Abstract

Abstract Background: Overactive bladder is an age-related urologic disease. An oxybutynin transdermal patch is used to treat overactive bladder; however, long-term use is not advised because of potential adverse

Highlights

  • The incidence of overactive bladder (OAB) has increased in Japan because of rapid aging of the population [1]

  • No significant differences were observed in skin hydration at the lower back area after application of the heparinoid cream; skin hydration in the lower abdomen and femoral areas improved significantly (Figure 3)

  • We investigated the effect of heparinoid cream application on the outcomes of treatment with an oxybutynin transdermal patch in elderly patients with OAB

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Summary

Introduction

The incidence of overactive bladder (OAB) has increased in Japan because of rapid aging of the population [1]. A major symptom of OAB, decreases the quality of life of patients with OAB [2], therapeutic drugs including muscarinic antagonists and β3-adrenoceptor agonists are administered clinically to improve bladder urine retention. Selective muscarinic antagonists are used as first-line drugs to treat OAB [3] and have been developed as an alternative to oral administration of oxybutynin in order to enhance pharmacotherapeutic tolerance. Production of N-desethyloxybutynin (DEO), an active metabolite of oxybutynin, is lower with transdermal patches than with oral formulations because oxybutynin is absorbed through the skin, thereby avoiding the hepatic first-pass effect [5]. The present study aimed to investigate the advantages of administering a combination of heparinoid cream and oxybutynin transdermal patch treatment for overactive bladder in elderly patients

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