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oxybutynin), but with fewer central side effects due to its being a positively charged quaternary drug Pharmacokinetics: taken orally by tablet, 20 mg twice daily quaternary structure with little CNS effect 10% bioavailability ester hydrolysis & conjugation with glucuronic acid fewer drug interactions compared to other agents that interact with P450 half life 20 hrs Notes: the estimated Walmart cost for generic trospium is ~$21 for a supply of thirty 20 mg generic tablets (GoodRx.com

Pharmacologic differences among the SSRIs: focus on monoamine transporters and the HPA axis