COVID-19 SERVICE UPDATE – JULY 2021
Shipping Update

We are now seeing improvements in our shipping times. However, things are not yet back to normal and there are still some delays occurring. We will provide updates as the situation changes.

Our normal shipping time averages 1 - 2 weeks. Due to the pandemic, shipments may sometimes take an additional 2 – 4 weeks to arrive, depending on the source country of your order. Shipments from the United Kingdom and Canada are generally quicker than from other countries.

Please note that these times are averages and individual shipping times will vary. We highly recommend that you place your order at least 2 – 4 weeks or more ahead of your normal reorder time to avoid running out of your medication.

We offer a shipping guarantee when you place an order with us. If your order does not arrive within 6 weeks from the date it was shipped, we will re-ship your order to you at no additional cost.

Call Center

Our call center hours of operation are 6:00 am – 9:00 pm Central Time on Monday to Friday, and 7:00 am – 7:00 pm Central Time on Saturday and Sunday.

If you are experiencing increased hold times or are calling outside of these hours, please leave us a message or send us an email and we will get back to you as soon as we can. Due to increased demand on telephone networks worldwide, you may experience some intermittent connection problems. If this happens our agents will call you back.

Our Commitment

If you have any questions about any changes in our service please do not hesitate to contact us. Our staff are working tirelessly to ensure the timely fulfillment and delivery of all orders. The health and safety of our customers and staff is our highest priority and we remain committed to providing service at the highest level.

We appreciate your business and thank you for your continued support.


Management and Staff
Medix Pharmacy

Ditropan XL
(Oxybutynin ER)

Prescription Settings Edit

Brand Name Choices

Ditropan XL 5mg
Ditropan XL 5mg Extended Release Tablets

Marketed as Lyrinel XL in United Kingdom

Oxybutynin ER

Manufactured by Janssen-Cilag Ltd

Product of United Kingdom

Dispensed by a licensed pharmacy in the United Kingdom

Prescription Required

Parallel Import

Ditropan XL 10mg
Ditropan XL 10mg Extended Release Tablets

Oxybutynin ER

Manufactured by Janssen Inc

Product of Canada

Dispensed by an approved Canadian pharmacy partner

Prescription Required

Generic Choices

No generic medication is available for Ditropan XL (Oxybutynin ER)

What Ditropan XL is and what it is used for

The name of your medicine is Lyrinel XL prolonged release tablets. It is called Lyrinel XL in this leaflet. Lyrinel XL contains a medicine called oxybutynin hydrochloride. This belongs to a group of medicines called ‘anticholinergics’ or ‘antispasmodics’. Lyrinel XL works by relaxing your bladder muscles. It also stops bladder contractions and delays the desire to pass urine (water). Your tablets are made in a 'prolonged release' form. The tablets are coated with a ‘special membrane’, which slowly release the medicine. This membrane may pass through your body unchanged. This does not affect the way the medicine works. Lyrinel XL can be used:
• To help adults control when and how often they pass urine
• In children 5 years or older to treat: o Loss of control in passing urine (urinary incontinence) o Increased need or urgency to pass urine o Night time bedwetting, when other treatments have not worked. If your symptoms do not improve after 7 days talk to your doctor. You must talk to a doctor if at any time your symptoms worsen

How to take Ditropan XL

Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
• Lyrinel XL should be taken once daily
• Take your medicine at the same time each day
• Swallow the tablet whole with a glass of water
• Do not chew, break or crush the tablet
• You can take your medicine with food or in between meals. How much to take Your doctor will decide what dose of medicine is best for you. Use in adults
• The recommended starting dose is normally one 5 mg tablet each day
• After at least one week, your doctor may increase your dose to 10 mg each day
• Your doctor may increase this to a maximum of 20 mg each day
• Your doctor will leave a gap of at least one week between changing the dose. Use in children (over 5 years)
• The recommended starting dose is normally one 5 mg tablet each day
• Your child’s doctor may increase the dose to a maximum of 15 mg each day. If you take more Lyrinel XL than you should If you think that you have taken too many tablets, tell a doctor or go to the nearest hospital casualty department straight away. Take the medicine pack with you. This is so the doctor knows what you have taken. You may experience symptoms starting as restlessness and excitement, and worsening to circulation changes such as flushing or drop in blood pressure, difficulty breathing, being unable to move your body and losing consciousness. If you forget to take Lyrinel XL
• Do not take a double dose to make up for a forgotten dose.
• If you forget a dose, do not worry. Just skip that dose and take your next dose at the regular time. If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.

Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. Stop taking Lyrinel XL and see a doctor or go to a hospital straight away if:

Not known (frequency cannot be estimated from the available data)
• You have a severe allergic reaction. The signs may include: a rash, hives (also known as nettle rash or urticaria), difficulty swallowing or breathing, swelling of your lips, face, throat or tongue
• You have central nervous system (CNS) effects (changes in thinking or emotions) such as anxiety, nervousness, seeing or hearing things that are not actually there, and trouble thinking clearly or making decisions. Watch for these signs, particularly in the first few months after you start taking your medicine or after an increase in dose.

Uncommon side effects (may affect up to 1 in 100 people)
• You have a sudden decrease in vision, eye pain and/or high pressure in the eye, which may cause blindness (glaucoma)
• You experience seizures (fits). Tell your doctor or pharmacist if any of the following side effects get serious or lasts longer than a few days:

Very common side effects (may affect more than 1 in 10 people)
• Dry mouth This is more common at doses of more than 10 mg once a day and may lead to tooth decay, gum disease or fungal infection. This may also prevent medicines you put under your tongue dissolving properly (such as angina medicines).

Common side effects (may affect up to 1 in 10 people)
• Abnormal awareness of your heartbeat (palpitations)
• Blurred eyesight, dry eyes
• Constipation, diarrhoea, nausea, indigestion, stomach pain, change in the way things taste, feeling bloated (flatulence) or heartburn
• Feeling tired
• Dry skin or itching
• Feeling dizzy or sleepy, having a headache, problems sleeping
• Pain passing urine, delay when starting to pass urine, feeling of incomplete emptying of your bladder, urinary tract infection
• Dry nose, dry or sore throat, cough.

Uncommon side effects (may affect up to 1 in 100 people)
• Seeing or hearing things that are not there (hallucinations)
• Psychological problems, feeling agitated or confused, difficulty remembering
• Allergic reaction
• Difficulty swallowing
• Thirst
• Loss of appetite, vomiting, frequent bowel movements
• Nasal congestion, impairment of the voice, such as hoarseness
• Irregular heartbeat, racing heart
• High blood pressure
• Chest discomfort
• Retaining water
• Flushing
• Falling
• Rash.

Not known (frequency cannot be estimated from the available data)
• Psychological problems
• Difficulty getting or keeping an erection
• Anxiety
• Becoming dependent on Lyrinel XL
• Nightmares
• Depression
• Paranoia
• Difficulty thinking, remembering information, or solving problems
• Dilated pupils
• Lack of sweating
• Heat stroke
• Abdominal pain and bloating which may be accompanied by feeling or being sick, difficulty with swallowing, diarrhoea or constipation, depending on the part of the gut affected (pseudoobstruction). Additional side effects in children Constipation is a very common side effect in children. The following are common side effects in children: Loss of appetite, diarrhoea, headache, problems sleeping, rash or itching, flushing.

Reporting of side effects If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. In the UK, you can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard In Ireland, you can also report side effects directly via: HPRA Pharmacovigilance Earlsfort Terrace IRL
•Dublin 2 Tel: +353 1 6764971 Fax: +353 1 6762517 Website: www.hpra.ie e-mail: [email protected] By reporting side effects you can help provide more information on the safety of this medicine.

How to Store Ditropan XL

Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date which is stated on the carton and bottle label after “Expiry”. The expiry date refers to the last day of that month. Store your medicine in the original package. Do not store above 25°C. Keep the container tightly closed in order to protect from moisture. Do not remove or swallow the sachet of granules in the bottle. This contains desiccant, which keeps the tablets dry. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

Fast Shipping

2 to 3 weeks on average

The average shipping time is 2 weeks in North America and 4 weeks internationally. We offer free shipping on all orders shipped to North America. Shipping is a flat rate of $20.00 for all other countries.

Price Match Guarantee

If you have been prescribed medication by your doctor and cannot afford the high price at your local pharmacy, Medix Pharmacy is the solution for you. All orders are backed with a price match and satisfaction guarantee.

Your Trusted Pharmacy Referral Service

Medix Pharmacy is an international pharmacy referral service. With a network of licensed pharmacy partners in Canada, United Kingdom, Australia, and New Zealand, we are able to help you lower the costs of your medications.

Our pharmacy partners are all thoroughly vetted and qualified to ensure that the medication you receive is cost effective, safe and effective. Because we only work with licensed pharmacies, you can rest assured that your medication is safe, effective, and genuine.

  • Free standard delivery to your door, to any international address
  • Option to add Tracked Deliveries
  • Handy reminders to re-order so you do not run out
  • Professional & Knowledgeable Customer Services Team
  • Save time, with no need for repeated trips to your physician or local drugstore

With a dedicated customer service team, free standard shipping, and a record of providing significant saving for our customers, we believe that you do not need to compromise quality or safety in your search for value.

If you are unable to find your prescribed medicine on our website, please fill out the form below and we will confirm pricing and availability within 1 business day. You may also call us at 1-866-500-6633 and one of our patient care representatives will be happy to assist you.