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Scopolamine

Published: July 26, 2026Updated: August 20, 2026

Scopolamine is an anticholinergic medication primarily used to prevent and treat motion sickness and post-operative nausea and vomiting by blocking muscarinic receptors in the brain.

Quick summary

An anticholinergic medication used to prevent and treat nausea, vomiting, and dizziness, particularly associated with motion sickness or after surgery.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ATC
A04AD01
RxNorm
9601
Generic
Scopolamine
Class
atc-a04
Brands
Donnatal, Phenohytro, Transderm Scop
Availability
rx
Lactation
unknown
Routes
oral, ophthalmic
Forms
tablet, solution
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)transdermal patch
Usual dose
1.5mg patch
Maximum
consult physician
Frequency
every 3 days
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)transdermal patch
Usual dose
1.5mg patch
Maximum
consult physician
Frequency
every 3 days
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)transdermal patch
Usual dose
1.5mg patch
Maximum
consult physician
Frequency
every 3 days
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious anticholinergic toxicity in adults
Chronic overdose: Prolonged use may lead to cumulative anticholinergic effects including cognitive impairment and delirium
Immediate actions
Gastric decontamination with activated charcoal if within 1-2 hours of ingestion, airway management, IV fluids, cardiac monitoring
Antidote
Physostigmine (use with caution due to risk of cholinergic crisis)(Moderately effective for severe anticholinergic delirium but requires careful monitoring; not universally recommended due to risks)
Poison Control: 1-800-222-1222

Special Populations

7 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits clearly outweigh risks

Monitor

regular prenatal monitoring if used

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
C
Dose Adjustment

avoid close to delivery

Key Recommendations

avoid use near term due to potential effects on uterine activity

Monitor

monitor uterine activity if used

Use with caution and monitor for adverse effects.

⚠

lactation

nursing
caution
FDA Category
N
Dose Adjustment

use lowest effective dose

Key Recommendations

monitor infant for anticholinergic effects including drowsiness and decreased lactation

Monitor

observe infant for sedation, irritability, decreased feeding

Use with caution and monitor for adverse effects.

⚠

geriatric

elderly
caution
FDA Category
N
Dose Adjustment

start with lowest dose, consider dose reduction

Key Recommendations

increased sensitivity to anticholinergic effects; monitor for confusion, sedation, urinary retention, constipation

Monitor

regular assessment of cognitive function, gait stability, and urinary output

Use with caution and monitor for adverse effects.

✗

pediatric_age

children
contraindicated
FDA Category
N
Dose Adjustment

not recommended

Key Recommendations

do not use in children due to risk of severe anticholinergic reactions and paradoxical excitement

Monitor

not applicable

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

⚠

renal_impairment

moderate to severe
caution
FDA Category
N
Dose Adjustment

reduce dose, monitor renal function

Key Recommendations

use with caution in patients with creatinine clearance <30 mL/min; dose adjustment may be required

Monitor

monitor renal function and adjust dose accordingly

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

moderate
caution
FDA Category
N
Dose Adjustment

reduce dose, monitor liver function

Key Recommendations

use with caution in hepatic impairment; metabolism may be reduced

Monitor

monitor liver function tests and for signs of toxicity

Use with caution and monitor for adverse effects.

Statistics and clinical data

drug_classWHO
2023

Drug class

Value:Anticholinergic/Antimuscarinic

Anticholinergic medication classification for antimuscarinic agents

usageFDA
2023

Common uses

Value:Motion sickness prevention, Post-operative nausea, Gastrointestinal spasms

Primary therapeutic applications for Scopolamine formulations

prescribingFDA
2023

FDA approval year (Transderm Scop)

Value:1979

Original FDA approval date for transdermal scopolamine patch

mechanismFDA
2023

Mechanism of action

Value:Muscarinic receptor antagonist

Primary pharmacological mechanism blocking acetylcholine receptors

Prevention and treatment of motion sickness, post-operative nausea and vomiting, and sometimes used for vertigo associated with inner ear disorders. May also be used to reduce secretions during certain medical procedures.

Functions as an anticholinergic (antimuscarinic) agent that blocks acetylcholine receptors in the brain's chemoreceptor trigger zone and vestibular system, reducing signals that trigger nausea and vomiting.

Often administered as a transdermal patch (behind the ear) for motion sickness. Common side effects include drowsiness, dry mouth, and blurred vision. Contraindicated in patients with glaucoma, urinary retention, or certain cardiac conditions. May impair ability to drive or operate machinery.

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 20, 2026. · Read our editorial policy