This medicine is an anticholinergic agent used to treat muscle spasms of the bladder (overactive bladder) and the symptoms associated with it. These symptoms may include the inability to control urination (incontinence), feeling that one has to urinate (urgency), as well as having to go the bathroom often (frequency). It may also be used for other conditions as determined by your doctor.
Follow the directions for using this medicine provided by your doctor. An additional patient information leaflet is available with this medicine. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. DO NOT OPEN the sealed pouch until ready to apply the patch. TO USE THIS MEDICINE, open the pouch and remove the patch. Carefully remove the first protective liner and place the patch firmly onto your skin. Do not touch the adhesive side of the patch. Bend the patch in half and gently roll the remaining part onto your skin with your fingers. The second protective liner should come off of the patch. Gently apply firm pressure over the patch to be sure it stays in place. APPLY THE PATCH to a clean, dry, smooth area of skin on your stomach area (abdomen), hips, or buttocks. Apply to an area of skin that is under clothing and protected from sunlight. Do NOT apply the patch to an area where sitting may loosen it, or on your waistline since tight clothing may rub the patch off. Do NOT apply the patch to irritated or oily skin or to areas where lotion or powder is applied. IF THE PATCH FALLS OFF, reapply it. If it will not stay on, apply a new patch to a different area. Continue to follow your original application schedule. FOLLOW YOUR DOSING SCHEDULE CAREFULLY. Always try to change the patch on the same 2 days of the week. When it is time to apply a new patch, remove the old one carefully and dispose of it properly in the trash. Fold the sticky sides of the patch together and throw away where it cannot be accidentally worn or swallowed, especially by a child or pet. APPLY THE NEW PATCH to a different area of skin to prevent skin irritation. Do not apply a patch to the same area within 7 days. CONTACT WITH WATER when swimming, showering, bathing, or exercising will not change the way the medicine works. Try to avoid rubbing the patch though during these activities. IF THE AREA AROUND THE PATCH becomes red, itchy, or irritated, try a new site. If irritation continues or becomes worse, notify your doctor promptly. STORE THIS MEDICINE at room temperature 77 degrees F (25 degrees C) in the original sealed pouch, away from heat and light. Brief periods of storage at 59 to 86 degrees F (15-30 degrees C) is permitted. CONTINUE TO USE THIS MEDICINE even if you feel well. Do not miss any doses. IF YOU FORGET TO CHANGE THE PATCH on the correct day, remove the old patch and apply a new one as soon as you remember. Continue to follow your original dosing schedule. Do not use 2 patches at once.
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS MEDICINE if you are also taking a solid oral potassium product (eg, tablet). ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking bisphosphonates (eg, alendronate), other anticholinergics (eg, scopolamine), azole antifungals (eg, ketoconazole), macrolide antibiotics (eg, erythromycin), or phenothiazines (eg, chlorpromazine). DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions, including trouble urinating, very poor health, allergies, pregnancy, or breast-feeding. Tell your doctor if you have a history of heart problems (eg, heart failure, fast or irregular heartbeat), high blood pressure, nervous system problems, esophagus problems (eg, reflux disease, inflammation, narrowing), stomach or bowel problems (eg, colitis, inflammation, constipation), hiatal hernia, liver or kidney problems, myasthenia gravis, enlarged prostate, overactive thyroid, glaucoma or increased pressure in the eyes, or if you are at risk for glaucoma (eg, family history of glaucoma). USE OF THIS MEDICINE IS NOT RECOMMENDED if you have bladder blockage, certain stomach or bowel problems (eg, blockage, decreased muscle movement), uncontrolled narrow-angle glaucoma, or if you are unable to urinate. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.
SIDE EFFECTS that may occur while using this medicine include blurred vision; constipation; diarrhea; dizziness; drowsiness; dry eyes, nose, skin, or mouth; headache; indigestion; nausea; minor redness, itching, or irritation at patch application site; or stomach pain. If they continue or are bothersome, check with your doctor. To relieve dry mouth, suck on sugarless hard candy or ice chips, chew sugarless gum, drink water, or use saliva substitute. CHECK WITH YOUR DOCTOR IMMEDIATELY if you experience confusion; difficult or painful urination; fast or irregular heartbeat; fever; hallucinations; mental or mood changes (eg, agitation); pain, burning, blistering, or oozing at patch application site; seizures; swelling of the hands, ankles, or feet; or vision problems. AN ALLERGIC REACTION to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash; hives; itching; difficulty swallowing or breathing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; or unusual hoarseness. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your healthcare provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include coma; delirium; excitation; fever; flushing; hallucinations; inability to urinate; irregular heartbeat; paralysis; seizures; severe or persistent dizziness or headache; sluggishness; tremor; trouble breathing; very dry mouth, eyes, or skin; or vomiting.
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. IF YOU WILL BE USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, be sure to obtain necessary refills before your supply runs out. CHECK WITH YOUR PHARMACIST about how to dispose of unused medicine.