What is Oxybutynin: Uses, Warnings & Interactions

Updated May 14, 2025  •  Published Dec 30, 2020

Oxybutynin chloride is a generic prescription drug available as a tablet, extended-release tablet, solution, syrup, or topical gel. Oxybutynin skin patches (Oxytrol) contain base oxybutynin. You can find information about oxybutynin and brand-name Oxytrol here. Oxybutynin chloride is an anticholinergic medication. It blocks nerve signals to the bladder muscles, relaxing those muscles and reducing their contractions or spasms.

Oxybutynin overview

BRAND NAMES:

  • Ditropan XL, Gelnique

Generic Names:

  • Oxybutynin chloride

Uses:

  • Treats overactive bladder

Therapeutic Classes:

  • Urinary antispasmodic, anticholinergic, antimuscarinic

Forms:

  • Tablet, long-acting tablet, solution, syrup, gel

How it’s taken:

  • By mouth, on the skin

What is Oxybutynin used for?

Oxybutynin chloride treats overactive bladder and neurogenic bladder, a bladder control problem caused by nerve damage.

What form(s) does Oxybutynin come in

  • Tablet

    • 5 mg

  • Long-acting tablet

    • 5 mg

    • 10 mg

    • 15 mg

  • Solution (liquid)

    • 5 mg/5 mL

  • Syrup (liquid)

    • 5 mg/5 mL

  • Gel

    • 10%

What are common Oxybutynin doses?

  • For overactive bladder: 

    • In adults: 5 mg tablet taken two to three times daily OR 5–30 mg extended-release tablet taken once at the beginning of the day OR 5 mL solution or syrup taken two times daily OR one Gelnique sachet or pump actuation applied once daily to the skin

    • In children 5 years of age or older: 5 mg tablet taken two times daily OR 5 mL solution or syrup two times daily

    • In children 6 years of age or older: 5–20 mg extended-release tablet taken once at the beginning of the day

Common Oxybutynin prescriptions

  • oxyBUTYnin Chloride
    473ml of 5mg/5ml bottle

  • oxyBUTYnin Chloride
    2.5mg tablet

  • oxyBUTYnin Chloride
    5mg tablet

How to take Oxybutynin

  • Take your medicine as directed. The dose may change a few times to get the best results.

  • Oxybutynin chloride oral doses may be taken with food or on an empty stomach. If stomach problems occur, try taking doses with food.

  • How to take oxybutynin chloride tablets:

    • Swallow the tablets with water or other liquids.

    • Store oxybutynin tablets at room temperature in a light-resistant container.

  • How to take oxybutynin chloride tablets:

    • Take extended-release tablets at roughly the same time each day.

    • Swallow the tablets whole with a sip of water. Do not crush, break, or chew them.

    • Store oxybutynin extended-release tablets at room temperature, protected from moisture and humidity.

  • How to take oxybutynin chloride syrup or solution:

    • Measure each dose using a calibrated measuring spoon, oral syringe, or medicine cup.

    • Store at room temperature in a closed container.

  • How to administer Gelnique oxybutynin chloride topical gel:

    • Please read and follow the Patient Instructions that come with this medicine.

    • Gelnique should only be used on the skin. Do not swallow it.

    • Apply only to dry, intact skin on the abdomen, shoulders, upper arms, or thighs.

    • Choose a different application site day by day.

    • Do not apply Gelnique to the skin near the mouth, nose, or eyes.

    • Do not put Gelnique on sores, wounds, or skin that has just been shaved.

    • Gelnique comes in a pump bottle or individual sachets.

    • A single dose consists of either one sachet or one pump actuation. 

    • Doses are applied once per day.

    • Wash your hands with soap and water when finished.

    • Do not let other people come in contact with the treated skin. If necessary, cover the treated skin with clothing to prevent contact.

    • Store Gelnique at room temperature in a dry place.

What to do if you miss a dose of Oxybutynin

  • If a dose is missed, take it when remembered.

  • Skip the missed dose if it’s almost time for the next dose. Take the next dose as scheduled.

  • Take only one extended-release tablet daily. If a day’s dose is missed and it’s the next day, take the next day’s dose.

  • Do not take two doses to make up for a missed dose.

Oxybutynin contraindications

  • This medicine is not right for everyone. 

  • Do not use it if you had an allergic reaction to oxybutynin or have:

    • Urinary retention

    • Gastric retention

    • Other conditions that severely slow down the digestive system, such as very slow stomach emptying or intestinal motility problems

    • Uncontrolled narrow-angle glaucoma

Oxybutynin warnings

  • Tell any doctor, dentist, or other healthcare professional who treats you that you are using this medicine. 

  • The doctor will need to perform regular examinations to check on the effects of this medicine. Keep all appointments.

  • Tell your doctor if you are pregnant, breastfeeding, or if you have:

    • Kidney disease

    • Liver impairment

    • Dementia 

    • Problems urinating or completely emptying the bladder

    • Problems with delayed stomach emptying

    • Constipation or other conditions that slow down the intestines, like ulcerative colitis

    • Gastroesophageal reflux disease (GERD)

    • Esophagus problems (esophagitis)

    • Glaucoma or a family history of glaucoma

    • Myasthenia gravis

    • Parkinson’s disease

  • Oxybutynin chloride may cause:

    • Asthma symptoms

    • Urinary retention

    • Constipation

    • Eye or vision problems

    • Psychiatric and nervous system effects like mood changes, behavior changes, and hallucinations

  • This medicine may make you dizzy, drowsy, or affect your vision. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.

  • This medicine may make you sweat less, causing your body to get too hot. Take precautions if you exercise strenuously or are outside in hot weather. Drink plenty of fluids to stay hydrated.

Oxybutynin interactions

  • To avoid possible drug interactions, tell the prescriber about all the prescription drugs, over-the-counter medications, supplements, and herbal remedies you take, particularly:

    • Osteoporosis drugs called bisphosphonates

    • Drugs similar to oxybutynin called anticholinergics

    • Drugs that cause drowsiness, such as narcotic pain relievers, antihistamines, sleeping pills, or benzodiazepines

    • Clarithromycin, erythromycin, itraconazole, ketoconazole, metoclopramide

  • Avoid alcohol when taking oxybutynin chloride. Drinking may worsen oxybutynin side effects such as drowsiness, dizziness, and impairment.

  • Tell other healthcare professionals about oxybutynin chloride use before they prescribe new medications.

Oxybutynin side effects

Serious side effects

Talk to a doctor if you notice any signs or symptoms of a possible serious side effect, including:

  • Change in how much or how often you urinate, difficult or painful urination

  • Hot, dry skin, lack of sweating, weakness

  • Agitation, confusion, unusual behavior or drowsiness, seeing, hearing, or feeling things that are not there

  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing

Less serious side effects

  • Dry mouth

  • Dizziness

  • Constipation

  • Sleepiness

  • Application site reactions (gel)

Sources:

Subscribe to our savings newsletter

Health education, drug info, wellness & more

By clicking 'Subscribe', I agree to SingleCare's Terms & Conditions.