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Oxybutynin

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  • Keep your regular appointments with your doctor, so your progress can be monitored.
  • Oxybutynin may cause drowsiness. Make sure your reactions are normal before driving.

About oxybutynin

Type of medicine Antimuscarinic
Used for Urinary frequency, urinary urgency, and urinary incontinence
Neurogenic bladder instability (lack of bladder control)
Nocturnal enuresis
Also called Cystrin®, Ditropan®, Lyrinel®XL, Kentera®
Available as Tablets, liquid, modified release tablets (which means that oxybutynin is released slowly to give an even effect) and patches

Oxybutynin is used to treat urinary frequency (a need to pass water often), urinary urgency (a need to pass water urgently) and urinary incontinence (a lack of control over passing water). These symptoms are sometimes associated with conditions such as multiple sclerosis or spina bifida.

It can also be used to treat nocturnal enuresis (bed-wetting) in children.

Oxybutynin works by relaxing the muscles of the bladder and stopping sudden muscle contractions (spasms). This helps control the release of urine.

Before taking oxybutynin

Before taking oxybutynin make sure your doctor or pharmacist knows:

  • If you are pregnant, trying for a baby or breast-feeding.
  • If you suffer from heart, liver or kidney problems.
  • If you suffer from prostate problems.
  • If you have suffered damage to the nerves that control bladder emptying.
  • If you suffer from glaucoma (increased pressure in the eye).
  • If you suffer from myasthenia gravis (a muscle weakening disease).
  • If you suffer from high blood pressure, or hyperthyroidism (an overactive thyroid gland).
  • If you have a problem with gut motility (movement of waste through the gut) such as ulcerative colitis, paralytic ileus, or toxic megacolon.
  • If you suffer from hiatus hernia with reflux oesophagitis (acid reflux or heartburn).
  • If you have been experiencing difficulty passing water.
  • If you are currently suffering from a urinary tract infection (water infection).
  • If you suffer from porphyria (a rare blood disorder).
  • If you have ever had an allergic reaction to this or any other medicine.
  • If you are taking any other medicines, including those available to buy without a prescription, herbal or complementary medicines.

How to take oxybutynin

  • Take your medication exactly as directed by your doctor.
  • Before beginning treatment, read the manufacturer's printed information leaflet.
  • Swallow the tablets with a drink of water.
  • If you have been given the modified release tablet swallow it whole. Do not crush or chew it.
  • Try to take oxybutynin at the same times each day to avoid missing any doses.
  • If you do miss a dose, take it as soon as you remember unless it is nearly time for your next dose. Do not take two doses at the same time to make up.
  • Children being treated for bed-wetting should be given the last dose before bedtime.
  • If you have been given the patches, apply one patch twice a week to an area of clean, dry skin on the abdomen, hips or bottom. Leave each patch in place for 3 - 4 days before removing it and applying a fresh patch. Avoid applying the new patch to the same area of skin as the previous patch.

Getting the most from your treatment

  • Keep your regular appointments with your doctor, so your progress can be monitored.
  • Before buying any medicines, check with your pharmacist which are safe for you to take alongside oxybutynin.
  • Before having any kind of treatment, including dental or emergency treatment, tell the doctor, dentist or surgeon you are taking oxybutynin.

Can oxybutynin cause problems

Along with their useful effects all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Speak with your doctor or pharmacist if any of the following side effects continue or become troublesome.

Common side-effects - these affect less than 1 in 10 people who take this medicine What can I do if I experience this
Dry mouth Try sucking sugar-free sweets, pieces of ice or chewing sugar-free gum
Constipation Try to eat a well balanced diet containing plenty of fibre and drink several glasses of water each day
Drowsiness, dizziness or blurred vision Make sure your reactions are normal before driving, operating machinery or doing any other jobs which could be dangerous if you were not fully alert or able to see properly. Avoid alcohol
Headache Ask your pharmacist to recommend a suitable pain-killer. If the headache continues, speak with your doctor
Increased sensitivity to sunlight If your eyes become more sensitive to light than normal, wearing sunglasses or avoiding too much sunlight should help.
If your skin becomes more sensitive to sunlight, avoid sunbeds and bright sunlight or wear a sunscreen of at least factor 15
Reduced ability to sweat Make sure that you do not become overheated in hot weather
Dry eyes, difficulty in passing urine, a fast or fluttering heartbeat, dry skin, skin rash, diarrhoea, flushing of the face, restlessness, and feeling disorientated If troublesome, speak with your doctor

Important: if you experience swelling of the mouth or face, or any difficulty in breathing or swallowing, contact your doctor immediately or go to the accident and emergency department of your local hospital.

If you experience any other symptoms which you think may be due to this medicine, speak with your doctor or pharmacist.

How to store oxybutynin

  • Keep all medicines out of the reach and sight of children.
  • Store in a cool, dry place, away from direct heat and light.

Important information about all medicines


  • If you buy any medicines check with a pharmacist that they are safe to take with your other medicines.
  • Before taking this medicine tell your doctor if you have ever had an allergic reaction after taking any medicine.
  • Never take more than the prescribed dose. If you suspect that you or someone else has taken an overdose of this medicine go to the accident and emergency department of your local hospital at once. Always take the container with you, if possible, even if it is empty.
  • If you are having any treatment like an operation or dental treatment tell the person carrying out the treatment which medicines you are taking.
  • Always read the printed information leaflet that comes with your medicine.
  • This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.
  • Never keep out of date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.
  • If you have any questions about this medicine ask your pharmacist.

References

Comprehensive patient resources are available at www.patient.co.uk
© EMIS 2009 DocID: 3863 DocRef: dils3892 Last Reviewed: 17 Nov 2008 Version: 23

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