Application of Oxybutynin 5 mg:
Oxybutynin neurogenic bladder, idiopathic unstable bladder (with frequent urination, urinary incontinence, urination, dysuria, and others symptoms) hyperreflexia and detrusor dysfunction, nocturnal enuresis, and neurogenic bladder dysfunction in children older than 5 years.
Contra Oxybutynin 5 mg:
Hypersensitivity, glaucoma (closed-and open-), gastrointestinal obstructive disorders, paralytic ileus, the expansion of the colon (including toxic, complicated by ulcerative colitis), severe colitis, myasthenia gravis (including myasthenia gravis), obstructive uropathy etiology atony of the intestine in elderly and debilitated patients, acute bleeding in the instability of the cardiovascular system, pregnancy, breast-feeding (at the time of treatment stop), childhood (up to 5 years).
Side effects Oxybutynin 5 mg:
Dry mouth, nausea, vomiting, constipation, bloating, decreased motility of the stomach and bowels, urination disorders (including urinary retention), palpitations, tachycardia, vasodilation, weakness, dizziness, drowsiness or insomnia, anxiety, hallucinations , reduced lacrimal fluid production, mydriasis, increased intraocular pressure, cycloplegia, blurred vision (amblyopia), decreased sweating, impotence, suppression of lactation, allergic reaction (rash).
Interactions Oxybutynin 5 mg:
Alcohol and other sedatives increase dizziness and drowsiness.
Overdose Oxybutynin 5 mg:
Symptoms: CNS stimulation (restlessness, tremor, irritability, convulsions, delirium, hallucinations), flushing, fever, nausea, vomiting, tachycardia, hypo-or hypertension, respiratory failure, paralysis, coma.
Treatment: Maintaining respiratory function, induction of vomiting, gastric lavage, possibly using activated charcoal and laxatives, to reverse symptoms of anticholinergic intoxication appoint physostigmine, with hyperpyrexia – cold packs, including with ice, alcohol rubdown.
Dosing and dose: Inside, before a meal. Dose and schedule the appointment unique. Usually – 5 mg (Table 1). 2-3 (no more than 4) per day for adults and 2 times (no more than 3) per day for children older than 5 years and the maximum dose – 20 and 15 mg respectively. Older children and perhaps the appointment of the initial dose of 2,5-3 mg 2 times a day with a gradual increase to normal. When nocturnal enuresis – last reception before bedtime.
Precautions:
Caution is used in neurocirculatory dystonia, liver and kidney diseases, hyperthyroidism, coronary artery disease, congestive heart failure, tachycardia, arrhythmia, hypertension, prostatic hypertrophy (especially in the initial stages), ulcerative colitis, diaphragmatic hernia (in tons hours associated with gastroesophageal reflux disease), diarrhea, intestinal obstruction accompanying incomplete (particularly in patients with ileo-or colostomy), in old age. During the treatment is not recommended to drive and engage in other activities that require high concentration and the risk to life (may develop dizziness and blurred vision). It should be borne in mind that high ambient temperatures often provokes fever and heart failure (decreased sweating) on the background of oxybutynin.
