Tolterodine

Source: Wikipedia, the free encyclopedia.

Tolterodine
Clinical data
Trade namesDetrol, Detrusitol, others
Other namesPNU-200583E
AHFS/Drugs.comMonograph
MedlinePlusa699026
License data
Pregnancy
category
  • AU: B3
Routes of
administration		By mouth
ATC code
Legal status
Legal status
Pharmacokinetic data
Bioavailability77%
Protein bindingApproximately 96.3%
Elimination half-life1.9–3.7 hours
Identifiers
  • (S)-2-[3-(Diisopropylamino)-1-phenylpropyl]-4-methylphenol
JSmol)
  • Cc1ccc(c(c1)[C@H](CCN(C(C)C)C(C)C)c2ccccc2)O
  • InChI=1S/C22H31NO/c1-16(2)23(17(3)4)14-13-20(19-9-7-6-8-10-19)21-15-18(5)11-12-22(21)24/h6-12,15-17,20,24H,13-14H2,1-5H3/t20-/m1/s1 checkY
  • Key:OOGJQPCLVADCPB-HXUWFJFHSA-N checkY
  (verify)

Tolterodine, sold under the brand name Detrol among others, is a

urinary urgency.[5] Effects are seen within an hour.[6] It is taken by mouth.[6][7]

Common side effects include headache, dry mouth, constipation, and dizziness.

blocking muscarinic receptors in the bladder thus decreasing bladder contractions.[6]

Tolterodine was approved for medical use in 1998.

generic medication.[5] In 2020, it was the 271st most commonly prescribed medication in the United States, with more than 1 million prescriptions.[9][10]

Medical uses

Detrusor overactivity (DO, contraction of the muscular bladder wall) is the most common form of urinary incontinence (UI) in older adults.[medical citation needed] It is characterized by uninhibited bladder contractions causing an uncontrollable urge to void.[medical citation needed] Urinary frequency, urge incontinence and nocturnal incontinence occur.[medical citation needed] Abnormal bladder contractions that coincide with the urge to void can be measured by urodynamic studies.[medical citation needed] Treatment is bladder retraining,[11][unreliable medical source?] pelvic floor therapy or with drugs that inhibit bladder contractions such as oxybutynin and tolterodine.[medical citation needed]

Side effects

Known side effects:

The following reactions have been reported in people who have taken tolterodine since it has become available:

  • Allergic reactions
    including swelling
  • abnormal heartbeat
  • Accumulation of fluid in the arms and legs
  • Hallucinations

Tolterodine is not recommended for use in people with

angle closure glaucoma
.

Pharmacology

Tolterodine acts on M2 and M3

antimuscarinic treatments for overactive bladder act more specifically on M3 receptors.[medical citation needed
]

Tolterodine, although it acts on all types of receptors, has fewer side effects than oxybutynin (M3 and M1 selective, but more so in the parotid than in the bladder) as tolterodine targets the bladder more than other areas of the body.[medical citation needed]

Society and culture

Brand names

It is marketed by Pfizer in Canada and the United States under the brand name Detrol. In Egypt it is also found under the trade names Tolterodine by Sabaa and Incont L.A. by Adwia.

References

  1. ^ "Detrusitol 1mg film-coated tablets - Summary of Product Characteristics (SmPC)". (emc). 9 March 2021. Retrieved 12 May 2022.
  2. ^ "Detrol- tolterodine tartrate tablet, film coated". DailyMed. 29 September 2021. Retrieved 12 May 2022.
  3. ^ "Detrol LA- tolterodine tartrate capsule, extended release". DailyMed. 12 October 2020. Retrieved 12 May 2022.
  4. ^ "List of nationally authorised medicinal products" (PDF). ema.europa.eu. 5 May 2022. Retrieved 9 November 2023.
  5. ^
    ISBN 9780857113382
    .
  6. ^ a b c d e f "Tolterodine Tartrate Monograph for Professionals". Drugs.com. American Society of Health-System Pharmacists. Retrieved 3 March 2019.
  7. PMID 32491781
    .
  8. ^ "Tolterodine Pregnancy and Breastfeeding Warnings". Drugs.com. Retrieved 3 March 2019.
  9. ^ "The Top 300 of 2020". ClinCalc. Retrieved 7 October 2022.
  10. ^ "Tolterodine - Drug Usage Statistics". ClinCalc. Retrieved 7 October 2022.
  11. ^ "Bladder retraining". Interstitial Cystitis Association. Archived from the original on 28 July 2018. Retrieved 6 June 2018.
  12. ^ "Tolterodine". DrugBank.

External links

  • "Tolterodine". Drug Information Portal. U.S. National Library of Medicine.
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