Nulev
NuLev is a prescription-strength anticholinergic and antispasmodic medication containing hyoscyamine sulfate. It is designed as an orally disintegrating tablet that dissolves rapidly on the tongue without water. It works by blocking the action of acetylcholine on parasympathetic sites, thereby relaxing smooth muscles in the gastrointestinal tract, bladder, and biliary tract, while also reducing gastric acid secretions.
Dosage by Body Weight
Adults and adolescents 12 years and older: 1 to 2 tablets (0.125 mg to 0.25 mg) dissolved on the tongue every 4 hours or as needed, not to exceed 12 tablets in 24 hours. Children 2 to under 12 years: 1/2 to 1 tablet (0.0625 mg to 0.125 mg) every 4 hours or as needed, not to exceed 6 tablets in 24 hours. Consult a physician for children under 2 years of age.
- Body Weight
- Below 5 kg
- Dose
- Not recommended
- Frequency
- Do not use
- Tracking Notes
- High risk of serious adverse anticholinergic effects in infants. Consult a pediatrician.
- Body Weight
- 5-7 kg
- Dose
- Not recommended
- Frequency
- Do not use
- Tracking Notes
- NuLev orally disintegrating tablets are not suitable for infants in this weight range. Liquid pediatric drops are preferred if prescribed.
- Body Weight
- 8-10 kg
- Dose
- Not recommended
- Frequency
- Do not use
- Tracking Notes
- Tablet formulation cannot be safely or accurately divided for this weight class. Consult a pediatrician.
- Body Weight
- 11-15 kg
- Dose
- Consult physician
- Frequency
- Use only if prescribed
- Tracking Notes
- NuLev tablets are typically reserved for children 2 years of age and older. Use under strict medical supervision.
- Body Weight
- 16-20 kg
- Dose
- 1/2 tablet (0.0625 mg)
- Frequency
- Every 4 hours as needed
- Tracking Notes
- Only for children 2 years of age and older. Do not exceed 3 total tablets (6 half-tablet doses) in 24 hours.
| Body Weight | Dose | Frequency | Tracking Notes |
|---|---|---|---|
| Below 5 kg | Not recommended | Do not use | High risk of serious adverse anticholinergic effects in infants. Consult a pediatrician. |
| 5-7 kg | Not recommended | Do not use | NuLev orally disintegrating tablets are not suitable for infants in this weight range. Liquid pediatric drops are preferred if prescribed. |
| 8-10 kg | Not recommended | Do not use | Tablet formulation cannot be safely or accurately divided for this weight class. Consult a pediatrician. |
| 11-15 kg | Consult physician | Use only if prescribed | NuLev tablets are typically reserved for children 2 years of age and older. Use under strict medical supervision. |
| 16-20 kg | 1/2 tablet (0.0625 mg) | Every 4 hours as needed | Only for children 2 years of age and older. Do not exceed 3 total tablets (6 half-tablet doses) in 24 hours. |
Formulation
Purpose
Used to treat functional gastrointestinal disorders such as irritable bowel syndrome (IBS), spastic colitis, peptic ulcers, diverticulitis, neurogenic bladder disorders, and to reduce secretions and rigidity associated with Parkinsonism.
Generic Name
Hyoscyamine sulfateScheduled Drug
No. This medicine is generally not treated as a scheduled/prescription-only drug in common consumer references, but local rules may vary.