Ditropan

Leaflet attached to the packaging: information for the user

Warning! The leaflet should be kept. Information on the immediate packaging in a foreign language.

Ditropan, 5 mg, tablets

Oxybutynin hydrochloride

You should carefully read the contents of the leaflet before using the medicine, as it contains important information for the patient.

• You should keep this leaflet, so that you can read it again if necessary.
• In case of any doubts, you should consult a doctor or pharmacist.
• This medicine has been prescribed specifically for you. Do not pass it on to others. The medicine may harm another person, even if the symptoms of their illness are the same.
• If the patient experiences any side effects, including those not mentioned in this leaflet, they should inform their doctor, pharmacist, or nurse. See section 4.

Table of contents of the leaflet:

• 1. What is Ditropan and what is it used for
• 2. Important information before using Ditropan
• 3. How to use Ditropan
• 4. Possible side effects
• 5. How to store Ditropan
• 6. Contents of the packaging and other information

1. What is Ditropan and what is it used for

Ditropan is a tablet that contains the active substance oxybutynin hydrochloride. The medicine has a relaxing effect on the smooth muscles of the urinary bladder in patients with symptoms of urinary bladder instability.

Ditropan is indicated for the relief of symptoms of urinary bladder instability, with disturbances of urination in patients with a neurogenic bladder - hyperreflexia of the detrusor muscle (symptoms such as urgent urination, incontinence, difficulty urinating).

Ditropan may be used in children aged 5 years or older for the treatment of:

• loss of control over urination (incontinence),
• frequent urination or sudden urge to urinate,
• nocturnal enuresis, in combination with non-drug therapy when other treatment methods have not been effective.

2. Important information before using Ditropan

When not to use Ditropan:

• if the patient is allergic to the active substance or any of the other ingredients of this medicine (listed in section 6),
• in the case of narrow-angle glaucoma or a shallow anterior chamber of the eye,
• in the case of obstruction of the outflow of urine from the urinary bladder, in cases where urinary retention may occur,
• in the case of partial or complete intestinal obstruction, paralytic ileus, or atony of the intestines,
• in the case of toxic megacolon,
• in the case of severe ulcerative colitis,
• in the case of myasthenia gravis.

Warnings and precautions

Before starting to use Ditropan, you should discuss it with your doctor or pharmacist.

• Ditropan should be used with caution if the patient has Parkinson's disease, autonomic nervous system neuropathy, and/or kidney or liver dysfunction. This is due to the increased risk of side effects after administration of the medicinal product.
• Ditropan may reduce the motility of the gastrointestinal tract. Therefore, caution should be exercised in patients with partial or complete intestinal obstruction, atony of the intestines, or ulcerative colitis.
• Ditropan may exacerbate symptoms of tachycardia (including hyperthyroidism, congestive heart failure, arrhythmias, coronary artery disease, and hypertension), cognitive impairment, and symptoms of prostate enlargement.
• The anticholinergic effect of Ditropan may cause symptoms such as hallucinations, agitation, disorientation, and drowsiness. The doctor may consider monitoring the patient's condition, especially in the first month of treatment or after dose adjustment.
• Ditropan may cause narrow-angle glaucoma. You should contact your doctor immediately if you experience a loss of vision or eye pain.
• Ditropan may reduce saliva production, which can lead to tooth decay, periodontal disease, or oral candidiasis.
• This medicine should be used with caution if the patient has a hiatal hernia with accompanying gastroesophageal reflux and/or during concomitant use of medications such as bisphosphonates, as Ditropan may cause or exacerbate esophagitis.
• Taking Ditropan in a hot climate or in a very warm room may cause heat stroke due to reduced sweating.
• In the case of a history of drug or substance abuse, Ditropan may cause dependence on the active substance oxybutynin.

If any of the above diseases apply to the patient, they should inform their doctor before starting to use the medicine.

Elderly patients (including frail elderly patients)

Elderly people should exercise caution when using Ditropan, as they may be more sensitive to the side effects of this medicine and have a higher risk of cognitive impairment.

Children and adolescents

Children under 5 years of age
It is not recommended to use Ditropan in children under 5 years of age.
Children aged 5 years or older
This medicine should not be given to a child without prior consultation with a doctor. Children may be more sensitive to the side effects of Ditropan.

Ditropan and other medicines

You should tell your doctor about all medicines you are currently taking or have recently taken, as well as any medicines you plan to take.
You should exercise caution when using the following medicines concomitantly with Ditropan:

• other anticholinergic medicines, such as amantadine (used to treat influenza and Parkinson's disease),
• other anticholinergic medicinal products used to treat Parkinson's disease (e.g., biperiden, levodopa),
• antihistamine medicines (used to treat allergy symptoms),
• antipsychotic medicines - used to treat mental disorders, e.g., schizophrenia (phenothiazine derivatives, butyrophenone derivatives, clozapine),
• quinidine, digitalis glycosides (used to treat arrhythmias),
• tricyclic antidepressants,
• atropine and its derivatives, such as atropine-like antispasmodic medicines,
• dipyridamole (a medicine that prevents blood clots),
• medicines used to treat dementia, such as donepezil, rivastigmine, galantamine (cholinesterase inhibitors),
• CYP3A inhibitors, including ketoconazole, itraconazole, or fluconazole, used to treat fungal infections, or erythromycin or other macrolide antibiotics used to treat bacterial infections,
• medicines for gastrointestinal disorders, such as domperidone, metoclopramide, or betanechol.

Due to the reduced motility of the stomach, Ditropan may affect the absorption of other medicines from the gastrointestinal tract, e.g., it may increase the absorption of digoxin (used to treat arrhythmias) and reduce the absorption of lidocaine (used for local anesthesia), paracetamol (a pain reliever), lithium salts (used to treat bipolar affective disorder), tetracyclines (antibiotics), phenylbutazone (an anti-inflammatory medicine), sulfamethoxazole, cotrimoxazole (antibiotics), and prolonged-release medicines.

Ditropan with food, drink, and alcohol

Food does not affect the absorption of the medicine from the gastrointestinal tract.
Alcohol may enhance the drowsiness caused by anticholinergic medicines, such as oxybutynin.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, you should consult your doctor before using this medicine.
Pregnancy
Ditropan may be used during pregnancy only if its use is absolutely necessary. This will be decided by your doctor.
Breastfeeding
Small amounts of oxybutynin pass into breast milk. It is not recommended to use Ditropan during breastfeeding.

Driving and using machines

Ditropan may cause drowsiness and blurred vision. If you experience these symptoms, you should not drive, operate machinery, or perform tasks that may be potentially hazardous.

Ditropan contains lactose

If your doctor has told you that you have an intolerance to some sugars, you should contact your doctor before taking this medicine.

Ditropan contains sodium

The medicine contains less than 1 mmol (23 mg) of sodium per tablet, which means that it is considered "sodium-free".

3. How to use Ditropan

This medicine should always be used as directed by your doctor. If you are unsure, you should consult your doctor.
The tablet can be divided into equal doses.
Dosage
The exact dose will be determined individually by your doctor, although the following doses are generally recommended.

Adults

The usual recommended dose is 1 tablet of Ditropan 2 to 3 times a day. The maximum dose should not be exceeded, which is 4 tablets per day.

Elderly patients (including frail elderly patients)

The recommended dose is usually half a tablet 2 times a day. The dose can be increased to 1 tablet 2 times a day to achieve the desired clinical response, provided that the medicine is well tolerated.

Use in children

Children under 5 years of age
It is not recommended to use the medicine.
Children aged 5 years or older
The usual recommended dose is 1 tablet of Ditropan 2 times a day. The dose can then be increased to 1 tablet 2 to 3 times a day.
The maximum dose should not be exceeded, which is 3 tablets per day.
If you feel that the effect of Ditropan is too strong or too weak, you should consult your doctor.
Method of administration
The tablets are intended for oral use. They have an unpleasant taste and should be swallowed with a glass of water.

Using a higher dose of Ditropan than recommended

Symptoms of overdose:
restlessness, agitation, mental disorders, circulatory disorders (flushing, decreased blood pressure, circulatory failure), respiratory failure, and in severe cases, paralysis and coma.
In the case of severe overdose, the patient should be hospitalized and monitored for cardiovascular function.
If you have taken a higher dose of Ditropan than recommended, you should immediately consult your doctor or pharmacist.

Missing a dose of Ditropan

If you miss a dose of the medicine, you should take it as soon as possible, unless it is almost time for the next dose. You should not take a double dose to make up for the missed dose. If you are unsure, you should consult your doctor.

Stopping the use of Ditropan

If you have any further doubts about the use of this medicine, you should consult your doctor or pharmacist.

4. Possible side effects

Like all medicines, Ditropan can cause side effects, although not everybody gets them.
The following side effects may occur when using Ditropan:
Very common(more than 1 in 10 people):
constipation, nausea, dry mouth, headache, dizziness, drowsiness, blurred vision, dry skin.
Common(less than 1 in 10 people):
diarrhea, vomiting, consciousness disorders (disorientation), dry eyes, urinary retention, flushing of the face, rapid or irregular heartbeat.
Uncommon(less than 1 in 1,000 people):
discomfort in the abdominal cavity, loss of appetite, difficulty swallowing.
Frequency not known(cannot be estimated from the available data):
urinary tract infections, gastroesophageal reflux, pseudo-obstruction in patients at high risk (elderly patients or patients with constipation and treated with other medicines that reduce intestinal motility), cognitive impairment, especially in elderly patients, seizures, drowsiness, agitation, anxiety, hallucinations, nightmares, paranoia, symptoms of depression, dependence on oxybutynin (in patients with a history of drug abuse), tachycardia (rapid heart rate), arrhythmias, heat stroke, increased intraocular pressure, narrow-angle glaucoma, mydriasis, hypersensitivity to light, reduced sweating, allergic reactions, such as: rash, urticaria (local changes in the form of blisters and redness on the skin), angioedema (an allergic reaction characterized by swelling and/or edema, mainly on the face and limbs), hypersensitivity, nosebleeds, muscle disorders (muscle weakness, pain, cramps).

Reporting side effects

If you experience any side effects, including those not mentioned in this leaflet, you should inform your doctor, pharmacist, or nurse. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products
Al. Jerozolimskie 181C
02-222 Warsaw
tel.: + 48 (22) 49 21 301
fax: + 48 (22) 49 21 309
website: https://smz.ezdrowie.gov.pl
By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store Ditropan

The medicine should be stored out of sight and reach of children.
You should not use this medicine after the expiry date stated on the packaging. The expiry date refers to the last day of the month.
Store in the original packaging. Store at a temperature below 30°C.
Medicines should not be disposed of via wastewater or household waste. You should ask your pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Contents of the packaging and other information

What Ditropan contains

• The active substance of the medicine is oxybutynin hydrochloride 5 mg
• The other ingredients are: lactose, microcrystalline cellulose, calcium stearate, aluminum lake with indigo.

What Ditropan looks like and what the packaging contains

Light blue, round, biconvex tablets with the inscription "OXB5" on one side and a dividing line on the other side.
Packaging of 30 tablets in PVC/Aluminum blisters in a cardboard box.
For more detailed information, you should contact the marketing authorization holder or the parallel importer.

Marketing authorization holder in France, the country of export:

Cheplapharm Arzneimittel GmbH
Ziegelhof 24
17489 Greifswald
Germany

Manufacturer:

Fidelio Healthcare Limburg GmbH
Mundipharmastraße 2
65549 Limburg an der Lahn
Germany
Sanofi Winthrop Industrie
30-36, avenue Gustave Eiffel
37100 Tours
France
Delpharm Dijon
6, boulevard de l'Europe
21800 Quetigny
France

Parallel importer:

Delfarma Sp. z o.o.
ul. Św. Teresy od Dzieciątka Jezus 111
91-222 Łódź

Repackaged by:

Delfarma Sp. z o.o.
ul. Św. Teresy od Dzieciątka Jezus 111
91-222 Łódź
Authorization number in France, the country of export:
327 307-5
34009 327 307 5 9
563 854-6
34009 563 854 6 1

Parallel import authorization number: 327/12

Date of approval of the leaflet: 11.04.2025