Patient Handout
Drug Brand Name: Scopolamine
For HUNCH Program
Drug Generic Name: Scopolamine
Drug Dosage Forms: Blister pack containing oral tablets
Injection given by physician
Important Note: The following information is intended to supplement, not substitute for, the expertise and judgment of your doctor, pharmacist or other
healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. For further information,
please consult your doctor or pharmacist.
Uses: Scopolamine helps to prevent nausea and vomiting associated with motion sickness.
How to take the medication: Take contents of blister pack by mouth. Follow the directions given by the physician. Take
on an empty stomach 30 minutes to one hour before Reduced Gravity Flight. Drink plenty of fluids after taking the
medication. If the injection is selected, the injection will be administered by the physician.
Side effects: Scopolamine may cause confusion, drowsiness, headache, loss of memory, blurred vision, increased
sensitivity to the light, dry skin, dry mouth, dry eye and constipation. If any of these effects continue or become
bothersome, inform your doctor. This medication causes dizziness and can affect alertness. Use caution driving or
operating machinery while taking this medication. If you notice other effects not listed above, contact your doctor or
pharmacist.
Precautions: Tell your doctor your complete medical history especially if you have kidney impairment, high blood
pressure, glaucoma, or are emotionally unstable as another medicine may be more appropriate for you. This medication
must be used only if clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Because small
amounts of this medication appear in breast milk, breast-feeding is not recommended while taking this medicine. Alcohol
can increase unwanted side effects of dizziness. Avoid alcohol use.
Drug Interactions: Tell your doctor of any prescription, nonprescription and herbal medications you may take especially
if you take high blood pressure medicine, SSRIs (e.g., citalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, etc.)
meperidine, digoxin, anti-depressants, antihistamine and of any other drugs you may use, both prescription and
nonprescription. Do not start or stop any medicine without doctor or pharmacist approval.
Overdose: If overdose is suspected, contact your local poison control center or emergency room immediately.
Symptoms of an overdose of scopolamine include dilated pupils, flushed skin, tachycardia, hypertension, and EKG
abnormalities. CNS manifestations resemble acute psychosis. CNS depression, circulatory collapse, respiratory failure,
and death can occur.
Other information: Lubricating drops may help dry eyes or blurred vision especially if you wear contact lenses.
Missed dose: Make sure you take Scop Dose Pack 30 minutes to one hour before you need it for the prevention of
motion sickness.
Storage: This medication should only be given on the day of flight. Store at room temperature between 15 and 30
degrees C (59 and 86 degrees F).
References Used: Lexi-Comp

Prepared by Tina M. Bayuse, Pharm.D., R.Ph.
I have read the information above, I understand it, and I give permission for the use of this medication
for the microgravity flight for myself or child/ward
______________________________ _______________________________ __________________
Printed Name of Participant
Signature of Participant
Date
______________________________ ______________________________
Printed Name of Parent/Guardian
Signature of Parent/Guardian
Patient Handout – Scop-Dex Blister Packs, last updated 02/01/2012
___________________
Date
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Please notarize parent/guardian signature if flier is under 18 years
old on April 21, 2015
IN WITNESS WHEREOF, I have hereunto signed my name this ____day of _______2015
______________________
(Signature of Principal)
(Acknowledgment of Principal)
STATE OF ____________________ )
) ss.
COUNTY OF ____________________)
The foregoing instrument was acknowledged before me this ______day _______________of 2015 , by
_____________________________
(Insert name of principal)
___________________________________
Signature of Notary Public or other official
Patient Handout – Scop-Dex Blister Packs, last updated 02/01/2012
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