PLEASE
NOTE: As this products is a prescription only
medicine, PharmacyWeb need your original prescription
before we can dispense the medication to you. You can fax
your prescription to us on 64 7 865 8997, then post it to
'The Pharmacist, PO Box 164, Whangamata, New Zealand.'
We will process your order on receipt of your fax, your
order will be sent on receipt of the original prescription.
Or you can simply post your prescription with credit card
details / cheque.
Your prescription must be from a New Zealand registered
doctor.
For all New Zealand orders would you please enter your
street address and phone number where possible as the
medicine will need to be signed for. If you are not home, a
card will be left so you may contact the courier for later
delivery / pickup.
What
Detrusitol is used for
Detrusitol is used to treat symptoms of
an overactive bladder, for example, urinary frequency, urgency or
incontinence.
Detrusitol belongs to a group of medicines called antimuscarinics.
It helps to control the release of urine by reducing spasm, and
relaxing the smooth muscle of the bladder wall. It also increases
the storage volume of the bladder, and can act on the brain to
delay the desire to urinate.
Ask your doctor if you have any questions about why Detrusitol has
been prescribed for you.
This medicine is only available with a doctor's prescription.
Before you take Detrusitol
When you must not take it.
Do not take Detrusitol if:
you have an allergic reaction to:
tolterodine or any other antimuscarinic medicine
any of the other ingredients listed at the end of this leaflet.
Symptoms of an allergic reaction may include skin rash, itching or
difficulty in breathing.
you are unable to pass urine.
you have uncontrolled high blood pressure in the eye (narrow-angle
glaucoma).
you are pregnant or intend to become pregnant.
you are breast-feeding or plan to breast-feed.
Do not take Detrusitol if the packaging is torn or shows signs of
tampering.
Do not take Detrusitol after the expiry date (EXP) printed on the
label. If you take this medicine after the expiry date has passed
it may not work so well.
Do not take Detrusitol to treat any other complaints unless your
doctor tells you to. Do not give this medicine to anybody else.
Use in children under 18 years of age is not recommended.
Before you are start to take it
You must tell your doctor about all of the following before you
take Detrusitol tablets, if:
you have any allergies to any other medicines or any other
substances such as foods, preservatives or dyes.
you have or have ever had:
kidney or liver problems
problems with passing urine
gastrointestinal (stomach or gut) problems.
Taking other medicines
Tell your doctor if you are taking other medicines, including
medicines that you buy without a prescription from a pharmacy,
supermarket or health food shop.
Some medicines and Detrusitol may interfere with each other. These
include medicines to treat:
Fungal infection, such as ketoconazole, itraconazole and
miconazole
Bacterial infection, such as erythromycin and clarithromycin
These medicines may be affected by Detrusitol or may affect how
well it works. You may need different amounts of your medicine or
you may need to take different medicines. Your doctor or
pharmacist has more information on medicines to be careful with or
avoid while taking Detrusitol.
How to take Detrusitol
Your doctor or pharmacist will tell you how to take your medicine.
The directions your doctor or pharmacist gives you should be
strictly followed.
How much to take
The normal dose is 2mg twice daily, taken with or without food.
The dose may need to be decreased to 1mg twice daily if you
experience troublesome side-effects. Detrusitol may take up to 4
weeks before you see the maximum benefit of treatment.
If you forget to take it
If it is almost time for your next dose, skip the dose you missed
and take your next dose when you are meant to. Otherwise, take it
as soon as you remember, and then go back to taking it as you
would normally.
Do not try to make up for missed doses by taking more than one
dose at a time.
If you are unsure about whether to take your next dose, speak to
your doctor or pharmacist.
In case of overdose (if you are given too much)
Immediately telephone your doctor or the National Poisons
Information Centre (telephone 0800 POISON or 0800 764 766) for
advice, or go to Accident and Emergency at your nearest hospital
if you think that you or anyone else may have too much Detrusitol.
Do this even if there are no signs of discomfort or poisoning. You
may need urgent medical attention.
The symptoms of taking too much Detrusitol may include shortness
of breath, fits, fast heart beat, inability to pass urine, dilated
pupils, feeling excited, or hallucinations.
While you are using Detrusitol
Things you must do
If symptoms of your unstable bladder do not improve, or if they
become worse, tell your doctor.
If you feel light-headed, dizzy or faint when getting out of bed
or standing up, get up slowly.
If you become pregnant while you are taking Detrusitol, tell your
doctor.
If you are about to start taking any new medicines, tell your
doctor and pharmacist that you are taking Detrusitol.
Be careful driving or operating machinery until you know how
Detrusitol affects you. As Detrusitol may cause dizziness and
blurred vision, you will need to take extra care.
Tell all doctors, dentists and pharmacists who are treating you
that you are taking Detrusitol.
Always discuss with your doctor any problems or difficulties
during or after taking Detrusitol.
Things you must not do
Do not stop taking your medicine until your doctor tells you to,
even if you are feeling better
Do not give Detrusitol to anyone else, even if they have the same
condition as you.
Do not use Detrusitol to treat any other medical complaints unless
your doctor tells you to.
Side effects
Check with your doctor as soon as possible if you have any
problems while taking Detrusitol, even if you do not think the
problems are connected with the medicine or are not listed in this
leaflet.
Like many medicines, Detrusitol may cause side effects. If they
occur, they are likely to be minor and temporary. However, some
may be serious and need medical attention.
Ask your doctor or pharmacist to answer any questions you may
have.
Tell your doctor if you notice any of the following and they worry
you:
Dry mouth
Heartburn
Headache
Constipation, flatulence or stomach pain
Dry eyes
Weight gain
Tiredness
Tell your doctor immediately if you notice any of the following:
Dizziness or confusion
Blurred vision
Difficulty or pain in urinating (passing water)
Skin rash
Shortness of breath, chest pain or irregular heart-beats
Swollen ankles
Seeing, hearing or feeling things that are not really there (halluncinations).
Other side effects not listed above may also occur in some
patients. Tell your doctor if you notice anything else that is
making you feel unwell.
Do not be alarmed by this list of possible side effects. You may
not experience any of them.
After taking Detrusitol
Storage
Keep your tablets in the blister until it is time to take them.
Keep the tablets in a cool dry place. Detrusitol must be stored
where the temperature stays below 25°C.
Do not store Detrusitol, or any other medicines, in a bathroom or
near a sink.
Do not leave Detrusitol in the car or on window sills. Heat and
dampness can destroy some medicines.
Keep Detrusitol where children cannot reach it. A locked cupboard
at least one-and-a-half metres above the ground is a place to
store medicines.
Disposal
If your doctor tells you to stop taking Detrusitol, or you find
that it has passed the expiry date, ask your pharmacist what to do
with the medicine you have left over.
Product Description
What it looks like
Detrusitol tablets are available in blister packs containing 56
tablets. There are 2 strengths of tablets available 1mg and 2mg.
The 1mg tablet is a white, round, biconvex, film-coated tablet,
engraved with arcs above and below the letter "TO".
The 2mg tablet is a white, round, biconvex, film-coated tablet,
engraved with arcs above and below the letters "DT".
Ingredients
Detrusitol tablets contain either 1mg or 2mg of tolterodine L-tartrate
as the active ingredient.
The tablets also contain calcium hydrogen phosphate,
microcrystalline cellulose, sodium starch glycollate, colloidal
silicon dioxide, magnesium stearate, hypromellose, stearic acid,
and titanium dioxide.
