AtroPen Auto-Injector is used to help reduce saliva, mucus, or other secretions in your airway during a surgery.

AtroPen Auto-Injector is sometimes used as an antidote to treat certain types of poisoning.

AtroPen Auto-Injector may also be used for purposes not listed in this medication guide.

Seek medical attention after any use of atropine to treat poisoning. After the injection you may need to receive further treatment and observation.

AtroPen Auto-Injector is injected into a muscle, under the skin, or as an infusion into a vein. A healthcare provider may give you this injection or teach you how to properly use the medication by yourself.

AtroPen Auto-Injector is usually given as soon as possible after the onset of poisoning symptoms.

You may be watched for up to 72 hours to make sure the medicine has been effective and you no longer have any effects of the poison.

Tell your doctor if you have ever had:

• asthma or other breathing disorder;

• glaucoma;

• enlarged prostate;

• urination problems;

• a heart rhythm disorder;

• liver or kidney disease;

• myasthenia gravis; or

• a blockage in your digestive tract (stomach or intestines).

In an emergency, you may not be able to tell caregivers if you are pregnant or breastfeeding. Make sure any doctor caring for your pregnancy or your baby knows you received AtroPen Auto-Injector.

Since AtroPen Auto-Injector is used when needed, it does not have a daily dosing schedule.

You will be watched closely to make sure you do not receive too much of AtroPen Auto-Injector. Your caregivers will quickly treat you if you have overdose symptoms.

Overdose symptoms may include vision problems, fever, feeling unsteady, loss of balance or coordination, trouble concentrating, fast heart rate, confusion, hallucinations (seeing or hearing things), weak or shallow breathing, or breathing that stops.

Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.

Avoid becoming overheated or dehydrated during exercise and in hot weather. AtroPen Auto-Injector can decrease sweating and you may be more prone to heat stroke.

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Tell your caregivers right away if you have:

• a light-headed feeling, like you might pass out;

• pounding heartbeats or fluttering in your chest;

• nausea, vomiting, stomach pain, feeling full after eating a small amount;

• blurred vision, tunnel vision, eye pain, or seeing halos around lights;

• trouble swallowing;

• feeling restless or excited;

• tremors, problems with balance or muscle movement;

• increased thirst, hot and dry skin;

• tiredness; or

• a severe skin rash.

Common side effects of AtroPen Auto-Injector may include:

• fast heartbeats, pounding heartbeats or fluttering in your chest;

• flushing (sudden warmth, redness, or tingly feeling);

• urinary problems;

• constipation, bloating, stomach pain, nausea, vomiting;

• loss of interest in sex, impotence;

• dry mouth;

• dry eyes, blurred vision, your eyes may be more sensitive to light;

• confusion, dizziness; or

• headache, drowsiness.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

AtroPen Auto-Injector can make it harder for your body to absorb other medicines you take by mouth. Tell your doctor about all your other medicines, especially pralidoxime.

Other drugs may affect AtroPen Auto-Injector, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.