Disclosed herein are pharmaceutical compositions comprising a therapeutically effective amount of 
extended release trospium, or a pharmaceutically acceptable salt thereof, and a therapeutically effective amount of 
pilocarpine, or a pharmaceutically acceptable salt thereof. Also disclosed herein are methods of treating a patient suffering from 
overactive bladder, the method comprising identifying a patient in need thereof, and administering to the patient a therapeutically effective amount of 
extended release trospium, or a pharmaceutically acceptable salt thereof, and a therapeutically effective amount of 
pilocarpine, or a pharmaceutically acceptable salt thereof. Also disclosed herein are methods of alleviating a 
side effect of treatment for 
overactive bladder in a patient suffering therefrom, the method comprising identifying a patient in need thereof, and administering to the patient a therapeutically effective amount of 
extended release trospium, or a pharmaceutically acceptable salt thereof, and a therapeutically effective amount of 
pilocarpine, or a pharmaceutically acceptable salt thereof.