Parameters of incidence of side effects: very often (≥1 / 10), often (≥1 / 100, <1/10), infrequently (≥1 / 1000, <1/100), rarely (≥1 / 10000, <1 / 1000), very rarely (<1/10000), unspecified frequency.
Violation of the blood and lymphatic system:
Rarely: hemolytic anemia, agranulocytosis, neutropenia, leukopenia, thrombocytopenia or pancytopenia.
Immune system disorders:
Rarely: anaphylactic shock.
Disorders of the psyche:
Often: mood changes, anxiety, stiffness of movements.
Infrequently: insomnia.
Violation of the nervous system:
Often: drowsiness.
Infrequently: impaired sense of balance, weakened concentration and memory impairment (more often in elderly patients), tremor, lack of coordination, confusion, hallucinations.
Rarely: headache, sleep disturbance, dizziness, orthostatic hypotension.
Rarely: paradoxical stimulation of the central nervous system (especially in children).
Impaired vision:
Rarely: glaucoma, vision problems (pupil dilated, blurred vision or bifurcation).
Violation of the hearing organ and labyrinthine disturbances:
Rarely: tinnitus.
Heart Disease:
Rarely: heart palpitations, tachycardia and hypotension.
Disturbance from the respiratory system, organs of the thorax and mediastinum:
Often: nasal congestion.
Disturbance of the gastrointestinal tract:
Often: dry mouth, constipation, diarrhea, nausea, abdominal pain.
Disorders from the liver and bile ducts:
Unspecified frequency: abnormal liver function (cholestatic jaundice).
Disturbance from the skin and subcutaneous tissues:
Rarely: a rash, an erythema.
Violation of the kidneys and urinary tract:
Often: violation of urination (urine retention due to anticholinergic action).
General disorders and disorders at the site of administration:
Rarely: Edema (less often - Quincke's edema).
If any of the side effects listed in the manual are aggravated, or if you notice any other side effects not listed in the instructions, inform the doctor about it.