DETRUSITOL 2MG TAB
This medication is used to treat an overactive bladder. By relaxing the muscles in the bladder tolterodine improves your ability to control your urination. It helps to reduce leaking of urine feelings of needing to urinate right away and frequent trips to the bathroom. This medication belongs to the class of drugs known as antispasmodics.
Dry mouth dry eyes headache constipation stomach upset/pain dizziness drowsiness tiredness or blurred vision may occur. If any of these effects persist or worsen tell your doctor or pharmacist promptly.
To relieve dry mouth suck (sugarless) hard candy or ice chips chew (sugarless) gum drink water or use a saliva substitute.
To prevent constipation eat dietary fiber drink enough water and exercise. You may also need to take a laxative. Ask your pharmacist which type of laxative is right for you.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor right away if you have any serious side effects including: vision changes severe stomach/abdominal pain trouble urinating signs of kidney infection (such as burning/painful urination lower back pain fever).
Get medical help right away if you have any very serious side effects including: fast/slow/irregular heartbeat severe dizziness fainting.
A very serious allergic reaction to this drug is rare. However get medical help right away if you notice any symptoms of a serious allergic reaction including: rash itching/swelling (especially of the face/tongue/throat) severe dizziness trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above contact your doctor or pharmacist.
Before taking tolterodine 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).
Tolterodine 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 tolterodine 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 tolterodine 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.