Oxybutynin hydrochloride 5mg/5ml Oral Solution

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

In this leaflet:

The name of your medicine is Oxybutynin hydrochloride 5mg/5ml Oral Solution but it will be referred to as Oxybutynin throughout this leaflet.

What is in this leaflet

1. What Oxybutynin is and what it is used for
2. What you need to know before you take Oxybutynin
3. How to take Oxybutynin
4. Possible side effects
5. How to store Oxybutynin
6. Contents of the pack and other information

Oxybutynin can be used in adults and children 5 years or older to treat:

• loss of control in passing water (urinary incontinence)
• increased need or urgency to pass water (urine)
• night time bedwetting, when other treatments have not worked

You must talk to a doctor if you do not feel better or if you feel worse

Do not take Oxybutynin if:

• you are allergic (hypersensitive) to oxybutynin hydrochloride or any of the other ingredients (see section 6 ‘Contents of the pack and other information’).

Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue.

• you have a rare muscle illness called ‘Myasthenia gravis’
• you have increased pressure in the eye (glaucoma)
• your gut (stomach or intestine) is blocked, perforated or not working properly
• you have a severe form of a condition known as ‘ulcerative colitis’
• you have a blockage that makes it difficult for you to pass water (urine).

Do not take this medicine if any of the above applies to you. If you are not sure, talk to your doctor or pharmacist before taking Oxybutynin.

Warnings and precautions

Talk to your doctor or pharmacist before taking Oxybutynin if:

• you are 65 years of age or older
• you have certain heart conditions (deficiency congestive heart failure, coronary heart disease)
• the person taking the medicine is a child (use is not recommended under 5 years of age)
• you have brain problems (such as hallucinations, agitation, confusion, drowsiness)
• you have kidney or liver problems
• you have bowel problems (such as bowel obstruction, bowel laziness, inflammation of bowel)
• you have neurological disorders (such as Parkinson's disease)
• you have an illness affecting the nerves called ‘autonomic neuropathy’
• you have eye problem (such as glaucoma)
• you have an overactive thyroid gland (‘Hyperthyroidism’)
• you have dental caries or a fungal infection in the mouth
• you have heart disease or high blood pressure
• you have an irregular heart beat (palpitations) and/or increased or rapid heart beat
• you have an enlarged prostate gland
• you have indigestion or heart burn caused by a ‘hiatus hernia’ (where part of your stomach pushes through the diaphragm)
• you have a raised body temperature or fever
• you will be taking this medicine in a hot climate

Children and adolescents:

Do not give this medicine to children under the age of 5 years.

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

Other medicines and Oxybutynin

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This includes medicines obtained without a prescription, including herbal medicines.

This is because Oxybutynin can affect the way some medicines work. Also some medicines can affect the way Oxybutynin work.

In particular, tell your doctor if you are taking any of the following:

• Other anticholinergic or antimuscarinic medicines - such as some medicines for irritable bowel syndrome, asthma or incontinence, motion sickness or movement disorders associated with Parkinson's disease
• Medicines used to make you feel sleepy (sedatives) or if you are feeling sick (nausea) or have vertigo - such as prochlorperazine or chlorpromazine
• Medicines used to treat certain mental illnesses - such as clozapine, phenothiazines, haloperidol or benperidol (butyrophenones)
• Medicines for depression - such as amitriptyline, imipramine or dosulepin (‘tricyclic antidepressants’) and lithium
• Amantadine, biperiden, levodopa - used in Parkinson’s disease or to treat and prevent some viral infections
• Aminopenicillins, tetracyclines, sulfamethoxazole, cotrimoxazole- drugs used for inhibition of bacterial infections
• Digoxin, quinidine, disopyramide, procainamide and lidocaine - used to treat heart problems
• Dipyridamole – used to treat blood problems
• Antihistamines - used to treat allergies
• Paracetamol – use to treat pain
• Phenylbutazone – use to treat inflammation
• Atropine and related compounds - drugs used for spasms of the digestive tract

Oxybutynin with food, beverages and alcohol

Alcohol may increase drowsiness caused by oxybutynin.

Pregnancy, breast-feeding and fertility

Talk to your doctor before taking this medicine if:

• You are pregnant, might become pregnant or think you may be pregnant
• You are breast-feeding or planning to breast-feed. This is because small amounts may pass into mothers’ milk. Breast feeding while using Oxybutynin is therefore not recommended

If you are pregnant or breast-feeding, think you may be pregnant or planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Driving and using machines

You may feel drowsy or have blurred vision while you are taking this medicine. If this happens, do not drive or use any tools or machines.

Oxybutynin contains:

Liquid sorbitol (non-crystallising) (E420): if you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

Methyl parahydroxybenzoate (E218): may cause allergic reactions (possibly delayed).

Adults

• The usual dose is 5mg (5ml) two or three times a day
• Your doctor may decide to increase to the maximum dose of 5mg (5ml) four times a day

Elderly

• The usual dose is 2.5mg (2.5ml) twice a day
• Your doctor may decide to increase this to 5mg (5ml) twice a day

Children (over 5 years)

• The usual dose is 2.5mg (2.5ml) twice a day
• Your doctor may decide to increase this to 5mg (5ml) two or three times a day
• If you are giving it to a child to prevent bedwetting, give the last dose just before bedtime

Method of administration

• Use the 2.5-5ml double-ended spoon supplied in the pack to measure the required dose (see figure below).
• Swallow the solution.
• Wash the spoon with clean water after taking every dose.

If you take more Oxybutynin than you should

Contact your nearest hospital casualty department or tell your doctor immediately.Take the medicine pack with you. This is so the doctor knows what you have taken.

Taking too much Oxybutynin can be very dangerous. You may become very restless or excited, flushed or get dizzy or light-headed. Your heart beat may become very fast, uneven or forceful. You may get breathing problems or numbness or go into a coma.

If you forget to take Oxybutynin

If you forget a dose, take it as soon as you remember it. 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.

If you stop taking Oxybutynin

Keep taking Oxybutynin until your doctor tells you to stop. Do not stop taking Oxybutynin just because you feel better. If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

Stop taking Oxybutynin and contact your doctor immediately if you develop the following symptoms:

• You have an allergic reaction. The signs may include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue
• You feel reduced sweating, leading to overheating in hot environments

Other side effects:

Very common (may affect more than 1 in 10 people):

• Dry mouth, constipation, nausea
• Dizziness, headache, drowsiness
• Dry skin

Common (may affect up to 1 in 10 people):

• Diarrhoea, vomiting
• Confusional state
• Dry eyes
• Inability or difficulty in passing water (urine)
• Flushing

Uncommon (may affect up to 1 in 100 people)

• Stomach pain, loss of appetite (anorexia), decrease appetite, difficulty in swallowing (dysphagia)

Not known: cannot be estimated from the available data

• A bladder infection (Urinary tract infection)
• Indigestion or heartburn (acid reflux)
• Fits (convulsions)
• Agitation
• Seeing or hearing things that are not there (hallucinations)
• Nightmares
• Increased, rapid or irregular heartbeats (palpitation)
• Blurring of vision, enlargement of the pupil of the eye, increased pressure in the eyes (glaucoma), dry eyes
• Rash or skin that is more sensitive to the sun.

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via www.mhra.gov.uk/yellowcard.

By reporting side effects you can help provide more information on the safety of this medicine.

What Oxybutynin contains

Each 5ml oral solution contains 5mg oxybutynin hydrochloride.

The other ingredients are citric acid monohydrate (E330), sodium citrate (E331), liquid sorbitol (non-crystallising) (E420), glycerol (E422), methyl parahydroxybenzoate (E218), raspberry flavor (containing propylene glycol (E1520)) and purified water.

What Oxybutynin looks like and contents of the pack

Oxybutynin is a clear, colourless oral solution with raspberry odour and supplied in amber glass bottles with tamper-evident child resistant plastic cap and with a 2.5-5ml double ended spoon for measuring the dose.

Oxybutynin hydrochloride 5mg/5ml oral solution is supplied in bottles containing 100ml and 150ml solution.

Not all pack sizes may be marketed.

Marketing Authorisation Holder and Manufacturer:

Marketing Authorisation Holder:

Manufacturer:

POM