Tell your doctor/Pharmacist your medical history of, Asthma, emphysema, Diarrhea caused by an infection, Angina, Heart attack, Heart failure, Fast/irregular heartbeat, High/Low blood pressure, Chronic constipation, Ileus, Ulcerative colitis, Kidney disease, Liver disease, Anxiety, Dementia, Psychosis, Autonomic neuropathy, Seizure, Acid reflux, Hiatal hernia, Ulcer, Stroke,Hyperthyroidism, Problems urinating due to enlarged prostate, Neurogenic bladder, Overuse of or addiction to drugs/alcohol. This drug should be used only when clearly needed during pregnancy.