HEALTHLINE March 2005 NEW DRUGS/FORMULARY INFO Darifenacin (Enablex) and Solifenacin (Vesicare) Darifenacin and solifenacin are M3 selective antimuscarinic medications that primarily affect the detrusor muscle in the bladder. They were recently FDA-approved for the treatment of overactive bladder with symptoms of urge urinary incontinence, urgency and frequency. Darifenacin (Enablex) was evaluated in three randomized, fixed-dose, placebo-controlled, multicenter doubleblind 12-week trials that included adults up to age 93 years. Darifenacin decreased incontinence episodes per week, micturitions per day and volume of urine per void. In the elderly, darifenacin therapy should be started at a dose of 7.5 mg/day. For persons with moderate hepatic impairment or when co-administered with potent CYP3A4 inhibitors (e.g. ketoconazole, itraconazole, ritonavir, clarithromycin and nefazodone) the daily dose should not exceed 7.5 mg. The dose of darifenacin does not have to altered in persons with renal impairment. The efficacy of solifenacin was evaluated in four 12-week, double-blind randomized placebocontrolled trials that included patients older than 65 years of age. The studies measured reductions in the number of micturitions/day, number of incontinence episodes/day and mean volume voided per micturition with solifenacin. The starting dose is 5 mg/day, which can be increased to 10 mg/day. For most elderly patients 5 mg should be the maximum daily dose as many elderly persons have creatinine clearance < 30 ml/min and/or moderate hepatic impairment. Solifenacin is metabolized by CYP3A4 and therefore should be used cautiously and at the 5 mg dose in patients receiving CYP3A4 inhibitors. Both drugs should be swallowed whole and may be taken with or without food and are contraindicated in persons with urinary retention, gastric retention and uncontrolled narrow-angle glaucoma. Remember to check your state and local preferred drug lists before prescribing. DRUG INDICATIONS /WARNINGS Name Confusion between Zyprexa and Zyrtec There are 79 reports of antipsychotic drug olanzapine (Zyprexa) being incorrectly dispensed for the antihistamine cetirizine (Zyrtec) and vice versa. In addition to having similar brand names, both drugs are taken once daily and are available in similar doses. Eli Lilly, manufacturer of Zyprexa, said it plans to change the label for the 10 mg bottles of Zyprexa for easier identification. Eli Lilly posted a health professional’s letter on the FDA web site indicating that these errors have led to adverse events in some instances and such mix-ups may lead to "potential relapse in patients suffering from schizophrenia or bipolar disorder." In the letter, Lilly also included recommendations from the Institute of Safe Medication Practices, which suggested that pharmacies should store the drugs in different locations and that prescribers should print both the brand and generic names for the drugs on prescriptions. This information reminds us all to read labels carefully and double-check both the brand and generic drug name before dispensing or administering medications. The Eli Lilly letter is available at http://www.fda.gov/medwatch/SAFETY/2005/zyprexa.htm. PATIENT CARE Overactive Bladder Many aging Americans suffer from symptoms of overactive bladder that curtail their participation in social activities and can lead to isolation, sleep disruption, and urinary incontinence. Typically people with overactive bladder complain of urinary urgency, urinary frequency (voiding > 8 times Copyright 2005 All Rights Reserved Published by Omnicare, Inc. distributed by PBM Plus, Inc. Page - 1 HEALTHLINE March 2005 in a 24 hour period) and nocturia (awakening two or more times at night to void). The prevalence increases with age and affects 42% of men and 31% of women aged 75 or older. The symptoms of overactive bladder are usually associated with involuntary contraction of the detrusor muscle. There are many conditions that contribute to symptoms of overactive bladder including lower urinary tract infection, obstruction, and impaired bladder contractility. In women estrogen deficiency and urinary sphincter weakness can precipitate urgency. In older men benign or malignant prostatic enlargement can contribute to detrusor overactivity. In addition, there are a number of neurological disorders including stroke, Alzheimer disease, multi-infarct dementia, Parkinson’s disease, multiple sclerosis, and diabetic neuropathy that cause or worsen symptoms of overactive bladder. Many chemicals (e.g. diuretics, caffeine, alcohol, theophylline) increase urinary urgency and frequency making overactive bladder worse and confusing the diagnosis. Constipation should be avoided in persons with overactive bladder to avoid straining upon defecation. Many non-pharmacologic/behavioral interventions that have been found to improve symptoms of overactive bladder (such as pelvic exercises) are difficult to implement in the frail elderly. However, we can assure that residents have good bladder and bowel habits and avoid precipitants such as caffeine and alcohol. Table 1 lists medications that may contribute to symptoms of overactive bladder. Table 1: Medications That May Contribute to Symptoms of Overactive Bladder Class of Medication Diuretics Examples Mechanism Recommendations Furosemide (Lasix) Bumetanide (Bumex) Torsemide (Demadex) Narcotic Analgesics Codeine Morphine (MS Contin, Avinza) Fentanyl (Duragesic) Tramadol (Ultram) Amitriptyline (Elavil) Nortriptyline (Pamelor) Desipramine (Norpramin) Cause a rapid increase in bladder volume which precipitates urgency Decrease bladder contractility and may cause urinary retention Consider changing the time of dose or consider different diuretic (thiazide) if feasible Discontinue as soon as possible May cause urinary retention and decrease bladder contractility Consider changing to other antidepressants such as escitalopram (Lexapro) or sertraline (Zoloft) Discontinue as soon as possible Consider use of nonsedating antihistamines if needed for pruritis or allergic rhinitis Discontinue as soon as possible Consider nonpharmacologic intervention for insomnia Tricyclic antidepressants Sedating antihistamines Diphendydramine (Benadryl) Hydroxyzine (Atarax) Cause sedation. May cause urinary retention and decrease bladder contractility Benzodiazepines Diazepam (Valium) Chlordiazepoxide (Librium) Lorazepam (Ativan) Alprazolam (Xanax) Flurazepam (Dalmane) Oxazepam (Serax) Cause sedation. May cause urinary retention and decrease bladder contractility Copyright 2005 All Rights Reserved Published by Omnicare, Inc. distributed by PBM Plus, Inc. Page - 2 HEALTHLINE March 2005 Drug Therapy Treatment of Overactive Bladder Many classes of medication have been studied for the treatment of symptoms of overactive bladder. However, pitfalls limit the quality of existing studies in this area. Table 2 lists drugs with proven clinical evidence. Other agents (hyoscyamine, propantheline, vaginal estrogen preparations, and imipramine (Tofranil) lack scientific support and are not recommended for treatment of overactive bladder in the elderly. Alpha-adrenergic blockers such as alfuzosin (Uroxatral) and tamsulosin (Flomax) are indicated for benign prostatic hyperplasia and may help symptoms such as frequency and urinary retention in men with overactive bladder. Table 2: Recommended Drugs with Proven Efficacy in the Treatment of Overactive Bladder Antimuscarinic Medication Oxybutynin long-acting (Ditropan XL) Usual Adult Dose 5 – 30 mg daily orally 3.9 mg over a 96-hr period (transdermal) Tolterodine long-acting (Detrol LA, Oxytrol) Trospium (Sanctura) 4 mg daily orally Solifenacin (Vesicare) 5 – 10 mg daily orally Darifenacin (Enablex) 7.5 – 15 mg daily orally 20 mg twice daily orally Comments Avoid short-acting oxybutynin due to side effects. Transdermal patch can cause irritation Avoid short-acting tolterodine due to side effects Purported to have fewer CNS effects than other antimuscarinics; but not shown in clinical studies Dosing reduction needed in renal and hepatic impairment. Potential for significant drug interactions. Dosing reduction needed in hepatic impairment. Potential for significant drug interactions. Well-conducted studies comparing long-acting forms oxybutynin (Ditropan XL) and tolterodine (Detrol LA) have shown that the drugs have similar efficacy and effectiveness alone and when combined with various types of behavioral intervention. Long-acting forms of oxybutynin and tolterodine are equal in efficacy and effectiveness to short-acting forms of the drugs but have the advantage of producing fewer CNS and cardiovascular side effects. Trospium (Sanctura) has been compared to short-acting oxybutynin and found to have fewer side effects. However, trospium has not been compared to long-acting forms of antimuscarinic medications. Despite the fact that trospium is a quaternary ammonium compound and should NOT cross the blood-brain barrier, the drug exhibits some CNS side effects and may not offer an advantage over long-acting forms of oxybutynin or tolterodine. Darifenacin (Enablex) and solifenacin (Vesicare) are antimuscarinic drugs with selective M3receptor antagonist actions and theoretically fewer anticholinergic side effects than other antimuscarinic drugs. However, the theory has not been tested in clinical trials. No conclusions can be drawn about the relative safety of these newer agents compared to Detrol LA or Ditropan XL. Clinical Effects of Antimuscarinic Medications Clinically significant improvement in symptoms of overactive bladder is defined as a reduction in incontinence episodes by more than 50%. Many studies look at other endpoints as well, including reduction of urinary frequency (i.e. voids/day) and reduction of nocturia. However, unless Copyright 2005 All Rights Reserved Published by Omnicare, Inc. distributed by PBM Plus, Inc. Page - 3 HEALTHLINE March 2005 incontinence episodes can be reduced, the clinical value of treatment is difficult to justify given the inherent adverse effect profile of antimuscarinic medications. When used in therapeutic doses antimuscarinic medications have been shown to reduce nocturnal awakenings, incontinence episodes, micturition frequency, urge frequency and urge severity. Pharmacologic treatment improves symptoms but does not eradicate the problem. Adverse Effects All antimuscarinic medications have some degree of anticholinergic side effects. Although dry mouth is the most common, constipation, gastroesophageal reflux, blurred vision, urinary retention, and cognitive side effects can also occur. Since various forms of dementia are routinely treated with cholinesterase inhibitors (Donepezil (Aricept), Rivastigmine (Exelon), or Galantamine (Reminyl)) in our population, the concern about adverse cognitive effects and delirium due to antimuscarinic drugs is significant. Data suggest that oxybutynin has more central nervous system effects than tolterodine or trospium. Many of the systemic anticholinergic side effects are reduced with the use of long-acting formulations of these medications. However, all elderly persons treated with antimuscarinic medications should be monitored for anticholinergic side effects, as well as drug interactions. Central anticholinergic side effects are believed to be mediated by M1 muscarinic receptors. Tolterodine and oxybuytinin are non-selective antimuscarinic agents that antagonize M1, M2 (cardiovascular) and M3 (detrusor muscle) receptors. Darifenacin (Enablex) and solifenacin (Vesicare) are selective M3 muscarinic receptor antagonists that have been shown to cause central nervous system effects similar to placebo, however these newer drugs have not been compared to long acting oxybutynin and tolterodine in clinical trials. All older persons receiving medications with antimuscarinic (anticholinergic) properties should be evaluated on an ongoing basis for changes in cognitive function including confusion due to delirium. Summary It has been estimated that 33 million Americans experience the symptoms of overactive bladder. There are new treatments that look promising in the management of symptoms in elderly persons but head-to-head clinical trials are needed to conclude that they have superior efficacy or safety over existing therapy. Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology in lower urinary tract function: Report from the standarisation sub-committee of the international continence society. Urology 2003:61;37-49. Ouslander JG. Management of overactive bladder. N Engl J Med 2004;350:786-799. Tune LE. Anticholinergic effects of medication in elderly patients. J Clin Psychiatry 2001;62(Suppl 21):11-14 Editorial Board Karen Burton, R. Ph., GCP, FASCP Mark Coggins, Pharm. D., GCP, FASCP Kelly Hollenack, Pharm. D. CGP Philip King, Pharm. D., GCP, FASCP Susan Kleim, B.S., Pharm., GCP, FASCP Terry O’Shea, Pharm. D., GCP, FASCP Elmer Schmidt, Pharm. D., GCP, FASCP Barbara J. Zarowitz, Pharm. D., GCP, FASCP Copyright 2005 All Rights Reserved Published by Omnicare, Inc. distributed by PBM Plus, Inc. Page - 4