Every person during his life may have various intimate problems that you don’t want to talk about, and if you have to, only in a whisper. One such problem is urinary incontinence. It can occur in both young children and adults. Incontinence can occur with diseases of the urinary tract and with various mental illnesses. If urination is regular and undisturbed, but there is incontinence, this indicates an anomaly in the development of the bladder and urinary canals. In case of incontinence, no matter what the cause of this problem is, doctors often prescribe the drug "Driptan", patient reviews show that this drug helps to get rid of such unpleasant phenomena. "Driptan" is a drug that helps to reduce the tone of the smooth muscles of the bladder and urinary tract.
Composition and release form
The main active ingredient of this drug is hydrochlorideoxybutynin. Driptan also contains various excipients, such as lactose, microcrystalline cellulose and calcium stearate.
The drug is available in the form of round tablets that are white. The shape of the tablet is biconvex, on one side there is a risk for division.
One blister contains 30 tablets. The drug is available in a cardboard box, which may contain one or two blisters.
Pharmacological action
The drug "Driptan" belongs to the group of antispasmodics. The drug has a direct antispasmodic, as well as m-anticholinergic and myotropic effects. The tool helps to relax the detrusor and increase the capacity of the bladder. In addition, thanks to this drug, the frequency of contractions of the detrusor is reduced, and the urge to urinate is suppressed.
Pharmacokinetics
After the drug enters the human body, Cmax is reached after 45 minutes. The applied dose of the drug is proportional to the concentration.
Indications for use
Driptan can be used by both adults and children. This remedy is prescribed for adults in case of instability of the detrusor function and with urinary incontinence. Instability of bladder function and imperative urges with it are also considered indications for the use of Driptan. It is also used in idiopathic hyperactivity.bladder and frequent urination. It is often used to control overactive bladder that can occur with cystitis, or after bladder or prostate surgery.
They can also prescribe "Driptan" to children with urinary incontinence or frequent urination. Indications for the use of this drug in children may be unstable bladder function due to neurogenic dysfunction. Nocturnal enuresis is also an indication for taking these tablets. In children, adiopathic dysfunction also occurs, as a result of which Driptan is prescribed. Doctors' comments showed that the drug is well tolerated by children, which speeds up their recovery.
Contraindications
The first contraindication is the body's hypersensitivity to the main active ingredient or auxiliary drugs. Also, the drug is contraindicated in children under the age of 5 years. You can not use the drug with fever and in conditions of elevated temperature. The drug is not recommended for use during pregnancy and breastfeeding. The drug "Driptan" is prohibited for use in severe ulcerative colitis and urinary tract obstruction.
In addition, the drug is not taken for diseases such as myasthenia gravis, narrow-angle glaucoma, colostomy, toxic megacolon, ileostomy, esophageal dysfunction. Contraindications to the use of this drug are also organic,paralytic or functional intestinal obstruction, as well as intestinal atony and pyloric stenosis.
"Driptan": application (basic rules)
This drug is taken by mouth. An adult is supposed to take the drug 2-3 times a day, 1 tablet. The tablet can be divided in half for more convenient use. The maximum daily dose of oxybutynin hydrochloride is 20 mg.
Elderly patients should take half a tablet twice a day. If necessary, and under the close supervision of a doctor, you can take the whole tablet also 2 times.
"Driptan" children are prescribed one tablet per day, dividing it into 2 doses. It is also acceptable to take 2 tablets a day, but under the supervision of a doctor.
Side effect
Driptan has a relatively large number of side effects.
- Gastrointestinal: May experience nausea, dry mouth, vomiting, abdominal discomfort or pain, diarrhea or constipation.
- CNS side effects: dizziness, drowsiness, convulsions or headache may occur. Appetite may also decrease. In addition, hallucinations, confusion, agitation, bad dreams, paranoia, anxiety, and disorientation are possible.
- Concerning the eyes: blurred vision and dryness of the conjunctiva may appear, intraocular pressure may increase, and pupils dilate (this is indicated by the instructions for use attached to the Driptan preparation). Reviewsshowed that this side effect is rare, while it is hardly noticeable.
- Regarding the kidneys and urinary tract, there may be dysuria and urinary retention.
- Regarding the heart: possible manifestation of cardiac arrhythmia, hot flashes and tachycardia.
- Also possible skin reactions. For example, rash, dryness, angioedema, or hives.
To avoid side effects, you should carefully take Driptan. Reviews have shown that this drug is well tolerated by children and adults when taken as directed.
Overdose
The instruction warns that an overdose of this drug is possible. If the dose of this drug is exceeded, symptoms such as hallucinations, convulsions, tremors, restlessness, delirium may occur. Possible increased nervousness, fever, vomiting, nausea. Blood pressure may also decrease, tachycardia and respiratory failure may occur. In very difficult cases, paralysis and coma are possible.
To get rid of the symptoms of an overdose, you need to wash the stomach and take activated charcoal, you can also induce vomiting artificially or use saline laxatives. If necessary, breathing support should be provided. To remove the symptoms of anticholinergic intoxication, you need to use cholinesterase blockers. In case of observation of severe anxiety or excitability, 10 mg of diazepam should be administered. If tachycardia is manifested - in / inpropranolol.
Drug Interactions
If you take this drug in parallel with "Lizuride", there may be a violation of consciousness. Care should also be taken when using this medicine concomitantly with other anticholinergics so as not to potentiate the anticholinergic effect.
Also, "Driptan" can not be used together with butyrophenones, phenothiazines, tricyclic antidepressants, amantidine and levodopa. When taking "Driptan" there is a decrease in gastric motility, which may worsen the absorption of other drugs. It is not recommended to combine alcohol with this drug.
Driptan during pregnancy
During pregnancy, taking this drug is possible, but only if there are strict indications. It is advisable to take the drug under medical supervision. If taking the remedy is necessary during the lactation period, breastfeeding should be stopped for a while.
Special Instructions
Care should be taken in patients with renal and hepatic insufficiency. Patients with hyperthyroidism and heart failure, as well as those who suffer from arrhythmia or arterial hypertension, should also be careful about taking pills.
Drug price
Relatively expensive drug "Driptan" is considered. The price for it in different pharmacies ranges from 1,000 to 1,500 rubles for a pack of 30 tablets.
Drug storage
This medicine must be kept away fromchildren. Storage temperature should not exceed 28 degrees. The shelf life of the drug is 36 months. A prescription medication is dispensed.
"Driptan": analogues
Due to the fact that the drug is dispensed exclusively by prescription, pharmacies often ask for its substitutes. You should consult with a pharmacist and tell him why the drug is being bought, since it belongs to two drug groups. Taken in violation of urination - the first group, which includes "Driptan". Analogues in this case are "Vero-Pigeum", "Capsicum-plus", "Aktipol". The second group - drugs that are prescribed for nighttime urinary incontinence. This group also includes "Apo-Famotidine".
Reviews about the drug
Many adults and even older people only speak positively about this drug. Mothers who have had to give pills to their children also believe that the medicine has a positive effect and is well tolerated by young patients.
There is also a negative opinion about the drug "Driptan". Reviews of some adults showed that the medicine did not help get rid of the disease, besides, when it was taken, abdominal pains appeared, which disappeared after the drug was discontinued. But in order for the drug to have the desired effect, it must be taken only under the supervision of a doctor.
