Ditropan XL

Generic Name: Oxybutynin

  • What is this medication and its most common uses?

    Ditropan XL is a medicine used to treat overactive bladder, including symptoms of urge urinary incontinence (an inability to control urination), urgency (an increased need to urinate), and the number of the times you need to urinate. It is also used to treat children with symptoms of overactive bladder associated with a neurological condition, such as spina bifida (a birth defect that involves the incomplete development of the spinal cord).

  • What should I know when beginning and continuing on this medication?

    How does this medication work?

    Ditropan XL is an extended-release medicine (a type of tablet that releases medicine into your body throughout the day). Ditropan XL works by relaxing the muscles in your bladder, thereby helping your symptoms of urinary incontinence.

    What are the beneficial effects of this medication and when should I begin to have results?

    What: Ditropan XL has been shown to help reduce the number of urge urinary incontinence episodes and symptoms.

    When: Everyone responds differently to treatment, so try to be patient and follow your healthcare provider's directions. It is important that you take Ditropan XL exactly as your healthcare provider has prescribed.

    How do I know it is working?

    You may feel an improvement in your symptoms once you begin taking Ditropan XL. This is a good indicator that your medication is working. Your healthcare provider may ask you questions to assess how well your symptoms are controlled.

  • What are the possible side effects of this medication?

    The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.

    More common side effects may include: blurred vision, constipation, diarrhea, dizziness, drowsiness, dry eyes, dry mouth, headache, indigestion, nausea, urinary tract infection.

    Less common side effects may include:

    Serious allergic reactions with symptoms such as swelling of your tongue or throat; trouble breathing or swallowing; or nausea and vomiting.

    Central nervous system (the brain and spinal cord) effects, with symptoms such as hallucinations, agitation, confusion, and sleepiness.

    Fever and heat stroke due to decreased sweating may occur in high temperatures.

  • Who should not take this medication?

    Do not take Ditropan XL if you are allergic to it or any of its ingredients.

    Do not take Ditropan XL if you have a blockage in your stomach, intestines, or urine flow.

    Do not take Ditropan XL if you have uncontrolled narrow-angle glaucoma (high pressure in the eye).

  • What should I tell my healthcare provider before I take the first dose of this medication?

    Tell your healthcare provider about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Ditropan XL. Also, talk to your healthcare provider about your complete medical history, especially if you have myasthenia gravis (a disease characterized by long-lasting fatigue and muscle weakness); dementia (an illness involving loss of memory and judgment, and confusion); blockage or narrowing in your stomach or intestines; blockage in the urine flow; ulcerative colitis (an inflammatory disease of the large intestine); gastroesophageal reflux (a condition in which the stomach contents leak backwards from the stomach into the esophagus [the tube that connects your mouth and stomach]); or if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What is the usual dosage?

    The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.

    Adults: The recommended starting dose is 5 milligrams (mg) or 10 mg once a day. Your healthcare provider may increase your dose as needed, until the desired effect is achieved.

    Children ≥6 years: The recommended starting dose is 5 mg once a day. Your healthcare provider may increase your child's dose as needed, until the desired effect is achieved.

  • How should I take this medication?

    Take Ditropan XL exactly as prescribed by your healthcare provider. Do not change your dose or stop taking it without first talking to your healthcare provider.

    Take Ditropan XL at approximately the same time each day with or without food.

    Swallow Ditropan XL tablets whole with liquids. Do not chew, divide, or crush it.

    When you take Ditropan XL, you may see something in your stool that looks like a tablet. Do not be worried if you see this. It is the empty shell from the tablet after the medicine has been absorbed in your body.

  • What should I avoid while taking this medication?

    Do not drive a car, operate machinery, or engage in other tasks requiring alertness until you know how Ditropan XL affects you.

  • What are the possible food and drug interactions associated with this medication?

    If Ditropan XL is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your healthcare provider before combining Ditropan XL with the following: alcohol, certain antibiotics (such as clarithromycin or erythromycin), certain medications for fungal infections (such as itraconazole, ketoconazole, or miconazole), or osteoporosis medications known as bisphosphonates (such as alendronate).

  • May I receive this medication if I am pregnant or breastfeeding?

    The effects of Ditropan XL during pregnancy and breastfeeding are unknown. Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What should I do if I miss a dose of this medication?

    If you miss a dose of Ditropan XL, skip the one you missed and return to your regular dosing schedule. Do not take two doses at once.

  • How should I store this medication?

    Store at room temperature. Protect from moisture and humidity.