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Flavoxate

Flavoxate is a urinary tract antispasmodic used to relieve symptoms such as painful urination, urgency, frequency, and incontinence caused by bladder and urinary tract conditions.

Brand name Urispas
Drug class Cholinergic Muscarinic Antagonists
Rx Form 1
Dr. Brian Staiger, PharmD, BCPS
Reviewed by Last reviewed Jul 10, 2026 Content updated Oct 2, 2026
🧬 Where this information comes from Click to expand

The clinical label records used on this page are FDA-filed Structured Product Labeling (SPL) retrieved through openFDA. We identified 3 clinical label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. Forms, routes, brands, labelers, strengths, and NDC product-record counts are built separately from matching FDA National Drug Code Directory records. The linked DailyMed document is a representative official source for verification, not the page’s only clinical source. View the linked label on DailyMed →

✓No current FDA shortage listed · checked Oct 7, 2026
Flavoxate at a glance The quick version — the full detail is in the Patient Information Guide below.
Dr. Brian Staiger, PharmD, BCPS
The Pharmacist’s Take By · Clinical pharmacist · Written

Flavoxate (Urispas) is an older urinary antispasmodic that relaxes the bladder's smooth muscle to ease burning, urgency, frequency and night-time trips from bladder, prostate or urethra irritation; it has been around since about 1970, is available as a generic, and is now a less common choice. Most people tolerate it reasonably well, and dry mouth, drowsiness and mild blurred vision are what they notice most. The thing to watch for is confusion in older adults, or new eye pain if you have glaucoma, and either is a reason to call your prescriber. It only eases symptoms, so it works alongside, never instead of, the antibiotic that clears an infection.

Clinical pearls

  • It is not for anyone with a stomach, bowel or lower urinary tract blockage, achalasia (a swallowing disorder) or gastrointestinal bleeding.
  • Drowsiness, dizziness and blurred vision can follow a dose, so see how it affects you before driving.
  • If painful urination starts or worsens while taking it, the underlying problem needs rechecking, since flavoxate should be easing it.
  • It is not recommended for children under 12, so never share an adult's supply with a child.
How you get itPrescription only
Comes asTablet
Earliest FDA record1970
Companies listing it with the FDA3
FDA label last updatedMay 31, 2023
FDA’s strongest warning (boxed)None on the label

Patient information guide A plain-language walkthrough of Flavoxate, written from its FDA label.

What Flavoxate is used for

▾

Flavoxate is used to relieve uncomfortable urinary symptoms caused by inflammation or infection of the urinary tract. It treats symptoms — not the underlying infection itself — and is meant to be used alongside antibiotics or other appropriate treatments.

  • Painful or burning urination (dysuria)
  • Sudden, strong urge to urinate (urgency)
  • Needing to urinate more often than normal (frequency)
  • Waking up at night to urinate (nocturia)
  • Lower abdominal or pelvic pain (suprapubic pain)
  • Bladder leakage (incontinence)
  • These symptoms may be caused by cystitis, prostatitis, urethritis, urethrocystitis, or urethrotrigonitis

How Flavoxate works

▾

Flavoxate works by directly relaxing the smooth muscle in the walls of the urinary tract. When the urinary tract is irritated or infected, the muscles can go into spasm — causing that urgent, frequent, painful need to urinate. Flavoxate calms those spasms, easing the discomfort. It does not fight bacteria or treat infection; it simply helps the muscle relax while other treatments address the root cause.

Flavoxate dosage

▾

Flavoxate Hydrochloride is taken as an oral tablet, several times throughout the day. It is approved for adults and children over 12 years of age; it is not recommended for children 12 and under. Your doctor may lower your dose as your symptoms improve.

  • Taken by mouth, typically three or four times daily
  • Dose may be reduced with symptom improvement — follow your prescriber's guidance
  • Not recommended for children under 12 (safety and effectiveness not established)

Dosing details from the FDA-approved label

From the Flavoxate prescribing information (“Dosage and Administration”). Doses are set by your prescriber for your product, condition, kidney function and age — never change a dose on your own.

  • Adults and children over 12 years of age
    • One or two 100 mg tablets 3 or 4 times a day
    • With improvement of symptoms, the dose may be reduced
  • Infants and children under 12 years of age
    • This drug cannot be recommended for infants and children under 12 years of age because safety and efficacy have not been demonstrated in this age group
    • Not recommended under 12 years of age
Read the label’s full dosing text

DOSAGE AND ADMINISTRATION Adults and children over 12 years of age: One or two 100 mg tablets 3 or 4 times a day. With improvement of symptoms, the dose may be reduced. This drug cannot be recommended for infants and children under 12 years of age because safety and efficacy have not been demonstrated in this age group.

Read the full Dosage and Administration section on DailyMed →

Flavoxate side effects

▾

Like any medication, flavoxate can cause side effects. The most commonly reported ones include:

Common side effects

  • Dry mouth
  • Nausea or vomiting
  • Dizziness or vertigo
  • Headache
  • Drowsiness
  • Blurred vision
  • Rapid heartbeat or palpitations
  • Nervousness
  • Blurred vision or difficulty focusing

When to get medical help

  • Call your doctor if you develop confusion or unusual mental changes, especially if you are elderly
  • Seek medical attention for any signs of an allergic reaction, such as skin rash, hives, or fever
  • Tell your doctor right away if you notice increased eye pressure or worsening eye pain — especially if you have glaucoma
  • Contact your doctor if you experience painful urination (dysuria) that develops or worsens while on this medication

More serious reactions — including mental confusion (especially in older adults), skin rash or hives, fever, increased eye pressure, or a drop in white blood cells (leukopenia) — have been reported and should prompt a call to your doctor right away.

Flavoxate warnings and precautions

▾
  • Glaucoma: Flavoxate may increase pressure inside the eye. Anyone with glaucoma or suspected glaucoma should use this medication with caution and under close medical supervision.
  • Blocked passages: Do not take flavoxate if you have any obstruction in your stomach, intestines, or lower urinary tract, or conditions like achalasia, ileus, or gastrointestinal bleeding — these are absolute contraindications.
  • Older adults: Mental confusion has been reported, particularly in elderly patients. Caregivers should watch for this.
  • Children under 12: Safety and effectiveness have not been established — this medication is not recommended for this age group.

Flavoxate interactions

▾

The FDA label for flavoxate does not specifically list drug, food, or supplement interactions. Always tell your doctor and pharmacist about every medication and supplement you take before starting flavoxate.

    Not a complete list. The label covers the interactions the manufacturer studied or reported, and our own interaction database does not cover every medicine either. Bring your full medication list, including vitamins and herbal products, to your pharmacist.

    Before taking Flavoxate

    ▾
    • Tell your doctor if you have glaucoma or are being evaluated for eye pressure problems
    • Do not take this medication if you have a blockage in your stomach or intestines, bowel obstruction, ileus, achalasia, gastrointestinal bleeding, or a blockage in your lower urinary tract
    • Older adults should use with caution — confusion is a reported side effect in this group
    • Not for use in children under 12 years of age
    • Let your doctor know all other medications you are taking before starting flavoxate

    Flavoxate overdose

    ▾

    The FDA label does not describe specific overdose symptoms for flavoxate in people. Animal studies used to estimate lethal doses are included in the label but do not directly translate to human experience. If you think you or someone else has taken too much flavoxate, contact Poison Control or seek emergency medical care immediately. It is not known whether dialysis can remove flavoxate from the body.

    What Flavoxate does in the body

    ▾

    Flavoxate directly relaxes smooth muscle in the urinary tract, reducing spasms that cause urgency, pain, and frequent urination. In a study of healthy adult men, the medication began to take effect in about 55 minutes, with peak effects measured at around 112 minutes after a dose. These effects help ease the discomfort of urinary tract inflammation without treating the infection causing it.

    How your body processes Flavoxate

    ▾

    After an oral dose, flavoxate is absorbed and begins working within about an hour. About 57% of the drug is eliminated through the urine within 24 hours, indicating the kidneys play a key role in clearing the medication from the body.

    How to store Flavoxate

    ▾

    Store at 20° - 25°C (68° - 77°F) .

    Written from the FDA-approved label with AI and reviewed by our pharmacy team. How we use AI →

    17

    Supplements & herbs that interact with Flavoxate

    17 supplements and herbal products have documented interactions with Flavoxate in the licensed clinical database we use. Most are manageable — but your pharmacist should know about everything you take, including vitamins and herbals.

    Severity mix
    • Major · 1
    • Moderate · 7
    • Minor · 9
    Every supplement checked against Flavoxate — ranked by severity The full interaction hub: 1 major · 7 moderate · 9 minor · every one linked to its full report. Check Flavoxate against your exact supplements

    Educational information from a licensed clinical database (Natural Medicines) — see our data sources & update cadence. Not medical advice: an interaction being documented does not mean it will happen to you; do not start or stop medications or supplements without professional guidance.

    Flavoxate: pharmacist answers to common questions

    Quick, plain-English answers to the questions patients ask most about Flavoxate — the kind of thing our pharmacy team would talk through with you at the counter.

    Will flavoxate actually cure my bladder infection?

    ▾
    No — and that's an important distinction. Flavoxate is a symptom reliever, not an antibiotic. It helps calm the spasms in your urinary tract that cause the burning, urgency, and frequent trips to the bathroom. To treat the actual infection, you'll need an antibiotic prescribed by your doctor. Flavoxate works alongside that treatment to make you more comfortable while the antibiotic does its job.

    How long does it take for flavoxate to start working?

    ▾
    In a clinical study, flavoxate started working in about 55 minutes, with the strongest effect hitting around the 112-minute mark — so roughly two hours after your dose. You likely won't feel instant relief, but within an hour or two you should notice the urgency and discomfort beginning to ease. If your symptoms aren't improving after a few days, check in with your doctor.

    What side effects should I actually watch out for?

    ▾
    The most common ones are dry mouth, nausea, dizziness, drowsiness, and blurred vision — annoying, but usually manageable. What you want to call your doctor about right away: confusion or unusual mental changes (this happens more in older adults), a skin rash or hives, fever, eye pain, or a very rapid heartbeat. These are less common but worth taking seriously.

    I have glaucoma — is it safe for me to take flavoxate?

    ▾
    You'll want to talk to your doctor before taking it. Flavoxate can raise the pressure inside your eyes, which is a concern if you already have glaucoma or are at risk for it. Your doctor may still decide it's okay for you with careful monitoring, but it's definitely a conversation to have first — don't start it on your own.

    Can I give flavoxate to my child?

    ▾
    Only if your child is over 12. Flavoxate has not been studied in children under 12 years of age, so safety and effectiveness in that age group are unknown. The medication is not recommended for younger kids. If your younger child is having urinary symptoms, check with their pediatrician for the right treatment option.

    Are there any medications or conditions that mean I absolutely cannot take flavoxate?

    ▾
    Yes — there are a few situations where flavoxate is a firm no. You should not take it if you have a blockage anywhere in your stomach or intestines, a condition called achalasia (a swallowing disorder), gastrointestinal bleeding, or a blockage in your lower urinary tract. These are called contraindications, meaning the risks outweigh any benefit. Make sure your doctor knows your full medical history before you start.

    Is Flavoxate available over the counter?

    ▾
    No. Flavoxate is a prescription medicine: every Flavoxate product listed with the FDA is prescription only, so it is not sold over the counter. Your prescriber decides whether it is appropriate for you, and your pharmacist dispenses it.

    When was Flavoxate first available?

    ▾
    The earliest FDA record we hold for Flavoxate is from 1970: its first approval in Drugs@FDA or its earliest product listing in the NDC Directory, whichever is older. Many older medicines were in use before their first formal FDA approval, so this is the earliest date on record, not necessarily when Flavoxate was first used.

    Who makes Flavoxate?

    ▾
    3 companies currently list Flavoxate products in the FDA's NDC Directory, including Epic Pharma, LLC, Padagis US LLC, PuraCap Laboratories LLC dba Blu Pharmaceuticals. That count includes repackagers and distributors as well as manufacturers (companies that sell only the raw ingredient are not counted), so fewer companies actually make it; the label on your bottle names the one that supplied yours.

    Answers drafted from the FDA-approved label with AI and reviewed by our pharmacy team. How we use AI →

    More about Flavoxate on HelloPharmacist

    Detailed data & references for Flavoxate Forms & strengths, pricing, billing codes, manufacturers, safety reports and sourcing — the data behind the page. Most people can stop here. Each section below opens on a tap.

    Flavoxate forms and strengths (how it comes)

    Flavoxate is available in 1 form. Different forms and brands can have different approved uses, doses, schedules, and directions. Follow the instructions for your exact product, and do not switch forms without guidance from your prescriber or pharmacist.

    Need a version that does not list lactose, a gluten source, a dye or gelatin? Inactive ingredients differ by manufacturer: see Flavoxate inactive ingredients by manufacturer.

    Tablet

    By mouth
    How this form is used
    What it may be used for
    • Flavoxate Hydrochloride tablets relieve urinary symptoms such as painful urination, urgency, frequency, and incontinence
    • Flavoxate Hydrochloride tablets are used alongside treatments for cystitis, prostatitis, urethritis, and related urinary tract conditions
    • Flavoxate Hydrochloride tablets are for symptom relief only — not for treating the underlying infection
    Important instructions
    • Flavoxate Hydrochloride tablets are taken by mouth three or four times a day for adults and children over 12
    • Flavoxate Hydrochloride tablets may be taken at a lower frequency once symptoms begin to improve, as directed by your doctor
    • Flavoxate Hydrochloride tablets are not recommended for children under 12 years of age
    Available strengths 1 strength
    6 FDA-listed product records ⓘ

    Flavoxate on the U.S. market: products, makers and brands

    How Flavoxate appears in the FDA’s National Drug Code Directory — including its dosage forms, strengths, brand names, manufacturers, and FDA-listed product records. These are directory records, not sales or prescription volume.

    3 companies list 3 Flavoxate product records with the FDA, mostly as tablet; the earliest marketing or approval year on record is 1970. Brand names on the directory include Urispas; the rest are generics.

    1
    Dose forms ⓘ
    3
    Labelers (makers, repackagers, distributors)
    1
    Brand names
    3
    FDA-listed product records ⓘ
    1970
    Earliest FDA record ⓘ

    Also listed with the FDA, not a patient dose form: Powder (2) — bulk drug substance sold to compounders/manufacturers and multi-item kits. These aren’t counted in the dose-form total above.

    Epic Pharma, LLC33%
    Padagis US LLC33%
    PuraCap Laboratories LLC dba Blu Pharmaceuticals33%

    Share of FDA-listed product records by manufacturer — FDA National Drug Code Directory. Record counts are not sales or prescription volume.

    How widely Flavoxate is used (Medicaid data)

    A general measure of how commonly Flavoxate is prescribed, based on Medicaid — one of the largest public drug programs. The figure below is prescriptions filled in Q1–Q4 2025, summed across every form and brand of the drug.

    Think of this as a proxy for how widely Flavoxate is used, drawn from freely available public data. Medicaid is just one program — these numbers don’t include Medicare, other government coverage, or commercial and cash-pay prescriptions, so real-world use is higher than what’s shown here.

    337
    Medicaid prescriptions filled (Q1–Q4 2025)
    $14,598 gross Medicaid reimbursement (before mandatory rebates — net cost is lower)

    How commonly is Flavoxate prescribed? Of the 1,601 medications we measure, Flavoxate ranks #1,407 by Medicaid prescriptions — more than 12% of them.

    Where Flavoxate ranks among the drugs we measure · Q1–Q4 2025 · neighbors ±5

    Utilization by Flavoxate product

    Pick a product to see its own Medicaid numbers. Each chip is one clinical product — a specific strength & dosage form as defined by RxNorm — with brand-name and generic versions combined.

    flavoxate hydrochloride 100 MG Oral Tablet

    337 Medicaid prescriptions (Q1–Q4 2025) 100% of Flavoxate prescriptions shown $14,598 gross reimbursement (before rebates) ≈ $43 per prescription (gross)

    Summed across the 2 of 5 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1095229

    Shares are of the Medicaid prescriptions shown here. Product grouping follows RxNorm (the National Library of Medicine’s drug terminology), so “one product” means one strength & dosage form regardless of manufacturer. Dollar figures are gross Medicaid reimbursement before mandatory rebates — rebates (often large, especially for brand-name drugs) are confidential, so actual net cost to Medicaid is lower than shown.

    Source: Medicaid State Drug Utilization Data (CMS), aggregated by generic ingredient — summed across every NDC (all brands, strengths, salt forms and dosage forms) of Flavoxate, and across all states and both fee-for-service and managed-care claims. A general popularity signal; it excludes Medicare, commercial insurance and cash prescriptions, so it is not total U.S. use. Based on the 2 of 5 listed Flavoxate NDCs with Medicaid activity.

    Compare Flavoxate products

    A representative set of FDA-listed product records for Flavoxate — across manufacturers, strengths, and dosage forms, grouped by form with each product’s manufacturer and how the FDA approved it. The same medicine may be made and packaged by different companies, so a single drug can have many directory entries. (It’s also why a refill can look different — a new shape, color, or box — even though it contains the same medication.)

    Strength Route Manufacturer / Labeler Category ⓘ Details
    💊Tablet
    100 mg Oral Epic Pharma, LLC ANDA View NDC →
    100 mg Oral Padagis US LLC ANDA View NDC →
    100 mg Oral PuraCap Laboratories LLC dba Blu Pharmaceuticals ANDA View NDC →

    Showing 3 of 3 products — FDA National Drug Code Directory. See every product, package size and price: browse all 3 Flavoxate NDCs →

    Flavoxate recall history

    A recall is when a specific batch of a medicine is pulled from the market — usually a manufacturing issue, not a problem with the drug itself. Class I is most serious, Class III least.

    The FDA’s enforcement reports list no Flavoxate recalls since July 2021.

    ✅No Flavoxate recalls on record since July 2021

    Source: FDA enforcement (recall) reports, via openFDA; our copy was last updated Sep 24, 2026.

    RxNorm Concept Web — From Ingredient to Every Form and Strength

    This page starts with one ingredient concept (IN). The branches below show its dose-form concepts (SCDF), then the available clinical drug and strength concepts (SCD). Combination products remain separate concepts with their own pages.

    Ingredient (IN) Flavoxate RxCUI 4440 1 dose form · 2 strengths
    1. Dose form (SCDF) Oral Tablet RxCUI 372200 In current FDA listings
      Clinical drug / strength (SCD) hydrochloride 100 MG RxCUI 1095229 hydrochloride 200 MG RxCUI 1095234

    Look up RxCUI 4440 in the RxCUI Atlas →

    RxNorm is the U.S. National Library of Medicine’s normalized drug vocabulary. Its concept hierarchy can include forms that are not currently marketed; the status on each branch compares that concept with current FDA listings. RxCUIs identify vocabulary concepts, not individual packages or manufacturers.

    💵 What Flavoxate costs pharmacies (NADAC benchmark)

    The national average invoice price pharmacies pay for the drug itself, from CMS's NADAC survey (data as of Sep 30, 2026). This is a supply-cost benchmark — not a retail price and not what you'd pay at the counter.

    FormStrengthPharmacy acquisition benchmark
    Tablet · Oral 100 mg $0.547 per tablet NDC details & price history
    Tablet, Film Coated · Oral 100 mg $0.389 per tablet NDC details & price history
    Why show this? Your out-of-pocket cost depends on insurance, pharmacy markup, and discounts — but the acquisition benchmark tells you whether the medication itself is inexpensive or costly, which strengths cost more per dose, and whether a cash-price quote is in a reasonable range. Each row links to the NDC-level record with its full price history.

    Source: CMS National Average Drug Acquisition Cost (NADAC), a survey of retail pharmacy invoice prices. Benchmarks shown are the range across package sizes of a representative product for each form and strength — other manufacturers' products may differ.

    Flavoxate brand names

    Flavoxate is sold under one brand name in the FDA directory — Urispas. A brand and its generic contain the same active ingredient; the brand name belongs to one company's product.

    Urispas

    Who makes Flavoxate: manufacturers and labelers

    3 companies list Flavoxate products with the FDA. By number of product records, the largest are Epic Pharma, LLC, Padagis US LLC, PuraCap Laboratories LLC dba Blu Pharmaceuticals. Labelers include manufacturers and repackagers; the product in your bottle depends on which one your pharmacy stocks.

    Epic Pharma, LLC 1 Padagis US LLC 1 PuraCap Laboratories LLC dba Blu Pharmaceuticals 1

    Flavoxate drug class (RxNorm)

    Flavoxate belongs to the Cholinergic Muscarinic Antagonist class.

    Pharmacologic class Cholinergic Muscarinic Antagonist
    Drug family (ATC) Drugs for urinary frequency and incontinence
    How it works Cholinergic Muscarinic Antagonists

    Classified by RxNorm RxClass — the U.S. National Library of Medicine's standardized drug-classification service (Established Pharmacologic Class from the FDA, the ATC drug family from the WHO, and mechanism of action). Reference only, not medical advice.

    Sources for this Flavoxate page

    Core label, product, RxNorm, safety, and utilization data on this page come from the sources identified below. AI-written, editorial, and licensed sections are labeled separately.

    📄
    FDA-filed drug labels (SPL) Uses, dosing, warnings & side effects from SPL records retrieved through openFDA; the linked representative set can be verified on DailyMed. ✓ Linked label effective May 31, 2023
    🏭
    Forms, brands & labelersAggregated from ingredient-matched FDA National Drug Code Directory product records for Flavoxate.
    📈
    Real-world reportsThe FDA Adverse Event Reporting System (FAERS), served through openFDA.
    🚨
    Recalls & shortagesopenFDA drug-enforcement reports and the FDA drug-shortage database.
    🧾 Clinical label set — FDA-filed SPL labels retained for Flavoxate after exact ingredient or ingredient-combination matching and applicable route/form matching
    Clinical labels in scope
    3
    Finished products in the current FDA directory
    3
    Companies listing them (makers, repackagers, distributors)
    3
    FDA labeler codes behind them ⓘ
    3
    Linked representative label ⓘ
    Padagis US LLC
    Linked label effective
    May 31, 2023
    Composite sections available
    13
    Linked SPL Set ID
    a9c44c4b-5b3c-45bf-9bc9-ce858e3d06c5
    Linked SPL Document ID
    ff1c0ee9-75d2-478a-9152-0753be81ff11
    Open the linked representative label on DailyMed ↗
    NDC package records associated with this linked SPL 1

    How this page is built

    HelloPharmacist combines public FDA and NLM records and does not author the underlying clinical facts. The plain-language sections are written with AI from the FDA-approved label text and reviewed by our pharmacy team before publication. Padagis US LLC is the representative DailyMed label linked for verification and dates. This is general education, not medical advice: always talk to your doctor or pharmacist about your own medicines. How we build and review drug pages →