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Medical Conditions
Generic Kemadrin is used to treat or prevent the following medical conditions or diceases:Parkinsons Disease, Muscle Spasm
Generic Kemadrin Information
Introduction
Kemadrin contains the anticholinergic agent Procyclidine and is classified within the “General health” medication group. In Hong Kong, Kemadrin is prescribed primarily to alleviate drug‑induced extrapyramidal symptoms and to manage certain manifestations of Parkinson’s disease. Procyclidine’s pharmacologic profile targets muscarinic acetylcholine receptors, thereby restoring the balance between dopaminergic and cholinergic activity in the basal ganglia. Secondary uses reported in clinical practice include treatment of dystonia and tremor associated with antipsychotic therapy.
What is Kemadrin?
Kemadrin is a tablet formulation whose sole active ingredient is Procyclidine hydrochloride. Procyclidine was first synthesized in the 196s and is marketed worldwide under several brand names, including Kemadrin, Procyclidine HCl, and other region‑specific labels. The medication is produced by licensed pharmaceutical manufacturers that comply with Good Manufacturing Practice (GMP) standards; specific manufacturer details for the Hong Kong market are listed on the Department of Health’s product registry. Kemadrin is a generic preparation that delivers the same therapeutic dose of Procyclidine as the reference products, offering a cost‑effective alternative for patients who require long‑term anticholinergic therapy.
How Kemadrin Works
Procyclidine exerts its therapeutic effect by competitive antagonism of muscarinic (M1‑M5) acetylcholine receptors in the central nervous system. In conditions such as Parkinson’s disease or antipsychotic‑induced rigidity, there is an excess of cholinergic activity relative to dopaminergic signaling in the striatum. By blocking acetylcholine binding, Procyclidine reduces the over‑activity of cholinergic neurons, which leads to the following clinical outcomes:
- Decreased muscle rigidity and tremor – the motor symptoms improve as the cholinergic‑dopaminergic imbalance is corrected.
- Reduced dystonic reactions – anticholinergic blockade diminishes abnormal involuntary muscle contractions.
The onset of symptom relief typically occurs within 30‑60 minutes after oral administration, with peak plasma concentrations reached at 2‑3 hours. Procyclidine’s elimination half‑life ranges from 6 to 12 hours, allowing for 2‑3 divided doses per day to maintain steady therapeutic levels.
Conditions Treated with Kemadrin
- Drug‑induced extrapyramidal symptoms (EPS) – including acute dystonia, parkinsonism, and akathisia caused by typical antipsychotics or high‑potency atypical agents.
- Parkinson’s disease (early‑stage adjunct therapy) – as an add‑on to levodopa or dopamine agonists when tremor or rigidity persists.
- Primary dystonia – focal or segmental dystonia unresponsive to first‑line therapies.
In Hong Kong, the prevalence of Parkinson’s disease is estimated at 6.8 per 1,000 adults aged 65 years and older (Hong Kong Census, 2022). Antipsychotic use in psychiatric services contributes to a measurable incidence of EPS, making Procyclidine‑based products a valuable component of the local therapeutic armamentarium.
Who is Kemadrin For?
Kemadrin is most appropriate for adult patients who:
- Have acute or chronic EPS resulting from antipsychotic medication, and require rapid symptom control.
- Exhibit tremor, rigidity, or mild to moderate bradykinesia in early Parkinson’s disease where dopaminergic therapy alone is insufficient.
- Suffer from primary dystonia confirmed by a neurologist and not adequately managed with physiotherapy or botulinum toxin.
Contra‑indications include:
- Known hypersensitivity to Procyclidine or any excipients.
- Severe uncontrolled glaucoma, urinary retention, or gastrointestinal obstruction.
- Concurrent use of other strong anticholinergic agents when cumulative anticholinergic burden poses a risk.
Caution is advised in the elderly, patients with cognitive impairment, and those with cardiovascular disease, because anticholinergic load can exacerbate confusion, tachycardia, or arrhythmias.
Risks, Side Effects, and Interactions
Common
- Dry mouth
- Blurred vision or difficulty focusing
- Constipation
- Urinary retention
- Dizziness or light‑headedness
Rare
- Photosensitivity reactions (skin rash after sun exposure)
- Central nervous system irritation (tremor worsening, restlessness)
- Elevated liver enzymes (monitoring indicated in prolonged therapy)
Serious
- Severe confusion, delirium, or hallucinations, particularly in older adults
- Tachyarrhythmias or prolongation of the QT interval, especially when combined with other QT‑prolonging drugs
- Neuroleptic malignant syndrome when used concomitantly with high‑dose antipsychotics
- Acute angle‑closure glaucoma
Clinically Relevant Drug Interactions
- Other anticholinergics (e.g., diphenhydramine, scopolamine) – additive anticholinergic effects increase the risk of severe dryness, constipation, and cognitive decline.
- Antipsychotics (especially high‑potency typical agents) – may intensify EPS if Procyclidine is withdrawn abruptly.
- Beta‑blockers (e.g., propranolol) – can mask tachycardia that would otherwise signal anticholinergic toxicity.
- QT‑prolonging agents (e.g., quinidine, certain macrolide antibiotics) – enhance the risk of cardiac arrhythmias.
- Monoamine oxidase inhibitors (MAOIs) – combined use may precipitate hypertensive crisis; a wash‑out of at least 14 days is recommended.
Patients should disclose all current, including over‑the‑counter products and herbal supplements, to their healthcare provider before initiating Kemadrin.
Practical Use: Dosing, Missed Dose, Overdose
- Standard adult dosing: 2.5 mg to 5 mg taken orally 2‑3 times daily. The total daily dose should not exceed 30 mg. Dosage adjustments are made based on clinical response, age, renal or hepatic function, and tolerability.
- Missed dose: If a dose is forgotten, take it as soon as remembered, provided that at least 4 hours have not elapsed before the next scheduled dose. Do not double‑dose to compensate for a missed tablet.
- Overdose: Acute ingestion of large amounts can produce anticholinergic toxicity (hyperthermia, severe agitation, dilated pupils, urinary retention, seizures). Immediate medical evaluation is essential; activated charcoal may be administered if presentation is within the first hour. Supportive care, including monitoring of cardiac rhythm and hydration, is the mainstay of treatment.
Practical precautions
- Take Kemadrin with a full glass of water; meals may reduce gastrointestinal irritation.
- Avoid alcohol, as it can potentiate central nervous system depression and dizziness.
- Patients with renal impairment should be monitored closely, although Procyclidine is primarily metabolized hepatically.
Buying Kemadrin from Our Online Pharmacy
Kemadrin can be obtained safely through our online pharmacy in Hong Kong. We source the medication from internationally accredited, GMP‑compliant manufacturers and verify each batch against the Hong Kong Pharmacy and Poisons Board standards. Key advantages of purchasing from our platform include:
- Affordable pricing – our generic formulation is offered at a cost close to manufacturer wholesale rates, reducing the financial burden for long‑term therapy.
- Verified quality – every shipment is accompanied by a certificate of analysis confirming the potency and purity of Procyclidine.
- Secure, discreet delivery – standard express shipping arrives within 7 days; regular airmail typically takes around 3 weeks, with available for all orders.
- Pharmacy broker service – we operate as a liaison between licensed overseas pharmacies and Hong Kong patients, ensuring compliance with local import regulations while preserving patient privacy.
Our service is particularly beneficial for individuals who encounter limited stock or high prices at local brick‑and‑mortar pharmacies, or who prefer a streamlined online purchasing experience.
FAQ
-
Can Kemadrin be stored at temperatures above 30 °C?
Procyclidine tablets are stable at room temperature (15‑30 °C). Exposure to higher temperatures for prolonged periods can degrade the active ingredient, so it is advisable to keep the medication in a cool, dry place and avoid storage in hot vehicles or direct sunlight. -
What does a Kemadrin tablet look like?
Commercial Kemadrin tablets are typically round, white to off‑white, and may be scored for ease of splitting. In some regions, the imprint includes the dosage (e.g., “5 mg”) and the manufacturer’s logo. can vary slightly between suppliers, but the active content remains consistent. -
Are there any excipients in Kemadrin that could trigger allergies?
In addition to Procyclidine hydrochloride, the tablet formulation may contain lactose, microcrystalline cellulose, magnesium stearate, and silicon dioxide. Patients with known lactose intolerance or hypersensitivity to any of these excipients should consult a pharmacist before use. -
Is Kemadrin classified as a controlled substance in Hong Kong?
Procyclidine is not listed under the Hong Kong Dangerous Drugs Ordinance and is therefore not a controlled substance. However, it requires a prescription for legal dispensation, and importation for personal use must comply with the Pharmacy and Poisons Board regulations. -
Will Kemadrin appear on standard drug‑testing panels?
Routine occupational or sports drug tests generally do not screen for anticholinergic agents like Procyclidine. Specialized toxicology panels can detect it, but such testing is uncommon except in forensic investigations. -
Can I travel internationally with Kemadrin in my carry‑on luggage?
Yes, provided you carry the medication in its original packaging with a label showing your name, the drug name, and dosage. It is prudent to bring a copy of the prescription or a physician’s letter, especially when entering countries with strict import controls. -
Do formulation differences exist between Kemadrin sold in the United States versus Asia?
The core active ingredient, Procyclidine hydrochloride, is identical worldwide. Minor differences may occur in filler or coating substances due to regional regulatory preferences, but these do not affect clinical efficacy. -
Are there specific warnings for Asian populations concerning Procyclidine?
Pharmacokinetic studies have not demonstrated significant ethnic variations in Procyclidine metabolism. Nonetheless, clinicians may exercise extra caution in elderly Asian patients because of a higher prevalence of anticholinergic sensitivity and comorbidities such as glaucoma. -
How long can I safely store an opened bottle of Kemadrin?
Once the bottle is opened, tablets remain stable for the duration of the labeled expiration date, typically 24‑36 months from the date of manufacture, provided they are kept in a dry environment away from moisture and direct heat. -
Can Kemadrin be used concurrently with over‑the‑counter sleep aids?
Many OTC sleep aids contain antihistamines (e.g., diphenhydramine) that possess anticholinergic properties. Combined use can lead to excessive dryness, confusion, and urinary retention. Discuss any intended combination with a healthcare professional before starting both agents.
Glossary
- Anticholinergic
- A class of drugs that block the action of the neurotransmitter acetylcholine at muscarinic receptors, reducing parasympathetic activity and affecting smooth muscle, glandular secretions, and central nervous system function.
- Extrapyramidal symptoms (EPS)
- Motor side effects such as dystonia, rigidity, tremor, and akathisia that arise from dopamine blockade in the basal ganglia, commonly associated with antipsychotic therapy.
- Therapeutic window
- The range of drug concentrations in a medication is effective without producing unacceptable adverse effects.
- Bioavailability
- The proportion of an administered dose that reaches systemic circulation in an active; for oral Procyclidine, bioavailability is approximately 70‑80 %.
⚠️ Disclaimer
The information provided about Kemadrin for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Kemadrin for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.
Alternative names or trademarks of Generic Kemadrin
Kemadrin may be marketed under different names in various countries.
All of them contain Procyclidine as main ingredient.
Some of them are the following:
Procyclidine, Arpicolin, Muscinil, Osnervan, Procyclid
Information about ordering Generic Kemadrin in online pharmacy asia
Please note that this medicine is a generic version of Kemadrin.One can buy Generic Kemadrin online by accepting the following conditions:
- Buyer is above or equal 18 years old;
- Buyer does't have any contraindications to procyclidine and fully familiar with medication Kemadrin;
- No paper instructions about side effect warnings or usage directions are sent with Generic Kemadrin medication. They are available online on our website for information purposes only;
- Ordered medication will be shipped in anonymous discreet package without disclosing its content;
Please note we may not guarantee worry free delivery to some countries where strict customs rules may apply. If you have questions please call us or use Live chat. After you place your order we may call you back for verification purposes. We may also call you back if we suspect that there may be a problems with delivery to your country. Please also refer to our FAQ page for more details. Below is a sample list of safe counties in Asia where delivery is usually worry free: Australia, New Zealand, Malaysia, Singapore, Philippines, Indonesia, Thailand, Japan, South Korea, China, Hong Kong, Pacific islands and many others outside of asia.
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