitriptan
• Zonisamide

Using this medication with any of the following drugs is normally not advised, but may be required in some cases. If both medicines are prescribed together, your physician may change the dose or how often you use one or both of the drugs.

• Aceclofenac
• Acemetacin
• Albuterol
• Alfentanil
• Almotriptan
• Alprazolam
• Amantadine
• Amifampridine
• Amineptine
• Amitriptylinoxide
• Amtolmetin Guacil
• Atropine
• Balsalazide
• Benzhydrocodone
• Bismuth Subsalicylate
• Bromazepam
• Bromfenac
• Brompheniramine
• Bufexamac
• Buprenorphine
• Bupropion
• Buspirone
• Butalbital
• Butorphanol
• Calcium Oxybate
• Cannabidiol
• Cannabis
• Celecoxib
• Cetirizine
• Chlorpheniramine
• Choline Magnesium Trisalicylate
• Choline Salicylate
• Clobazam
• Clonazepam
• Clonixin
• Clozapine
• Cocaine
• Codeine
• Daridorexant
• Dexibuprofen
• Dexketoprofen
• Dexmedetomidine
• Dextromethorphan
• Dibenzepin
• Diclofenac
• Difenoxin
• Diflunisal
• Dihydrocodeine
• Diphenoxylate
• Dipyrone
• Dolasetron
• Donepezil
• Droxicam
• Eletriptan
• Epinephrine
• Esketamine
• Etodolac
• Etofenamate
• Etoricoxib
• Felbinac
• Fenoprofen
• Fentanyl
• Fepradinol
• Feprazone
• Flibanserin
• Floctafenine
• Flufenamic Acid
• Flurbiprofen
• Formoterol
• Frovatriptan
• Furazolidone
• Gabapentin
• Gabapentin Enacarbil
• Glucagon
• Glycopyrrolate
• Glycopyrronium Tosylate
• Granisetron
• Hydrocodone
• Hydromorphone
• Indomethacin
• Iobenguane I 123
• Iobenguane I 131
• Iproniazid
• Ketamine
• Ketoprofen
• Lacosamide
• Lasmiditan
• Lemborexant
• Levocetirizine
• Levorphanol
• Lithium
• Lofepramine
• Lofexidine
• Lorcaserin
• Lornoxicam
• Loxapine
• Loxoprofen
• Lumiracoxib
• Macimorelin
• Magnesium Oxybate
• Magnesium Salicylate
• Meclofenamate
• Mefenamic Acid
• Melitracen
• Meloxicam
• Mesalamine
• Metaxalone
• Methacholine
• Methadone
• Metoclopramide
• Midodrine
• Moclobemide
• Morniflumate
• Morphine
• Morphine Sulfate Liposome
• Nabumetone
• Nalbuphine
• Naproxen
• Naratriptan
• Nefazodone
• Nepafenac
• Nialamide
• Niflumic Acid
• Nimesulide
• Nimesulide Beta Cyclodextrin
• Norepinephrine
• Olanzapine
• Olsalazine
• Ondansetron
• Opipramol
• Oxaprozin
• Oxycodone
• Oxymetazoline
• Oxymorphone
• Oxyphenbutazone
• Palonosetron
• Parecoxib
• Pentazocine
• Periciazine
• Phenobarbital
• Phenylbutazone
• Piketoprofen
• Piroxicam
• Potassium Oxybate
• Pregabalin
• Primidone
• Procarbazine
• Proglumetacin
• Propyphenazone
• Proquazone
• Quetiapine
• Rasagiline
• Remifentanil
• Remimazolam
• Revefenacin
• Rofecoxib
• Ropeginterferon Alfa-2b-njft
• Salicylamide
• Salicylic Acid
• Salsalate
• Scopolamine
• Secretin Human
• Sibutramine
• Sodium Oxybate
• Sodium Salicylate
• St John's Wort
• Sufentanil
• Sulfasalazine
• Sulindac
• Tapentadol
• Tenoxicam
• Tianeptine
• Tiaprofenic Acid
• Tiotropium
• Tolfenamic Acid
• Tolmetin
• Topiramate
• Trolamine Salicylate
• Valbenazine
• Valdecoxib
• Vilanterol
• Ziprasidone
• Zolpidem
• Zuranolone

Using this medication with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best therapy for you. If both medicines are prescribed together, your physician may change the dose or how frequently you use one or both of the medicines.

• Acarbose
• Arbutamine
• Chlorpropamide
• Glimepiride
• Glipizide
• Glyburide
• Insulin
• Insulin Aspart, Recombinant
• Insulin Bovine
• Insulin Degludec
• Insulin Detemir
• Insulin Glargine, Recombinant
• Insulin Glulisine
• Insulin Lispro, Recombinant
• Metformin
• Nateglinide
• Repaglinide
• Tolazamide
• Tolbutamide

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may additionally cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Other Medical Issues

The presence of other medical issues may affect the use of this medicine. Make sure you tell your clinician if you have any other medical issues, especially:

• Bleeding problems (severe)—This combination medication may increase heart rate, which would make bleeding problems worse

• Brain damage (in children)—May increase the central nervous system (CNS) effects of this combination medicine

• Colitis (serious) or
• Dryness of mouth (severe or continuing) or
• Enlarged prostate or
• Fever or
• Glaucoma or
• Heart disease or
• Hernia (hiatal) or
• High blood pressure or
• Intestinal blockage or other intestinal or stomach problems or
• Lung disease or
• Myasthenia gravis or
• Toxemia of pregnancy or
• Urinary tract blockage or difficult urination—This combination medicine may make these conditions worse

• Dehydration or
• Kidney disease or
• Liver disease—Higher levels of medicine may result and raise the chance of side effects

• Overactive thyroid—May increase the heart rate

Along with its necessary effects, a medicine may cause some unwanted effects. Not all of these side effects may happen, but if they do, they might require medical attention.

Contact your doctor as soon as possible if any of the following side effects occur:

Less common or rare

• Blurred vision
• Eye pain
• Skin rash or hives

Symptoms of overdose

• Blood in urine and/or stools
• Diarrhea
• Dizziness
• Severe drowsiness
• Fast heartbeat
• Flushing or redness of face
• Severe or continuing headache
• Lower back pain
• Pain or burning while urinating
• Ringing or buzzing in the ears
• Shortness of breath or troubled breathing
• Sweating
• Unusual tiredness or weakness

Some side effects may happen that usually do not need medical attention. These side effects may go away during treatment as your body gets used to the medicine. Your health care professional may also be able to suggest ways to prevent or lessen some of these side effects. Check with your health care professional if any of the following side effects persist or are bothersome, or if you have any questions about them:

Less common

• Difficult urination (more common with large doses taken for a long time)
• Dryness of mouth, nose, or throat
• Nausea or vomiting
• Stomach upset or pain (more common with large doses taken for a long time)

This medicine may cause your urine and/or stools to turn blue or blue-green. This is expected while you are taking this medicine.

Other side effects not listed may also happen in some patients. If you notice any other effects, contact your healthcare professional.

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

In the U.S.

• Prosed EC
• Trac Tabs
• Urised

Pharmacologic Class: Atropine

Chemical Class: Salicylate, Non-Aspirin

While you are taking this combination medicine, it is important for your urine to be acidic. To do this, your doctor may recommend that you eat more protein and such foods as cranberries (especially cranberry juice with vitamin C added), plums, or prunes. You should avoid foods that make the urine more alkaline, such as most fruits (especially citrus fruits and juices), milk, and other dairy products.

Take this medicine only as directed. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance of side effects.

Each dose should be taken with a full glass (8 ounces) of water or other liquid (except citrus juices and milk). Drink plenty of water or other liquids every day, unless otherwise directed by your doctor. Drinking enough liquids will help your kidneys work better and lessen your discomfort.

To help clear up your infection completely, keep taking this medicine for the full time of treatment even if you begin to feel better after a few days. Do not miss any doses.

In order for this medicine to work well, your urine must be acid (pH 5.5 or below). To make sure that your urine is acid:

• Before you start taking this medicine, check your urine with phenaphthazine paper or another test to see if it is acid. If you have any questions about this, check with your health care professional.
• You may need to change your diet; however, check with your doctor first if you are on a special diet (for example, for diabetes). To help make your urine more acid you should avoid most fruits (especially citrus fruits and juices), milk and other dairy products, and other foods which make the urine more alkaline. Eating more protein and foods such as cranberries (especially cranberry juice with vitamin C added), plums, or prunes may also help. If your urine is still not acid enough, check with your doctor.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For oral dosage form (tablets): For relief of urinary tract symptoms: Adults and children 12 years of age and older—1 to 2 tablets four times a day. Children 6 to 12 years of age—Dose must be determined by the doctor. Children up to 6 years of age—Use is not recommended.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.