Flavoxate Hydrochloride: Indications, Dosage, Precautions, Adverse Effects
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Flavoxate Hydrochloride - Product Information

Manufacture: Epic Pharma LLC
Country: United States
Condition: Cystitis (Bladder Infection), Dysuria, Overactive Bladder, Prostatitis, Urinary Tract Infection, Urinary Incontinence
Class: Urinary antispasmodics
Form: Tablets
Ingredients: flavoxate hydrochloride, silicon dioxide, starch, corn, calcium phosphate, dibasic, dihydrate, magnesium stearate, hypromellose 2910 (50 mpa.s), polydextrose, polyethylene glycol 8000, titanium dioxide, triacetin

Description

Flavoxate hydrochloride tablets contain flavoxate hydrochloride, a synthetic urinary tract spasmolytic.

Chemically, flavoxate hydrochloride is 2-piperidinoethyl 3-methyl-4-oxo-2-phenyl -4H-1-benzopyran-8-carboxylate hydrochloride. The empirical formula of flavoxate hydrochloride is C24H25NO4•HCl. The molecular weight is 427.94. The structural formula appears below.

Figure 1

Each tablet for oral administration contains 100 mg flavoxate hydrochloride. In addition, each tablet contains the following inactive ingredients: colloidal silicon dioxide, corn starch, dibasic calcium phosphate dihydrate, magnesium stearate, hypromellose, polydextrose, polyethylene glycol, titanium dioxide and triacetin.

Clinical Pharmacology

Flavoxate hydrochloride counteracts smooth muscle spasm of the urinary tract and exerts its effect directly on the muscle.

In a single study of 11 normal male subjects, the time to onset of action was 55 minutes. The peak effect was observed at 112 minutes. 57% of the flavoxate hydrochloride was excreted in the urine within 24 hours.

Indications and Usage

Flavoxate hydrochloride tablets are indicated for symptomatic relief of dysuria, urgency, nocturia, suprapubic pain, frequency and incontinence as may occur in cystitis, prostatitis, urethritis, urethrocystitis/urethrotrigonitis. Flavoxate hydrochloride tablets are not indicated for definitive treatment, but are compatible with drugs used for the treatment of urinary tract infections.

Contraindications

Flavoxate hydrochloride 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.

Warnings

Flavoxate hydrochloride should be given cautiously in patients with suspected glaucoma.

Precautions

Information for Patients

Patients should be informed that if drowsiness and blurred vision occur, they should not operate a motor vehicle or machinery or participate in activities where alertness is required.

Carcinogenesis, Mutagenesis, Impairment of Fertility

Mutagenicity studies and long -term studies in animals to determine the carcinogenic potential of flavoxate hydrochloride have not been performed.

Pregnancy

Teratogenic Effects-Pregnancy Category B

Reproduction studies have been performed in rats and rabbits at doses up to 34 times the human dose and revealed no evidence of impaired fertility or harm to the fetus due to flavoxate hydrochloride. There are, however, no well -controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, 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. Because many drugs are excreted in human milk, caution should be exercised when flavoxate hydrochloride is administered to a nursing woman.

Pediatric Use

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

Adverse Reactions

The following adverse reactions have been observed, but there are not enough data to support an estimate of their frequency.

Gastrointestinal

Nausea, vomiting, dry mouth.

CNS

Vertigo, headache, mental confusion, especially in the elderly, drowsiness, nervousness.

Hematologic

Leukopenia (one case which was 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.

Renal

Dysuria.

Overdosage

The oral LD50 for flavoxate hydrochloride in rats is 4273 mg/kg. The oral LD50 for flavoxate hydrochloride in mice is 1837 mg/kg.

It is not known whether flavoxate hydrochloride is dialyzable.

Dosage and Administration

Adults and Children Over 12 Years of Age

One or two 100 mg tablets 3 or 4 times a day. With improvement of symptoms, the dose may be reduced. This drug cannot be recommended for infants and children under 12 years of age because safety and efficacy have not been demonstrated in this age group.

How Supplied

Flavoxate hydrochloride 100 mg tablets are available as white, round biconvex, film-coated tablets, debossed “Є58” on one side and plain on the other side, and are available in bottles of 100 and 1000.

Store at 20° - 25°C (68° - 77°F) [see USP Controlled Room Temperature]. Dispense contents in a tight, light-resistant container.

Manufactured by

Epic Pharma, LLC

Laurelton, NY 11413

Manufactured in USA

Revised December 2015

MF058REV12/15

OE1140