Antimuscarinic (overactive bladder)
Propiverine hydrochloride
Brand names: Detrunorm
Adult dose
Dose: 15mg PO BD-QDS; MR 30mg OD
Route: PO
Frequency: BD-QDS or OD
Clinical pearls
- Overactive bladder — alternative if other antimuscarinics not tolerated
- Mirabegron preferred in older adults
Contraindications
- Urinary retention
- GI obstruction
- Glaucoma
- Myasthenia gravis
- Severe ulcerative colitis
- Toxic megacolon
Side effects
- Dry mouth
- Constipation
- Blurred vision
- Anticholinergic burden
- QT prolongation
Interactions
- Other antimuscarinics
- QT-prolonging drugs
Monitoring
- Symptoms
- Anticholinergic burden
Reference: BNF; NICE NG123; https://bnf.nice.org.uk/drugs/propiverine-hydrochloride/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs