Cystran 5 Tablet (oxybutynin 5mg): Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Inability to pass urine or severe lower abdominal pain
- Severe constipation with vomiting and no bowel movement
- Confusion, hallucinations, or agitation, especially in older adults
- Rapid or irregular heartbeat, chest pain, or fainting
- Swelling of the face, lips, tongue, or throat, or difficulty breathing
- Severe eye pain, redness, or sudden vision loss
- High fever with hot, dry skin and confusion (heat stroke)
- Seizures or loss of consciousness
If experiencing severe symptoms, call emergency services immediately.
What is cystran 5 tablet used for?
This medicine contains Oxybutynin 5 mg, an antimuscarinic medicine used to treat overactive bladder. It works by relaxing the bladder muscle to reduce urgency, frequency, and urge incontinence. It is taken orally, usually two to three times daily, and common side effects include dry mouth, constipation, and drowsiness.
- Generic Name: Oxybutynin
- Manufacturer: Intas Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 cystran 5 tablet के बारे में (Hindi Summary)
उपयोग: यह दवा ओक्सीब्यूटिनिन 5 मिलीग्राम युक्त एक ओरल टैबलेट है, जिसका उपयोग ओवरएक्टिव ब्लैडर (अत्यधिक सक्रिय मूत्राशय) के इलाज के लिए किया जाता है। यह बार-बार पेशाब आने, अचानक पेशाब की तेज़ इच्छा होने और पेशाब पर नियंत्रण न रहने जैसी समस्याओं में राहत देती है। यह मूत्राशय की मांसपेशियों को आराम देकर उनके अनैच्छिक संकुचन को कम करती है, जिससे मूत्राशय अधिक मूत्र धारण कर पाता है। यह दवा न्यूरोलॉजिकल समस्याओं जैसे मल्टीपल स्क्लेरोसिस या रीढ़ की हड्डी की चोट से जुड़े मूत्राशय विकारों में भी उपयोगी हो सकती है। यह दवा डॉक्टर के पर्चे पर ही लेनी चाहिए और निर्धारित मात्रा में ही लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मुँह सूखना, कब्ज, धुंधली दृष्टि, नींद आना, चक्कर आना और पेशाब करने में कठिनाई शामिल हैं। कुछ लोगों को जी मिचलाना, अपच, सिरदर्द या आँखों का सूखापन भी हो सकता है। गंभीर लेकिन दुर्लभ दुष्प्रभावों में पेशाब रुक जाना, गंभीर कब्ज से आंतों में रुकावट, भ्रम या मतिभ्रम (विशेषकर बुज़ुर्गों में), तेज़ धड़कन और एलर्जी प्रतिक्रिया शामिल हैं। यदि आपको पेशाब करने में बिल्कुल न हो पाए, गंभीर पेट दर्द, तेज़ बुखार के साथ भ्रम, या चेहरे-होंठों में सूजन हो, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। टैबलेट को पानी के साथ पूरा निगलें, चबाएँ नहीं। यह दवा नींद, चक्कर और धुंधली दृष्टि पैदा कर सकती है, इसलिए जब तक आपको इसका असर समझ न आ जाए, वाहन चलाने या भारी मशीनरी चलाने से बचें। इस दवा के साथ शराब न लें क्योंकि इससे नींद और चक्कर बढ़ सकते हैं। कब्ज से बचने के लिए भरपूर पानी और रेशेदार भोजन लें। यदि आपको ग्लूकोमा, प्रोस्टेट की समस्या, गुर्दे या जिगर की बीमारी है, तो डॉक्टर को पहले बताएं। इस दवा को अचानक बंद न करें।
💊 cystran 5 tablet Uses & Benefits
[{"condition":"Overactive bladder with urge incontinence","description":"This medicine reduces the frequency and urgency of urination and episodes of urge incontinence by relaxing the detrusor muscle of the bladder.","evidence":"Well-established"},{"condition":"Urinary frequency and urgency","description":"It helps to increase bladder capacity and delay the need to urinate in patients with an overactive bladder.","evidence":"Well-established"},{"condition":"Neurogenic bladder due to multiple sclerosis or spinal cord injury","description":"It is used to reduce uninhibited bladder contractions in patients with neurological disorders affecting bladder control.","evidence":"Well-established"},{"condition":"Nocturia associated with overactive bladder","description":"It may reduce the number of times a patient wakes at night to urinate when the cause is detrusor overactivity.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Hyperhidrosis (excessive sweating)","description":"Oxybutynin is sometimes prescribed off-label to reduce excessive sweating because of its anticholinergic effect on sweat glands.","evidence":"Moderate"},{"condition":"Clozapine-induced sialorrhea","description":"It may be used off-label to reduce excessive salivation caused by certain antipsychotic medicines.","evidence":"Limited"}]
Primary treatment for: Overactive bladder
Also treats: Urge incontinence, Urinary frequency, Nocturia, Neurogenic bladder
📋 Drug Information
| Generic Name(s) | Oxybutynin |
| Brand Name | Cystran 2.5 Tablet |
| Manufacturer | Intas Pharmaceuticals Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | UROLOGY |
| Action Class | Non selective Anticholinergic (Bladder) |
| Route of Administration | Oral |
| Storage | Store this medicine at room temperature between 15°C and 30°C (59°F to 86°F). Keep it in its original container, tightly closed, and protect it from light and moisture. Do not store it in the bathroom. Keep out of reach of children and pets. |
| Shelf Life | The shelf life of this medicine is typically 24 to 36 months from the date of manufacture, depending on the manufacturer. Always check the expiry date on the pack before use. Do not use the medicine after the expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by competitively blocking muscarinic acetylcholine receptors, particularly the M3 subtype, on the detrusor muscle of the urinary bladder. Acetylcholine normally binds to these receptors and triggers bladder muscle contractions that cause the urge to urinate. By blocking this action, Oxybutynin reduces involuntary detrusor contractions, increases bladder capacity, and delays the initial desire to urinate. It also has some direct smooth muscle relaxant and local anaesthetic effects. The overall result is fewer episodes of urgency, frequency, and urge incontinence.
Mechanism Steps
💡 How to Take cystran 5 tablet
Strength: Oxybutynin 5 mg immediate-release oral tablet
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 5 mg taken two to three times daily, with a maximum recommended dose of 5 mg four times daily (20 mg per day). The dose may be started at 5 mg twice daily and increased gradually based on response and tolerability. For older adults, a lower starting dose of 2.5 mg twice daily is often recommended. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and other medicines being taken. |
| Pediatric Dosage | Pediatric dosing of this medicine is not established from available information for children under 5 years of age. For children aged 5 years and older, dosing is individualized by a pediatrician based on weight and clinical response. Consult a pediatrician for appropriate dosing. |
| Elderly Dosage | Older adults are more sensitive to the anticholinergic effects of this medicine, including confusion, constipation, urinary retention, and falls. A lower starting dose, such as 2.5 mg twice daily, is often recommended, with gradual titration based on response and tolerability. Regular review of the need for continued therapy is advised. |
| Renal Impairment | Oxybutynin is excreted primarily by the kidneys. In patients with significant renal impairment, the dose may need to be reduced or the dosing interval extended. Consult your clinician for individualized dosing. |
| Hepatic Impairment | Oxybutynin is extensively metabolised in the liver. In patients with hepatic impairment, the dose may need to be reduced or the dosing interval extended. Consult your clinician for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose of this medicine is 20 mg per day (5 mg four times daily) for adults. Doses above this are not recommended and may increase the risk of serious side effects. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of cystran 5 tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Other anticholinergics | Major | |
| Potassium chloride tablets | Major | |
| CYP3A4 inhibitors (ketoconazole, clarithromycin) | Major | |
| CYP3A4 inducers (rifampicin, carbamazepine) | Moderate | |
| Amantadine | Moderate | |
| Levodopa | Moderate | |
| Antacids (aluminium/magnesium) | Minor | |
| Warfarin | Minor | |
| Alcohol | Moderate | |
| Grapefruit juice | Minor |
🚨 Major Interactions
- Other anticholinergic medicines (e.g., tricyclic antidepressants, antihistamines, antipsychotics)
- Potassium chloride tablets
- CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, clarithromycin, ritonavir)
⚡ Moderate Interactions
- CYP3A4 inducers (e.g., rifampicin, carbamazepine, phenytoin)
- Amantadine
- Levodopa
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine because it can increase drowsiness, dizziness, and difficulty concentrating. The combination may also worsen anticholinergic effects such as dry mouth and blurred vision. If you choose to drink alcohol, discuss it with your clinician first and never drive or operate machinery.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity or allergy to Oxybutynin or any component of the tablet","Uncontrolled narrow-angle glaucoma","Urinary retention or significant bladder outlet obstruction","Gastric retention or pyloric stenosis","Paralytic ileus or intestinal atony","Myasthenia gravis (unless medically supervised)","Severe ulcerative colitis or toxic megacolon","Children under 5 years of age (safety and efficacy not established)"]
⚠️ Warnings & Precautions
["This medicine may cause drowsiness, dizziness, or blurred vision. Avoid driving or operating machinery until you know how it affects you.","Use with caution in older adults because they are more sensitive to anticholinergic effects such as confusion, constipation, and urinary retention.","Do not use in patients with uncontrolled narrow-angle glaucoma as it may precipitate an acute attack.","Use with caution in patients with gastro-oesophageal reflux disease because it can relax the lower oesophageal sphincter.","May cause heat stroke due to decreased sweating; avoid exposure to high temperatures and stay hydrated.","Use with caution in patients with autonomic neuropathy, hyperthyroidism, or coronary artery disease.","Do not stop this medicine abruptly without consulting your clinician.","Inform your clinician if you are pregnant, planning pregnancy, or breastfeeding."]
🤱 Lactation Safety
Oxybutynin is excreted in human breast milk in small amounts. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the medicine, taking into account the importance of the medicine to the mother. Consult your clinician before breastfeeding while on this medicine.
💊 Overdose Management
Overdose of this medicine can cause severe anticholinergic symptoms including dry mouth, flushing, fever, tachycardia, dilated pupils, urinary retention, agitation, hallucinations, seizures, and coma. If you suspect an overdose, seek emergency medical care immediately. Treatment is supportive and symptomatic. Activated charcoal may be given if the patient presents early. Physostigmine may be used cautiously in severe cases under medical supervision. Do not attempt to treat an overdose at home.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one. If you are unsure, contact your clinician or pharmacist.
Additional Safety Advice
Take this medicine exactly as prescribed by your clinician. Swallow the tablet whole with a glass of water; do not crush or chew it unless your clinician advises otherwise. This medicine can cause drowsiness, dizziness, and blurred vision, so avoid driving or operating heavy machinery until you know how it affects you. Do not drink alcohol while taking this medicine because it can increase drowsiness and impair your alertness. Drink plenty of fluids and eat fibre-rich foods to reduce constipation. If you have glaucoma, an enlarged prostate, kidney or liver problems, or a history of urinary retention, tell your clinician before starting this medicine. Do not stop this medicine suddenly without consulting your clinician. Keep this medicine out of the reach of children and store it in its original packaging.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults are more sensitive to the anticholinergic effects of this medicine, including confusion, hallucinations, constipation, urinary retention, and falls. A lower starting dose, such as 2.5 mg twice daily, is recommended, with gradual titration. Regular review of cognitive function, bowel habits, and urinary symptoms is advised. Consider alternative medicines with fewer central nervous system effects if available.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss this medicine with your clinician before conception. Oxybutynin is classified as Pregnancy Category B, but there are no adequate studies in pregnant women. Your clinician may consider alternative treatments or adjust your dose. Do not stop or start this medicine without medical advice.
🏥 Post-Surgery Considerations
After surgery, this medicine may be continued or temporarily stopped depending on the type of surgery and your clinical condition. It can affect bladder function and bowel movements post-operatively. Inform your surgeon and anaesthesiologist that you are taking this medicine. Follow your clinician's instructions regarding when to resume.
🦷 Dental Procedures
This medicine can cause dry mouth, which may increase the risk of dental caries and gum disease. Inform your dentist that you are taking this medicine. Maintain good oral hygiene, drink water frequently, and use sugar-free gum or saliva substitutes. Dry mouth may also affect the fit of dentures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can cause drowsiness, dizziness, and blurred vision, which may affect your ability to exercise safely. Avoid high-impact or balance-demanding exercises until you know how the medicine affects you. Stay hydrated during exercise, especially in hot weather, because this medicine reduces sweating and increases the risk of heat stroke. Pelvic floor exercises are safe and beneficial.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness, dizziness, and blurred vision, which may affect your ability to drive, operate machinery, or perform tasks requiring alertness. Avoid these activities until you know how the medicine affects you. Dry mouth and constipation may cause discomfort but are usually manageable. Discuss any work-related concerns with your clinician.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your clinician. If you experience serious side effects such as urinary retention, severe constipation, confusion, or an allergic reaction, stop the medicine and seek medical attention immediately. Your clinician may adjust the dose or switch you to a different medicine if side effects are troublesome or if the medicine is not effective.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to persistent dry mouth, constipation, and dental problems due to reduced saliva. Older adults may experience cognitive decline or confusion with prolonged use. Regular monitoring of urinary symptoms, bowel habits, and cognitive function is recommended. The need for continued therapy should be reviewed every 3 to 6 months. Do not stop the medicine without consulting your clinician.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Strengthens the muscles that control urination and can reduce urgency and incontinence.
Evidence: Well-establishedGradually increasing the time between urination to improve bladder control.
Evidence: Well-establishedReducing caffeine, alcohol, and bladder irritants can help manage symptoms.
Evidence: ModerateHelps patients learn to control pelvic floor muscles.
Evidence: ModerateA device that stimulates nerves controlling bladder function; used for refractory cases.
Evidence: Well-established for refractory overactive bladder💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. You can receive routine vaccinations while taking this medicine. Consult your clinician if you have any concerns.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in the original container with the lid tightly closed
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight and moisture
❌ DON'T
Do not store in the bathroom cabinet
✅ DO
Keep out of reach of children and pets
❌ DON'T
Do not use after the expiry date
✈️ Traveling with This Medicine
When travelling, carry this medicine in its original packaging with the prescription label clearly visible. Bring a copy of your prescription or a letter from your doctor, especially for international travel, as this is a prescription-only medicine. Store it in your hand luggage to avoid loss or temperature extremes. If you are crossing time zones, continue taking your doses at evenly spaced intervals as advised by your clinician; do not double up. Keep the medicine away from direct sunlight and moisture during travel. Check the customs regulations of your destination country regarding prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may notice some improvement within 1 to 2 hours after a dose, but full benefits for overactive bladder usually take 2 to 4 weeks of regular use.
A: Yes, your clinician may advise taking a dose at bedtime, especially if you have night-time urination. Follow your prescribed schedule.
A: Take the missed dose as soon as you remember if it is not almost time for your next dose. If it is, skip the missed dose and continue with your regular schedule. Do not double dose.
A: No, do not stop this medicine without consulting your clinician. Stopping suddenly may cause your symptoms to return.
A: Older adults are more sensitive to its side effects, especially confusion and urinary retention. A lower starting dose and close monitoring are recommended.
A: It is best to avoid alcohol because it can increase drowsiness, dizziness, and difficulty concentrating.
A: Yes, constipation is a common side effect. Increase your fluid and fibre intake, and ask your clinician about a stool softener if needed.
A: This medicine controls symptoms but does not cure the underlying condition. It must be taken regularly as prescribed.
🤔 Common Patient Concerns
🔄 Substitutes for cystran 5 tablet
View AllAlternative brands with exact same active ingredient:
-
nocturin 5mg tabletElder Pharmaceuticals Ltd ₹76.67 67.8% CHEAPER
-
tropan 5 tabletSun Pharmaceutical Industries Ltd ₹220.31 7.5% CHEAPER
-
tropan xl 5 tabletSun Pharmaceutical Industries Ltd ₹225.00 5.5% CHEAPER
-
oxyspas 5 tabletCipla Ltd ₹248.40 4.3% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine cures overactive bladder permanently.
Fact: This medicine controls symptoms but does not cure the underlying condition. It must be taken regularly as prescribed. - Myth: This medicine is safe to take without a prescription.
Fact: This medicine is a prescription-only product and must be used under medical supervision. - Myth: You can stop this medicine anytime you feel better.
Fact: Do not stop this medicine suddenly without consulting your clinician, as symptoms may return. - Myth: This medicine is safe to take with alcohol.
Fact: Alcohol can increase drowsiness and dizziness caused by this medicine and should be avoided.
🔄 Alternative Options
Generic Alternatives
- Oxybutynin 5 mg tablet
Brand Alternatives
- cystran 5 tablet