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Generic Name

Flavoxate Hydrochloride

Therapeutic Class: BPH/ Urinary retention/ Urinary incontinence

Indications:

Flavoxate is indicated for symptomatic relief of dysuria, urgency, nocturia, suprapubic pain, frequency and incontinence as may occur in cystitis, prostatitis, urethritis and urethrocystitis.

Presentation:
100: Each tablet contains Flavoxate Hydrochloride BP 100 mg .
200: Each tablet contains Flavoxate Hydrochloride BP 200 mg.

Description:

Flavoxate is a spasmolytic flavone derivative that acts by relaxing the smooth muscle in the urinary tract. Flavoxate is a competitive muscarinic receptor antagonist indicated for the treatment of overactive bladder with symptoms of urge urinary incontinence, urgency, and urinary frequency. Muscarinic receptors play an important role in several major cholin-ergically mediated functions, including contractions of urinary bladder smooth muscle and stimulation of salivary secretion.

Pharmacology:

Flavoxate acts as a direct antagonist at muscarinic acetylcholine receptors in cholinergically innervated organs. Its anticholinergic-parasympatholytic action reduces the tonus of smooth muscle in the bladder, effectively reducing the number of required voids, urge incontinence episodes, urge severity and improving retention, facilitating increased volume per void.

Dosage & Administration:

Adults and children over 12 years of age: 100 mg to 200 mg 3 times a day. With improvement of symptoms, the dose may be reduced.

Pediatric Use: Safety and effectiveness in children below the age of 12 years have not been established.

Indications:
Flavoxate is indicated for symptomatic relief of dysuria, urgency, nocturia, suprapubic pain, frequency and incontinence as may occur in cystitis, prostatitis, urethritis and urethrocystitis.

Contraindications:

Flavoxate is contraindicated in patients who have any of the following obstructive conditions: pyloric or duodenal obstruction, obstructive intestinal lesions or ileus, achalasia, gastrointestinal hemorrhage and obstructive uropathies of the lower urinary tract.

Side Effects:

• Gastrointestinal: Nausea, vomiting, dry mouth.
• CNS: Vertigo, headache, mental confusion, especially in the elderly, drowsiness, nervousness.
• Hematologic: Leukopenia (which is reversible upon discontinuation of the drug).
• Cardiovascular: Tachycardia and palpitation.
• Allergic: Urticaria and other dermatoses, eosinophilia and hyperpyrexia.
• Ophthalmic: Increased ocular tension, blurred vision, disturbance in eye accommodation.

Pregnancy & Lactation:

Pregnancy: Pregnancy Category B. This drug should be used during pregnancy only if clearly needed.

Nursing Mothers: It is not known whether this drug is excreted in human milk. Caution should be exercised when flavoxate is administered to a nursing woman.

Precautions & Warnings:

Flavoxate should be given cautiously in patients with suspected glaucoma

Storage:

Store Flavoxate at room temperature, between 20 and 25 degrees C