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Editorial discussion for Xytrol is not highly correlated overall R .51 ; . * However, the value of articles containing key messages correlates very well R .972 ; with Oxygrol prescription volume suggesting that key message media value could be an effective input for marketing mix or other sales forecasting models. Side effects of OxytrolAnticholinergic agents oxybutynin, tolterodine, enablex, sanctura, vesicare, oxytrol ; Antispasmodic medications flavoxate ; Tricyclic antidepressants imipramine, doxepin ; Oxybutynin Ditropan ; and tolterodine Detrol ; are medications to relax the smooth muscle of the bladder. These are the most commonly used medications for urge incontinence and are available in a once-a-day formulation that makes dosing easy and effective. The most common side effects of anticholinergic medicines are dry mouth and constipation. The medications cannot be used by patients with narrow angle glaucoma. An antispasmodic drug is flavoxate Urispas ; . However, studies have shown inconsistent benefit in controlling symptoms of urge incontinence. Tricyclic antidepressants have also been used to treat urge incontinence because of their ability to inhibit or "paralyze" the bladder smooth muscle. Possible side effects include fatigue, dry mouth, dizziness, blurred vision, nausea, and insomnia. SURGERY. Acknowledgments -- We are indebted to the 54 participants in this study whose cooperation made this study possible. References 1. Despres JP, Lamarche B, Mauriege P, Cantin B, Dagenais GR, Moorjani S, Lupien P: Hyperinsulinemia as an independent risk factor for ischemic heart disease. N Engl J Med 334: 952957, 1996 Pfefile B, Dischuneit H: Effect of insulin on growth factors of cultured human atrial smooth muscle cells. Diabetologia 20: 155158, 1981 Stout RW, Bierman EL, Ross R: Effect of insulin on the proliferation of cultured primate arterial smooth muscle cell. Circulation 36: 319 327, Reaven GM: Banting Lecture 188: Role of insulin resistance in human disease. Diabetes 37: 15951607, 1988 DeFronzo RA, Ferrannini E: Insulin resistance: a multifaceted syndrome responsible for NIDDM, obesity, hypertension, dyslipidemia, and atherosclerotic cardiovascular disease. Diabetes Care 14: 173 194, Kaplan NM: The deadly quartet: upperbody obesity, glucose intolerance, hypertriglyceridemia, and hypertension. Arch Intern Med 149: 1514 1520, Piatti PM, Mario CD, Monti LD, Fragasso G, Sgura F, Caumo A, Setola E, Lucotti P, Galluccio E, Ronchi C, Origgi A, Zavaroni I, Margonato A, Colombo A: Association of insulin resistance, hyperleptinemia, and impaired nitric oxide release with instent restenosis in patients undergoing coronary stenting. Circulation 108: 2074 2081, Hedblad B, Nilsson P, Engstrom G, Ber glund G, Janzon L: Insulin resistance in non-diabetic subjects is associated with increased incidence of myocardial infarction and death. Diabet Med 19: 470 475, Takagi T, Yamamuro A, Tomita K, Yamabe K, Katayama M, Morioka S, Akasaka T, Yoshida K: Impact of troglitazone on coronary stent implantation using small stents in patients with type 2 diabetes mellitus. J Cardiol 89: 318 322 and combivent. The following is a list of the most commonly prescribed drugs. It represents an abbreviated version of the drug list formulary ; that is at the core of your pharmacy benefit plan. The list is not all-inclusive and does not guarantee coverage. In addition to using this list, you are encouraged to ask your doctor to prescribe generic drugs whenever appropriate. Over-the-counter medications are not covered under the pharmacy benefit. The following is a list of some non-formulary brand medications with examples of selected alternatives that are on the formulary. Thank you for your compliance. Non-Formulary Accuretic Aceon Aciphex Activella Aerobid M Allegra, D Alphagan P Altocor Atacand Atacand HCT Avalide Avapro Avinza Axert Azelex Benicar Benicar HCT Cardene SR Cardizem CD Catapres-TTS Ceclor Cedax Cenestin Clarinex Colazal Covera- HS Crestor Dipentum Dynabac Dynacirc CR Estraderm Focalin Frova QL ; Glyset Helidac Kadian Lamisil topical Lescol, XL Lorabid Lumigan Mavik Maxalt, mlT QL ; Maxaquin Metadate CD, ER Micardis Micardis HCT Monopril HCT Nasarel Nasonex Formulary Alternative enalapril hctz, lisinopril HCTZ, Lotensin HCT G ; captopril, enalapril, lisinopril, Altace, Lotensin G ; omeprazole 10mg ; QL ; , Nexium PAR ; QL ; , Protonix PAR ; , Prilosec OTC FemHRT, Prempro Premphase Azmacort QL ; , Beclovent QL ; , Flovent QL ; OTC Alavert, OTC Claritin, OTC loratadine brimonidine tartrate lovastatin, Lipitor, Pravachol Cozaar, Diovan Diovan HCT, Hyzaar Diovan HCT, Hyzaar Cozaar, Diovan Generics, MS Contin Amerge QL ; , Imitrex QL ; , Zomig ZMT QL ; Generics, Differin PAR ; Cozaar, Diovan Diovan HCT, Hyzaar nifedipine extended release, Norvasc diltiazem extended release clonidine hcl cefaclor extended release amox tr potassium clavulanate, Augmentin ES XR, Premarin OTC Alavert, OTC Claritin, OTC loratadine Asacol, Pentasa, Rowasa verapamil extended release lovastatin, Pravachol, Lipitor, Zocor Asacol, Pentasa, Rowasa erythromycin, Biaxin XL, Zithromax nifedipine extended release, Norvasc Generics, Climara methylphenidate, Concerta Amerge QL ; , Imitrex QL ; , Zomig ZMT QL ; Precose Prevpac Generics, MS Contin OTC Lamisil Lipitor, lovastatin, Pravachol amox tr potassium clavulanate, augmentin ES XR, Travatan, Xalatan captopril, enalapril, lisinopril, Altace, Lotensin G ; Amerge QL ; , Imitrex QL ; , Zomig ZMT QL ; Avelox, ciprofloxacin, ofloxacin, Levaquin methylphenidate Cozaar, Diovan Diovan HCT, Hyzaar enaplapril hcyz, lisinopril hctz, Lotensin HCT Flonase QL ; , Beconase AQ QL ; Beconase AQ QL ; , Flonase QL ; Non-Formulary Optivar Oxytrok Penetrex Pravigard Prevacid QL ; PAR ; Protopic Prozac Weekly QL ; Pulmicort excluding respules ; QL ; Quixin Qvar Relenza Relpax Rescula Restoril 7.5mg Rhinocort AQ Risperdal M-Tab Ritalin, LA Serzone Skelid Sonata QL ; Spectracef Sular Suprax Tarka Tequin Testoderm Testim Teveten Teveten HCT Uniretic Vancenase AQ QL ; Vantin Ventolin QL ; Vexol Vivelle-Dot Zagam Zyflo Zyprexa Zydis Zyrtec Formulary Alternative Patanol, Zaditor Detrol LA PAR ; Avelox, ciprofloxacin, ofloxacin, Levaquin lovastatin, Lipitor, Pravachol Omeprazole 10mg ; QL ; , Nexium PAR ; QL ; , Protonix, Prilosec OTC Elidel fluoxetine daily ; , Celexa 10mg and 40mg ; , Lexapro PAR ; , paroxetine, Paxil CR PAR ; , Zoloft 25mg and 100mg ; Azmacort, Beclovent, Flovent QL ; Ciloxan, Vigamox Azmacort QL ; , Beclovent QL ; , Flovent QL ; rimantadine Amerge QL ; , Imitrex QL ; , Zomig ZMT QL ; Travatan, Xalatan temazepam Flonase QL ; , Beconase AQ QL ; Risperdal non M-tabs ; methylphenidate, Concerta, Strattera non-stimulant ; bupropion, Effexor xr, mirtazapine, Wellbutrin SR PAR ; Actonel, Didronel, Evista, Fosamax Ambien QL ; amox tr potassium clavulanate, Augmentin ES, Omnicef nifedipine extended release, Norvasc amox tr potassium clavulanate, Augmentin ES XR, Omnicef verapamil + ACE inhibitor, Lotrel Avelox, ciprofloxacin, ofloxacin, Levaquin Androderm, Androgel Androderm, Androgel Cozaar, Diovan Diovan HCT, Hyzaar enalapril hctz, lisinopril hctz, Lotensin HCT Beconase AQ QL ; , Flonase QL ; amox tr potassium clavulanate, Augmentin ES XR, Omnicef albuterol inh QL ; , Maxair Auto QL ; , Proventil HFA QL ; Generic steroids, Lotemax Generics, Climara Avelox, ciprofloxacin, ofloxacin, Levaquin Singulair PAR ; Zyprexa non-Zydis ; OTC Alavert, OTC Claritin, OTC loratadine. TIER DRUG NAME PA QLL ST 1 2 theophylline X $ theophylline anhydrous X $$$ UNIPHYL X 15.1.3 OTHER DRUGS FOR ASTHMA $ ipratropium bromide X $$ FLOVENT ROTADISK QLL X $$ QVAR QLL X $$$ AEROBID QLL X $$$ AEROBID-M QLL X $$$ AZMACORT QLL X $$$ FLOVENT QLL X $$$$$ ATROVENT QLL X $$$$$ COMBIVENT QLL X $$$$$ EPIPEN QLL X $$$$$ EPIPEN JR. QLL X $$$$$ INTAL QLL X $$$$$ TILADE QLL X !!!!! ADVAIR DISKUS QLL X !!!!! PULMICORT QLL X !!!!! SPIRIVA QLL X 15.1.4 LEUKOTRIENE MODIFIERS $$$$$ ACCOLATE ST X !!!!! SINGULAIR ST X 15.2.1 ANTIHISTAMINES $ cyproheptadine hcl X $ promethazine hcl X $$$$ ALLEGRA QLL X $$$$ CLARINEX QLL X $$$$ ZYRTEC QLL X 15.2.3 ANTIHISTAMINE DECONGESTANT COMBINATIONS $ promethazine vc X $$$$ SEMPREX-D X $$$$ TRINALIN X $$$$ ZYRTEC-D QLL X $$$$$ ALLEGRA -D QLL X $$$$$ RYNATAN X 15.3 ANTITUSSIVE AND EXPECTORANT DRUGS $ benzonatate X $ guaifenesin w codeine X $ guaifenex pse X $ promethazine vc w codeine X $ promethazine w codeine X $ promethazine w dm X $$$$ TUSSIONEX X CHAPTER 16: UROLOGICAL MEDICATIONS 16.1.1 ANTICHOLINERGIC ANTISPASMODICS $ oxybutynin chloride X $$$ OXYTROL QLL X $$$$ DETROL X $$$$ DETROL LA X $$$$ DITROPAN XL QLL X 16.1.3 URINARY ANESTHETICS $ phenazopyridine hcl X 16.1.4 OTHER GENITOURINARY PRODUCTS $$ UROXATRAL X $$$ CIALIS NOT COVERED X Tier 1 generic product Tier 2 Preferred Brand product PAR Prior Authorization Required QL Quantity Limit $-$$$$$ Relative cost to health plan sponsor net of rebates and synthroid. Oxytrol pi
Simon Foundation joins new urologic coalition. The Simon Foundation, Wilmette, IL, has joined with thousands of For more information about incontinence, patients, researchers, and healthcare contact the NAFC at P.O. Box 1019, providers to form a coalition devoted to find- Charleston, SC 29402, phone: 800 ; 252-3337, 843 ; 377-0900, ing ways to enhance research to improve fax: 843 ; 377-0905, the care of patients with urologic disease. Web site: nafc . The new group is called the Coalition for Visit oxytrol See package insert and arava and Buy oxytrol online. Ideally, drug promotional literature should provide health care professionals with substantial information. Cholesterol-Absorption Inhibitors Vytorin Zetia Methylin ER Methylphenidate Methylphenidate SR Ritalin LA Adderall XR Concerta Focalin Focalin XR Generic agents considered "first-line" when appropriate. SEDATIVE HYPNOTICS, NON-BARBITURATES Temazepam Lunesta * Generics should be considered "first-line" when appropriate. Meglitinides Starlix Sulfonylureas, 2nd Generation Glimepiride Glipizide Glipizide ER Glyburide Glyburide Micronized Thiazolidinediones Actos Avandia BIPHOSPHONATES OSTEOPOROSIS Fosamax IMMUNOMODULATORS, ORAL Hepatitis C Therapy, Pegylated Interferons Pegasys Pegasys Conv. Pack Peg-Intron Peg-Intron RedipenTM Hepatitis C Therapy, Ribavirins Rebetol Ribavirin 200mg tablets IMMUNOMODULATORS, TOPICAL Elidel Protopic Prescribers: Please use these agents as advised by the respective manufacturer and reserve for only those patients who have failed traditional eczema therapy. ANTISPASMODICS Detrol LA Enablex Oxybutynin Oxytrol Sanctura Vesicare and didronel. References 1. Abrams P Cardozo L, Fall M, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. J Obstet Gynecol. 2002; 187 1 ; : 116-126. 2. Stewart WF Van Rooyen JB , Cundiff GW et al. Prevalence and burden of overactive bladder in the United States. World J Urol. 2003; 20 6 ; : 327-336. 3. de Groat WC. A neurologic basis for the overactive bladder. Urology. 1997; 50 6A suppl ; : 36-52. 4. Brading AF A myogenic basis for the , . overactive bladder. Urology. 1997; 50 6A suppl ; : 57-67. 5. Abrams P Andersson KE, Buccafusco JJ, et al. Muscarinic receptors: their distribution and function in body systems, and the implications for treating overactive bladder. Br J Pharmacol. 2006; 148 5 ; : 565, 578. 6. Uebersax JS, Wyman JF Shumaker SA, McClish DK, Fantl JA. Short forms to assess life quality and symptom distress for urinary incontinence in women: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program , for Women Research Group. Neurourol Urodyn. 1995; 14 2 ; : 131-139. 7. Brown JS, Bradley CS, Subak LL, et al; Diagnostic Aspects of Incontinence Study DAISy ; Research Group. The sensitivity and specificity of a simple test to distinguish between urge and stress urinary incontinence. Ann Intern Med. 2006; 144 10 ; : 715-723. 8. Coyne KS, Zyczynski T, Margolis MK, Elinoff V Roberts RG. Validation of an overactive bladder awareness tool for use in primary care settings. Adv Ther. 2005; 22 4 ; : 381-394. 9. Fitzgerald MP Mulligan M, Parthasarathy S. Nocturic frequency is related to severity of obstructive sleep apnea, improves with continuous positive airways treatment. J Obstet Gynecol. 2006; 194 5 ; : 1399-1403. 10. Gray M, David DJ. Does biofeedback improve the efficacy of pelvic floor muscle rehabilitation for urinary incontinence or overactive bladder dysfunction in women? J Wound Ostomy Continence Nurs. 2005; 32 4 ; : 222-225. 11. Burgio KL. Behavioral treatment options for urinary incontinence. Gastroenterology. 2004; 126 1 suppl 1 ; : S82-S89. 12. Diokno AC, Appell RA, Sand PK, et al; OPERA Study Group. Prospective, randomized, double-blind study of the efficacy and tolerability of the extended-release formulations of oxybutynin and tolterodine for overactive bladder: results of the OPERA trial. Mayo Clin Proc. 2003; 78 6 ; : 687-695. 13. Shaw GL, Patel HR. Transdermal oxybutynin: a review. Expert Opin Drug Metab Toxicol. 2007; 3 ; : 435-439. 14. Detrol LA package insert ; . New York, NY: Pfizer Inc; 2006. 15. Vesicare package insert ; . Deerfield, IL: Astellas Pharma US, Inc.; 2005. 16. Chapple CR, Martinez-Garcia R, Selvaggi L, et al; for the STAR study group. A comparison of the efficacy and tolerability of solifenacin succinate and extended release tolterodine at treating overactive bladder syndrome: results of the STAR trial. Eur Urol. 2005; 48 3 ; : 464-470. 17. Enablex package insert ; . East Hanover, NJ: Novartis Pharmaceuticals Corporation; 2006. 18. Kay G, Crook T, Rekeda L, et al. Differential effects of the antimuscarinic agents darifenacin and oxybutynin ER on memory in older subjects. Eur Urol. 2006; 50 2 ; : 317-326. 19. Halaska M, Ralph G, Wiedemann A, et al. Controlled, double-blind, multicentre clinical trial to investigate long-term tolerability and efficacy of trospium chloride in patients with detrusor instability. World J Urol. 2003; 20 6 ; : 392-399. 20. Oxybutynin chloride package insert ; . Weston, FL: Apotex Corporation; 2005. 21. Ditropan XL package insert ; . Raritan, NJ: Ortho-McNeil Pharmaceutical, Inc; 2004. 22. Oxytrol package insert ; . Corona, CA: Watson Pharmaceuticals, Inc; 2003. 23. Sanctura package insert ; . East Brunswick, NJ: Esprit Pharmaceuticals; 2006. 24. Nuhoglu B, Fidan V Ayyildiz A, Ersoy E, Germiyanoglu C. Stoller afferent nerve stimulation in woman with therapy resistant over active , bladder; a 1-year follow up. Int Urogynecol J Pelvic Floor Dysfunct. 2006; 17 3 ; : 204-207. 25. Kohli N, Rosenblatt PL. Neuromodulation techniques for the treatment of the overactive bladder. Clin Obstet Gynecol. 2002; 45 1 ; : 218-232. 26. Mallina R, Sahai A, Khan MS, Dasgupta P Botulinum toxin a in the overactive bladder: current status and future directions. BJU Int. 2007; 99 6 ; : 1549-1550. FOR IMMEDIATE RELEASE WATSON'S NEW DRUG SUBMISSION FOR OXYTROL ACCEPTED FOR REVIEW IN CANADA CORONA, CA May 23, 2003 Watson Pharmaceuticals, Inc. NYSE: WPI ; , a leading specialty pharmaceutical company, announced today that its New Drug Submission for OXYTROL oxybutynin transdermal system ; has been accepted for review by the Canadian regulatory authorities. OXYTROL oxybutynin transdermal system ; , the first and only transdermal therapy to treat overactive bladder OAB ; , with symptoms of urge urinary incontinence, urgency and frequency, was recently approved for marketing by the U.S. Food and Drug Administration and is now available in U.S. pharmacies. "We are very pleased that our OXYTROL Canadian submission has been accepted for review, " began Allen Chao, Ph.D., Chairman and Chief Executive Officer. "With approximately 1.5 million Canadians suffering from overactive bladder, OXYTROL will play an important role in the effective treatment of this condition. The Canadian market is another facet to our global strategy for OXYTROL and we are actively pursuing partnering opportunities for the commercialization of OXYTROL in Canada and Europe." In addition to the Canadian submission, OXYTROL is currently under review with the European Agency for the Evaluation of Medicinal Products as part of a qualified centralized filing in the European Union. In addition, the product is in phase two clinical development in Japan with Sankyo Co., Ltd. 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