Ditropan
Brand
name:Ditropan
Pronounced: DYE-tro-pan
Generic name: Oxybutynin
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Why
is Ditropan prescribed?
Ditropan
relaxes the bladder muscle and reduces spasms. It is used to treat
the urgency, frequency, leakage, incontinence, and painful or
difficult urination caused by a neurogenic bladder (altered bladder
function due to a nervous system abnormality).
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Most
important fact about Ditropan
Oxybutynin
can cause heat prostration (fever and heat stroke due to decreased
sweating) in high temperatures. If you live in a hot climate or
will be exposed to high temperatures, take appropriate precautions.
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How
should you take Ditropan?
Ditropan
may be taken with or without food. Take it exactly as prescribed.
Ditropan
can make your mouth dry. Sucking hard candies or melting bits
of ice in your mouth can remedy the problem.
Ditropan
tablets and syrup must be taken 2 or 3 times a day. Ditropan XL,
a long-acting form of the drug, is available for once-a-day dosing.
Ditropan XL tablets should be swallowed whole with plenty of fluid.
Do not chew, crush, or break them.
---If
you miss a dose...
Take
the forgotten dose as soon as you remember. If it is almost time
for your next dose, skip the one you missed and go back to your
regular schedule. Never take 2 doses at once.
---Storage...
Keep
Oxybutynin in a tightly closed container and store it at room
temperature. Protect the syrup from direct light.
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What
side effects may occur?
Side
effects cannot be anticipated. If any develop or change in intensity,
inform your doctor as soon as possible. Only your doctor can determine
if it is safe for you to continue taking Ditropan.
Side effects may include:
Constipation, decreased production of tears, decreased sweating,
difficulty falling or staying asleep, dilation of the pupil of
the eye, dim vision, dizziness, drowsiness, dry mouth, eye paralysis,
hallucinations, impotence, inability to urinate, nausea, palpitations,
rapid heartbeat, rash, restlessness, suppression of milk production,
weakness
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Why
should Ditropan not be prescribed?
You
should not take Ditropan if you have certain types of untreated
glaucoma (excessive pressure in the eye), partial or complete
blockage of the gastrointestinal tract, or paralytic ileus (obstructed
bowel). Ditropan should also be avoided if you have severe colitis
(inflamed colon), myasthenia gravis (abnormal muscle weakness),
or urinary tract obstruction (inability to urinate). This drug
is usually not prescribed for the elderly or debilitated.
Do
not take Oxybutynin if you are sensitive or have ever had an allergic
reaction to it. Make sure your doctor is aware of any allergic
reactions you have experienced.
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Special
warnings about Ditropan
If
you have an ileostomy or colostomy (an artificial opening to the
bowel) and develop diarrhea while taking Ditropan, inform your
doctor immediately.
Ditropan
may cause drowsiness or blurred vision. Driving or operating dangerous
machinery or participating in any hazardous activity that requires
full mental alertness is not recommended until you know how this
medication affects you.
Your
doctor will prescribe Ditropan with caution if you have liver
disease, kidney disease, digestive problems such as reflux disease,
or a nervous system disorder.
Ditropan
may aggravate the symptoms of overactive thyroid, heart disease
or congestive heart failure, irregular or rapid heartbeat, high
blood pressure, or enlarged prostate.
After
taking Ditropan XL, you may notice something like a tablet in
your stool. This is not a cause for concern. The outer coating
of the extended release tablet sometimes fails to dissolve along
with the contents.
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Possible
food and drug interactions
If Ditropan is taken with certain other drugs, the effects of
either may be increased, decreased or altered. It is especially
important to check with your doctor before combining Ditropan
with alcohol or sedatives such as Halcion or Restoril because
increased drowsiness may occur. You should also check with your
doctor if you are taking any of the following:
Alendronate
(Fosamax)
Etidronate (Didronel)
Pamidronate (Aredia)
Risedronate (Actonel)
Tiludronate (Skelid)
Drugs that ease spasms, including Bentyl, Levsin, Pro-Banthine,
and Robinul
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Special
information
The effects of Ditropan during pregnancy have not been adequately
studied. If you are pregnant or plan to become pregnant, inform
your doctor immediately. Ditropan may appear in breast milk and
could affect a nursing infant. If this medication is essential
to your health, your doctor may advise you to stop breastfeeding
until your treatment is finished.
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Recommended
dosage
DITROPAN
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Adults
The usual dose is one 5-milligram tablet or 1 teaspoonful of syrup
taken 2 to 3 times a day, but not more than 4 times a day.
Children
over 5 Years of Age
The usual dose is one 5-milligram tablet or 1 teaspoonful of syrup
taken 2 times a day, but not more than 3 times a day. Ditropan
is not recommended for children under 5.
DITROPAN
XL
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Adults
The recommended starting dose is 5 milligrams once a day. If this
proves insufficient, the doctor may increase the dose by 5 milligrams
at weekly intervals, up to a maximum of 30 milligrams a day.
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Overdosage
Any
medication taken in excess can have serious consequences. If you
suspect an overdose, seek medical attention immediately.
Symptoms
of Ditropan overdose may include:
Coma, convulsions, delirium, dehydration, difficulty breathing,
fever, flushing, hallucinations, irritability, low or high blood
pressure, nausea, paralysis, rapid heartbeat, restlessness, tremor,
urinary tract obstruction, vomiting
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