Dicyclomine injection is labeled
for intramuscular use only. IV administration, including giving it diluted in an IV infusion, can cause
thrombosis/thrombophlebitis and severe injection-site injury. Its labeled injectable dosing is for
adults, and pediatric safety/effectiveness have not been established.
DailyMed prescribing information
For a 10-year-old with abdominal pain/cramps, assess first for red flags such as persistent vomiting, localized right-lower abdominal pain, guarding/rigidity, bilious vomiting, blood in stool, dehydration, fever/toxic appearance, or altered consciousness. Those need urgent pediatric evaluation rather than empiric antispasmodic infusion.