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AD098 is an investigational **fixed-dose oral combination of atomoxetine and oxybutynin** developed by Apnimed for obstructive sleep apnoea. It was evaluated as a single bedtime dose containing atomoxetine 60 mg plus oxybutynin 5 mg in a completed crossover study in adults with moderate-to-severe obstructive sleep apnoea. Atomoxetine inhibits norepinephrine reuptake to augment noradrenergic drive to upper-airway dilator motor neurons, while oxybutynin provides antimuscarinic activity that counteracts sleep-related muscarinic suppression of upper-airway muscle tone. Together, the agents are intended to improve airway patency during sleep and reduce obstructive respiratory events. ([anzctr.org.au](https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12618001499279))
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