Tolter tablets

Tolter

  • Active Ingredient: Tolterodine
  • 4 mg, 2 mg, 1 mg
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What is Tolter?

The active ingredient of Tolter brand is tolterodine. Tolterodine reduces spasms of the bladder muscles.

Used for

Tolter is used to treat diseases such as: Overactive Bladder, Urinary Incontinence.

Side Effect

Possible side effects of Tolter include: Chest pain; vomiting; confusion about identity, place, and time; nausea; general feeling of discomfort or illness; headache; shortness of breath or troubled breathing; chills.

How to Buy Tolter tablets online?

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Dictionary Entries near Tolter

Cite this Entry

“Tolter.” The Merriam-Webster.com Medical Dictionary, Merriam-Webster Inc., https://www.merriam-webster.com/medical/Tolter. Accessed 27 December 2019.

Comments on Tolter

What made you want to look up Tolter? Please tell us where you read or heard it (including the quote, if possible).

Precautions

Before taking Tolter, tell your doctor or pharmacist if you are allergic to it; or to fesoterodine; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: problems emptying your bladder (urinary retention, bladder outflow obstruction), severe blockage of stomach/intestines (gastric retention), glaucoma, stomach/intestinal disease (such as ulcerative colitis, slowed movement of stomach/intestines), severe constipation, kidney disease, liver disease, a certain muscle disease (myasthenia gravis).

Tolter may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention right away.

The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation. Before using Tolter, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).

Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. Talk to your doctor about using Tolter safely.

Older adults may be more sensitive to the side effects of this drug, especially QT prolongation (see above), drowsiness, confusion, constipation, or trouble urinating. Drowsiness and confusion can increase the risk of falling.

This drug may make you dizzy or drowsy or blur your vision. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

This medication may make you sweat less, making you more likely to get heat stroke. Avoid doing things that may cause you to overheat, such as hard work or exercise in hot weather, or using hot tubs. When the weather is hot, drink a lot of fluids and dress lightly. If you overheat, quickly look for a place to cool down and rest. Get medical help right away if you have a fever that does not go away, mental/mood changes, headache, or dizziness.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is unknown if this drug passes into breast milk. Consult your doctor before breast-feeding.

Generic Name: Tolter Tablets (tole TER oh deen)Brand Name: Detrol

Medically reviewed by Drugs.com. Last updated on Jul 8, 2019.

Tolter

Pharmacologic class: Anticholinergic

Therapeutic class: Urinary tract antispasmodic

Pregnancy risk category C

How should I take Tolter?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results.

Take this medication with water.

Do not crush, chew, break, or open a controlled-release capsule. Swallow it whole. Breaking or opening the pill may cause too much of the drug to be released at one time.

Store at room temperature away from moisture and heat.

Important Information

You should not take this medication if you are allergic to Tolter or fesoterodine (Toviaz), if you have untreated or uncontrolled narrow-angle glaucoma, or if you have a blockage of the urinary tract, stomach, or intestines.

Before you take Tolter, tell your doctor if you have kidney or liver disease, glaucoma, myasthenia gravis, or a personal or family history of "Long QT syndrome."

Do not crush, chew, break, or open a controlled-release capsule. Swallow it whole. Breaking or opening the pill may cause too much of the drug to be released at one time.

Tolter may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Drinking alcohol can increase some of the side effects of Tolter.

There are many other drugs that can interact with Tolter. Tell your doctor about all medications you use. This includes prescription, over the counter, vitamin, and herbal products. Do not start a new medication without telling your doctor. Keep a list of all your medicines and show it to any healthcare provider who treats you.

Tolter dosing information

Usual Adult Dose for Urinary Incontinence:

Immediate release tablets:-Initial dose: 2 mg orally 2 times a day-Maintenance dose: 1 to 2 mg orally 2 times a day, depending on patient response and tolerability

Extended release capsules: -Initial dose: 4 mg orally once a day-Maintenance dose: 2 to 4 mg orally once a day, depending on patient response and tolerability

Comments:-This drug can be taken with or without food.-The extended release formulation should be swallowed whole.

Use: For the treatment of overactive bladder (OAB) with symptoms of urge urinary incontinence, urgency, and frequency

Usual Adult Dose for Urinary Frequency:

Immediate release tablets:-Initial dose: 2 mg orally 2 times a day-Maintenance dose: 1 to 2 mg orally 2 times a day, depending on patient response and tolerability

Extended release capsules: -Initial dose: 4 mg orally once a day-Maintenance dose: 2 to 4 mg orally once a day, depending on patient response and tolerability

Comments:-This drug can be taken with or without food.-The extended release formulation should be swallowed whole.

Use: For the treatment of overactive bladder (OAB) with symptoms of urge urinary incontinence, urgency, and frequency

How to use Tolter TARTRATE

Read the Patient Information Leaflet if available from your pharmacist before you start using Tolter and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

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

Use this medication regularly to get the most benefit from it. To help you remember, use it at the same times each day. The dosage is based on your medical condition (especially kidney and liver disease), response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the 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 take this medication more often than directed. Your condition will not improve any faster and your risk of serious side effects may be increased.

Tell your doctor if your condition persists or worsens.

How to store Tolter

  • Keep all medicines out of the reach and sight of children.
  • Store in a cool, dry place, away from direct heat and light.

In a study with 14 C-Tolter solution in healthy volunteers who received a 5 mg oral dose, at least 77% of the radiolabeled dose was absorbed. Cmax and area under the concentration-time curve (AUC) determined after dosage of Tolter immediate release are dose-proportional over the range of 1 to 4 mg. Based on the sum of unbound serum concentrations of Tolter and 5-HMT ("active moiety"), the AUC of Tolter extended release 4 mg daily is equivalent to Tolter immediate release 4 mg (2 mg bid). Cmax and Cmin levels of Tolter extended release are about 75% and 150% of Tolter immediate release, respectively. Maximum serum concentrations of Tolter extended release are observed 2 to 6 hours after dose administration.

What Are Side Effects Associated with Using Tolter?

Common side effects of Tolter include:

Serious side effects of Tolter include:

This document does not contain all possible side effects and others may occur. Check with your physician for additional information about side effects.


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