How is this drug? What are its effects?

Tolterodine belongs to the Group of drugs called antispasmodics and anticholinergics. It is used to treat individuals with overactive bladder with symptoms of frequent emissions of urine, urgent urination or leakage of urine. Tolterodine mitigates these symptoms by preventing the contractions or spasms of the bladder. The symptoms may not be relieved before 2 weeks after the beginning of the treatment by tolterodine, and a more pronounced improvement will be seen after 8 weeks.

It may be that your doctor has suggested that this drug for a condition that does not appear in this article for information on drugs. In addition, some forms of the drug could not be used for all the problems mentioned in this article. If you don't in have not yet discussed with your doctor, or if you have doubts about the reasons for which you are taking this medicine, see the. Do not stop taking this medication without consulting your doctor first.

Do not give this medication to anyone, even to someone who suffers same symptoms than yours. This drug could harm the persons for which it has not been prescribed.

How should we use this drug?

The initial recommended dose of tolterodine for adults is 2 mg taken twice a day, with or without food. The dose may be reduced to 1 mg taken twice a day, according to the response and the needs of the person. The recommended dose for people with liver or kidney function is reduced, or which employ some drugs, is 1 mg taken twice a day. See your doctor or pharmacist.

Several factors may be taken into account to determine the dose a person needs: his weight, his State of health and the taking of other drugs. If your doctor has recommended one another dose that those stated here, do not change the manner of taking the drug without first consulting.

It is important to use this drug as indicated by your doctor. If you miss a dose, take the medication as soon as you can see the failure and repeat the further processing as soon as possible. If it is almost time for your next dose, do not worry about the omitted dose and repeat the usual regimen. Do not use a double dose to compensate for the failure of a dose. If you feel on the course after failing a dose, check with your doctor or pharmacist.

Store this medication at room temperature, protected from light and moisture, and out of reach of children.

Take not drugs in wastewater (e.g., not in the sink or bowl of firms) or with garbage. Ask your pharmacist how do get rid you of unused or expired medications.

In what forms is this drug?

1 mg
Each tablet white, round, biconvex, coated, bearing the engraved arches above and below the letters "TO", contains 1 mg of tolterodine L-tartrate. Non-medicinal ingredients: calcium hydrogen phosphate dihydrate, microcrystalline cellulose, colloidal anhydrous silica, hypromellose, stearate acid, magnesium, sodium starch glycolate (pH 3.0 to 5.0) stearic and titanium dioxide.

2 mg
Each tablet white, round, biconvex, coated, bearing the engraved arches above and below the letters "dt", contains 2 mg of tolterodine L-tartrate. Non-medicinal ingredients: calcium hydrogen phosphate dihydrate, microcrystalline cellulose, colloidal anhydrous silica, hypromellose, stearate acid, magnesium, sodium starch glycolate (pH 3.0 to 5.0) stearic and titanium dioxide.
Cases in which is this drug deprecated?

Tolterodine should not work in the following circumstances:
an allergy to tolterodine or one of the ingredients of the drug;
gastric retention (blockage in the stomach);
uncontrolled; closed angle glaucoma
urinary retention.

What are the possible side effects of this drug?

Many drugs can cause side effects. A side effect is an adverse drug response when it is taken in normal doses. It may be mild or severe, temporary or permanent. The side effects listed below are not felt by all those who take this drug. If you express concern about side effects, discuss the risks and benefits of this medication with your doctor.

At least 1% of people taking the drug reported side effects below. A large number of these side effects can be supported, and some may disappear on their own over time.

See your doctor if you experience these side effects and if they are serious or troublesome. Your pharmacist may be able to advise on the course if these side effects appeared:
abdominal pain,
constipation,.
dizziness,
a dry eye,
a dry mouth,
fatigue,.
gases,
headache,
heartburn,
abnormalities in the Visual field, including disorders of acco

Most of the side effects listed below are not very often, but they could create serious problems if you do not receive medical care.

Ask your doctor at the earliest if one of the side effects following occurs:
urine bloody or cloudy;
cooking sensation, or emission of urine difficult or painful;
swelling of the lower part of the leg.

Stop taking the drug and get immediate medical attention if it occurs a response as:
chest pain;
symptoms of an abnormality of the heart rate as dizziness, palpitations (of fast, very strong or irregular heart beat), syncope or seizures;
symptoms of an allergic reaction (such as a respiratory difficulty, urticaria, a swelling of the face or a swelling of the throat).

Some people may experience side effects other than those listed. See your doctor if you notice a symptom that concerns you while you are taking this medicine.

Are there any other precautions or warnings?

Before using a medication, be sure to inform your doctor about medical conditions or allergies you may have, the drugs you use and any other material facts about your health. Women should mention if they are pregnant or if they are breastfeeding. These factors may have an influence on how you should use this drug.

Abnormal heart rhythm: this medicine may promote the occurrence of a certain type of abnormal heart rhythm designated prolongation of QT prolongation. Other drugs may also increase the risk of QT prolongation longer when they are taken concurrently with tolterodine. This abnormal heart rhythm is more likely to occur among women, seniors and people with certain risk factors such as heart disease, other problems of the heart rate (such as atrial fibrillation), a history of stroke, family history of sudden cardiac death, electrolyte disturbances, the unusually slow heartbeat, eating disorders, or. If you experience symptoms of an abnormal heart rhythm such as dizziness, palpitations (of very strong, fast or irregular heart beat), syncope or seizures, stop taking this drug and seek immediate medical care.

Drowsiness or reduced vigilance: Tolterodine can cause fatigue, dizziness or blurred vision. Avoid activities requiring alertness, like driving, operate machines or dangerous tasks up to the point where you have determined the effect of this drug on your reaction capabilities. Alcohol and other drugs that cause drowsiness can intensify drowsiness induced by tolterodine.

Bladder problems: individuals with conditions likely to cause significant blockage or obstruction of the bladder should be subject to strict medical surveillance targeting urinary retention while they take this drug.

Glaucoma: a controlled closed angle glaucoma patients should discuss the benefits and risks of this drug with their doctors. Tolterodine may aggravate this condition.

Kidney or liver disease: individuals with a disease of the liver, or kidney disease, are at an increased risk of side effects and may need to take lower doses of this drug.

Digestive problems: people with stomach problems affecting passage and digestion of food should discuss with their doctor about how this drug could impact on their condition, the influence of their medical condition on the administration and the effectiveness of this drug, and the relevance of specific medical surveillance.

Pregnancy: this drug should not be used during pregnancy unless the benefits prevail over the risk. If you are pregnant, or if you think be, discuss with your doctor the benefits and risks of this drug. Likely to develop women should use a method of contraception appropriate while they take this drug.

Lactation: it is not known if tolterodine passes into breast milk. If you are taking this medicine while you are breastfeeding, your baby could feel the effects. See your doctor to find out if you should continue breastfeeding.

Children: or the safety or the efficacy of this drug has been established with regard to children

If you take one of these medications, consult your doctor or pharmacist. In your case, your doctor may ask you to:
stop taking a drug,
replace one drug with another,
change the way you are taking any medication, or both,
do not change at all.

The interference of one drug with another does not always result interruption of making one of them. In many cases, interactions are necessary or are the subject of a careful monitoring. Ask your doctor what is the course for drug interactions.

Other drugs that those listed above can interact with this drug. Report to your doctor everything that you are taking, whether prescription or over-the-counter drugs and herbal remedies. Do not forget to mention any supplement that you absorb. If you eat of caffeine, alcohol, nicotine or illicit drugs you should notify your prescriber because these substances can change the action of many drugs.

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