Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 10/13/2025

Contraindications and Precautions for Buscopan

Indications and Usage

  • Buscopan is indicated for abdominal pain associated with gastrointestinal cramping and spasms, intestinal dysmotility, and irritable bowel syndrome with abdominal cramping, as suggested by the American Gastroenterological Association 1
  • Buscopan may be used for severe or refractory abdominal pain via the intramuscular route, as recommended by the European Society of Gastrointestinal Endoscopy 2

Precautions and Monitoring

  • The European Society of Gastrointestinal Endoscopy recommends careful cardiac monitoring in patients with cardiac comorbidities, as cardiac complications appear more clinically significant than ophthalmic ones 2
  • The American Heart Association suggests that patients with tachycardia, angina, or cardiac failure require careful consideration of the potential benefits and risks of Buscopan administration 1