oxybutynin

If you forget to change the patch on the day it is due, remove the old patch and apply a new one and continue to follow your original schedule for changing the patch. Do not double the dose to catch up.

Read the Patient Information Leaflet provided by your pharmacist before you start using oxybutynin and each time you get a refill. If you have any questions regarding the information, consult your doctor or pharmacist. Apply one patch to your skin every 3 to 4 days, or use as directed by your doctor. Remove the old patch before applying the new one. Follow the dosing schedule carefully. Try to always change the patch on the same 2 days of the week to help you remember. Do not open the sealed pouch container until you are ready to apply the patch. Open the pouch and remove the protective liner from the patch to expose the adhesive. Apply the patch to a clean, dry, smooth area of skin on your stomach area (abdomen), hips, or buttocks. Press firmly to be sure the patch stays on. Apply to an area of skin that is under clothing and protected from sunlight. Avoid applying the patch on your waistline, since tight clothing may rub the patch off, or on areas where sitting may loosen it. Do not apply the patch to areas of skin that are irritated, oily, or to where lotions or powders have been applied. Contact with water (e.g., swimming, bathing) will not change the way the drug works. Avoid rubbing the patch area during these activities. If the area around the patch becomes red, itchy, or irritated, try a new site. If irritation continues or becomes worse, notify your doctor promptly. If the patch falls off, reapply it or apply a new patch and wear it until the next patch should be applied. When it is time to apply a new patch, remove the old one and dispose of it properly in the trash. Fold the sticky sides of the patch together and throw it away where it cannot be accidentally worn or swallowed by others, especially a child or pet. Apply the new patch to a different area of skin to prevent skin irritation. Do not apply a patch to the same area within 7 days. The length of treatment is determined by your doctor who may suggest periodic trials off the medication to see if you still need to be using it. Inform your doctor if your condition persists or worsens.

Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it. Do not start, stop, or change the dosage of any medicine before checking with them first. Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: anticholinergic drugs (e.g., atropine, scopolamine), certain anti-Parkinson's drugs (e.g., benztropine, trihexyphenidyl), other antispasmodic drugs (e.g., dicyclomine, propantheline), belladonna alkaloids, potassium tablets/capsules, pramlintide, oral bisphosphonates (e.g., alendronate, etidronate). Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: certain antihistamines (e.g., diphenhydramine), anti-anxiety drugs (e.g., diazepam), anti-seizure drugs (e.g., carbamazepine), medicine for sleep (e.g., sedatives), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine, or tricyclics such as amitriptyline), tranquilizers. Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain drowsiness-causing ingredients. Ask your pharmacist about the safe use of those products. This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

Do not share this medication with others.

If overdose is suspected, remove the patch. This medicine may be harmful if accidentally swallowed. Contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include unusual excitement, agitation, fast/irregular heartbeat.

Before using oxybutynin, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: active internal bleeding, severe blockage/slowed movement of the stomach/intestines (e.g., gastric retention, paralytic ileus), certain bladder problems (urinary retention), uncontrolled glaucoma (narrow-angle). Before using this medication, tell your doctor or pharmacist your medical history, especially of: other bladder problems (bladder outflow obstruction), certain muscle disease (myasthenia gravis), stomach/intestinal disease (e.g., acid reflux, hiatal hernia, ulcerative colitis, intestinal atony), heart problems (e.g., coronary artery disease, congestive heart failure, arrhythmias), high blood pressure, liver disease, kidney disease, loss of mental abilities (dementia), overactive thyroid (hyperthyroidism), enlarged prostate, certain nervous system disorder (autonomic neuropathy). This drug may make you dizzy or drowsy or cause blurred vision. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit alcoholic beverages. This medication can cause decreased sweating. Avoid becoming overheated in hot weather, saunas, or during exercise or other strenuous activities since heatstroke may occur. Caution is advised when using this drug in the elderly because they may be more sensitive to its side effects. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known whether this medication passes into breast milk. Consult your doctor before breast-feeding.

Store at room temperature at 77 degrees F (25 degrees C) in the original sealed pouch away from heat or light. Brief storage between 59-86 degrees F (15-30 degrees C) is permitted. Do not store in the bathroom. Keep all medicines away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed (See How to Use section).

Skin redness/itching/irritation at the application site, dry mouth, drowsiness, dizziness, blurred vision, headache, weakness, nausea or constipation may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. To relieve dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water or use a saliva substitute. To prevent constipation, maintain a diet adequate in fiber, drink plenty of water, and exercise. If you become constipated, consult your pharmacist for help in choosing a laxative (e.g., stimulant-type with stool softener). Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor immediately if any of these unlikely but serious side effects occur: vision problems, difficulty urinating, signs of kidney infection (e.g., burning/painful/frequent urination, lower back pain), fast/irregular heartbeat, mental/mood changes, fever, flushed/hot/dry skin. Tell your doctor immediately if any of these rare but very serious side effects occur: eye pain, signs of stomach/intestinal blockage (e.g., severe stomach pain, persistent nausea/vomiting, severe constipation). A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.