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MEDICAL INFORMATION
Ditropan Key Facts
Other Related Names or Treatments
Ditropan XL
About Ditropan
Ditropan contains oxybutynin as its active ingredient. It is classed as an antimuscarinic (or anticholinergic) muscle relaxant. Ditropan is used to treat the symptoms of an overactive bladder, such as:
- Urinary urgency (a sudden and urgent need to pee)
- Urinary frequency (needing to pee more often than usual)
- Urinary incontinence (wetting yourself)
Oxybutynin relaxes smooth muscle around your bladder, allowing your bladder to hold more liquid, stopping you from needing to pee as often or as urgently.
NowPatient offers oxybutynin or the brand Ditropan as treatments for urinary incontinence only, following an online consultation with a prescribing clinician.
Key facts of Ditropan
- For the treatment of urinary incontinence
- Ditropan can take about 3 to 4 hours to start working, but may take up to 4 weeks to start working fully
- Ditropan has some common side effects which include dry mouth, dizziness, blurred vision and constipation
- It can be dangerous if you take Ditropan with certain medications. If you’re not sure if it is safe, discuss this with the prescribing clinician
Who is Ditropan suitable for?
Ditropan is suitable for adults and children 5 years of age and over.
Who is Ditropan not suitable for?
Ditropan may not be suitable for some people. To make sure it’s safe for you, speak to the prescribing clinician before taking Ditropan if you:
- Have had an allergic reaction to oxybutynin in the past
- Have a certain nervous system disorder (autonomic neuropathy)
- Have myasthenia gravis (severe muscle weakness)
- Have narrow-angle glaucoma
- Have an enlarged prostate or difficulty urinating
- Have ulcerative colitis or Crohn’s disease
- Have a hiatus hernia
- Have gastroesophageal reflux disease (GERD)
- Have heart disease or high blood pressure
- Have hyperthyroidism (an overactive thyroid)
- Have liver or kidney disease
How and where to get Ditropan?
You can buy Ditropan safely and securely from NowPatient. You can start a consultation today for free and if you qualify for treatment, you only pay for the cost of the medication. Delivery is made to your home or office from our registered pharmacy.
Our service is certified, safe and effective, and we only ever treat conditions. If you book a consultation with a prescribing clinician for the treatment of urinary incontinence, you can discuss if Ditropan is a suitable treatment option for you.
At the end of the consultation, the clinician will decide if a treatment plan is suitable for you. If it is, the clinician will issue you with a prescription which can then be ordered, paid for and delivered directly to your chosen address by NowPatient.
Dosage and strength for Ditropan for urinary incontinence
Oxybutynin is available in various dosage forms. It is available as 2.5mg, 3mg or 5mg immediate-release tablets, 5mg or 10mg extended-release tablets, 2.5 mg or 5 mg per 5 mL liquid, or as transdermal patches. NowPatient offers Ditropan as 2.5 mg and 5 mg tablets only.
Information about how to take Ditropan for urinary incontinence
Swallow Ditropan tablets whole with a glass of water, with or without food. The starting dose is normally one 2.5 mg tablet, twice a day, or one 2.5 mg tablet, 3 times a day. If you are taking extended-release tablets, swallow the tablets whole with a glass of water. Do not crush, break, or chew the tablets. The transdermal patches are applied twice a week. Apply patched to dry, clean skin on your bottom, hip, or stomach. Speak to a healthcare professional if you need further medical advice.
What happens if you take too much Ditropan?
If you take more than prescribed, then it can lead to some unpleasant side effects. You should talk to your doctor or reach out to one of our prescribing clinicians, if you have taken too much Ditropan and you experience any of the following side effects.
What are the side effects of Ditropan?
Possible side effects of Ditropan are split into common and serious.
Common side effects include:
- Dry mouth
- Dizziness, headache, drowsiness
- Vomiting
- Diarrhoea, constipation, stomach pain, passing wind, belching
- Dry eyes, blurred vision
Serious side effects include:
- Arrhythmia
- Mydriasis (pupil dilation)
- Faecal impaction
- Urinary retention
- Urinary tract infections (UTI)
- Agitation, confusion, hallucinations or somnolence
- Swollen ankles or legs
If you experience any serious side effects, you should contact NHS 111.
If you experience serious allergic reactions or angioedema with the signs shown below you should contact emergency services on 999.
- Your lips, mouth, throat or tongue suddenly become swollen
- You’re breathing very fast or struggling to breathe (you may become very wheezy or feel like you’re choking or gasping for air)
- Your throat feels tight or you’re struggling to swallow
- Your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
- You suddenly become very confused, drowsy or dizzy
- Someone faints and cannot be woken up
Information about taking Ditropan at the same time as other medications or herbal supplements
There is not enough evidence to suggest there are any drug interactions between herbal supplements and Ditropan. In any event, you should let your prescribing clinician know if you are taking any herbal supplements or prescription drugs:
- Amantadine used for Parkinson’s disease
- Clozapine, haloperidol or benperidol
- Tricyclic antidepressants such as amitriptyline
- Prochlorperazine
- Digoxin
- Fluconazole, itraconazole, ketoconazole or voriconazole
Can Ditropan taken for urinary incontinence be taken long-term?
You should not take Ditropan any longer than it is needed. Your doctor will check that you still require your treatment every 6 to 12 months.
Is there a herbal Ditropan?
No. Herbal Ditropan does not exist. If you have been marketed such a formulation, it may be fake.
Can women use Ditropan?
Women can only take Ditropan for the treatment of urinary incontinence. Speak to your doctor if you are pregnant, or trying to get pregnant.
Ditropan is not normally recommended if you are breastfeeding. However, your doctor may say it’s OK for you to continue taking Ditropan. You should check your baby for side effects, such as colic and constipation.
Should I avoid any particular food or drink when taking Ditropan?
You can eat and drink normally when taking Ditropan, however you are advised to reduce your intake of alcohol and caffeine.
What lifestyle changes can I make to help me with urinary incontinence?
Modifying your lifestyle may have a positive impact on your urinary incontinence and quality of life. These may include:
- Pelvic floor muscle training to improve your bladder control
- Stay well hydrated to maintain a healthy urinary function
- Avoid caffeine, alcohol, and spicy foods
- Urinate when you feel the urge to
- When urinating, wait once you have finished for a few moments, and then try again to make sure the bladder is emptied completely
Alternatives to Ditropan
Alternatives for the treatment of urinary incontinence include Betmiga, Yentreve and Emselex.
Sources
Oxybutynin – a medicine for treating symptoms of an overactive bladder – NHS
Medical Disclaimer
NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.
The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.
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FAQs
Answers to Popular Questions About Ditropan
What is Ditropan?
Ditropan is a brand name for oxybutynin hydrochloride, an antimuscarinic medication used for the treatment of overactive bladder (OAB) and urinary incontinence. Ditropan is available as 2.5 mg and 5 mg tablets. Oxybutynin is one of the oldest and most established treatments for OAB but has a higher side effect burden than newer alternatives. It is a prescription-only medicine in the UK.
How does Ditropan work?
Ditropan blocks muscarinic receptors in the bladder detrusor muscle, reducing involuntary contractions and increasing bladder capacity. It also has a direct antispasmodic effect on smooth muscle. However, oxybutynin is non-selective for muscarinic receptor subtypes, meaning it also blocks receptors in the brain, salivary glands, gut, and eyes — leading to more side effects (particularly dry mouth and cognitive impairment) than newer, more selective antimuscarinics.
How do I take Ditropan?
The usual dose is 5 mg two to three times daily. Some patients may start at 2.5 mg twice daily, particularly the elderly, and increase gradually. Take with water, with or without food. In elderly patients, the starting dose should be 2.5 mg twice daily to minimise side effects. Maximum dose is 5 mg four times daily, though this is rarely needed.
What are the side effects of Ditropan?
Very common side effects include dry mouth (affecting up to 70% of patients), constipation, nausea, and facial flushing. Common side effects include blurred vision, dizziness, drowsiness, headache, and difficulty with urination. Importantly, oxybutynin can cause significant cognitive side effects in elderly patients including confusion, memory impairment, and hallucinations. Due to these cognitive risks, NICE and NHS England guidelines advise against using oxybutynin in patients over 65. Newer alternatives such as tolterodine, solifenacin, or mirabegron have better tolerability profiles.
Is Ditropan safe for elderly patients?
Oxybutynin (Ditropan) is generally not recommended for patients over 65 due to the risk of cognitive side effects. It crosses the blood-brain barrier and blocks central muscarinic receptors, which can worsen or mimic dementia. NHS England’s Medicines Optimisation guidance recommends reviewing and where possible switching elderly patients from oxybutynin to safer alternatives such as mirabegron (Betmiga), which has no anticholinergic effects, or more bladder-selective antimuscarinics.
How can I get Ditropan?
Ditropan or generic oxybutynin requires a prescription from your GP, urologist, or online prescriber such as NowPatient. It is available on the NHS. However, prescribers increasingly prefer newer alternatives with better tolerability. Discuss the most appropriate option with your prescriber, particularly if you are over 65.
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