[Tolerance and effectiveness of propiverine hydrochloride in 752 patients with symptoms of detrusor hyperactivity and increased sensitivity and irritability of the urinary bladder: results of a study monitoring drug utilization].

Abstract

In a post-marketing surveillance study of 752 patients suffering from urgent incontinence, mixed urgent-stress incontinence, reflex incontinence, urgency and enuresis were treated with propiverine hydrochloride. Clinical efficacy of propiverine hydrochloride was verified by the improvement of symptoms related to detrusor hyperactivity, hypersensitivity and hyperreflexia during a 12-week surveillance period: daytime and overnight urinary incontinence, as well as the frequency, nocturia, urgency in day time and at night decreased. These results are well demonstrated by decreased pad use and statistically significant decrease of Gaudenz urgency score during treatment, confirming the efficacy of propiverine hydrochloride already proved in clinical trials. The safety profile of propiverine hydrochloride displayed characteristic anticholinergic symptoms (dry mouth, accommodation disorders, constipation, tiredness, dizziness) with decreasing incidence during the 12-week treatment period. The residual urine volume decreased also. Serious adverse events were observed rarely and could be explained by the lack of consideration of contraindications, warnings and interactions with other drugs. The positive risk-benefit relationship of propiverine hydrochloride in the treatment of detrusor hyperactivity, hypersensitivity and hyperreflexia was reconfirmed in this post-marketing drug surveillance study.

• Authors: M Halaska, A Martan, R Voigt, F Kaplan, K Raus, J Masata, J Klemenc
• Journal: Ceska gynekologie (Ceska Gynekol) Vol. 62 Issue 5 Pg. 259-64 (Oct 1997) ISSN: 1210-7832 [Print] Czech Republic
• Vernacular Title: Snásenlivost a úcinnost propiverinhydrochloridu u 752 pacientů s príznaky hyperaktivity detruzoru, zvýsené senzitivity a drázdivosti mocového mĕchýre: výsledky studie sledování pouzití léku.
• PMID: 9600163 (Publication Type: English Abstract, Journal Article)

Chemical References

• Benzilates
• Parasympatholytics
• propiverine

Topics

• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Benzilates (adverse effects, therapeutic use)
• Child
• Child, Preschool
• Enuresis (drug therapy, physiopathology)
• Female
• Humans
• Male
• Middle Aged
• Parasympatholytics (adverse effects, therapeutic use)
• Product Surveillance, Postmarketing
• Urinary Bladder (drug effects, physiopathology)
• Urinary Incontinence (drug therapy, physiopathology)
• Urinary Incontinence, Stress (drug therapy, physiopathology)