Ditropan 5 mg Tablets

DITROPAN is used to decrease the urgency and the frequency of urination. DITROPAN is also used to decrease bed-wetting in children older than 5 years.

Do not take DITROPAN:

• if you are hypersensitive (allergic) to oxybutynin hydrochloride or any of the other ingredients of DITROPAN. Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue
• if you have increased pressure in the eye (glaucoma)
• if your stomach or intestine are blocked, perforated or not working properly
• if you have a severe form of a condition known as ‘ulcerative colitis’
• if you have a rare muscle illness called ‘myasthenia gravis’
• if you have a blockage of your bladder that makes it difficult for your to pass water(urine)
• if you have severe bleeding
• if you have a hypotonic neurogenic bladder (an enlarged bladder in which the emptying reflex becomes hyperactive)
• if you are pregnant or breastfeeding (see ‘HUMAN REPRODUCTION’)
• if your child is under the age of 5 years
• if you are an elderly man, have Parkinson’s disease or have an enlarged prostate gland.

Special care should be taken with DITROPAN:

• if you have liver or kidney problems
• if you have a heart disease
• if you have high blood pressure
• if you have an irregular heartbeat (palpitations) and/or increased or rapid heartbeat
• if you are 65 years of age or older
• if you have an overactive thyroid gland (‘Hyperthyroidism’)
• if you are taking this medicine in a hot climate
• if you have a raised body temperature or fever
• if you have indigestion or heartburn caused by a ‘hiatus hernia’ (where part of your stomach pushes through the diaphragm)
• when given to a child over the age of 5 years.

If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking DITROPAN tablets.

Do not share medicines prescribed for you with any other person. Always take DITROPAN exactly as your doctor has instructed you. You should check with your doctor or pharmacist if you are unsure.

The usual dose for adults is one 5 mg tablet two to three times a day. The maximum recommended dose is one 5 mg tablet four times a day.

The usual dose for children over the age of 5 years is one 5 mg tablet twice daily. The maximum recommended dose is one 5 mg tablet three times a day. The use of DITROPAN in children under the age of 5 years is not recommended.

The usual dose in frail elderly patients is 5 mg twice daily.

Your doctor may decide to test your bladder function at the beginning of treatment and again at regular intervals. Your doctor will tell you how long your treatment with DITROPAN will last. Do not stop treatment early, even if you start to feel better. If you have the impression that the effect of DITROPAN is too strong or too weak, tell your doctor or pharmacist.

Swallow the tablet with a glass of water. Do not crush or chew the tablet.

If you take more DITROPAN than you should: In the event of overdosage, consult your doctor or pharmacist. If neither is available, seek help at the nearest hospital or poison control center. When taking too many DITROPAN tablets you may become very restless, excited or confused, flushed or get dizzy or lightheaded. Your heartbeat may become very fast, uneven or forceful. You may have breathing problems or numbness in the hands or feet.

If you forget to take a dose of DITROPAN: Do not take a double dose to make up for forgotten individual doses. If you forget a dose, take it as soon as you remember. However, if it is nearly time for the next dose, skip the missed dose. Do not take a double dose to make up for a forgotten dose.

Effects when treatment with DITROPAN is stopped: Keep taking DITROPAN tablets until your doctor tells you to stop.

DITROPAN can have side effects. Not all side effects reported for DITROPAN are included in this leaflet. Should your general health worsen while taking DITROPAN, please consult your doctor, pharmacist or other healthcare professional for advice.

If any of the following happens, stop taking DITROPAN and tell your doctor immediately or go to the emergency department at your nearest hospital:

• swelling of the hands, feet, ankles, face, lips, mouth or throat, which may cause difficulty in swallowing or breathing, rash or itching. These are all very serious side effects. If you have them, you may have had a serious allergic reaction to DITROPAN. You may need urgent medical attention or hospitalisation
• reduced sweating, leading to overheating in hot environments. Tell your doctor immediately or go to the emergency department at your nearest hospital if you notice any of the following:
• chest pain, changes in the way your heart beats (for example, if you notice it beating faster)
• less urine than is normal for you
• These are serious side effects. You may need urgent medical attention.

Tell your doctor if you notice any of the following:

• blurring of vision, increased pressure in the eye (glaucoma), enlargement of the pupil of the eye, dry eyes.
• diarrhoea or constipation
• feeling sick, being sick or stomach pain
• difficulty swallowing
• thirst
• indigestion or heartburn (acid reflux)
• dry mouth
• loss of appetite (anorexia)
• agitation or anxiety
• headache
• dizziness, drowsiness or confusion
• feeling depressed
• seeing or hearing things that are not there (hallucinations)
• nightmares
• fits (convulsions)
• flushing
• difficulty passing water (urine)
• dry skin, rash or skin that is more sensitive to the sun
• producing less or no breast milk
• you cannot stop taking DITROPAN especially if you have a history of drug or substance abuse.

If you notice any side effects not mentioned in this leaflet, please inform your doctor or pharmacist.

Keep all medicines out of the reach and sight of children. Store at or below 25 °C. Keep the container in the outer carton. Return all unused medicine to your pharmacist. Do not dispose of unused medicine in drains or sewerage systems (e.g. toilets).