Monograph Details
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Urogenital System
> Overactive bladder/enuresis
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SANCTURA |
| Manufacturer |
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Allergan |
| Legal Classification |
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Rx
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| Pharmacological Class |
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Antispasmodic/anticholinergic. |
| Generic Name |
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Trospium chloride 20mg; tabs. |
| Also |
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• SANCTURA XR
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| Indications |
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Overactive bladder with symptoms of urge urinary incontinence, urgency, and frequency. |
| Children |
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Not recommended. |
| Adults |
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Take on empty stomach. 20mg twice daily. ≥75yrs: 20mg once daily if twice daily dose not tolerated. Severe renal impairment (CrCl<30mL/min): 20mg once daily at bedtime. |
| Contraindications |
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Gastric or urinary retention; uncontrolled narrow-angle glaucoma; and patients at risk for these conditions. |
| Precautions |
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Bladder outflow obstruction. GI obstructive disorders. Ulcerative colitis. Narrow-angle glaucoma (monitor). Intestinal atony. Myasthenia gravis. Exposure to high environmental temperature. Renal insufficiency (CrCl 30–80mL/min). Moderate to severe hepatic dysfunction. Pregnancy (Cat.C). Nursing mothers. |
| Interactions |
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Additive anticholinergic effects with other anticholinergics. Increased drowsiness with alcohol; avoid consumption within 2hrs of administration. May alter absorption of other drugs (decreased GI motility). May potentiate or be potentiated by drugs eliminated by active tubular secretion (eg, digoxin, procainamide, pancuronium, morphine, vancomycin, metformin, tenofovir); monitor. |
| Adverse Reactions |
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Anticholinergic effects (dry mouth, constipation, dry eyes, urinary retention, blurred vision), dyspepsia, headache. |
| How Supplied |
Caps—30
Tabs—60, 500
Blister pack (14 tabs/pack)—1 |
| Additional Resources |
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• Related Prescribing Note |
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