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oxybutynin

Oxybutynin is an antimuscarinic medication used to treat symptoms of overactive bladder, including urinary urgency, frequency, and urge incontinence. It is also used to manage neurogenic detrusor overactivity in adults. The drug works by blocking muscarinic receptors in the bladder, especially the M3 subtype, which reduces involuntary detrusor contractions and increases bladder capacity.

Common indications include symptomatic treatment of overactive bladder in adults and certain forms of neurogenic bladder.

Mechanistically, oxybutynin inhibits acetylcholine signaling in the detrusor muscle, decreasing spontaneous detrusor activity. This anticholinergic effect

Dosing varies by formulation. Immediate-release oral tablets are taken two to three times daily, with a typical

Adverse effects are mainly anticholinergic and include dry mouth, constipation, blurred vision, dizziness, and urinary retention;

Oxybutynin
is
available
in
several
formulations
to
suit
different
needs,
including
immediate-release
and
extended-release
oral
tablets,
a
transdermal
patch,
and
a
topical
gel.
Brand
names
include
Ditropan
and
Ditropan
XL
for
oral
forms
and
Oxytrol
for
the
patch.
can
also
cause
reduced
secretions
and
slowed
gut
motility,
leading
to
typical
anticholinergic
side
effects.
total
daily
dose
around
20
mg
or
less.
Extended-release
oral
tablets
(Ditropan
XL)
are
taken
once
daily,
with
a
usual
total
daily
dose
up
to
30
mg.
The
transdermal
Oxytrol
patch
delivers
about
3.9
mg
per
day
and
is
applied
twice
weekly.
Topical
and
other
regional
formulations
provide
alternatives
for
patients
who
have
difficulty
tolerating
oral
therapy.
cognitive
effects
can
occur,
especially
in
older
adults.
Contraindications
include
urinary
retention
and
uncontrolled
narrow-angle
glaucoma.
Caution
is
advised
in
patients
with
gastric
retention,
severe
constipation,
or
impaired
cognition.
Oxybutynin
may
interact
with
other
anticholinergic
agents
and
drugs
affecting
hepatic
metabolism.