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Fesoterodine

Brand name: Toviaz
Drug Class: Urinary Antispasmodics

What is Fesoterodine?

Adults can use fesoterodine to treat an overactive bladder that has symptoms such as urinary urgency and incontinence. Children who are at least six years old and weigh more than 25 kilograms (55 pounds) can also be treated with fesoterodine for neurogenic detrusor hyperactivity. This medication guide does not list all possible uses of fesoterodine.

Side effects of Fesoterodine

If you experience any of the following symptoms of an allergic reaction, seek immediate medical attention: hives, difficulty breathing, swelling of your lips, face, tongue, or throat.

Fesoterodine can cause serious side effects. If you experience:

  • Constipation or severe stomach pain
  • Have a weak urine stream or have difficulty emptying your bladder? If this occurs, or any issues exist with emptying, please seek professional assistance immediately.
  • Little or no urination
  • Headache, dizziness, and drowsiness.

Side effects may occur more frequently in older adults, such as dry mouth or constipation. Other side effects include increased urination (which is especially painful), dizziness, and/or pain when urinating.

Some of the most common side effects associated with fesoterodine include:

  • Painful urination
  • Blurred vision
  • Weight gain
  • Dry mouth
  • Stomach pain, diarrhea, and constipation.

There may be other side effects. Need medical advice about side effects? For assistance on this subject, reach out to your primary physician immediately. The FDA can be contacted at 1-800-FDA-1088 to report side effects.

Similar/related drugs

Oxybutynin, Botox, Myrbetriq, Solifenacin, Tolterodine, Mirabegron, and Detrol

Warnings

Do not use it other than as directed. Inform your doctor of any other medications you are taking or if you have allergies or other medical conditions.

Before you take this drug

If you are allergic or have any of the following:

  • A blockage in the urinary system (difficulty with urination);
  • A bladder obstruction or any other urination problem;
  • A blockage of the intestines or stomach;
  • Untreated or uncontrolled narrow-angle glaucoma

Notify your doctor of any of the following issues:

  • Glaucoma;
  • A stomach or intestinal disorder, including severe constipation
  • Liver or kidney disease
  • Myasthenia Gravis

Inform your physician immediately if you become pregnant or nursing. Anyone younger than 6 or weighing less than 55 pounds is not allowed to use the product.

How to take Fesoterodine?

Read all the instructions or guides that come with your medication and follow the directions. Sometimes, your doctor will change the dose. Take your medications exactly as instructed.Take fesoterodine in liquid form, with or without food. Do not chew or crush the tablet.

After the first week, your child's doctor might change their dose if:

  • The child must weigh more than 35 kilograms (77 pounds).
  • The child is suffering from severe kidney disease or is taking certain medications.

Store in an airtight, temperature-controlled environment at room temperature to maintain optimal storage conditions.

Details on dosage

Adult dose for urinary incontinence:
The dose can be increased to 8 mg once daily based on the individual response.
Maximum dose: 8 mg once a day.
Comments:
This medicine may be taken either with or without food.
This drug should not be chewed or divided.
It is recommended that you reevaluate the efficacy of your treatment after 8 weeks.
Use: for overactive bladder (OAB), with symptoms of urge incontinence and urgency.
Adult dose for urinary frequency:
The dose can be increased to 8 mg once daily based on the individual response.
Maximum dose: 8 mg once a day.
Comments:
This medicine may be taken either with or without food.
This drug should not be chewed or divided.
It is recommended that you re-evaluate the efficacy of your treatment after 8 weeks.
Use: overactive bladder (OAB), with symptoms such as urgency, frequency, and urge urinary incontinence.
The usual pediatric dose for neurogenic bladders is:
Six Years Older:
Weighing more than 25 kg, up to 35 kg
The dose can be increased from 4 mg to 8 mg once daily.
Weights greater than 35 kg
After one week, the dose can be increased to 8 mg once daily.
Comments:
This drug can be taken either with or without food.
This drug should not be chewed or divided.
Use: To treat neurogenic detrusor hyperactivity (NDO) among pediatric patients aged 6 and older with a weight of more than 25 kg.

What happens if I miss the dose?

Do not take the missed dose. Use your next dose as usual. Do not take two doses in one go.

What happens if I overdose?

Contact 1-800-222-1222 immediately in case of poisoning and seek immediate medical care.

What should be avoided?

Fesoterodine may cause dizziness and drowsiness. You should avoid driving or engaging in hazardous activities until you are sure of how fesoterodine affects you. You could have impaired reactions. Avoid overheating or dehydration during exercise and hot weather. You may become more susceptible to heatstroke if you are using fesoterodine, which can reduce sweating. You may experience increased drowsiness if you drink alcohol.

Interaction with other drug

Inform your physician of any medications you are currently taking. Many drugs can interact with fesoterodines.

  • Other medicines to treat overactive bowel;
  • Antifungal or antibacterial medicine is used to treat infections.
  • Antiviral medication for HIV or Hepatitis C
  • Asthma medication, bronchodilator;
  • Cold or allergy medicines ( Benadryl and others);
  • Cancer medicine
  • Glaucoma medicine;
  • Medicine to treat Parkinson’s disease
  • Medicine to treat stomach issues, motion sickness, or irritable bowel syndrome.

This list does not include all drugs that may interact with fesoterodine. These include prescription and over-the-counter medicines, vitamins, and herbal products. This list does not include all possible drug-drug interactions.

DRUG STATUS

Availability

Prescription only

Pregnancy & Lactation

CSA Schedule*
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