Enablex Treatment Report

Category: Prescription Drugs

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Generic Name: Darifenacin

What is Enablex?

An example of Enablex

Enablex is a brand name for the drug darifenacin. It is an extended release preparation that is used for the management of symptoms of bladder overactivity (urge incontinence, urgency, and frequency).

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
45 13 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none
15 3 Efficacy_major Efficacy_moderate
14 5 Efficacy_major Efficacy_moderate Efficacy_none
5 2 Efficacy_cant_tell
3 1 Efficacy_moderate
2 1 Efficacy_moderate

See all 72 patients currently taking Enablex

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Reported Side Effects

Side effects as an overall problem

Severe
2
Moderate
5
Mild
5
None
14

Reported Dosages

  15mg as needed daily 7.5 daily 7.5 mg daily 10 mg daily 15 mg daily 30 mg daily 450 mg daily
  1 Number of Patients: 1 3 Number of Patients: 3 1 Number of Patients: 1 28 Number of Patients: 28 1 Number of Patients: 1 34 Number of Patients: 34 3 Number of Patients: 3 1 Number of Patients: 1  

Reported Stop Reasons

Why Patients Stopped Taking Enablex (multiple reasons could be selected)
Reason # Patients Percentage of patients
Did not seem to work 14   Did not seem to work: 41%
Side effects too severe 4   Side effects too severe: 12%
Doctor's advice 4   Doctor's advice: 12%
Other 4   Other: 12%
Expense 3   Expense: 9%
Personal research 3   Personal research: 9%
Change in health plan coverage 2   Change in health plan coverage: 6%
Not indicated 1   Not indicated: 3%
Course of treatment ended 1   Course of treatment ended: 3%

See all 34 patients who’ve stopped taking Enablex

Currently Taking Enablex

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0
0
0

Stopped Taking Enablex

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of Enablex

Always
17 65%
Usually
5 19%
Sometimes
1 4%
Never
3 12%

Burden

Difficulty being on treatment

Burden of Enablex

Very
1 4%
Somewhat
1 4%
A little
2 8%
Not at all
22 85%

Cost

Paid out of pocket

Cost of Enablex

$200+
0 0%
$100-199
0 0%
$50-99
2 12%
$25-49
6 35%
< $25
9 53%

Sort by: Helpfulness | Most Recent

4 patient evaluations for Enablex

  • mislissa1029
    Sex: F
    Data Quality: 2 stars
    MS: 10 yrs
    Type: Relapsing-Remitting
    Sensation: Moderate
    Overall: Moderate
    Cognition: moderate
    Vision: moderate
    Speech: mild
    Swallowing: mild
    Upper limb: moderate
    Walking: moderate
  • 14556-thumb
  • See mislissa1029's full Enablex history
Purpose: Bladder problems (Started Sep 27, 2010)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Apr 12, 2011 15 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate MildMildMildMildMild UsuallyUsuallyUsuallyUsuallyUsually Not at allNot at allNot at allNot at allNot at all
  • Icon_thumb_off 0 helpful marks
  • PeeLister
    Sex: F
    Data Quality: 2 stars
    MS: 22 yrs
    Type: Progressive Relapsing
    Sensation: Severe
    Overall: Severe
    Cognition: severe
    Vision: moderate
    Speech: moderate
    Swallowing: moderate
    Upper limb: moderate
    Walking: severe
  • 30463-thumb
  • See PeeLister's full Enablex history
Purpose: Bladder problems (Started Oct 09, 2007)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Dec 30, 2010 15 mg Daily Led_efficacy_2Led_efficacy_2Led_defaultLed_defaultSlight NoneNoneNoneNoneNone UsuallyUsuallyUsuallyUsuallyUsually SomewhatSomewhatSomewhatSomewhatSomewhat
Date
Dec 30, 2010
Advice & Tips
Must be combined with Vesicare to work for me.
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks
Purpose: overactive bladder (Started Apr 30, 2008)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Jan 26, 2010 15 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate ModerateModerateModerateModerateModerate AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Side effects:
Dry mouth (xerostomia)
Date
Jan 26, 2010
Advice & Tips
You will experience very dry mouth with taking this medicine. Which will cause you to want to drink more... which is the whole reason why you are taking this medicine in the first place!!!! To keep you frm having to run to the bathroom so much. Duh??? So it is sorta a catch 22. But it does work to keep me from getting up every night 4 times a night running to the bathroom.
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks
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What is darifenacin?

Darifenacin reduces muscle spasms of the bladder and urinary tract.

Darifenacin is used to treat symptoms of overactive bladder, such as frequent or urgent urination, and incontinence (urine leakage).

Darifenacin may also be used for other purposes not listed in this medication guide.


Precautions

You should not use this medication if you are allergic to darifenacin, or have certain conditions. Be sure your doctor knows if you have:

  • untreated or uncontrolled narrow-angle glaucoma;
  • a stomach disorder causing delayed emptying; or
  • if you are unable to urinate.

Before using darifenacin, tell your doctor if you are allergic to any drugs, or if you have:

  • glaucoma;
  • liver disease;
  • ulcerative colitis;
  • a blockage in your stomach or intestines; or
  • a muscle disorder such as myasthenia gravis.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take darifenacin.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

It is not known whether darifenacin passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Avoid becoming overheated or dehydrated during exercise and in hot weather. Darifenacin can decrease perspiration and you may be more prone to heat stroke.

Darifenacin can cause side effects that may impair your vision or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

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Instructions

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include severe constipation or stomach pain, extreme weakness, or urinating less than usual or not at all.

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

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Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using darifenacin and call your doctor at once if you have any of these serious side effects:

  • hot, dry skin and extreme thirst;
  • severe stomach pain or constipation;
  • pain or burning when you urinate; or
  • urinating less than usual or not at all.

Less serious side effects may include:

  • dry mouth;
  • dry eyes, blurred vision;
  • mild constipation;
  • diarrhea;
  • nausea, mild stomach pain or upset;
  • dizziness, weakness;
  • headache; or
  • fever, sore throat, body aches, or other flu symptoms.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

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Interactions

The following drugs can interact with darifenacin. Tell your doctor if you are using any of these:

  • other bladder or urinary medications such as flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare); or
  • glycopyrrolate (Robinul);
  • flecainide (Tambocor);
  • mepenzolate (Cantil);
  • thioridazine (Mellaril);
  • HIV /AIDS medicine such as nelfinavir (Viracept) or ritonavir (Norvir);
  • an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., E-Mycin, Ery-Tab, Erythrocin), or troleandomycin (Tao);
  • an antifungal medication such as itraconazole (Sporanox) or ketoconazole (Nizoral);
  • atropine (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm-Scop);
  • bronchodilators such as ipratroprium (Atrovent) or tiotropium (Spiriva);
  • irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), or propantheline (Pro-Banthine); or
  • an antidepressant such as amitriptyline (Elavil, Etrafon), fluoxetine (Prozac), fluvoxamine (Luvox), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Janimine, Tofranil), nortriptyline (Pamelor), paroxetine (Paxil), and others.

This list is not complete and there may be other drugs that can interact with darifenacin. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Other Names

Enablex and darifenacin

Available Strengths & Dosages


Route Form Strength
oral tablet, extended release 7.5 mg
oral tablet, extended release 15 mg

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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