✅ Product Benefits

• Once-daily extended-release convenience: A 4 mg ER capsule provides stable blood levels and sustained relief throughout the day for bladder symptoms. turn0search0turn0search7

• High bladder specificity with fewer systemic effects: Tolterodine preferentially targets bladder muscarinic receptors, minimizing dryness and sedation compared to non-selective anticholinergics. turn0search0turn0search11

• Rapid onset of symptom relief: Improvement may occur within 4 weeks of consistent use. turn0search11turn0search0

• Local availability at affordable cost: Widely available across Bangladesh, priced at approximately ৳ 15 per capsule (৳ 300 per 20-cap pack). turn0search0turn0search2

ℹ️ Dosage & Administration

Swallow the capsule whole—do not chew or crush. Full therapeutic effect may take up to 4 weeks. turn0search0turn0search6

⚠️ Safety, Side Effects & Precautions

• Contraindications:

  • Uncontrolled narrow-angle glaucoma

  • Urinary retention or gastrointestinal obstruction (e.g., megacolon)

  • Hypersensitivity to tolterodine or excipients turn0search0turn0search7

• Common side effects:
  Dry mouth (~23 %), constipation, headache, dizziness, blurred vision, dry eyes. These anticholinergic effects are more common at therapeutic doses. turn0search0turn0search10

• Cardiac and drug interaction warnings:

  • Use cautiously in patients with known QT prolongation or taking QT‑prolonging drugs (e.g. antiarrhythmics).

  • Potent CYP3A4 inhibitors (e.g. ketoconazole, erythromycin, clarithromycin, protease inhibitors) significantly increase plasma levels—dose reduction to 2 mg advised. turn0search0turn0search7turn0search10

• Special populations:

  • Elderly: No significant safety difference, but start at lower dose if needed.

  • Renal/hepatic impairment: Use low dose (2 mg once daily); severe impairment contraindicated.

  • Pregnancy & breastfeeding: Animal studies show potential risk; avoid unless benefit outweighs risk. Excretion in breast milk unknown—milk production may be reduced. turn0search0turn0search6

• Overdose: May result in severe anticholinergic symptoms (e.g., delirium, tachycardia)—ECG monitoring advised. turn0search10turn0search9

✔️ Quick Summary Table