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Active ingredient: Oxybutynin 2,5mg/5mg
Other names for this medication:
Ditropan is an antispasmodic that has a relaxing effect on the detrusor muscle of the bladder (the muscle that contracts the bladder). The drug reduces the frequency of spontaneous contractions of the detrusor muscle, controls the sudden urge to empty the bladder and increases its capacity.
The antispasmodic drug is prescribed to children over 5 years of age, adults and elderly patients for the treatment of:
urinary incontinence (nocturnal enuresis)
overactivity of the detrusor muscle (mild leakage of urine, bedwetting)
Ditropan does not have a blocking effect on the autonomic ganglia and skeletal neuromuscular junctions. The maximum concentration of Ditropan in the blood is achieved after 45-60 minutes. Typically, the half-life is about 2 hours; in elderly patients, the half-life of Ditropan is increased.
For the treatment of bladder diseases, adult patients are prescribed one tablet of Ditropan 5 mg two or three times a day (10–15 mg of antispasmodic). The maximum recommended dose is four Ditropan 5 mg tablets (20 mg) per day.
The therapeutic dose of Ditropan for children is 10 mg per day (2 antispasmodic tablets), divided into two equal doses. The maximum daily dose of Ditropan that you purchased should not exceed 15 mg.
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Among the drugs, Ditropan has good performance. It is suitable for patients with both congenital and acquired urinary diseases. In addition, Ditropan can be used in childhood (from 5-6 years). It is well tolerated and has a small list of contraindications. It is recommended to buy or order the medicine after consulting a specialist (sold without a prescription).
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A missed dose of Ditropan should be taken as soon as you remember. If the next dose of an antispasmodic is approaching, do not take the missed dose. Just stick to your regular dosage schedule without doubling your dose of Ditropan.
The patient should take ditropan at regular times every day and avoid skipping tablets. While using Ditropan, the patient should avoid excessive physical exertion or taking an antispasmodic drug at high ambient temperatures.
Ditropan should be stored in a tightly closed container, protected from bright light, at room temperature up to 30°C.
Reflex (neurogenic) bladder is a pathology in which the bladder does not have control from the central nervous system. The functioning of this organ occurs reflexively. This disorder has a complex root cause and can occur after disturbances in intrauterine development, as well as be acquired. In the latter case, this occurs after damage to the nerves in the area of the genitourinary system.
Origin of the disease
With a reflex bladder, it is important how widespread the damage to the nervous system is, since the specific course of the disease and the nature of the symptoms often depend on this.
The following causes of neurogenic bladder disorders can be identified:
1. Congenital anomalies of the spine and spinal cord.
2. Diseases of the central nervous and genitourinary systems of an inflammatory nature with subsequent degenerative changes (including cancerous lesions).
3. Trauma (including nerve damage during childbirth and surgery).
Diagnosis and treatment of reflex bladder
The difficulty of diagnosing the disease lies in the abundance of different symptoms, because the doctor needs not only to establish the nature and type of dysfunction (there are more than 10 of them), but also to evaluate the functioning of the urinary tract, find the root cause of this phenomenon and identify associated disorders. Diagnosis includes a medical history, physical examination, tests, x-rays and scans of the genitourinary system, ultrasound diagnostics and examination with an endoscope of the inner surface of the bladder (cystoscopy).
The main method of treating bladder diseases of a neurogenic nature is drug therapy. The treatment regimen depends on the nature and strength of the disorders, as well as on the individual characteristics of the patients.