LIBRAX
Combination of 5 mg chlordiazepoxide and 5 mg clidinium. Prescription is required.

THERAPEUTIC INDICATIONS
The Librax is used to reduce spasms and acid secretion, among others, accompanying peptic ulcer.

USAGE
Take 1 or 2 capsules 1 / 2 to 1 hour before meals and at bedtime.

ADVERSE EFFECTS
Refrain from taking the Librax if you have demonstrated a hypersensitivity reaction to this drug if you suffer from angle closure glaucoma, urinary retention, obstruction of the digestive tract and severe ulcerative colitis.

It should be used with caution if you suffer from open angle glaucoma, heart disease, chronic bronchitis, hernia of the esophagus, enlarged prostate, and myasthenia gravis.

POSSIBLE SIDE EFFECTS
Librax combines the side effects of chlordiazepoxide (although it is present at very low dose) and clidinium. We refer to the text with chlordiazepoxide for matters connected therewith.

As for clidinium, it is associated with the following effects: dry mouth, blurring of vision, constipation, difficulty urinating, inhibition of lactation. Some symptoms may mean too high dosage and require discontinuation of medication: drowsiness and dizziness or confusion, agitation, incoordination, dilated pupils and urinary retention.

DRUG INTERACTIONS
Librax has theoretically the same interactions as diazepam, and their importance should however be limited due to the small amount of drug present. In addition, the following medications increase the effect of clidinium: antidepressants, antihistamines, meperidine, orphenadrine and certain tranquilizers, whereas vitamin C reduces the effect.

The clinidium reduces the effect of pilocarpine and if taken together with haloperidol, it can result in an increase in intraocular pressure.

PRECAUTIONS
If the drug produces drowsiness or blurring of vision, you should avoid of using motor vehicles or machinery requiring attention and precision.

The elderly are more likely to develop side effects and should regularly evaluate their intraocular pressure during prolonged use.
The Librax should not be used during pregnancy because of the presence of chlordiazepoxide, which can affect fetal development. The clidinium, making the secretion of milk less plentiful, certainly does not favor its use during lactation.

ALTERNATIVES
It was previously believed that all the activity of gastro-intestinal totally beyond the control of the will. We know now that we can learn to relax those muscles, to undo the spasm that affects the functioning and a learning relaxation replaces the drug and its possible side effects and can prevent these symptoms always include a psychological dimension; Indeed, stress and anxiety caused in the body with all sorts of shrinkage, which in some reaches the digestive system.

OVERALL JUDGEMENT
The Librax antispasmodics and other drugs are more or less useful, whose use can often be replaced by a healthier lifestyle. It’s also a weird combination, containing a small amount of tranquilizer if you wonder what it does, and a product, the clidinium, for which there is almost no pharmacological information (there is very little in the literature cited serious).

It is fair probably not much by saying that its effect is largely due to the placebo effect. Moreover, the Librax is part of the list of drugs that the Food and Drug Administration U.S. judge without proven effectiveness.