Tolterodine: functions, dosage, side effects, how to use

Functions & Usage

What is Tolterodine used for?

Tolterodine is a drug used to treat an overactive bladder. This drug works by relaxing the muscles in the bladder, tolterodine increases your ability to control your urination. This medication helps to reduce urine leakage, the feeling of the need to urinate immediately, and frequent trips to the toilet. This drug belongs to a class of drugs known as antispasmodics.

How do you use Tolterodine?

Read the information on the patient information pamphlet if available from your pharmacist before you start taking tolterodine and each time you get this medication again. If you have questions, ask your doctor or pharmacist.

Take this medication with or without food as directed by your doctor, usually twice daily.

Use it regularly to get the full benefits of this medicine. To help you remember, use it at the same time every day. The dosage is based on your medical condition (especially kidney disease and liver disease), response to treatment, and other medications that can be used. Be sure to tell your doctor and pharmacist about all medicinal products you use (including prescription drugs, nonprescription drugs, and herbal products). Ask your doctor or pharmacist for more details.

Do not increase your dose or use this medication more often than directed. Your condition will not recover any sooner and the risk of serious side effects can be increased.

Tell your doctor if your condition does not improve or gets worse

Follow the rules given by your doctor or pharmacist before starting treatment. If you have any questions, consult your doctor or pharmacist.

How do I store Tolterodine?

This medication is best stored at room temperature, away from direct light and damp places. Don't keep it in the bathroom. Don't freeze it. Other brands of this drug may have different storage rules. Observe the storage instructions on the product package or ask your pharmacist. Keep all medicines away from children and pets.

Do not flush medicines down the toilet or down the drain unless instructed to do so. Discard this product when it has expired or when it is no longer needed. Consult your pharmacist or local waste disposal company about how to safely dispose of your product.

Precautions & Warnings

What should be considered before using Tolterodine?

In deciding to use this drug, the risks of using the drug must be weighed against its benefits. This is up to you and your doctor. For this drug, the following should be considered:

Allergy

Tell your doctor if you have ever had an unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the list of ingredients of the ingredients on the label or package carefully.

Children

The precise studies conducted to date have not shown that tolterodine is useful in children.

Parents

The precise studies carried out to date have not shown specific problems in the elderly that will limit the use of tolterodine in the elderly. However, elderly patients are more likely to develop age-related kidney or liver problems that may require an adjustment in the dose of tolterodine.

Is Tolterodine safe for pregnant and lactating women?

There is no adequate research on the risks of using this drug in pregnant or breastfeeding women. Always consult your doctor to weigh the potential benefits and risks before using this medication. This drug is included in the risk of pregnancy category C according to the US Food and Drug Administration (FDA).

The following references the pregnancy risk categories according to the FDA:

• A = No risk,
• B = not at risk in several studies,
• C = May be risky,
• D = There is positive evidence of risk,
• X = Contraindicated,
• N = Unknown

Side effects

What are the possible side effects of Tolterodine?

Get emergency medical help if you have any of these signs of an allergic reaction: nausea, vomiting, sweating, hives, itching, difficulty breathing, swelling of your face, lips, tongue, or throat, or feel like you might pass out.

Stop using Tolterodine and call your doctor if you have any of the following serious side effects:

• chest pain, fast or uneven heartbeat;
• confusion, hallucinations;
• urinating less than usual or not at all; or
• painful or difficult urination.

Less serious side effects may include:

• dry mouth, dry eyes;
• blurred vision;
• dizziness, drowsiness;
• constipation or diarrhea;
• stomach pain or heartburn;
• joint pain; or
• headache

Not everyone experiences the following side effects. There may be some side effects not listed above. If you have concerns about certain side effects, consult your doctor or pharmacist.

Drug Interactions

What drugs can interfere with the drug Tolterodine?

Although certain drugs should not be used at the same time, in other cases two different drugs can be used together even if interactions are possible. In this case, your doctor may be able to change the dose or take other precautions that may be needed. Tell your health care professional if you are taking any other prescription or nonprescription drugs on the market.

Using this medication with any of the following medicines is not recommended. Your doctor may decide not to treat you with this drug or change some of the other medicines you take.

• Amifampridine
• Piperaquine
• Potassium

Using this medication with any of the following medicines is not usually recommended, but may be necessary in some cases. If the two drugs are prescribed together, your doctor may change the dose or adjust how often you use one or both drugs.

• Acrivastine
• Anagrelide
• Aripiprazole
• Bupropion
• Buserelin
• Clarithromycin
• Crizotinib
• Dabrafenib
• Delamanid
• Deslorelin
• Domperidone
• Escitalopram
• Fluoxetine
• Gonadorelin
• Goserelin
• Histrelin
• Ivabradine
• Ketoconazole
• Leuprolide
• Metronidazole
• Morphine
• Morphine Sulfate Liposome
• Moxifloxacin
• Nafarelin
• Ondansetron
• Oxymorphone
• Pasireotide
• Pazopanib
• Quetiapine
• Sevoflurane
• Triptorelin
• Umeclidinium
• Vandetanib
• Vemurafenib
• Vinflunine

Using this medication with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If the two drugs are prescribed together, your doctor may change the dose or adjust how often you use one or both drugs.

• Amiodarone
• Cyclosporine
• Donepezil
• Erythromycin
• Galantamine
• Itraconazole
• Miconazole
• Propafenone
• Quinidine
• Rivastigmine
• Vinblastine
• Warfarin

Can certain foods and drinks interfere with the action of the drug Tolterodine?

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 health care provider.

What health conditions can interfere with the performance of the drug Tolterodine?

The presence of other health problems in your body may affect the use of this medicine. Tell your doctor if you have other health problems, such as:

• Heart rhythm problems (for example, QT prolongation), or history
• Bowel problems or stomach problems (for example, blockage, intestinal atony, pyloric stenosis)
• Myasthenia gravis (severe muscle weakness)
• Controllable narrow-angle glaucoma
• Urination problems (eg blockage) - Use with caution. Might make this condition worse
• Kidney illness
• Liver disease (including cirrhosis) - Use with caution. The effect can be increased due to slower clearance of the drug from the body
• Severe liver disease - use is not recommended for patients taking tolterodine extended-release capsules
• Uncontrolled narrow-angle glaucoma
• Stomach problems (for example, gastric retention)
• Urinary retention (difficult to pass stool) - should not be used in patients with this condition.

Dose

The information provided is not a substitute for a doctor's prescription. ALWAYS consult your doctor or pharmacist before starting treatment.

What is the dose of Tolterodine for adults?

Tablets: 2 mg orally twice a day

extended-release capsule: 4 mg orally once a day

Tablets: 1-2 mg orally twice daily, depending on patient response and tolerability

extended-release capsule: 2-4 mg orally once a day, depending on patient response and tolerability

Tablets: 2 mg orally twice a day

extended-release capsule: 4 mg orally once a day

Tablets: 1-2 mg orally twice daily, depending on patient response and tolerability

extended-release capsule: 2-4 mg orally once a day, depending on patient response and tolerability

What is the dosage of Tolterodine for children?

Safety and effectiveness are not known in pediatric patients (less than 18 years).

In what dosages and preparations is Tolterodine available?

1 mg tablet; 2 mg

What to do in an emergency or overdose?

In case of an emergency or overdose, contact the local emergency services provider (118/119) or immediately to the nearest hospital emergency department.

What should I do if I forget to take medicine or forget to take medicine?

If you forget a dose of this medicine, take it as soon as possible. However, when it is nearing the time of the next dose, skip the missed dose and return to the usual dosing schedule. Don't double the dose.

Hello Health Group does not provide medical consultation, diagnosis or treatment.