{"id":25166,"date":"2022-09-09T12:48:04","date_gmt":"2022-09-09T12:48:04","guid":{"rendered":"https:\/\/zeepedia.com\/?p=25166"},"modified":"2022-09-12T07:28:45","modified_gmt":"2022-09-12T07:28:45","slug":"tolterodine-sandoz","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/tolterodine-sandoz\/","title":{"rendered":"Tolterodine Sandoz &#8211; Tolterodine tartrate uses, dose and side effects"},"content":{"rendered":"\n<p>2 mg\u00a0hard<br>prolonged-release capsules of tolterodine tartrate<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Tolterodine Sandoz is and what it is used for<\/h2>\n\n\n\n<p>The active substance in Tolterodine Sandoz is tolterodine.&nbsp;Tolterodine belongs to a group of medicines called antimuscarinics.<\/p>\n\n\n\n<p>Tolterodine Sandoz is used to treating symptoms of overactive bladder.\u00a0If you have an overactive bladder, you may experience that:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you have difficulty controlling urination (urination)<\/li><li>you have to rush to the toilet without warning and\/or go to the toilet frequently.<\/li><\/ul>\n\n\n\n<p>Tolterodine contained in Tolterodine Sandoz may also be approved to treat other conditions not mentioned in this product information.\u00a0Ask your doctor, pharmacist, or another healthcare professional if you have any further questions and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you take Tolterodine Sandoz\u00a0<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Tolterodine Sandoz<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to tolterodine or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if you have difficulty emptying your bladder (&nbsp;urinary retention&nbsp;).<\/li><li>if you have uncontrolled&nbsp;narrow-angle glaucoma&nbsp;(increased pressure in the eye that leads to reduced vision and is not under&nbsp;adequate&nbsp;control).<\/li><li>if you suffer from&nbsp;myasthenia gravis&nbsp;(severe muscle weakness).<\/li><li>if you suffer from severe&nbsp;ulcerative colitis&nbsp;(ulcers and&nbsp;inflammation&nbsp;of the large intestine).<\/li><li>if you suffer from toxic megacolon (&nbsp;acute&nbsp;dilation of the colon).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and precautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Tolterodine Sandoz.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have difficulty passing water and\/or a weak stream of urine<\/li><li>if you have gastrointestinal problems that affect the passage of food and\/or digestion<\/li><li>if you suffer from any kidney disease (impaired kidney function)<\/li><li>if you suffer from any liver disease<\/li><li>if you suffer from any neurological disorder that affects your\u00a0blood pressure, your bowel function, or your sexual function (\u00a0neuropathy\u00a0of the\u00a0autonomic nervous system\u00a0)<\/li><li>if you have\u00a0a hiatal hernia\u00a0(diaphragmatic hernia)<\/li><li>if you ever have problems emptying your bowels or suffer from <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/constipation\/\">constipation<\/a> (decreased bowel movements)<\/li><li>if you suffer from any heart disease, for example:<ul><li>an abnormal\u00a0electrocardiogram\u00a0(\u00a0ECG\u00a0)<\/li><li>low heart rate (\u00a0bradycardia\u00a0)<\/li><li>or previously had heart problems, eg: cardiomyopathy (weak heart muscle), myocardial ischemia (reduced blood flow to the heart),\u00a0arrhythmia\u00a0(irregular heartbeat), and\u00a0heart failure<\/li><\/ul><\/li><li>if you have abnormally low levels of\u00a0potassium\u00a0(\u00a0hypokalaemia\u00a0),\u00a0calcium\u00a0(hypocalcemia), or\u00a0magnesium\u00a0(hypomagnesemia) in your blood.<\/li><\/ul>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Tolterodine Sandoz if any of the above apply to you.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Tolterodine Sandoz<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p>Tolterodine, the active substance in Tolterodine Sandoz, can be affected by and\/or affect other medicines.<\/p>\n\n\n\n<p>Therefore, taking Tolterodine Sandoz at the same time as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>certain\u00a0antibiotics\u00a0(eg, erythromycin, clarithromycin)<\/li><li>medicines used to treat fungal infections (eg\u00a0ketoconazole, itraconazole)<\/li><li>medicines used to treat\u00a0HIV.<\/li><\/ul>\n\n\n\n<p>Tolterodine Sandoz should be used with caution when taken at the same time as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>medicines that affect the passage of food (eg metoclopramide and cisapride)<\/li><li>medicines for the treatment of irregular heartbeats (containing e.g.\u00a0amiodarone, sotalol,\u00a0quinidine,\u00a0procainamide\u00a0), other medicines with a similar mechanism of action to Tolterodine Sandoz (antimuscarinic properties), or medicines with the opposite mechanism of action to Tolterodine Sandoz (cholinergic properties).\u00a0Decreased bowel movements caused by antimuscarinic drugs may affect the\u00a0absorption\u00a0of other drugs.\u00a0Ask your doctor if you are unsure.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Tolterodine Sandoz with food and drink<\/h2>\n\n\n\n<p>Tolterodine Sandoz can be taken before, after, or during meals.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p><em>Pregnancy<\/em><\/p>\n\n\n\n<p>You should not use Tolterodine Sandoz if you are pregnant.\u00a0Tell your doctor immediately if you are pregnant, think you may be pregnant, or are planning to have a baby.<\/p>\n\n\n\n<p><em>A\u00a0<\/em><em>mining<\/em><\/p>\n\n\n\n<p>It is unknown whether tolterodine, the active substance in Tolterodine Sandoz, passes into breast milk.\u00a0Breastfeeding is not recommended while using Tolterodine Sandoz.<\/p>\n\n\n\n<p>Ask your doctor or pharmacist for advice before taking any medicine.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving ability and use of machinery<\/h2>\n\n\n\n<p>Tolterodine Sandoz may make you dizzy, tired, or affect your vision.\u00a0If you experience any of these\u00a0side effects, you should not drive or operate heavy machinery.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0A description of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0Discuss with your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Tolterodine Sandoz contains lactose and sodium<\/h2>\n\n\n\n<p>If you have an intolerance to certain sugars, you should consult your doctor before taking this medicine.<\/p>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)\u00a0of sodium\u00a0per hard prolonged-release capsule\u00a0, i.e. it is almost &#8220;sodium-free&#8221;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take Tolterodine Sandoz<\/h2>\n\n\n\n<p>Always take this medicine as directed by your doctor.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p><strong>The hard prolonged-release capsules should be taken orally and swallowed whole.<\/strong><\/p>\n\n\n\n<p>Do not chew the capsules.<\/p>\n\n\n\n<p><strong>Adults<\/strong>&nbsp;:<\/p>\n\n\n\n<p>The usual\u00a0dose\u00a0is one 4 mg hard\u00a0prolonged-release capsule\u00a0daily.\u00a0<\/p>\n\n\n\n<p><strong>Patients with liver or kidney problems:<\/strong><\/p>\n\n\n\n<p>For patients with liver or kidney problems, the doctor may reduce the&nbsp;dose&nbsp;by one to 2 mg of Tolterodine Sandoz daily.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children<\/h2>\n\n\n\n<p>Tolterodine Sandoz is not recommended for children.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you have taken too much Tolterodine Sandoz<\/h2>\n\n\n\n<p>If you have ingested too much medicine or if, for example,\u00a0a child has ingested the medicine by mistake, contact a doctor or hospital for an assessment of the risk and advice.\u00a0Symptoms of overdose are e.g.\u00a0hallucinations, excitement, faster than a usual heartbeat, dilation of the\u00a0pupils,\u00a0and inability to pass water (urinate) or breathe normally.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Tolterodine Sandoz<\/h2>\n\n\n\n<p>If you have forgotten to take a\u00a0dose\u00a0when you usually take it, you can take it as soon as you remember, unless it is almost time for the next\u00a0dose.\u00a0In that case, you should skip the missed\u00a0dose\u00a0and instead follow the usual dosing schedule.<\/p>\n\n\n\n<p>Do not take a double\u00a0dose\u00a0to make up for a missed\u00a0dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop taking Tolterodine Sandoz<\/h2>\n\n\n\n<p>Your doctor will tell you how long you will be treated with Tolterodine Sandoz.&nbsp;Do not stop treatment prematurely if you do not notice an immediate effect.&nbsp;Your bladder may need some time to adjust.&nbsp;Take all extended-release capsules as prescribed by your doctor.&nbsp;If you have not noticed any effect when the treatment is over, talk to your doctor.<\/p>\n\n\n\n<p>The benefit of the treatment should be evaluated again after 2\u20133 months.&nbsp;Always consult your doctor if you are considering stopping treatment.<\/p>\n\n\n\n<p>If you have any further questions about this medicine, ask your doctor or pharmacist.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p>Contact a doctor immediately or seek emergency care if you experience signs of\u00a0angioedema, such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>swelling of the face, tongue, or throat<\/li><li>difficulty swallowing<\/li><li>hives\u00a0and difficulty breathing<\/li><\/ul>\n\n\n\n<p>You should also see a doctor if you experience a\u00a0hypersensitivity reaction\u00a0(eg\u00a0itching, rash,\u00a0hives, difficulty breathing).\u00a0Such reactions are less common (may affect up to 1 in 100 users).<\/p>\n\n\n\n<p>Contact a doctor immediately or seek emergency care if you experience any of the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>chest <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/brain-and-nerves\/pain\/\">pains<\/a>, breathing difficulties or pronounced fatigue (even when resting), breathing difficulties at night, swollen legs.<\/li><\/ul>\n\n\n\n<p>These symptoms may be signs of\u00a0heart failure, which is less common (may affect up to 1 in 100 people)<\/p>\n\n\n\n<p>The following side effects have been observed during treatment with Tolterodine Sandoz with the following frequency:<\/p>\n\n\n\n<p><strong>Very common&nbsp;side effects&nbsp;(<\/strong>&nbsp;may affect more than 1 in 10 users):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Dry mouth.<\/li><\/ul>\n\n\n\n<p><strong>Common&nbsp;side effects&nbsp;(<\/strong>&nbsp;may affect up to 1 in 10 users):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/sinusitis\/\">Sinusitis<\/a><\/li><li>Somnolence<\/li><li>Dry eyes<\/li><li>Digestive problems (\u00a0dyspepsia\u00a0)<\/li><li>Abdominal <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/brain-and-nerves\/pain\/\">pain<\/a><\/li><li>Pain or difficulty passing water (urinating)<\/li><li>Fluid accumulation in the body causes swelling (eg in the ankles)<\/li><li>Dizziness<\/li><li>Headache<\/li><li>Blurred vision<\/li><li>Constipation<\/li><li>Large amounts of air or gases in the stomach or intestines<\/li><li>Diarrhea<\/li><li>Fatigue<\/li><\/ul>\n\n\n\n<p><strong>Uncommon&nbsp;side effects&nbsp;(<\/strong>&nbsp;may affect up to 1 in 100 users):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Allergic reactions<\/li><li>Concern<\/li><li>Palpitation<\/li><li>Inability to empty the bladder<\/li><li>Dizziness<\/li><li>Heart failure<\/li><li>Irregular heartbeats<\/li><li>Chest pains<\/li><li>Tingling in fingers and toes<\/li><li>Impaired memory<\/li><\/ul>\n\n\n\n<p>Other\u00a0side effects\u00a0that have been reported are severe allergic reactions, confusion, hallucinations, increased heart rate, flushing, heartburn, vomiting,\u00a0angioedema, dry skin, and disorientation.\u00a0There have also been reports of worsening dementia symptoms in patients treated for dementia.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Tolterodine Sandoz<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Use before the expiry date stated on the label and carton after Ex. Date.\u00a0or EXP.\u00a0The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Store at a maximum of 25 \u00baC.<\/p>\n\n\n\n<p>Shelf life after first opening:<\/p>\n\n\n\n<p>HDPE can: 200 days<\/p>\n\n\n\n<p>Medicines must not be thrown into the drain or among the household waste.\u00a0Ask the pharmacist how to dispose of medicines that are no longer used.\u00a0These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Contents declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is tolterodine tartrate.\u00a0Each hard prolonged-release\u00a0capsule\u00a0contains 2 mg tolterodine tartrate.<\/li><li>Other ingredients are\u00a0<a href=\"https:\/\/zeepedia.com\/medical\/diseases\/lactose-intolerance\/\">lactose<\/a> monohydrate, microcrystalline cellulose, poly(vinyl acetate), povidone, anhydrous\u00a0colloidal\u00a0silicon dioxide, sodium lauryl sulfate, docusate sodium, magnesium stearate, hydroxypropyl methylcellulose, indigo carmine (E132), quinoline yellow (E104), titanium dioxide (E171), gelatin, ethyl cellulose, triethyl citrate, methacrylic acid -ethyl acrylate copolymer, 1,2-propylene glycol.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Appearance and package sizes of the medicine<\/h2>\n\n\n\n<p>Opaque green-opaque green hard gelatin capsules containing two white, round, biconvex, tablets.<\/p>\n\n\n\n<p>The hard prolonged-release capsules are packed in Alu\/PVC\/PE\/PVDC blisters or packed in HDPE cans with child-resistant closures and inserted in a cardboard box.<\/p>\n\n\n\n<p>Package sizes:<\/p>\n\n\n\n<p>Blister pack: 7, 14, 28, 30, 49, 50, 56, 80, 84, 90, 98, 100, 112, 160, 280 and 320 hard prolonged-release capsules.<\/p>\n\n\n\n<p>Can: 30, 60, 100, and 200 hard prolonged-release capsules.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing authorization holder and manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorization Holder&nbsp;<\/strong><strong>:<\/strong><\/p>\n\n\n\n<p>Sandoz A\/S, Edvard Thomsens Vej 14, 2300 Copenhagen S, Denmark<\/p>\n\n\n\n<p><strong>Manufacturer&nbsp;<\/strong><strong>:<\/strong><\/p>\n\n\n\n<p>Pharmathen International SA, Sapes Industrial Park, Block 5, 69300 Rodopi, Greece<\/p>\n\n\n\n<p>or<\/p>\n\n\n\n<p>Pharmathen SA, Dervenakion St.&nbsp;6, 15351 Pallini, Attikis, Greece<\/p>\n\n\n\n<p>or<\/p>\n\n\n\n<p>Salutas Pharma GmbH, Otto-von-Guericke-Allee 1, 39179, Barleben, Germany<\/p>\n\n\n\n<p>or<\/p>\n\n\n\n<p>Lek Pharmaceuticals dd, Verov\u0161kova 57, 1526 Ljubljana, Slovenia<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The active substance in Tolterodine Sandoz is tolterodine.\u00a0Tolterodine belongs to a group of medicines called antimuscarinics.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,22500],"tags":[26008,25996,26004,26006,25994,25997,26005,25995,26007,25999],"class_list":["post-25166","post","type-post","status-publish","format-standard","hentry","category-medicines","category-t","tag-benefits-of-tolterodine-sandoz","tag-benefits-of-tolterodine-tartrate","tag-tolterodine-sandoz","tag-tolterodine-sandoz-side-effects","tag-tolterodine-tartrate","tag-tolterodine-tartrate-side-effects","tag-what-is-tolterodine-sandoz","tag-what-is-tolterodine-tartrate","tag-what-tolterodine-sandoz-is-used-for","tag-what-tolterodine-tartrate-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/25166","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=25166"}],"version-history":[{"count":3,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/25166\/revisions"}],"predecessor-version":[{"id":25189,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/25166\/revisions\/25189"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=25166"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=25166"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=25166"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}