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oxybutynin

OXYBUTYNIN

Manufacturer: A-S Medication Solutions

Score: 141.0

Quick Summary

Oxybutynin is a muscarinic antagonist used to treat overactive bladder with symptoms of urge urinary incontinence, urgency, and frequency. It works by relaxing the bladder muscle and increasing bladder capacity. The drug is available in extended-release tablets and should be taken whole with liquids, without chewing, dividing, or crushing. The recommended starting dose for adults is 5 mg or 10 mg once daily, and for pediatric patients aged 6 years and older, it is 5 mg once daily. Oxybutynin has several contraindications, including urinary retention, gastric retention, and uncontrolled narrow-angle glaucoma. Common adverse reactions include dry mouth, constipation, diarrhea, headache, somnolence, and dizziness.

Key Clinical Findings and Indications

  • Treatment of overactive bladder with symptoms of urge urinary incontinence, urgency, and frequency
  • Treatment of pediatric patients aged 6 years and older with symptoms of detrusor overactivity associated with a neurological condition

Important Safety Information

Warning

Oxybutynin can cause serious side effects, including urinary retention, gastric retention, and uncontrolled narrow-angle glaucoma

Contraindications

  • Urinary retention
  • Gastric retention
  • Uncontrolled narrow-angle glaucoma
  • Known hypersensitivity to oxybutynin chloride or any component of oxybutynin chloride extended-release tablets

Adverse Reactions

  • Dry mouth
  • Constipation
  • Diarrhea
  • Headache
  • Somnolence
  • Dizziness

Dosing Recommendations

General Guidance

Dosage may be adjusted in 5 mg increments to achieve a balance of efficacy and tolerability, up to a maximum of 30 mg/day for adults and 20 mg/day for pediatric patients

Overactive bladder

Adult Dose

5 mg or 10 mg once daily

Pediatric Dose

5 mg once daily for patients aged 6 years and older

Special Population Considerations

Pregnancy

  • There are no adequate data on oxybutynin chloride extended-release tablets use in pregnant women to evaluate for a drug-associated risk of major birth defects, miscarriage or adverse maternal or fetal outcomes

Nursing Mothers

Pediatric Use

  • Oxybutynin chloride extended-release tablets are not recommended in pediatric patients who cannot swallow the tablet whole without chewing, dividing, or crushing, or in children under the age of 6

Geriatric Use

  • The rate and severity of anticholinergic effects reported by patients less than 65 years old and those 65 years and older were similar

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