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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. Tolterodine helps these symptoms by preventing contractions or spasms of the bladder.
Relief from symptoms may not occur until about 2 weeks after starting treatment with tolterodine extended-release capsules, and maximum improvement may not be seen until after 8 weeks of treatment.
Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. As well, some forms of this medication 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 this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.
Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.
The usual recommended dose of tolterodine extended-release capsules is 4 mg once daily to start. The dose may later be reduced to 2 mg once daily based on individual response and needs. The maximum dose is 4 mg daily.
For people with reduced liver or kidney function, and people taking certain medications, the recommended dose is 2 mg once daily. Check with your doctor or pharmacist.
The capsules should be swallowed whole, not crushed or chewed. They can be taken with or without food.
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 this medication 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 this medication 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.
Each blue-green extended release capsule, with a symbol and "2" printed in white ink, contains tolterodine L-tartrate 2 mg. Nonmedicinal ingredients: ammonium hydroxide, ethylcellulose, FD&C Blue No. 2, gelatin, hypromellose, medium chain triglycerides, oleic acid, Opacode White S-1-7085 (shellac glaze, titanium dioxide, ammonium hydroxide, propylene glycol, and simethicone), starch, sucrose, and yellow iron oxide.
Each blue extended release capsule, with symbol and "4" printed in white ink, contains tolterodine L-tartrate 4 mg. Nonmedicinal ingredients: ammonium hydroxide, ethylcellulose, FD&C Blue No. 2, gelatin, hypromellose, medium chain triglycerides, oleic acid, Opacode White S-1-7085 (shellac glaze, titanium dioxide, ammonium hydroxide, propylene glycol, and simethicone), starch, and sucrose.
Tolterodine should not be taken by anyone who: