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Antimuscarinic activity resides predominately in the R-isomerA metabolitedesethyloxybutyninhas pharmacological activity similar to that of oxybutynin in in vitro studies.

The usual dose is one 5-mg tablet two to three times a dayThe maximum recommended dose is one 5-mg tablet four times a dayA lower starting dose of 2.5 mg two or three times a day is recommended for the frail elderly.

The mean pharmacokinetic parameters for Rand S-oxybutynin are summarized in Table 1The plasma concentration-time profiles for Rand S-oxybutynin are similar in shapeFigure 1 shows the profile for R-oxybutynin.

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