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Molecule

Bethanechol

Also known as bethanechol chloride
Available on requestNeurology
Presentations
4
Brands
0
Manufacturers
0
Available from stock
0

Bethanechol is a cholinergic muscarinic agonist indicated for the treatment of acute postoperative and postpartum nonobstructive (functional) urinary retention and for neurogenic atony of the urinary bladder with retention. It is available as tablets for oral use. MedsAcross supplies Bethanechol for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Cholinergic Muscarinic Agonist, Cholinergic Muscarinic Agonists
ATC classification
N07AB02 Bethanechol · Choline ester
US FDA first approval
12 October 1948
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet
Identifiers
UNII 004F72P8F4RxCUI 19257CAS 674-38-4DrugBank DB01019Q419059

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

Bethanechol chloride tablets are indicated for the treatment of acute postoperative and postpartum nonobstructive (functional) urinary retention and for neurogenic atony of the urinary bladder with retention.

Source: US FDA prescribing information

Dosing overview

Dosage must be individualized, depending on the type and severity of the condition to be treated. Preferably give the drug when the stomach is empty. If taken soon after eating, nausea and vomiting may occur. The usual adult oral dose ranges from 10 to 50 mg three or four times a day. The minimum effective dose is determined by giving 5 to 10 mg initially and repeating the same amount at hourly intervals until satisfactory response occurs, or until a maximum of 50 mg has been given. The effects of the drug sometimes appear within 30 minutes and are usually maximal within 60 to 90 minutes. The drug effects persist for about one hour. If necessary, the effects of the drug can be abolished promptly by atropine.

Source: US FDA prescribing information

Contraindications

Hypersensitivity to bethanechol chloride tablets, hyperthyroidism, peptic ulcer, latent or active bronchial asthma, pronounced bradycardia or hypotension, vasomotor instability, coronary artery disease, epilepsy and parkinsonism.

Source: US FDA prescribing information

Warnings and precautions

General In urinary retention, if the sphincter fails to relax as bethanechol chloride contracts the bladder, urine may be forced up the ureter into the kidney pelvis. If there is bacteriuria, this may cause reflux infection. Information for Patients Bethanechol chloride tablets should preferably be taken one hour before or two hours after meals to avoid nausea or vomiting. Dizziness, lightheadedness or fainting may occur, especially when getting up from a lying or sitting position. Drug Interactions Special care is required if this drug is given to patients receiving ganglion blocking compounds because a critical fall in blood pressure may occur. Usually, severe abdominal symptoms appear before there is such a fall in the blood pressure.

Source: US FDA prescribing information

Side effects

Adverse reactions are rare following oral administration of bethanechol chloride, but are more common following subcutaneous injection. Adverse reactions are more likely to occur when dosage is increased. The following adverse reactions have been observed: Body as a Whole: malaise, Digestive: abdominal cramps or discomfort, colicky pain, nausea and belching, diarrhea, borborygmi, salivation, Renal: urinary urgency, Nervous System: headache, Cardiovascular: a fall in blood pressure with reflex tachycardia, vasomotor response, Skin: flushing producing a feeling of warmth, sensation of heat about the face, sweating, Respiratory: bronchial constriction, asthmatic attacks, Special Senses: lacrimation, miosis.

Source: US FDA prescribing information

Interactions

Special care is required if this drug is given to patients receiving ganglion blocking compounds because a critical fall in blood pressure may occur. Usually, severe abdominal symptoms appear before there is such a fall in the blood pressure.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

4 presentations of Bethanechol, sorted by availability.

MedicineManufacturerRegisterAvailability
Bethanechol 25 mg tabletOralGeneric name—US FDAAvailable on request
Bethanechol 10 mg tabletOralGeneric name—US FDAAvailable on request
Bethanechol 5 mg tabletOralGeneric name—US FDAAvailable on request
Bethanechol 50 mg tabletOralGeneric name—US FDAAvailable on request

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 12 October 1948Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Bethanechol in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Bethanechol available for export from India?

Yes, on request. MedsAcross lists 4 presentations of Bethanechol and sources them for licensed hospitals, importers and physicians against valid import documents.

Is Bethanechol approved by the US FDA?

Yes. The US FDA first approved Bethanechol on 12 October 1948, according to Drugs@FDA.

Does Bethanechol need cold chain shipping?

No listed presentation of Bethanechol is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Bethanechol in?

Bethanechol is classified under ATC code N07AB02 (Bethanechol).

References

  1. Bethanechol Chloride prescribing information (Upsher-Smith Laboratories). U.S. National Library of Medicine, DailyMed. Retrieved 10 September 2026

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