Toll

Uses

What is Toll-Tab?

Tol-Tab is an oral drug used to help control high blood sugar in people with type two diabetes. In type two diabetes patients, the body cannot work properly in the process of breaking down sugar, causing sugar to remain in the bloodstream. High blood sugar that is not controlled for years can have a negative impact on the health of the body, such as complications of kidney disease, blindness, nerve problems, and sexual dysfunction. Good blood sugar control can reduce the risk of heart attack and stroke in diabetics.

Tol-Tab is a trademark of tolbutamide. Its use is balanced with a diet and exercise program regularly can help blood sugar levels stay within safe limits. Tol-Tab belongs to the first-line sulfonylurea class of antidiabetic treatment. This drug works by encouraging the release of insulin by the pancreas and helps restore the body's response to insulin.

How do I use Toll-Tab?

Use this medication by mouth as directed by your doctor by swallowing it whole. Tolbutamide, which is in Tol-Tab, is usually taken once a day in the morning. The daily dose can be broken down into smaller doses to be taken several times a day.

Follow your doctor's instructions when taking this medication. Your doctor may give you a low dose first and then increase it gradually to avoid the risk of side effects. The dosage given takes into account your health condition and your body's response to treatment. Do not stop medication or change your dose without discussing it with your doctor.

Use Tol-Tab regularly to get its best benefit. To make it easier for you to remember, take this medication every day at the same time. Tell your doctor if your condition does not improve or if it gets worse (too low or high blood sugar). You may need a dose adjustment.

How are the Toll-Tab saving rules?

Store this medication at room temperature. Avoid direct light and do not store this medication in a room with a damp temperature, such as in the bathroom, unless instructed otherwise. Read the directions on the packaging. Keep this medication out of reach of children and pets.

Do not flush or flush this medication down the toilet or drain unless instructed to do so. Discard this product when it has reached its expiration date or is no longer in use. Consult your pharmacist or local waste disposal company about how to safely dispose of this medication.

Dose

The information provided is not a substitute for medical advice. ALWAYS consult your doctor or pharmacist before starting treatment.

What is the Tol-Tab dosage for adult patients?

Starting dose: 1,000 mg - 2,000 mg per day, divided into smaller doses to be taken several times a day.

Maximum daily dose: 3,000 mg

What is the Tol-Tab dosage for pediatric patients?

The dosage in pediatric patients has not been established. This medicine may not be safe for your child. Consult with your doctor regarding the use of this drug before taking it.

In what dosage and preparation is Tolbutamide available?

Tablet, Oral: 500 mg

Side effects

What side effects may occur due to consumption of Tol-Tab?

This medicine may cause changes in blood sugar. You must know the symptoms of low and high blood sugar and what steps you should take when experiencing them. Some of the common side effects due to consumption of Tol-Tab are as follows:

• Burping
• Indigestion
• Pain in the chest (under the breastbone)
• Stomach pain, gas, or discomfort
• Unexplained fever, chills or sore throat
• Bleeding / bruising without cause
• Allergic reactions, such as rash, redness, itching, swelling of the face, tongue and throat, and difficulty breathing

Some of the more mild side effects, such as mild nausea or vomiting, will go away on their own as the body adjusts to the medication used. However, if these symptoms persist or get worse, contact your doctor immediately.

The above list is not a complete list of the side effects that can be caused by consuming Tol-Tab. Consult your doctor about any side effects that you fear will occur when taking Tol-Tab.

Warnings and Precautions

What should I know before taking Tol-Tab?

When deciding which drug to use, the risks and benefits of using the drug must be considered. When your doctor prescribes this medicine, it means that the benefits it provide outweigh the risks that using Tol-Tab might cause. Here's what to consider for this drug.

Allergy

Tell your doctor if you have any allergies to this drug or any other medicines. You also need to inform about other types of allergies you have, such as allergies to food, certain animals, food coloring, dust, or others. For nonprescription products, read the directions on the packaging label.

Children

Research related to the relationship of age to the effects of tolbutamide (the main active ingredient in Tol-Tab) has not been conducted in children. Safety and effectiveness have not been established.

Elderly

No information is available regarding the relationship between the effects of tolbutamide in elderly patients. However, elderly patients are more at risk of developing heart, liver, or kidney problems due to age and require an adjustment in the dosage.

Treatment with Tol-Tab may cause blood sugar levels to be too low, especially if you are not consuming enough calories, exercising too hard, or consuming alcohol. Eat foods that contain sugar that can increase your blood sugar levels quickly, such as sugar, honey, or candy.

Is Tol-Tab safe for pregnant and lactating women?

The United States Food and Drug Administration (FDA) categorizes this drug into category C (possibly risky). Experiments carried out on animals suggest a risk to the fetus. However, there has not been adequate research regarding the side effects of this drug in pregnant and breastfeeding women.

Studies on breastfeeding newborns of mothers taking Tol-Tab have also been inadequate. Consult your doctor about using Tol-Tab while breastfeeding. Pregnant women should not take this drug if they are breastfeeding.

Interaction

What medicines can interact with Tol-Tab?

The use of Tol-Tab with some of the drugs below is not recommended because it can cause drug interactions. Drug interactions can cause one drug to work less optimally or increase the risk of side effects. Even so, some of the drugs below may be prescribed together with Tol-Tab in certain cases. Your doctor will make a dosage adjustment or instruct how often you should take them together.

• Acarbose
• Acebutolol
• Aspirin
• Atenolol
• Balofloxacin
• Besifloxacin
• Betaxolol
• Bisoprolol
• Carteolol
• Carvedilol
• Celiprolol
• Ceritinib
• Chloramphenicol
• Ciprofloxacin
• Disopyramide
• Dulaglutide
• Enoxacin
• Entacapone
• Esmolol
• Fenugreek
• Fleroxacin
• Flumequine
• Fosphenytoin
• Furazolidone
• Gemifloxacin
• Ginkgo biloba
• Ketoconazole
• Lanreotide
• Levofloxacin
• Lixisenatide
• Lomefloxacin
• Moxifloxacin
• Nadifloxacin
• Norfloxacin
• Octreotide
• Ofloxacin
• Pasireotide
• Pazufloxacin
• Pefloxacin
• Penbutolol
• Phenelzine
• Phenytoin
• Pioglitazone
• Propranolol
• Prulifloxacin
• Rifapentine
• Rufloxacin
• Saxagliptine
• Sitagliptin
• Sparfloxacin
• Timolol
• Thioctic Acid
• Tosufloxacin
• Trimethoprim

Can food or alcohol interact with Tolbutamide?

Certain drugs should not be used with meals or when eating certain foods because drug interactions can occur. Consuming alcohol or tobacco with certain drugs can also cause interactions to occur. Discuss your use of drugs with food, alcohol, or tobacco with your doctor.

Overdose

What should I do in an emergency or overdose?

In case of an emergency or overdose, call emergency medical assistance immediately (119) or rush to the nearest hospital emergency department for help. Some of the symptoms of overdose of Tol-Tab are:

• Worry
• Blurred vision
• A cold sweat
• Chills and pale skin
• Excessive hunger
• Anxiety
• Nightmare
• Body shaking
• Slurred speech

What if I forget my medication schedule?

Take the missed dose as soon as you remember. However, if the distance is too close to the next schedule, skip the forgotten schedule. Continue taking medication on a regular schedule. Do not double your dose on a single medication schedule.