Anturol

Generic Name: oxybutynin (topical) (OX i BUE ti nin)
Brand Names: Anturol, Gelnique

What is Anturol?

Anturol gel contains oxybutynin, an anticholinergic medicine that reduces muscle spasms of the bladder and urinary tract.

Anturol gel is used to treat symptoms of overactive bladder, such as frequent or urgent urination and incontinence (urine leakage). Anturol gel is supplied in a metered dose pump.

Anturol may also be used for purposes not listed in this medication guide.

Important information

You should not use Anturol if you are allergic to oxybutynin, or if you have uncontrolled narrow-angle glaucoma, a blockage in your digestive tract, if you have decreased urination, or if you are unable to urinate.

Before using Anturol, tell your doctor if you have urination problems, glaucoma, liver or kidney disease, myasthenia gravis, severe constipation, ulcerative colitis or other intestinal disorder, gastroesophageal reflux disease (GERD), or slow digestion.

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Do not bathe, shower, swim, use a hot tub, or exercise vigorously for at least 1 hour after applying Anturol gel.

It is best to cover treated skin areas with clothing after the gel has dried completely. This will help prevent getting this medicine on your other skin or on other people.

Anturol gel is flammable. Avoid using near open flame, and do not smoke until the gel has completely dried on your skin. Anturol may cause blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly. Drinking alcohol can increase certain side effects of Anturol.

Avoid becoming overheated or dehydrated during exercise and in hot weather. Drink plenty of fluids to keep yourself hydrated while you are using Anturol.

Before using Anturol

You should not use Anturol if you are allergic to oxybutynin, or if you have:

  • untreated or uncontrolled narrow-angle glaucoma;

  • a blockage in your digestive tract (stomach or intestines); or

  • if you have decreased urination or are unable to urinate.

To make sure you can safely use Anturol, tell your doctor if you have any of these other conditions:

  • bladder obstruction or other urination problems;

  • glaucoma;

  • liver disease;

  • kidney disease;

  • myasthenia gravis (a nerve-muscle disorder);

  • severe constipation;

  • an intestinal disorder such as ulcerative colitis; or

  • a stomach disorder such as gastroesophageal reflux disease (GERD) or slow digestion.

FDA pregnancy category B. Anturol is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether oxybutynin passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

See also: Pregnancy and breastfeeding warnings (in more detail)

How should I use Anturol?

Use Anturol exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Anturol comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Wash your hands with soap and water before and after applying this medication. Also wash the skin area to be treated, using a mild soap or cleanser. Allow the skin to dry completely before applying Anturol.

Anturol can be applied to the skin on your stomach, upper arm, shoulder, or thigh.

Do not apply the gel to recently shaved skin, open wounds, scars, tattoos, or irritated or broken skin. Do not apply to the breasts or genital areas.

Apply the gel to a different place on any of these skin areas each time you use it. Do not apply the gel to the same skin two days in a row.

To get the correct amount of Anturol gel for one application, press the pump down 3 times. You may pump the gel directly onto the treatment area.

Do not bathe, shower, swim, use a hot tub, or exercise vigorously for at least 1 hour after applying Anturol.

It is best to cover treated skin areas with clothing after the gel has dried completely. This will help prevent getting this medicine on your other skin or on other people. If someone else does come into contact with a treated skin area, they should wash the contact area right away with soap and water.

Anturol gel is flammable. Avoid using near open flame, and do not smoke until the gel has completely dried on your skin.

Store the Anturol at room temperature away from heat and moisture.

What happens if I miss a dose?

Apply the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include feeling restless or excited, warmth or tingly feeling, fever, thirst, hot and dry skin, uneven heart rate, vomiting, and urinating less than usual or not at all.

What should I avoid?

Avoid applying lotions, powders, or oils to the skin you plan to treat with Anturol. These other skin products can make it harder for your skin to absorb oxybutynin, and it may not work as well. You may apply Anturol gel to skin that has been treated with sunscreen.

Avoid getting Anturol in your eyes, nose, or mouth. If this does happen, rinse with water. This medication may cause blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly. Drinking alcohol can increase certain side effects of Anturol.

Avoid becoming overheated or dehydrated during exercise and in hot weather. Drink plenty of fluids to keep yourself hydrated while you are using Anturol.

Anturol side effects

Get emergency medical help if you have any of these signs of an allergic reaction to Anturol: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using Anturol and call your doctor at once if you have a serious side effect such as:

  • fever with hot, dry skin;

  • uneven heart rate;

  • pain, burning, or other difficulty when urinating; or

  • severe itching, redness, pain, rash, or other irritation where the medication was applied.

Less serious Anturol side effects may include:

  • mild skin irritation where the gel was applied;

  • cold symptoms such as stuffy nose, sneezing, sore throat;

  • dizziness, drowsiness, tired feeling;

  • headache;

  • blurred vision;

  • dry mouth;

  • constipation; or

  • nausea, vomiting, stomach cramps, diarrhea.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

What other drugs will affect Anturol?

Tell your doctor about all other medications you use, especially:

  • atropine (Atreza, Sal-Tropine), belladonna (Donnatal, and others), benztropine (Cogentin),

  • dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm Scop);

  • bladder or urinary medicines such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);

  • bronchodilators such as ipratropium (Atrovent) or tiotropium (Spiriva);

  • irritable bowel medicines such as dicyclomine (Bentyl), hyoscyamine (Hyomax), or propantheline (Pro Banthine);

  • medication to treat osteoporosis or Paget's disease of bone, such as alendronate (Fosamax), etidronate (Didronel), ibandronate (Boniva), pamidronate (Aredia), risedronate (Actonel, Atelvia), tiludronate (Skelid), or zoledronic acid (Zometa, Reclast); or

  • ulcer medications such as glycopyrrolate (Robinul) or mepenzolate (Cantil).

This list is not complete and other drugs may interact with Anturol. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about Anturol.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Anturol only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2014 Cerner Multum, Inc. Version: 2.03. Revision Date: 2012-06-01, 4:23:20 PM.

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