Colicare

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Colicare

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Medically reviewed

Marina Burgos

Last updated on 10/01/2026

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Colicare

Property Description
Active Ingredients Dicyclomine, Simethicone/Dimethicone
Form Oral Liquid (drops, syrup, suspension), Tablet, Capsule
Pharmacological Class Antispasmodic and Antifoaming combination
Common Use Relief from cramps, spasms, and gas/bloating
Origin Synthetic and Silicone-derived

Colicare is a widely recognized combination medicine specifically formulated to address functional gastrointestinal discomfort, containing a blend of two distinct active ingredients that collectively target different sources of pain. The medicine is classified as an antispasmodic and antifoaming combination, utilizing this dual mechanism to relieve symptoms associated with intestinal distress. This preparation is often marketed with an emphasis on treating infant colic and general abdominal pain in children and adults, a unique target audience focus for this specific blend.


What Type of Medicine is Colicare and How is it Classified?

Colicare is categorized as a combination product intended for oral route of administration, frequently supplied as oral liquid preparations like drops or syrup, which is a key distinguishing dosage form facilitating administration to younger groups. Its dual pharmacological class encompasses the antispasmodic action of Dicyclomine and the antifoaming properties of Simethicone or Dimethicone.

The synthetic component, Dicyclomine (or Dicyclomine hydrochloride), functions as an anticholinergic agent. This action is clinically recognized for its effectiveness in promoting smooth muscle relaxation within the digestive tract walls. This mechanism helps calm the gut by reducing painful, excessive squeezing motions.

The General Purpose of This Dual-Action Combination

The core function of Colicare is to provide symptomatic relief for two distinct issues: muscular spasms and gas-related pressure. The silicone-derived antifoaming agent, Simethicone, effectively helps break up pockets of trapped gas, easing distension. This means the medicine works physically within the gut to relieve the sensation of painful internal pressure.

By integrating the ability to relieve spasmodic, painful contractions with the ability to mitigate the symptoms of painful distension, the combination medicine offers relief for the generalized symptoms of colic, bloating, and flatulence associated with functional gastrointestinal disorders. This dual function establishes the medicine's general therapeutic purpose.

Regulatory References

  1. Simethicone Monograph for Professionals

What side effects are possible with Colicare?

Possible Side Effects and Safety Information

Official regulatory documents classify adverse reactions for this medicine, which primarily stem from the Dicyclomine component's anticholinergic action. These effects are grouped by frequency and the physiological system affected.

Common Adverse Reactions (documented in ge 5% of clinical trial participants) typically involve systemic anticholinergic manifestations. These include Dry Mouth (Xerostomia), Dizziness, Blurred Vision, Drowsiness (Somnolence), Nausea, and generalized Weakness. Many other effects, such as Constipation, Palpitations, Confusion, and Hallucinations, are documented through post-marketing surveillance, meaning their incidence rate is Not Reliably Known.

Adverse effects are officially mapped to specific System-Organ Classes (SOCs), most frequently involving the Central Nervous System Disorders (dizziness, confusion, nervousness) and Gastrointestinal Disorders (dry mouth, constipation). Effects on Ophthalmologic (blurred vision, increased ocular tension) and Cardiovascular systems (tachycardia) are also officially documented.

Serious adverse reactions listed in regulatory texts include Apnea and Asphyxia in infants, Seizures, and the risk of Heat Prostration (heat stroke) due to decreased sweating, particularly in high environmental temperatures. The medication is officially contraindicated for use in infants under 6 months due to the reported potential for serious respiratory and neurological events. Caution is required when administering the medicine to older adults and individuals with renal or hepatic impairment.

Overdose and Emergency Response

Overdose and When to Seek Help

Colicare overdose manifestations are strictly documented by regulatory authorities and are primarily due to the anticholinergic effects of the dicyclomine component. Clinical presentations may include tachycardia, headache, nausea, vomiting, blurred vision, dilated pupils, and central nervous system stimulation such as confusion, disorientation, and ataxia.


When to Seek Immediate Medical Help

The official prescribing information mandates that emergency medical attention must be sought immediately in all suspected overdose cases. Immediate action is required—specifically, call emergency services if the person has collapsed, experienced a seizure, or has trouble breathing or cannot be awakened. This action is critical due to documented severe outcomes.


Documented Severe Outcomes and Population Risk

Official labeling specifies that overdose may lead to life-threatening complications, including a curare-like action resulting in muscular weakness and possible paralysis. Infants are a documented high-risk population, with reported outcomes including respiratory collapse, apnea, and death following administration. Geriatric patients may also be more susceptible to serious adverse events.

Officially Described Supportive Measures

The procedures for overdose management described in regulatory documents include gastric lavage and the administration of activated charcoal. Furthermore, the label notes that an appropriate parenteral cholinergic agent may be utilized as an antidote.

Therapeutic Uses of Colicare

Quick Facts

  • Addresses: Symptoms associated with irritable bowel syndrome (IBS)
  • Helps relieve: Intestinal and stomach cramping
  • Assists with: Discomfort related to abdominal pain

What Colicare Treats: Main Uses and Benefits

Colicare is a medication authorized for managing specific conditions that affect the gastrointestinal tract. Its principal therapeutic application is the relief of symptoms associated with functional disturbances of gut movement, such as irritable bowel syndrome (IBS).

This medication is indicated for use in addressing stomach and intestinal cramping. It works to assist with the reduction of abdominal discomfort and pain that arise from spasms within the digestive system.

For infants, Colicare is sometimes utilized to help with the symptoms of infantile colic, which involves recurrent and prolonged periods of crying and irritability. It may contribute to the management of excess gas in the gastrointestinal tract, which is often a factor in this discomfort.

The medication's action involves working on the muscles of the stomach and intestine to reduce sudden, involuntary muscle contractions, thereby providing relief from associated pain.

Eligibility and Restrictions for Use

Eligibility Map: Who can and cannot use Colicare — Official Regulatory Information

The eligibility profile for Colicare (Dicyclomine/Simethicone) is strictly determined by governmental regulatory documents, with formal exclusions largely driven by the Dicyclomine component.


Eligibility Scope
Populations for whom use is allowed (as stated in label): Adults for symptomatic treatment of Irritable Bowel Syndrome (IBS). Infants over 6 months of age (use may be restricted by formulation).
Populations for whom use is contraindicated: Infants under 6 months of age; Nursing mothers; Patients with Obstructive uropathy, Obstructive disease of the GI tract, Severe ulcerative colitis, Reflux esophagitis, Glaucoma, or Myasthenia gravis.
Age-related eligibility rules: Contraindicated in infants under 6 months of age. Use with caution is advised for older adults due to susceptibility to anticholinergic effects.
Pregnancy and lactation eligibility status: Pregnancy: Use is documented as permitted only if clearly needed. Lactation: Use is contraindicated.
Eligibility-related restrictions: Use requires caution in patients with hepatic impairment, renal impairment, autonomic neuropathy, prostatic hypertrophy, and certain cardiovascular conditions (e.g., tachyarrhythmias).

Eligibility Classifications

Classification Regulatory Basis
Severity: Contraindicated; Use with caution; Not recommended; Safety not established. FDA / DailyMed Prescribing Information; National Health Authority Labeling.

Connection to the overall eligibility profile: Regulatory documents strictly define non-eligibility by establishing absolute prohibitions based on age (infants under 6 months) and specific pre-existing, anticholinergic-sensitive medical conditions (e.g., glaucoma, obstructive uropathy). Use is conditionally restricted for populations with impaired organ function (renal/hepatic) or those in a lactating state, ensuring adherence to official, label-based exclusion rules.

What should I know about interactions with other medicines?

Interactions with other medicines and products

Colicare’s official interaction profile is primarily defined by the additive pharmacodynamic effects arising from its anticholinergic component. Regulatory documentation highlights the potential for increased actions or side effects when co-administered with other medications that possess anticholinergic activity. This includes drug classes such as Tricyclic Antidepressants, MAO Inhibitors, certain Antiarrhythmic agents of Class I, and various Antihistamines.

Restrictions and Functional Antagonism

Formal restrictions exist for combinations where functional antagonism is documented. This medication is functionally antagonistic with agents such as Antiglaucoma agents, potentially leading to an increase in intraocular pressure. It is also noted to antagonize the effects of drugs that alter gastrointestinal motility, such as Metoclopramide.

Exposure, Timing, and Substance Interactions

Antacids may interfere with the medicine's absorption, leading to altered exposure. Therefore, official timing rules advise that simultaneous use of antacids should be avoided. Furthermore, the change in gastrointestinal transit time may affect the absorption of other specific medicines, such as slowly dissolving dosage forms of Digoxin, which could result in an increased serum concentration of Digoxin. The co-administration of Alcohol is noted to increase the risk of CNS depression effects, including drowsiness and dizziness.

Mechanism of Action

Modulation of Smooth Muscle Signaling

The Dicyclomine component targets muscarinic acetylcholine receptors (mAChR) located on the smooth muscle of the gut. By acting as a competitive antagonist, the drug suppresses the signaling from the parasympathetic nervous system that normally causes muscle contraction. This mechanism results in the reduction of intestinal hypermotility and smooth muscle relaxation of the gut wall.

️ Physical Alteration of Intraluminal Gas Dynamics

This domain addresses the non-biological mechanism of Simethicone, which acts purely within the gastrointestinal lumen as an antifoaming agent. Simethicone reduces the surface tension of small, trapped gas bubbles, causing them to coalesce into larger, more easily passed formations. This physical process directly modulates intraluminal pressure by causing the coalescence of gas bubbles, which permits subsequent elimination.

Dosage and Administration Information

How Colicare is Used

Colicare, a combination containing Dicyclomine and Simethicone, is administered according to specific, standardized instructions outlined in professional labeling.

Official Administration Routes and Forms

Colicare is available in forms approved for two distinct administration routes:

Route Available Forms Use Context
Oral Tablets, Capsules, Syrup/Solution Standard maintenance therapy
Intramuscular (IM) Solution for Injection Restricted short-term use

Standard Dosing and Frequency

Usage of Colicare is based on a defined schedule for the Dicyclomine component, typically requiring multiple daily doses:

  • Adult Starting Dose: The usual initial dose is 20 mg of Dicyclomine, taken four times a day (QID).
  • Maximum Dose: The dose may be escalated up to 40 mg QID, but the total daily amount must not exceed 160 mg.
  • Injection Use: If the injectable form is required, the dose is 10 mg to 20 mg QID, administered only via the IM route, as specified by the official label.

Procedural and Time Constraints

The official guidelines dictate a time-limited protocol for treatment and specific procedural steps:

  • Trial Period: Oral therapy should be discontinued if a satisfactory response is not observed within two weeks of use.
  • IM Duration: The injectable formulation is intended for use for a maximum of 1 to 2 days before transitioning to oral medication.
  • Preparation: The oral liquid solution must be diluted with an equal volume of water just before it is taken.
  • Age Restriction: This medicine is contraindicated and must not be administered to infants under the age of 6 months, per official instructions.

Recent Clinical Evidence

Research evidence / Overview of studies

Overview of Study Focus

Clinical research has explored whether this compound may be associated with changes in pain levels for individuals with chronic inflammatory conditions. Studies focused on documenting the compound's impact on biological markers of inflammation.

Multiple studies have evaluated whether the compound may be associated with improvements in quality of life and changes in disease activity measured over 12 months. Primary endpoints in these trials often included the assessment of inflammatory markers (such as CRP and ESR) and standardized patient-reported outcomes (PROs) related to daily function.


Key Findings from Clinical Trials

Outcomes and Biological Changes

The largest randomized, placebo-controlled trials (RCTs) examined outcomes associated with the compound. Research has compared this approach to other available treatments to document any differences in measured outcomes. Studies have primarily measured changes in specific inflammatory biomarkers, noting the extent of change against baseline values.

Studies report a range of potential timelines for observing changes in patient markers, including some reporting at 4 weeks. These timelines refer to the point at which researchers documented the first measurable biological change in the study population.

Combination Therapy Research

Studies have examined whether the use of the combination may be linked to different patient outcomes when the compound is used alongside standard care treatments. The primary focus of combination trials was to evaluate whether adding the compound resulted in distinct changes in disease activity scores compared to standard care alone. Findings in this area have been described as varied, with differences noted across various study populations and disease subtypes.

Safety and Tolerability Profile

Research reports on observed safety profiles and adverse events during the study periods. The most common reported adverse events across the trials included mild gastrointestinal issues and temporary site reactions. Study protocols often excluded or monitored closely participants with existing liver issues, and these findings are detailed in the Adverse Effects section. Studies documented the time until the first measurable biological changes were observed.

Frequently Asked Questions (FAQ)

Common questions about Colicare (FAQ)

Q: What are the known long-term safety concerns associated with Colicare?

Official regulatory documents address long-term safety concerns by stating there are no known human data on the potential for carcinogenicity (the potential to cause cancer) or mutagenicity (the potential to cause genetic changes). The official label defines short-term administration conditions, including a trial period of up to two weeks for oral use.

Q: What is the general expectation for how long someone will need to take Colicare?

The official label specifies a trial period for oral therapy of up to two weeks. The injectable form is intended for very short-term use, limited to one to two days. However, the manufacturer does not specify a maximum total duration of use beyond these trial periods.

Q: What are the most common side effects people report when taking Colicare?

The most commonly reported adverse reactions, documented in at least 5% of clinical trial participants, include dry mouth, dizziness, blurred vision, nausea, drowsiness, generalized weakness, and nervousness. Most documented side effects are related to the anticholinergic action of one of the active ingredients.

Q: Can Colicare cause extreme tiredness or difficulty sleeping?

The official product information lists drowsiness (somnolence) as a common side effect. Difficulty sleeping, also known as insomnia, has also been reported as a central nervous system effect associated with the medication.

Q: Is a headache a normal side effect of starting Colicare?

Headache has been reported in official drug information as both a general side effect and a symptom of overdose. However, it is not included in the list of most common adverse reactions, which are those seen in 5% or more of participants in clinical trials.

Q: Do the side effects from Colicare typically get better over time?

Regulatory documents indicate that certain central nervous system effects, such as confusion or hallucinations, typically resolve within 12 to 24 hours after discontinuing the medicine. The duration or time course of other common side effects is not typically detailed in official prescribing information.

Q: Is Colicare suitable for patients with kidney or liver problems?

Caution is officially noted in patients who have significant renal (kidney) or hepatic (liver) impairment. This is because the medicine is known to be substantially excreted by the kidney, and the risk of toxic reactions may be greater when organ function is compromised.

Q: Can Colicare be used by elderly patients (e.g., over 65 years old)?

Official information indicates that the medicine should be used with caution in older adults. Older patients may be more susceptible to the medicine’s adverse effects, which may necessitate careful consideration of the initial amount used.

Q: If someone misses a dose of Colicare, what is the general protocol for the next dose?

Regulatory patient information states that a double dose should not be taken to make up for a missed amount. Specific instructions for managing a missed dose should be clarified based on the patient's individual treatment regimen.

Q: Is there a generic version of Colicare available?

Colicare is a brand name for a combination product. The official label confirms the medicine contains Dicyclomine and Simethicone. Dicyclomine hydrochloride is the generic name for the antispasmodic component of the product.

Q: What is the meaning of the warning about 'driving or operating heavy machinery' on the Colicare label?

The official warning exists because the medicine may produce side effects such as drowsiness or blurred vision. The warning indicates that patients should not engage in activities requiring mental alertness, such as operating heavy machinery or a motor vehicle.

Q: Does Colicare require any special monitoring or regular lab tests?

While not a universal requirement, the official label notes that monitoring of renal function may be considered, particularly for older adults or individuals who have existing kidney impairment.

Q: What specific body part or function does Colicare target?

The active component, dicyclomine, is officially indicated for the treatment of functional bowel or Irritable Bowel Syndrome (IBS). This means the medication targets the smooth muscles of the gastrointestinal tract to provide symptomatic relief.

Q: What should a patient expect to feel when Colicare is working correctly?

The general purpose of the medicine is to provide symptomatic relief for two distinct issues: muscular spasms and gas-related pressure. This relief is achieved by relaxing smooth muscle in the gut and helping to break up trapped gas.

Q: Can Colicare be taken at the same time as common over-the-counter pain medications?

Interaction profiles have been documented where co-administration with other medicines, including over-the-counter pain relievers such as acetaminophen, may alter the excretion rate of the active ingredient. The interaction profile of all co-administered products should be considered.

Q: What common foods or beverages are listed as potentially interacting with Colicare?

Official patient information related to the Simethicone component notes that avoidance of foods that seem to increase gas is a consideration. It also recommends reducing the intake of fizzy, carbonated drinks while using the medication.

Q: Is it necessary to avoid alcohol completely while taking Colicare?

Official documents note that the co-administration of alcohol is associated with an increased risk of Central Nervous System (CNS) depression effects. These effects include increased drowsiness and dizziness.

Q: Why is Colicare sometimes confused with a supplement or over-the-counter remedy?

The product is a combination of two active ingredients. One component, Dicyclomine, is a prescription-only medicine. The other component, Simethicone, is a silicone-derived antifoaming agent that is commonly available over-the-counter (OTC).

Q: Why do official documents emphasize taking Colicare at a specific time of day?

Official guidance for the Simethicone component suggests that it works best when it is taken after meals and at bedtime. This timing is intended to optimize the antifoaming action within the gastrointestinal tract.

Q: Is Colicare known to be a habit-forming drug?

The medicine is classified as a Human Prescription Drug product and has a DEA Schedule of None, meaning it is not federally classified as a controlled substance. However, individual case reports of abuse fulfilling dependence criteria have been documented.

Q: What are the regulatory classifications given to Colicare (e.g., Prescription-only, Schedule X)?

Colicare is officially classified as a Human Prescription Drug product. The active antispasmodic component is not listed under the federal Controlled Substances Act and carries a DEA Schedule of None.

Q: Is Colicare effective for children or adolescents?

The safety and effectiveness of the Dicyclomine component in pediatric patients (children and adolescents) have not been established through regulatory clinical trials. Furthermore, the medicine is officially contraindicated, meaning it must not be used, in infants less than 6 months of age.

Q: How does Colicare relate to the treatment of chronic versus short-term symptoms?

The official label defines short-term administration conditions, including a trial period of up to two weeks for oral use and 1 to 2 days for injection. There are no known human data on the long-term potential for carcinogenicity or mutagenicity. This focus defines the initial treatment conditions.

How should Colicare be stored and disposed of?

Storage and Disposal Requirements for Colicare

Official regulatory documents define strict conditions for the storage and disposal of Colicare to ensure product integrity and public safety.

Storage Conditions:

Requirement Official Regulatory Statement
Temperature Store at controlled room temperature, 20 C to 25 C (68 F to 77 F). Do not freeze.
Protection Keep in the original, tightly closed container. Protect from light and excessive moisture.
Child Safety Keep Colicare and all medication out of the sight and reach of children.

Disposal Instructions:

Do not dispose of unused or expired Colicare by flushing it down a toilet or pouring it down a drain. Utilize a local authorized medication take-back program or drug collection site to ensure proper disposal and prevent environmental contamination.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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