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You have kidney or liver problems You are 65 years of age or older The person taking the medicine is a childuse is not recommended under 5 years of ageYou have an illness affecting the nerves calledautonomic neuropathyYou have an overactive thyroid glandHyperthyroidismYou have heart disease or high blood pressure You have an irregular heart beatpalpitationsand/or increased or rapid heart beat You have an enlarged prostate gland You have indigestion or heart burn caused by ahiatus herniawhere part of your stomach pushes through the diaphragmYou have a raised body temperature or fever You will be taking this medicine in a hot climate Ditropan may reduce the amount of saliva resulting in tooth decay or fungal infection of the mouth.

You are pregnantmight become pregnant or think you may be pregnantYou are breast-feeding or planning to breast-feedThis is because small amounts may pass into mothersmilkBreast feeding while using oxybutynin is therefore not recommended.

A 24-month study in rats at dosages of oxybutynin chloride of 2080and 160 mg/kg/day showed no evidence of carcinogenicityThese doses are approximately 625and 50 times the maximum human exposurebased on surface area.

The usual dose is one 5-mg tablet two to three times a dayThe maximum recommended dose is one 5-mg tablet four times a dayA lower starting dose of 2.5 mg two or three times a day is recommended for the frail elderly.

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