Detrol (Tolterodine) belongs to a group of medications known as antispasmodics and anticholinergics. It is used to treat people with overactive bladders who have symptoms including frequent urination, urgency, or involuntary loss of urine. Detrol (Tolterodine) helps these symptoms by preventing contractions or spasms of the bladder.

Relief from symptoms may not be seen until about 2 weeks after starting treatment with Detrol (Tolterodine), and more improvement is seen after 8 weeks.

Your doctor may have suggested Detrol (Tolterodine) for conditions other than those listed in these drug information articles. As well, some forms of Detrol (Tolterodine) may not be used for all of the conditions discussed here. If you have not discussed this with your doctor or are not sure why you are taking Detrol (Tolterodine), speak to your doctor. Do not stop taking Detrol (Tolterodine) without consulting your doctor.

Do not give Detrol (Tolterodine) to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take Detrol (Tolterodine) if their doctor has not prescribed it.

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The recommended adult starting dose for Detrol (Tolterodine) is 2 mg twice daily, with or without food. The dose may be reduced to 1 mg twice daily based on individual response and needs.

For people with reduced liver or kidney function, and people taking certain medications, the recommended dose is 1 mg twice daily. Check with your doctor or pharmacist.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.

It is important to take Detrol (Tolterodine) regularly and exactly as prescribed by your doctor. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store Detrol (Tolterodine) at room temperature, protect it from light and moisture, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes Detrol (Tolterodine). If you are concerned about side effects, discuss the risks and benefits of Detrol (Tolterodine) with your doctor.

The following side effects have been reported by at least 1% of people taking Detrol (Tolterodine). Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

• abdominal pain
• Constipation
• dizziness
• dry eyes
• Dry Mouth
• fatigue
• gas
• headache
• heartburn
• vision changes, including difficulty adjusting to distances

Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not check with your doctor or seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

• bloody or cloudy urine
• difficult, burning, or painful urination
• swelling of the lower legs

Stop taking Detrol (Tolterodine) and seek immediate medical attention if any of the following occur:

• chest pain
• symptoms of an abnormal heart rhythm such as dizziness, heart palpitations (fast, pounding or irregular heartbeat), fainting, or seizures
• symptoms of an allergic reaction (such as difficulty breathing, Hives, swelling of the fact or throat)

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking Detrol (Tolterodine).

Personalized PocketPacks

We sort your medication into clearly labeled, individual packs so you can be sure you're taking the right dose at the right time.

1 mg
Each white, round, biconvex, film-coated tablet, engraved with arcs above and below the letters "TO", contains Detrol (Tolterodine) L-tartrate 1 mg. Nonmedicinal ingredients: calcium hydrogen phosphate dihydrate, cellulose microcrystalline, colloidal anhydrous silica, hypromellose, magnesium stearate, sodium starch glycolate (pH 3.0-5.0), stearic acid, and titanium dioxide.

2 mg
Each white, round, biconvex, film-coated tablet, engraved with arcs above and below the letters "DT", contains Detrol (Tolterodine) L-tartrate 2 mg. Nonmedicinal ingredients: calcium hydrogen phosphate dihydrate, cellulose microcrystalline, colloidal anhydrous silica, hypromellose, magnesium stearate, sodium starch glycolate (pH 3.0-5.0), stearic acid, and titanium dioxide.

Detrol (Tolterodine) should not be used by anyone who:

• is allergic to Detrol (Tolterodine) or any of the ingredients of the medication
• has gastric retention (stomach obstruction)
• has uncontrolled narrow-angle Glaucoma
• has urinary retention

Automatic Refills

We manage your refills and get in touch with your doctors for prescription renewals so that you always have the medication you need.

There may be an interaction between Detrol (Tolterodine) and any of the following:

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

• stop taking one of the medications,
• change one of the medications to another,
• change how you are taking one or both of the medications, or
• leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. In many cases, interactions are intended or are managed by close monitoring. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Detrol (Tolterodine). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Before you being using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Detrol (Tolterodine).

Abnormal heart rhythm: Detrol (Tolterodine) may cause or increase the risk for a certain type of abnormal heart rhythm called QT prolongation. Other medications can also increase the risk of QT prolongation when taken together with Detrol (Tolterodine). This abnormal heart rhythm is more likely to occur in women, seniors, and people with certain risk factors such as:

• heart disease
• other heart rhythm problems (such as atrial fibrillation)
• a history of Stroke
• a family history of sudden cardiac death
• blood electrolyte disturbances
• abnormally slow heartbeat
• Eating Disorders
• Diabetes
• nerve disorders

If you experience symptoms of an abnormal heart rhythm such as dizziness, heart palpitations (fast, pounding, or irregular heartbeat), fainting, or seizures, stop taking Detrol (Tolterodine) and get immediate medical attention.

Bladder problems: People with conditions that significantly block or obstruct the bladder should be closely monitored by their doctor for urinary retention while taking Detrol (Tolterodine).

Driving/using machinery: Detrol (Tolterodine) may cause fatigue or blurred vision. Avoid activities requiring mental alertness, such as driving, operating machinery, or performing hazardous work, if the medication affects you in this way. Alcohol and other medications that cause drowsiness may increase the drowsiness caused by Detrol (Tolterodine).

Glaucoma: People who have controlled narrow-angle glaucoma should discuss the benefits and risks of Detrol (Tolterodine) with their doctor. Detrol (Tolterodine) may worsen this condition.

Kidney or liver disease: People with liver disease or Kidney Disease may be more at risk of experiencing side effects and may require lower doses of Detrol (Tolterodine).

Stomach problems: People with stomach problems affecting passage and digestion of food should discuss with their doctor how Detrol (Tolterodine) may affect their medical condition, how their medical condition may affect the dosing and effectiveness of Detrol (Tolterodine), and whether any special monitoring is needed.

Pregnancy: Detrol (Tolterodine) should not be used during pregnancy unless the benefits outweigh the risks. If you are or may be pregnant, talk to your doctor about the benefits and risks of using Detrol (Tolterodine). Women who may become pregnant should use adequate contraception (birth control) while taking Detrol (Tolterodine).

Breast-feeding: It is not known if Detrol (Tolterodine) passes into breast milk. If you are a breast-feeding mother and are taking Detrol (Tolterodine), it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using Detrol (Tolterodine) have not been established for children.

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