Pharmacokinetics in children
No information
dose recommendation of formulary compared to licensed use (on-label versus off-label)
No information is present at this moment.
Available formulations
No information is present at this moment.
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.
|
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.
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.
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.
Interactions
The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here
UROLOGICALS
This pages provides a list of drugs from the same ATC class for comparison. This does not necessarily mean that these drugs are interchangeable.
| Drugs for urinary frequency and incontinence |
|
|
|
G04BD04
|
|
|
|
G04BD06
|
|
|
|
G04BD08
|
|
|
|
G04BD07
|
|
|
|
G04BD09
|
| Drugs used in erectile dysfunction |
|
|
|
G04BE03
|
|
|
|
G04BE08
|
| Other urologicals |
|
|
|
G04BX16
|
| OTHER UROLOGICALS |
|
|
|
G04BX16
|
References
-
Verpoorten C, et al, The neurogenic bladder: medical treatment. , Pediatr Nephrol. , 2008, May;23(5), 717-25
-
Aslan AR, et al, Conservative management in neurogenic bladder dysfunction., Curr Opin Urol., 2002, Nov;12(6), 473-7
-
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
-
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
-
Guerra LA, et al, Intravesical oxybutynin for children with poorly compliant neurogenic bladder: a systematic review, J Urol, 2008, Sep;180(3), 1091-7
-
Haferkamp A, et al, Dosage escalation of intravesical oxybutynin in the treatment of neurogenic bladder patients, Spinal Cord, 2000, Apr;38(4), 250-4
-
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
-
Lazarus J., Intravesical oxybutynin in the pediatric neurogenic bladder, Nat Rev Urol, 2009, Dec;6(12), 671-4
-
Lose G, et al, Intravesical oxybutynin for treating incontinence resulting from an overactive detrusor, BJU Int, 2001, Jun;87(9), 767-73
-
Verpoorten C, et al, The neurogenic bladder: medical treatment., Pediatr Nephrol., 2008, May;23(5), 717-25
Therapeutic Drug Monitoring
Overdose