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 UTI</span>'''
*# '''<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: bladder pain and urinary infections. Hematuria, usually mild, may also occur'''
**'''<span style="color:#ff0000">Most common (3):</span>'''
** '''Most serious: paralysis of the striated musculature caused by circulatory leakage of the toxin'''
**#'''<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.
** '''Most feared in patients with voluntary voiding: urinary retention and a transient necessity to perform CIC.'''
**#'''Paralysis of the striated musculature caused by circulatory leakage of the toxin'''
*** '''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.
**#* '''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'''