Oxybutynin Side Effects Quiz
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Questions and Answers

Which drug promotes relaxation during bladder filling without engaging muscarinic receptors?

  • Mirabegron (correct)
  • Solifenacin
  • Tolterodine
  • Fesoterodine

Which drug inhibits calcium-dependent release of acetylcholine, adenosine triphosphate, and substance P in the detrusor muscle?

  • Vibegron (correct)
  • Trospium
  • Fesoterodine
  • Mirabegron

Which drug can increase blood pressure and should be avoided in patients with renal disease or hypertension?

  • Mirabegron (correct)
  • Solifenacin
  • Vibegron
  • Fesoterodine

Which drug is a substrate of CYP2D6 and CYP3A4 and is a moderate inhibitor of CYP2D6?

<p>Mirabegron (B)</p> Signup and view all the answers

Which drug has the main side effects of dry mouth and constipation and is a CYP2D6 and CYP3A4 Substrate?

<p>Fesoterodine (B)</p> Signup and view all the answers

Which drug achieves detrusor relaxation by activating beta-3-adrenoreceptors, resulting in activation of adenylyl cyclase and formation of cyclic adenosine monophosphate?

<p>Mirabegron (A)</p> Signup and view all the answers

Which drug requires dosage reduction for renal impairment?

<p>Fesoterodine (A)</p> Signup and view all the answers

Which drug inhibits calcium-dependent release of acetylcholine, adenosine triphosphate, and substance P in the detrusor muscle?

<p>Vibegron (A)</p> Signup and view all the answers

Which drug may increase to 50 mg once daily after 4-8 weeks?

<p>Vibegron (D)</p> Signup and view all the answers

Which drugs have been evaluated as non-traditional therapies for OAB?

<p>Venlafaxine and duloxetine (A)</p> Signup and view all the answers

Which drug is the third-line option for OAB?

<p>Vibegron (B)</p> Signup and view all the answers

What is the main reason for the high incidence of dry mouth as a side effect of oxybutynin?

<p>Muscarinic blockade by oxybutynin itself (C)</p> Signup and view all the answers

Which drug has the greatest degree of M3 selectivity and is well-tolerated for overactive bladder?

<p>Darifenacin (D)</p> Signup and view all the answers

What is the primary mechanism of action of oxybutynin?

<p>Blockade of M3 muscarinic receptors (B)</p> Signup and view all the answers

Which medication can intensify the anticholinergic side effects when used in combination with oxybutynin?

<p>Tricyclics (A)</p> Signup and view all the answers

What is the main side effect of darifenacin?

<p>Dry mouth (C)</p> Signup and view all the answers

Which formulation of oxybutynin is considered long-acting?

<p>Transdermal patch (D)</p> Signup and view all the answers

What effect does darifenacin have on the M1 receptors in the brain and M2 receptors in the heart?

<p>No effect (C)</p> Signup and view all the answers

Which factor can alter oxybutynin blood levels?

<p>$CYP3A4$ inhibition or induction (A)</p> Signup and view all the answers

What population is more likely to experience hallucinations and agitation as side effects of oxybutynin?

<p>Pediatric and geriatric populations (C)</p> Signup and view all the answers

Which medication has been reported to have both mydriasis and blurred vision as side effects?

<p>Oxybutynin (A)</p> Signup and view all the answers

What is a common side effect associated with the use of oxybutynin besides dry mouth?

<p>Urinary hesitancy (C)</p> Signup and view all the answers

What is the primary reason for the high incidence of dry mouth as a side effect of oxybutynin?

<p>Muscarinic blockade by oxybutynin itself (B)</p> Signup and view all the answers

Which formulation of oxybutynin is considered long-acting?

<p>Transdermal patch (C)</p> Signup and view all the answers

Which drug has the greatest degree of M3 selectivity with minimal side effects on M1 and M2 receptors?

<p>Darifenacin (C)</p> Signup and view all the answers

What side effect is prominent in the pediatric and geriatric populations when using oxybutynin?

<p>Hallucinations and agitation (D)</p> Signup and view all the answers

Which medication can alter oxybutynin blood levels?

<p>CYP3A4 inhibitors (B)</p> Signup and view all the answers

Which drug can intensify the anticholinergic side effects when used in combination with oxybutynin?

<p>Tricyclics (C)</p> Signup and view all the answers

Which drug promotes relaxation during bladder filling without engaging muscarinic receptors?

<p>Darifenacin (D)</p> Signup and view all the answers

Which drug achieves detrusor relaxation by activating beta-3-adrenoreceptors, resulting in activation of adenylyl cyclase and formation of cyclic adenosine monophosphate?

<p>Darifenacin (B)</p> Signup and view all the answers

What is the main side effect of darifenacin?

<p>Dry mouth (B)</p> Signup and view all the answers

What drug should be avoided in patients with renal disease or hypertension due to its potential to increase blood pressure?

<p>N-desethyloxybutynin (C)</p> Signup and view all the answers

What is the primary mechanism of action of mirabegron?

<p>Promotion of detrusor relaxation by activating beta-3-adrenoreceptors (A)</p> Signup and view all the answers

Which drug can cause prolongation of the QT interval and should be avoided in patients with renal disease or hypertension?

<p>Vibegron (C)</p> Signup and view all the answers

What is the main side effect of trospium?

<p>Dry mouth and constipation (A)</p> Signup and view all the answers

Which drug achieves detrusor relaxation by inhibiting calcium-dependent release of neurotransmitters in the detrusor muscle?

<p>Vibegron (C)</p> Signup and view all the answers

What is the primary reason for avoiding mirabegron in patients with renal disease or hypertension?

<p>Potential QT prolongation and increase in blood pressure (C)</p> Signup and view all the answers

What is the main side effect of fesoterodine?

<p>Dry mouth and constipation (D)</p> Signup and view all the answers

Which drug is a substrate of CYP2D6 and CYP3A4 and is a moderate inhibitor of CYP2D6?

<p>Mirabegron (C)</p> Signup and view all the answers

What is the primary mechanism of action of oxybutynin?

<p>Inhibition of calcium-dependent release of neurotransmitters in the detrusor muscle (A)</p> Signup and view all the answers

What is the main side effect of tolterodine?

<p>Prolongation of the QT interval (A)</p> Signup and view all the answers

What effect does solifenacin have on the QT interval at high doses?

<p>It can cause QT prolongation (D)</p> Signup and view all the answers

Which medication achieves detrusor relaxation by causing flaccid paralysis in the detrusor and reducing bladder pressure?

<p>Vibegron (B)</p> Signup and view all the answers

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