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Biperiden Lactate

Published: July 26, 2026Updated: August 24, 2026

Biperiden Lactate is an anticholinergic medication primarily used to treat movement disorders. It helps reduce symptoms of Parkinson's disease and controls drug-induced extrapyramidal side effects commonly caused by antipsychotic medications.

Quick summary

Biperiden Lactate is an anticholinergic injection used to treat Parkinson's disease symptoms and antipsychotic-induced movement disorders.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy

Key facts at a glance

RxNorm
19377
Generic
Biperiden Lactate
Class
pin-variant
Brands
—
Availability
rx
Lactation
unknown
Routes
—
Forms
—
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity
Chronic overdose: Prolonged use at high doses may lead to cumulative anticholinergic toxicity
Immediate actions
Gastric lavage within 1-2 hours of ingestion, activated charcoal, airway support, cardiac monitoring, intravenous fluids
Antidote
Physostigmine (in severe cases, not first-line due to risk of bradycardia and seizures)(Moderate effectiveness in reversing central and peripheral anticholinergic effects; reserved for severe toxicity)
Poison Control: 1-800-222-1222

Special Populations

7 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

use only if benefits outweigh potential risks to fetus

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

use only if clearly needed, consider alternative therapies

Monitor

fetal monitoring

Use with caution and monitor for adverse effects.

✗

lactation

breastfeeding
unsafe
FDA Category
C
Dose Adjustment

discontinue or avoid

Key Recommendations

biperiden is excreted in breast milk; breastfeeding should be avoided during treatment

Monitor

infant monitoring for anticholinergic symptoms

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

geriatric

elderly
caution
FDA Category
N
Dose Adjustment

reduce dose

Key Recommendations

start with lowest effective dose; elderly more sensitive to anticholinergic effects

Monitor

monitor for confusion, sedation, urinary retention, constipation

Use with caution and monitor for adverse effects.

⚠

pediatric_age

children adolescents
caution
FDA Category
C
Dose Adjustment

use with caution

Key Recommendations

limited data in pediatric population; use only when specifically indicated

Monitor

monitor growth, development, and anticholinergic effects

Use with caution and monitor for adverse effects.

⚠

renal_impairment

moderate severe
caution
FDA Category
C
Dose Adjustment

reduce dose

Key Recommendations

biperiden is renally excreted; adjust dose based on renal function

Monitor

monitor renal function and adjust dose accordingly

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

moderate severe
caution
FDA Category
C
Dose Adjustment

reduce dose

Key Recommendations

biperiden undergoes hepatic metabolism; use with caution in hepatic impairment

Monitor

monitor liver function and adjust dose as needed

Use with caution and monitor for adverse effects.

Statistics and clinical data

drug_classWHO
2023

Drug class

Value:Anticholinergic/Antiparkinsonian

Biperiden belongs to ATC class N04AA02 (Anticholinergic agents)

usageMedical guidelines
2023

Common uses

Value:Parkinson's disease, drug-induced extrapyramidal symptoms

Primary therapeutic applications

mechanismFDA
2023

Mechanism of action

Value:Muscarinic receptor antagonist (M1)

Pharmacological action

prescribingFDA
2023

FDA approval period

Value:1950s-1960s

Historical approval information

Treatment of Parkinsonism (including Parkinson's disease) and management of extrapyramidal symptoms induced by antipsychotic or neuroleptic medications, such as dystonia, akathisia, and parkinsonism-like symptoms.

Functions as an anticholinergic agent by blocking muscarinic acetylcholine receptors in the central nervous system, helping to restore the balance between dopamine and acetylcholine activity that becomes disrupted in Parkinson's disease and drug-induced movement disorders.

Administered via injection; may cause drowsiness, dry mouth, blurred vision, or constipation. Should be used with caution in patients with glaucoma, urinary retention, or gastrointestinal obstruction. Effectiveness and tolerability vary among individuals.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy