Detrol

— THERAPEUTIC CATEGORIES —
  • Overactive bladder/enuresis

Detrol Generic Name & Formulations

General Description

Tolterodine tartrate 1mg, 2mg; tabs.

Pharmacological Class

Muscarinic antagonist.

See Also

How Supplied

LA—30, 90, 500; Tabs—60, 500

Manufacturer

Generic Availability

YES

Detrol Indications

Indications

Overactive bladder with symptoms of urinary frequency, urgency, or urge incontinence.

Detrol Dosage and Administration

Adult

2mg twice daily; may decrease to 1mg twice daily. Concomitant strong CYP3A4 inhibitors (ketoconazole, itraconazole, miconazole, clarithromycin, erythromycin, cyclosporine, vinblastine), or significant renal or hepatic dysfunction: 1mg twice daily.

Children

Not established.

Detrol Contraindications

Contraindications

Urinary or gastric retention. Uncontrolled narrow-angle glaucoma. Fesoterodine fumarate allergy.

Detrol Boxed Warnings

Not Applicable

Detrol Warnings/Precautions

Warnings/Precautions

Bladder outflow obstruction. GI obstruction (eg, pyloric stenosis). Decreased GI motility. Discontinue if angioedema occurs. Monitor for anticholinergic CNS effects (esp. when starting treatment and after dose increases). Narrow-angle glaucoma. Myasthenia gravis. History of QT prolongation. Pregnancy. Nursing mothers: not recommended.

Detrol Pharmacokinetics

See Literature

Detrol Interactions

Interactions

Plasma levels increased by CYP3A4 inhibitors (see Adult dose). Caution with Class IA (eg, quinidine, procainamide) or Class III (eg, amiodarone, sotalol) antiarrhythmics. Additive anticholinergic effects with other anticholinergics.

Detrol Adverse Reactions

Adverse Reactions

Dry mouth/eyes, headache, constipation, abdominal pain, dyspepsia, fatigue, dizziness, somnolence, sinusitis, abnormal vision, anxiety, dysuria, other anticholinergic effects; anaphylaxis, angioedema.

Detrol Clinical Trials

See Literature

Detrol Note

Not Applicable

Detrol Patient Counseling

See Literature