Anticholinergics

hello my beautiful, it isss time to learn! i feel like such a nerd when i do these.

Anticholinergics! It goes under 'Genitourinary Drugs' for urinary tract disorders like urinary urge incontinence
Anticholinergics include Darifenacin (Enablex), oxybutynin (ditropan), propantheline (Pro-Banthine) and Solifenacin (Vesicare) and Tolteodine (Detrusitol). Tbh, I only recognise Ditropan, Vesicare and Pro-Banthine.

Precautions
Dementia- avoid because it may worsen symptoms and block therapeutic effects of anticholinesterases
Urinary retention - avoid because, once again, symptoms may worsen
The elderly are more prone to adverse effects.

Side effects
A pharmacist I work with once told me an easy way to remember the side effects of anticholinergics.
Anticholinergics block SLUD. Salivation, Lacrimation, Urination and Defecation. Which results in dry mouth, affected vision, urinary retention and constipation respectively :). How neat is thaaaat? I dunno, I was impressed. If only I knew this for pharmacology.
Note: oxybutynin has higher incidence of dry mouth and may also experience CNS side effects.
Vesicare has higher incidence of constipation

Oxybutynin can come in patches. with those, apply to either the abdomen, hip or buttocka nd change after 3-4 days (1 patch twice a week). make sure you dont apply to the same place until after 7 days. at the area of application, you may also experience side effects such as rash, redness and itch.

may cause drowsiness, dizziness or blurred vision. if affected, dont operate machinary.

There is little to no human data regarding anticholinergics and pregnancy/breastfeeding.