Functional: Pharmacological Management of LUTS: Difference between revisions
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**'''<span style="color:#ff0000">Not FDA-approved in non-neurogenic OAB patients, 100U typically used</span>''' | **'''<span style="color:#ff0000">Not FDA-approved in non-neurogenic OAB patients, 100U typically used</span>''' | ||
*'''<span style="color:#ff0000">Contraindications (4):</span>''' | *'''<span style="color:#ff0000">Contraindications (4):</span>''' | ||
*# '''<span style="color:#ff0000">Active | *# '''<span style="color:#ff0000">Active urinary tract infection</span>''' | ||
*# '''<span style="color:#ff0000">Acute urinary retention</span>''' | *# '''<span style="color:#ff0000">Acute urinary retention</span>''' | ||
*# '''<span style="color:#ff0000">Unwillingness or inability to self-catheterize</span>''' | *# '''<span style="color:#ff0000">Unwillingness or inability to self-catheterize</span>''' | ||
*# '''<span style="color:#ff0000">Hypersensitivity</span>''' | *# '''<span style="color:#ff0000">Hypersensitivity</span>''' | ||
* '''<span style="color:#ff0000">Adverse events:</span>''' | * '''<span style="color:#ff0000">Adverse events:</span>''' | ||
** '''<span style="color:#ff0000">Most common: | **'''<span style="color:#ff0000">Most common (3):</span>''' | ||
** '''Most serious: | **#'''<span style="color:#ff0000">Bladder pain</span>''' | ||
*** Has never been reported. | **#'''<span style="color:#ff0000">Gross hematuria (usually mild)</span>''' | ||
**** '''Caution should be used in treating high-risk patients, including:''' | **# '''<span style="color:#ff0000">Urinary tract infection</span>''' | ||
****# '''Children''' | **'''<span style="color:#ff0000">Most serious (2):</span>''' | ||
****# '''Patients with low pulmonary reserve''' | **#'''<span style="color:#ff0000">Urinary retention and a transient necessity to perform CIC</span>''' | ||
****# '''Patients with myasthenia gravis''' | **#*<span style="color:#ff0000">'''Patient must be able and willing to return for frequent post-void residual evaluation and able and willing to perform self-catheterization if necessary''' | ||
*** '''Transient muscle weakness''' was reported with abobotA application | **#*'''The proportion of patients who initiate CIC at any time during treatment cycle 1 was 6.1%''' versus none in the placebo group; for over half the patients who initiated CIC, the duration of CIC was 6 weeks or less. | ||
** ''' | **#'''Paralysis of the striated musculature caused by circulatory leakage of the toxin''' | ||
*** ''' | **#* '''Has never been reported.''' | ||
**#** '''Caution should be used in treating high-risk patients, including:''' | |||
**#**# '''Children''' | |||
**#**# '''Patients with low pulmonary reserve''' | |||
**#**# '''Patients with myasthenia gravis''' | |||
**#* '''Transient muscle weakness''' was reported with abobotA application | |||
**'''<span style="color:#ff0000">Other:</span>''' | |||
**#'''<span style="color:#ff0000">Dry mouth</span>''' | |||
**#'''<span style="color:#ff0000">Dysphagia</span>''' | |||
**#'''<span style="color:#ff0000">Impaired vision</span>''' | |||
**# '''<span style="color:#ff0000">Eyelid weakness</span>''' | |||
**#'''<span style="color:#ff0000">Arm weakness</span>''' | |||
**#'''<span style="color:#ff0000">Leg weakness</span>''' | |||
**# '''<span style="color:#ff0000">Torso weakness</span>''' | |||
** '''Aminoglycosides should be avoided during BoNTA treatment because they might block motor plates and therefore enhance BoNTA effect''' | ** '''Aminoglycosides should be avoided during BoNTA treatment because they might block motor plates and therefore enhance BoNTA effect''' | ||