Bethnacol 50 Tablet

Bethanechol (50mg)

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Bethnacol 50 Tablet is used in the treatment of urinary retention (inability to urinate), which usually occurs following surgery or after giving birth. It helps contract the muscles of the bladder, which further leads to urination.

Written By Dr. Subita Alagh, BDS,
Reviewed By Dr. Rajeev Sharma, MBA, MBBS,
Last updated on 25 Nov 2025 | 03:05 PM (IST)

₹289 MRP ₹328.1312% off

Gurgaon

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General Information

Contains

Bethanechol (50mg)

Marketer

Covaxl Pharma

Storage

Store below 25°C

The content is shown in English

Product introduction

Bethnacol 50 Tablet is advised to take it in a dose and duration as per prescription. It can be taken on an empty stomach, but take it at a fixed time regularly. You should not stop taking the medicine without consulting the doctor, as it may lead to the worsening of your symptoms.

Bethnacol 50 Tablet is generally well tolerated, with minimal side effects. However, in rare cases, some individuals may experience mild symptoms such as stomach cramps, nausea, belching, diarrhea, increased bowel sounds, excessive saliva, or a stronger urge to urinate. If these symptoms persist, worsen, or cause discomfort, consult your doctor.

Before receiving the treatment, inform your doctor if you are on any medication for any health conditions. If you are pregnant, tell your doctor before taking Bethnacol 50 Tablet. Let your doctor also know about all the medications you are taking, as some medicines may interact with Bethnacol 50 Tablet.

Uses of Bethnacol Tablet

Treatment of Urinary retention

Benefits of Bethnacol Tablet

Treatment of Urinary retention
Urinary retention means problems in emptying the bladder. This may be due to the disturbed coordination of nerves and muscles of the bladder, which leads to the inability to pass urine. Bethnacol 50 Tablet induces contractions in the bladder muscles and improves their function. This helps to treat urinary retention effectively. Take it as advised by the doctor and follow your doctor’s instructions carefully.

Side effects of Bethnacol Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Bethnacol

No common side effects seen

How to use Bethnacol Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Bethnacol 50 Tablet is to be taken on an empty stomach.

How Bethnacol Tablet works

Bethnacol 50 Tablet works by activating specific receptors called muscarinic receptors, which are part of the body's nervous system. These receptors send signals to the bladder, helping it squeeze and push urine out. Bethnacol 50 Tablet is useful for people who have trouble urinating due to nerve-related issues, surgery, or certain medical conditions.

All substitutes for Bethnacol 50 Tablet

For information purposes only. Consult a doctor before taking any medicine.

Quick tips

Take it on an empty stomach, half an hour before food, to reduce the risk of feeling sick.
Bethnacol 50 Tablet is not suitable if urinary retention is caused by a blockage or obstruction. Consult your doctor for a proper evaluation.
Bethnacol 50 Tablet can cause dizziness or fainting, especially when standing up too quickly. Move slowly when changing positions to avoid falls.
If you experience severe symptoms like difficulty breathing or an irregular heartbeat, contact a doctor immediately.
Drink a sufficient amount of water to help maintain good bladder health.

Safety advice

Alcohol

CONSULT YOUR DOCTOR

It is not known whether it is safe to consume alcohol with Bethnacol 50 Tablet. Please consult your doctor.

Pregnancy

CONSULT YOUR DOCTOR

Bethnacol 50 Tablet is not recommended during pregnancy as there is positive evidence of fetal risk based on animal studies. However, it may still be prescribed by a doctor in situations where the benefits outweigh the risks.

Breast feeding

CAUTION

Bethnacol 50 Tablet should be used with caution during breastfeeding. Breastfeeding should be held until the treatment of the mother is completed and the drug is eliminated from the body.

Driving

CONSULT YOUR DOCTOR

It is not known whether Bethnacol 50 Tablet alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react. Please consult your doctor.

Kidney

CAUTION

Bethnacol 50 Tablet should be used with caution in patients with kidney disease. Dose adjustment may be needed.

Liver

CONSULT YOUR DOCTOR

There is limited data available on the use of Bethnacol 50 Tablet in patients with liver disease.

Interaction with drugs

Taking Bethnacol with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Moderate

Rivastigmine (Transdermal Route)

If concurrent use is essential, your doctor may monitor your treatment and adjust the doses as per the observations. Bethanechol may increase the effect of Rivastigmine.

Moderate

Donepezil (Oral Route)

If concurrent use is essential, your doctor may monitor your treatment and adjust the doses as per the observations. Bethanechol may increase the effect of Donepezil.

Moderate

Rivastigmine (Oral Route)

If concurrent use is essential, your doctor may monitor your treatment and adjust the doses as per the observations. Bethanechol may increase the effect of Rivastigmine.

Moderate

Galantamine (Oral Route)

If concurrent use is essential, your doctor may monitor your treatment and adjust the doses as per the observations. Bethanechol may increase the effect of Galantamine.

Frequently asked questions

When should I take Bethnacol 50 Tablet?

It should preferably be taken on an empty stomach. This is because taking it soon after eating may cause nausea and vomiting. The treatment varies from one individual to another depending on the condition being treated. Hence, it should be taken exactly as prescribed by your doctor.

Does Bethnacol 50 Tablet affect blood pressure?

Yes, Bethnacol 50 Tablet affects the blood pressure by decreasing it. This medicine may also slow down your pulse rate. In some cases, especially at the beginning of therapy, sudden changes of posture may lead to feelings of dizziness or giddiness (orthostatic hypotension). Consult your doctor in case you experience any of these symptoms.

How long does it take for Bethnacol 50 Tablet to start working?

Bethnacol 50 Tablet starts acting quickly, within 60 to 90 minutes of taking it. The effect of the medicine lasts for 6 hours, and therefore, a gap of at least 6 hours should be maintained between two doses.

What if I forget to take a dose of Bethnacol 50 Tablet?

If you miss a dose and remember within an hour of the scheduled dose, then you can take the dose. If, however, the gap is more than two or more hours, then do not take the medicine and wait until the next dose is due. Do not take a double dose to make up for a forgotten dose.

Is Bethnacol 50 Tablet an anticholinergic?

No, Bethnacol 50 Tablet is not an anticholinergic; on the contrary, it is a cholinergic medicine. It is used to relieve difficulties in urinating caused by surgery, post-pregnancy, medicines, or other factors.

Can Bethnacol 50 Tablet cause stomach upset?

Bethnacol 50 Tablet may cause severe stomach pain, belching, nausea, diarrhea, and increased sounds from the stomach when taken in large doses. If you experience these symptoms, which are severe and persist for a longer time, then you should tell your doctor.

Fact Box

Chemical Class

Tetraalkylammonium salts

Habit Forming

Therapeutic Class

UROLOGY

Action Class

Cholinomimetic Esters

References

Brown JH, Laiken N. Muscarinic Receptor Agonists and Antagonists. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 224.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. p. 142.
Padda IS, Derian A. Bethanechol. [Updated 2022 Nov 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. [Accessed 09 Jun, 2023] (online) Available from:
Bethanechol chloride [Prescribing Information]. Maple Grove, MN: Upsher-Smith Laboratories, LLC; 2020. [Accessed 09 Jun, 2023] (online) Available from:
Bethanechol chloride [Prescribing Information]. Maple Grove, MN: Upsher-Smith Laboratories, LLC; 2024. [Accessed 14Mar 2025] (online) Available from:

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Disclaimer

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: Covaxl Pharma
Address: Plot No. 276, Industrial Area, Phase-2, Panchkula-134113

Vendor Details

Country of origin: India

Lab tests offered by us

Why we need a prescription?

Bethnacol 50 Tablet

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General Information

Contains

Marketer

Storage

Product introduction

Uses of Bethnacol Tablet

Benefits of Bethnacol Tablet

Side effects of Bethnacol Tablet

How to use Bethnacol Tablet

How Bethnacol Tablet works

All substitutes for Bethnacol 50 Tablet

Urotone DS 50mg Tablet

U-Void 50 Tablet

Uritaz DS Tablet

Bethseas 50mg Tablet

Quick tips

Safety advice

Alcohol

Pregnancy

Breast feeding

Driving

Kidney

Liver

Interaction with drugs

Rivastigmine (Transdermal Route)

Donepezil (Oral Route)

Rivastigmine (Oral Route)

Galantamine (Oral Route)

Frequently asked questions

When should I take Bethnacol 50 Tablet?

Does Bethnacol 50 Tablet affect blood pressure?

How long does it take for Bethnacol 50 Tablet to start working?

What if I forget to take a dose of Bethnacol 50 Tablet?

Is Bethnacol 50 Tablet an anticholinergic?

Can Bethnacol 50 Tablet cause stomach upset?

Fact Box

Chemical Class

Habit Forming

Therapeutic Class

Action Class

References

Want to know more

Have issue with the content

Disclaimer

Marketer details

Vendor Details

Lab tests offered by us

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