Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Oxybutynin – intravesical instillation

Generic name
Oxybutynin – intravesical instillation
Brand name
ATC Code
G04BD04

Pharmacokinetics in children

No information

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dose recommendation of formulary compared to licensed use (on-label versus off-label)

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Available formulations

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Dosages

Urinary incontinence, overactive bladder syndrome, neurogenic bladder
  • Intravesical
    • 1 year up to 18 years
      • 0.2 - 0.4 mg/kg/day in 2 - 3 doses. Max: 0.9 mg/kg/day. Titrate depending on the effect.

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Renal impaiment in children > 3 months

GFR ≥10 ml/min/1.73m2: Dose adjustment not required.

GFR <10 ml/min/1.73m2: A general recommendation on dose adjustment cannot be provided.

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The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects

No information is present at this moment.

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The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications

No information available on specific contra indications in children.

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions in children

Children can be often more sensitive to parasympatholytic drugs; accurate regulation of the dosage is therefore required.

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Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

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References

  1. Verpoorten C, et al, The neurogenic bladder: medical treatment. , Pediatr Nephrol. , 2008, May;23(5), 717-25
  2. Aslan AR, et al, Conservative management in neurogenic bladder dysfunction., Curr Opin Urol., 2002, Nov;12(6), 473-7
  3. Buyse G, et al, Intravesical oxybutynin for neurogenic bladder dysfunction: less systemic side effects due to reduced first pass metabolism, J Urol, 1998, Sep;160(3 Pt 1), 892-6
  4. Ferrara P, et al, Side-effects of oral or intravesical oxybutynin chloride in children with spina bifida, BJU Int, 2001, May;87(7), 674-8
  5. Guerra LA, et al, Intravesical oxybutynin for children with poorly compliant neurogenic bladder: a systematic review, J Urol, 2008, Sep;180(3), 1091-7
  6. Haferkamp A, et al, Dosage escalation of intravesical oxybutynin in the treatment of neurogenic bladder patients, Spinal Cord, 2000, Apr;38(4), 250-4
  7. Kaplinsky R, et al, Expanded followup of intravesical oxybutynin chloride use in children with neurogenic bladder, J Urol, 1996, Aug;156(2 Pt 2), 753-6
  8. Lazarus J., Intravesical oxybutynin in the pediatric neurogenic bladder, Nat Rev Urol, 2009, Dec;6(12), 671-4
  9. Lose G, et al, Intravesical oxybutynin for treating incontinence resulting from an overactive detrusor, BJU Int, 2001, Jun;87(9), 767-73
  10. Verpoorten C, et al, The neurogenic bladder: medical treatment., Pediatr Nephrol., 2008, May;23(5), 717-25

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Changes

Changes