PMID- 22871042 OWN - NLM STAT- MEDLINE DCOM- 20130328 LR - 20181202 IS - 1744-7607 (Electronic) IS - 1742-5255 (Linking) VI - 8 IP - 11 DP - 2012 Nov TI - Pharmacokinetics and toxicity of antimuscarinic drugs for overactive bladder treatment in females. PG - 1387-408 LID - 10.1517/17425255.2012.714365 [doi] AB - INTRODUCTION: Antimuscarinics (AMs) are the mainstay of pharmacological treatment of overactive bladder (OAB), a symptom complex defined by the presence of urinary urgency, usually associated with frequency and nocturia, with or without urgency urinary incontinence. The AMs used to treat OAB differ in their pharmacological profiles, which may affect their potential for causing adverse effects (AEs). AREAS COVERED: The present article aims to review the literature about pharmacokinetics (PK) of the different AMs used in the treatment of OAB. Furthermore, the AEs related to the use of these drugs and their incidence are presented. This systematic review is based on material searched and obtained via Medline, Pubmed and EMBASE up to March 2012 using the search terms "adverse events, pharmacokinetics, tolerability" in combination with "darifenacin, fesoterodine, imidafenacin, oxybutynin, propiverine, solifenacin, tolterodine, and trospium." EXPERT OPINION: Antimuscarinics are the first-line pharmacological treatment for OAB. Despite the development of new molecules that improve their efficacy/safety profile, there are some drugs that are pharmacokinetically more appropriate to be prescribed in specific populations such as patients with neurological disease or the elderly. Moreover, research should be encouraged in evaluating antimuscarinics in conjunction with other drugs such as estrogens or beta-agonists. The identification of prognostic criteria for pharmacological therapy would be helpful. FAU - Leone Roberti Maggiore, Umberto AU - Leone Roberti Maggiore U AD - University of Genoa, San Martino Hospital and National Institute for Cancer Research, Department of Obstetrics and Gynaecology, Genoa, Italy. FAU - Salvatore, Stefano AU - Salvatore S FAU - Alessandri, Franco AU - Alessandri F FAU - Remorgida, Valentino AU - Remorgida V FAU - Origoni, Massimo AU - Origoni M FAU - Candiani, Massimo AU - Candiani M FAU - Venturini, Pier Luigi AU - Venturini PL FAU - Ferrero, Simone AU - Ferrero S LA - eng PT - Journal Article PT - Review PT - Systematic Review DEP - 20120808 PL - England TA - Expert Opin Drug Metab Toxicol JT - Expert opinion on drug metabolism & toxicology JID - 101228422 RN - 0 (Benzhydryl Compounds) RN - 0 (Benzilates) RN - 0 (Benzofurans) RN - 0 (Cresols) RN - 0 (Drug Combinations) RN - 0 (Imidazoles) RN - 0 (Mandelic Acids) RN - 0 (Muscarinic Antagonists) RN - 0 (Pyrrolidines) RN - 0 (Quinuclidines) RN - 0 (Tetrahydroisoquinolines) RN - 33RU150WUN (Phenylpropanolamine) RN - 468GE2241L (propiverine) RN - 5T619TQR3R (Tolterodine Tartrate) RN - 621G617227 (fesoterodine) RN - APG9819VLM (darifenacin) RN - K9P6MC7092 (oxybutynin) RN - KKA5DLD701 (Solifenacin Succinate) RN - XJR8Y07LJO (imidafenacin) SB - IM MH - Benzhydryl Compounds/therapeutic use MH - Benzilates/therapeutic use MH - Benzofurans/therapeutic use MH - Chronic Disease MH - Cresols/therapeutic use MH - Drug Combinations MH - Female MH - Humans MH - Imidazoles/therapeutic use MH - Mandelic Acids/therapeutic use MH - Muscarinic Antagonists/*adverse effects/*pharmacokinetics MH - Nocturia/complications/drug therapy MH - Phenylpropanolamine/therapeutic use MH - Pyrrolidines/therapeutic use MH - Quinuclidines/therapeutic use MH - Solifenacin Succinate MH - Tetrahydroisoquinolines/therapeutic use MH - Tolterodine Tartrate MH - Urinary Bladder, Overactive/complications/*drug therapy MH - Urinary Incontinence/complications/drug therapy EDAT- 2012/08/09 06:00 MHDA- 2013/03/30 06:00 CRDT- 2012/08/09 06:00 PHST- 2012/08/09 06:00 [entrez] PHST- 2012/08/09 06:00 [pubmed] PHST- 2013/03/30 06:00 [medline] AID - 10.1517/17425255.2012.714365 [doi] PST - ppublish SO - Expert Opin Drug Metab Toxicol. 2012 Nov;8(11):1387-408. doi: 10.1517/17425255.2012.714365. Epub 2012 Aug 8.