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Ditropan XL vs. Toviaz

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Oxybutynin ER (Ditropan XL) and fesoterodine (Toviaz) are both medications used to treat overactive bladder (OAB), but they have some differences. Oxybutynin ER is available in both short-acting and long-acting forms, while fesoterodine is only available as an extended-release tablet. Oxybutynin can be used in children as young as 5 years old for certain conditions, whereas fesoterodine is approved for children 6 years and older with neurogenic detrusor overactivity (NDO). Both medications can cause dry mouth, constipation, dizziness, and drowsiness, especially in older adults. Fesoterodine cannot be used by people allergic to tolterodine (Detrol). Additionally, both medications are available as a lower-cost generic.

Oxybutynin

 

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Fesoterodine

(Toviaz)

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Summary for Ditropan XL

Prescription only

Oxybutynin is used to treat overactive bladder (OAB). Oral oxybutynin is available as a short-acting tablet and solution that is taken 2 to 4 times a day. It also comes as a long-acting tablet that's taken once daily (brand name Ditropan XL). Some common side effects of oxybutynin include dry mouth, constipation, and dizziness. Older adults typically lower doses of this medication to lower the risk for side effects.

Indications for Ditropan XL

  • Overactive bladder
  • Incontinence in children due to a neurologic (brain) condition, such as spina bifida

Pros and Cons for Ditropan XL

Pros

  • Works well to improve symptoms of OAB
  • Available as a convenient, once-daily tablet (Ditropan XL)
  • Can be used in children as young as 5 years old
  • Available as an oral liquid, good for people who have trouble swallowing tablets

Cons

  • Commonly causes dry mouth as a side effect
  • Higher risk of side effects in people age 65 and older
  • Can cause dizziness and drowsiness
  • Shouldn't be used by people who have untreated narrow-angle glaucoma, difficulty urinating, or movement problems with the stomach or intestines

Common Side Effects for Ditropan XL

  • Dry mouth (up to 71%)
  • Dizziness (up to 17%)
  • Constipation (up to 15%)
  • Sleepiness (up to 14%)
  • Nausea (up to 12%)
  • Blurry vision (up to 10%)

Warnings for Ditropan XL

  • Swelling of face, lips, tongue (angioedema)
  • Hallucinations, drowsiness, and confusion
  • Worsening of other conditions
  • Heat exhaustion

Summary for Toviaz

Prescription only

Fesoterodine fumarate (Toviaz) is an anticholinergic urinary antispasmodic. It relieves symptoms of overactive bladder (OAB) in adults. Brand name Toviaz is also approved to treat neurogenic detrusor overactivity (NDO) in children. Fesoterodine (Toviaz) is an extended-release tablet that's taken by mouth once a day. Some side effects of this medication include dry mouth and constipation.

Indications for Toviaz

Pros and Cons for Toviaz

Pros

  • Taken by mouth
  • Taken once a day
  • Available as a lower-cost generic

Cons

  • Interacts with many medications
  • Can cause dry mouth and constipation
  • Can't be used by people with an allergy to tolterodine (Detrol)

Common Side Effects for Toviaz

Adults (OAB)

Children (NDO)

  • Diarrhea (7-12%)
  • Urinary tract infection (2-10%)
  • Dry mouth (7-10%)
  • Constipation (7%)

Warnings for Toviaz

  • Unusual swelling of the face, lips, or throat (angioedema)
  • Trouble urinating and stomach problems
  • Vision changes
  • Dizziness and drowsiness
  • Myasthenia gravis

Prices with our coupons for Ditropan XL vs. Toviaz

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Oxybutynin ER30 tablets / 10mg
$8.50$66.62
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Toviaz30 tablets / 8mg
$43.50$344.99
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