Flavoxate

Table of contents

  • Brand Names
  • Drug Combinations
  • Chemistry
  • Pharmacologic Category
  • Mechanism of Action
  • Therapeutic Use
  • Pregnancy and Lactation Implications
  • Contraindications
  • Warnings and Precautions
  • Adverse Reactions
  • Toxicological Effects
  • Genes that may be involved
  • Drug Interactions
  • Nutrition/Nutraceutical Interactions
  • Dosage
  • Pharmacokinetics and Pharmacodynamics
  • Special Considerations

Brand Names

Europe

Belgium: Urispas; Denmark: Urispadol; France: Urispas; Germany: Spasuret; Greece: Verispasmin; Ireland: Urispas; Italy: Genurin; Netherlands: Urispas, Uronid; Portugal: Urispas; Slovakia: Genurin; Spain: Uronid; UK: Urispas.

North America

Canada: Flavoxate, Urispas; USA: Flavoxate, Urispas.

Latin America

Argentina: Bladuril; Brazil: Genurin-S; Mexico: Bladuril.

Asia

Japan: Apolakeat, Bladderon, Bolaboran, Flavonate, Flavosert, Gistelink, Harnin, Latobolel, Lollarm, Progut, Ruadan, Sawadaron, Urinaron, Urostate, Urotailon.

Drug combinations

Flavoxate and Propyphenazone

Chemistry

Flavoxate Hydrochloride: C~24~H~25~NO~4~ HCl. Mw: 427.92. (1) 4H-1-Benzopyran-8-carboxylic acid, 3-methyl-4-oxo-2-phenyl-, 2-(1-piperidinyl)ethyl ester, hydrochloride; (2) 2-Piperidinoethyl 3-methyl-4-oxo-2-phenyl-4H-1-benzopyran-8-carboxylate hydrochloride. CAS-3717-88-2; CAS-15301-69-6 (flavoxate)(1968).

Pharmacologic Category

Genitourinary Smooth Muscle Relaxants. (ATC-Code: G04BD02).

Mechanism of action

Flavoxate, a derivative of flavone, is a genitourinary antispasmodic. Exerts a direct relaxant effect on smooth muscles via phosphodiesterase inhibition, providing relief to a variety of smooth muscle spasms. Especially useful for treatment of bladder spasticity, whereby it produces increase in urinary capacity.

Therapeutic use

Used as an antispasmodic to provide symptomatic relief of dysuria, urgency, nocturia, suprapubic pain, frequency, and incontinence that may occur in cystitis, prostatitis, urethritis, urethrocystitis, or urethrotrigonitis. Flavoxate not shown to be more effective in treatment of these conditions than antimuscarinic agents.

Pregnancy and lactiation implications

There are no well-controlled studies using flavoxate in pregnant women. Should be used during pregnancy only when clearly needed, and used with caution in nursing women.

Unlabeled use

Contraindications

Hypersensitivity to flavoxate. Pyloric or duodenal obstruction. GI hemorrhage. GI obstruction. Ileus. Achalasia. Obstructive uropathies of lower urinary tract. Benign prostatic hyperplasia.

Warnings and precautions

May cause CNS depression. May cause ocular disturbances, or vertigo. Use with caution in suspected glaucoma.

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