Tolter OD 2mg Tablet 10'S

Introduction About TOLTER OD 2MG TABLET

TOLTER OD 2MG TABLET contains Tolterodine which belongs to a group of medicines
called Antimuscarinics. TOLTER OD 2MG TABLET is used to manage the symptoms of
overactive bladder syndrome which occur as an inability to control urination,
need to rush to the toilet with no advance warning and/or to go to the toilet
more frequently. Overactive bladder syndrome is a condition associated with the
bladder function that causes frequent and sudden urge to urinate which may be
difficult to control.

Tolterodine is an antimuscarinic which works by inhibiting the bladder
contraction that causes relaxation of the muscles of the urinary bladder
resulting in the management of frequent, urgent or controlled urination thus
providing relief from the symptoms of overactive bladder syndrome.

Avoid taking TOLTER OD 2MG TABLET, if you suffer from urinary retention
(inability to pass urine), from the bladder, uncontrolled narrow-angle glaucoma
(high pressure in the eyes with loss of eyesight), myasthenia gravis (excessive
weakness of the muscles), severe ulcerative colitis (ulceration and inflammation
of the colon). Before taking TOLTER OD 2MG TABLET, inform your doctor if you
have difficulties in passing urine, hiatal hernia (a condition marked by the
bulging of the upper part of stomach), and/or have heart, kidney, and liver
disease. TOLTER OD 2MG TABLET is not recommended for use in pregnant and
breastfeeding women. The medicine is also not recommended for use in children
and adolescents (below 18years). The most common symptoms of taking TOLTER OD
2MG TABLET are dry mouth, dizziness, sleepiness, headache, dry eyes, and blurred
vision. Consult your doctor if any of these symptoms gets worse.

Uses Of TOLTER OD 2MG TABLET

• It is used to manage the symptoms of overactive bladder syndrome (a disorder marked by frequent and sudden urge to urinate that may be difficult to control)

How TOLTER OD 2MG TABLET Works

TOLTER OD 2MG TABLET works by inhibiting the bladder contraction that causes
relaxation of the muscles of the urinary bladder resulting in the management of
frequent, urgent, or controlled urination thus providing relief from the
symptoms of overactive bladder syndrome.

How to use TOLTER OD 2MG TABLET

Take TOLTER OD 2MG TABLET as advised by your physician. Swallow TOLTER OD 2MG
TABLET with a glass of water and do not chew or crush the medicine. Your doctor
will decide the correct dose and duration for you depending upon your age, body
weight and disease condition.

Side Effects Of TOLTER OD 2MG TABLET

Common

• dry mouth
• bronchitis (inflammation of airways)
• sinusitis (inflammation of sinuses)
• dizziness
• sleepiness
• headache
• sensation of tingling or prickling in the fingers and toes
• dry eyes
• blurred vision
• vertigo (spinning sensation)
• palpitations
• indigestion
• constipation
• abdominal pain
• excessive air or gas in the stomach or the intestine
• vomiting
• dry skin
• painful or difficult urination
• inability to empty the bladder
• tiredness
• chest pain
• extra fluid in the body causing swelling (Ex. in the ankles)
• increased weight
• diarrhea

Uncommon

• allergic reactions
• nervousness
• increased heart rate
• signs of heart failure such as shortness of breath with activity, weakness, and swelling in the legs, ankles and feet
• irregular heartbeat
• heartburn
• memory impairment

Rare

Stop taking TOLTER OD 2MG TABLET and contact your doctor if you experience any
of the following side effects:

• signs of angiodema (painless swelling under the skin) such as swollen face, tongue or pharynx, difficulty to swallow, itchy skin rash and difficulty in breathing
• signs of hypersensitivity allergic reaction such as skin rash, itching, and difficulty in breathing
• signs of heart failure such as chest pain, difficulty breathing or getting tired easily (even at rest), difficulty breathing at night, and swelling of the legs

How To Manage Side Effects

!### Constipation

Try to eat more high-fiber foods such as fresh fruit, vegetables, cereals, and
drink plenty of water. Try doing exercise regularly (going for a daily walk or
run). If this does not help, inform your doctor for receiving alternate
managements for constipation.

!### Diarrhea

Drink lots of fluids, such as water to keep yourself hydrated. Try to avoid
taking any medicine on your own to manage diarrhea and consult your doctor if
the symptom gets worse.

!### Dizziness Or Drowsiness

Try to rest and relax and get enough sleep. Try to avoid driving or operating
any tools or machines while you are feeling dizzy. Limit your consum
alcohol, as it can aggravate your dizziness. Consult and inform your doctor if
the symptom does not improve.

!### Dry Mouth

Try to drink plenty of cold water. Sip on cold unsweetened drinks and use lip
balm if your lips are dry. Try to brush your teeth twice a day and use
mouthwash. Consult your doctor if the symptom gets worse.

Headache

If TOLTER OD 2MG TABLET causes headache, then take rest and drink plenty of
fluids. Try to avoid drinking alcohol. Ask your doctor to recommend a
painkiller. Paracetamol is safe to be taken with TOLTER OD 2MG TABLET. Headaches
should usually go away after the first week of taking TOLTER OD 2MG TABLET. If
headaches last more than a week or severe, inform your doctor.

!### Indigestion

Try to have smaller and more frequent meals and eat and drink slowly. Try to
reduce consum
obese. Avoid smoking and don’t have rich, spicy, or fatty foods. Consult and
inform your doctor if the symptom does not improve.

!### Nausea And Vomiting

Try to take TOLTER OD 2MG TABLET with or just after a meal or a snack. Stick to
simple meals. Avoid eating rich or spicy food. Consult your doctor if the
symptom gets worse.

!### Tiredness

Make sure you take rest and drink plenty of fluids. Avoid or limit the
consum
sit down (or lie down) when the symptoms are at their worst. Try not to drive or
use tools or machinery until you feel well.

Warning & Precautions

!### Pregnancy

ContraindicatedTOLTER OD 2MG TABLET is not recommended for use in pregnant women.  Consult your
doctor before taking TOLTER OD 2MG TABLET.

!### Breastfeeding

ContraindicatedTOLTER OD 2MG TABLET is not recommended for use in breastfeeding women. Consult
your doctor before taking TOLTER OD 2MG TABLET.

!### Driving and Using Machines

Use with CautionTOLTER OD 2MG TABLET might cause dizziness, tiredness, or affect your sight. If
you experience these side effects, do not drive, or operate machines. Consult
your doctor before taking TOLTER OD 2MG TABLET.

!### Alcohol

Consult your doctorAvoid consum
make side effects worse.

!### Kidney

Use with CautionTOLTER OD 2MG TABLET should be used with caution in patients with kidney
problems. Consult your doctor for advice before taking TOLTER OD 2MG TABLET.

!### Liver

Use with CautionTOLTER OD 2MG TABLET should be used with caution in patients with liver
conditions. Consult your doctor for advice before taking TOLTER OD 2MG TABLET.

!### Allergy

ContraindicatedTOLTER OD 2MG TABLET is not recommended for use if you are allergic to
Tolterodine or any of the other ingredients.

!### Heart Disease

Use with CautionTOLTER OD 2MG TABLET should be used with caution in patients with heart problems
such as slow heartrate, weak heart muscle, reduced blood flow to the heart;
irregular heartbeat and heart failure.Consult your doctor before taking TOLTER
OD 2MG TABLET.

!### Use In Pediatrics

ContraindicatedTOLTER OD 2MG TABLET is not recommended for use in children and adolescents
(below 18 years). Consult your doctor before taking TOLTER OD 2MG TABLET.

!### Use In Geriatrics

Use with CautionTOLTER OD 2MG TABLET is used with caution in elderly patients (aged 65 years or
above). Consult your doctor before taking TOLTER OD 2MG TABLET.

Others

TOLTER OD 2MG TABLET is not recommended for use if you:

• inability to pass urine from the bladder (urinary retention)
• have an uncontrolled narrow-angle glaucoma (high pressure in the eyes with loss of eyesight)
• suffer from myasthenia gravis (excessive weakness of the muscles)
• suffer from severe ulcerative colitis (inflammation and ulceration of the colon)
• suffer from a toxic megacolon (a type of severe colon disease)

Before taking TOLTER OD 2MG TABLET, inform your doctor if you:

• have difficulty while passing urine
• have a gastro-intestinal disease that affects the passage and/or digestion of food
• suffer from neurological disorders that affect your blood pressure, bowel or sexual function
• have a hiatal hernia (condition marked by the bulging of upper part of stomach)
• have decreased bowel movements or suffer from severe constipation
• intolerant to certain sugars
• hypokalaemia (condition of low levels of potassium in blood)
• hypocalcaemia (condition of low levels of calcium in blood)
• hypomagnesaemia (condition of low levels of magnesium in blood)

Interactions

A. Drug-Drug Interactions:

Before taking TOLTER OD 2MG TABLET, inform your doctor, if you are taking any of
the following medicine:

• antibiotics (medicines used to manage bacterial infections) Ex. erythromycin, clarithromycin
• ketoconazole, itraconazole (medicines used for fungal infections)
• medicines used in the management of HIV (Ex. indinavir, nelfinavir, ritonavir)
• medicines that affect the passage of food (Ex. metoclopramide and cisapride)
• medicines used to manage irregular heartbeat (Ex. amiodarone, sotalol, quinidine, procainamide)
• other antimuscarinic agents (medicines used to manage post operative nausea and vomiting) Ex. scopolamine
• medicines used to block the action of a neurotransmitter (chemicals that enable the brain to provide a variety of functions) Ex. clidinium, darifenacin, dicyclomine

Overdosage:

If you or anyone else accidentally takes too much of TOLTER OD 2MG TABLET,
consult your doctor immediately or visit the nearby hospital. Symptoms of
overdose are dry mouth and severe central anticholinergic effects such as
confusion, restlessness.

Synopsis

Drug	:	Tolterodine
Pharmacological Category	:	Antimuscarinic
Therapeutic Indication	:	Overactive bladder syndrome
Dosage Forms	:	Tablet, Capsule

More Information

• Keep the medicine out of reach in children
• Store TOLTER OD 2MG TABLET at room temperature

FAQs About TOLTER OD 2MG TABLET

Q: What TOLTER OD 2MG TABLET is used for?

A: TOLTER OD 2MG TABLET is used to manage the symptoms of overactive bladder
syndrome which occur as an inability to control urination, need to rush to the
toilet with no advance warning and/or to go to the toilet more frequently.

Q: How should I take TOLTER OD 2MG TABLET?Can I crush TOLTER OD 2MG TABLET and
then take it?

A: No, do not chew or crush TOLTER OD 2MG TABLET. Swallow the medicine with a
glass of water. Take the medicine as advised by your physician. Your doctor will
decide the correct dose and duration for you depending upon your age, body
weight and disease condition.

Q: Can TOLTER OD 2MG TABLET be used in children?

A: No, TOLTER OD 2MG TABLET is not recommended for use in children and
adolescents (below 18 years). TOLTER OD 2MG TABLET is accidentally ingested by a
child or adolescent, go to the hospital immediately and consult the doctor for
further management.

Q: What happens if you forget to take TOLTER OD 2MG TABLET?

A: If you forget to take TOLTER OD 2MG TABLET at the usual time, take it as soon
as you remember unless it is almost time for your next dose. In that case, omit
the forgotten dose and follow the normal dose schedule. Do not take double dose
to make up for a forgotten one. If you have doubts on missed dosage, consult
your doctor before taking the missed dose of TOLTER OD 2MG TABLET.

Q: Is it safe to drive after taking TOLTER OD 2MG TABLET?

A: TOLTER OD 2MG TABLET might cause dizziness, tiredness, or affect your sight.
If you experience these side effects, do not drive, or operate machines. Consult
your doctor before taking TOLTER OD 2MG TABLET.

Useful Diagnostic Tests

• Urine analysis test
• Cystometry test