Piperidolate is primarily used as an anticholinergic agent, meaning it works by blocking the action of acetylcholine, a neurotransmitter involved in involuntary muscle movements and various autonomic functions. Its main application lies in the treatment of gastrointestinal disorders, particularly those involving excessive smooth muscle contraction, such as irritable bowel syndrome or peptic ulcer disease. By reducing gastric motility and secretion, it helps alleviate symptoms like cramping, pain, and hyperacidity. It may also be used to manage certain urinary tract conditions where bladder spasms are present, due to its ability to relax smooth muscles in the urinary system. Due to its anticholinergic effects, it can cross the blood-brain barrier and may cause central nervous system side effects, so its use is typically limited to cases where peripheral antispasmodic action is needed with careful consideration of potential sedation or cognitive effects.