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Tolgress 4 Capsule

Manufactured byLA RENON HEALTH CARE
ContainsTolterodine
Description
Tolgress 4 Capsule is a medicine used for the treatment of an overactive bladder, a condition characterised by symptoms such as a frequent and sudden urge to urinate, inability to control urination, leaking of urine, etc. This medicine works by relaxing the muscles of the urinary bladder, thus helping to retain more urine. Tolgress 4 Capsule can show side effects like dry mouth, constipation, stomach pain, headache, etc. Most of these side effects are temporary and resolve with time. However, consult your doctor if they persist or become worse. Avoid driving vehicles and operating machines while taking this medicine as it can cause blurred vision or make you feel dizzy. Tolgress 4 Capsule may be taken with or without food. Your doctor will determine the dose and duration of treatment based on the severity of your condition. Take it at the same time every day to maintain a constant level of medicine in your body. Do not stop taking this medicine without consulting your doctor, as your symptoms may reoccur or worsen. Tolgress 4 Capsule is not recommended for use if you are allergic to it. Inform your doctor about your pre-existing medical conditions and current medications before starting the treatment with this medicine. This will help your doctor adjust the dose to avoid side effects. Tolgress 4 Capsule is not recommended for use in children below 18 years of age due to the lack of safety and efficacy data. If you are pregnant or are breastfeeding, consult your doctor before taking medicine.

Side effects

Major & minor side effects for Tolgress 4 Capsule

  • Dry skin
  • Dry mouth
  • Stomach pain
  • Constipation
  • Headache
  • Dizziness
  • Blurred vision
  • Dry eyes
  • Chest pain
  • Indigestion

Uses of Tolgress 4 Capsule

What is it prescribed for?

  • Overactive Bladder
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Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The amount of time required for Tolgress 4 Capsule to show its action is not clinically established.
  • How long do the effects of this medicine last?
    The amount of time for which Tolgress 4 Capsule remains active in your body is not clinically established.
  • Is it safe to consume alcohol while taking this medicine?
    Consumption of alcohol is not recommended during treatment with Tolgress 4 Capsule due to the increased risk of side effects such as dizziness and drowsiness.
  • Is this a habit forming medicine?
    No habit-forming tendency has been reported for Tolgress 4 Capsule.
  • Can this medicine be taken during pregnancy?
    Tolgress 4 Capsule is not recommended for use during pregnancy as animal studies indicate that it may harm the developing foetus. Hence, consult your doctor if you are pregnant.
  • Can this medicine be taken while breast-feeding?
    Due to the lack of safety information, Tolgress 4 Capsule is not recommended for use while breastfeeding.

Allergy

Avoid taking Tolgress 4 Capsule if you are allergic to it. Seek immediate medical attention if you notice any symptoms such as skin rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, breathing difficulty, etc.

Urinary retention

Urinary retention is a condition where you are unable to empty the bladder completely. Tolgress 4 Capsule is not recommended for use in case of urinary retention, as it may further worsen your condition.

Narrow angle glaucoma

Narrow-angle glaucoma is an eye condition that causes an increase in fluid pressure within the eye when the drainage canal that allows fluid to drain from the eye becomes blocked. Tolgress 4 Capsule is not recommended for use if you have this condition as it may cause increased intraocular pressure and further worsen your condition.

Gastric retention

Gastric retention occurs when there is delayed gastric emptying, causing your stomach to take too long to empty its contents. It may occur due to surgery, gastrointestinal obstruction (a blockage that keeps food or liquid from passing through your small intestine or large intestine), severe colitis (swelling in the large intestine), etc. Tolgress 4 Capsule is not recommended for use if you have stomach disorders resulting in gastric retention as this medicine can further delay gastric emptying, resulting in worsening of your condition.

Myasthenia gravis

Myasthenia gravis is a condition that causes weakness of muscles and fatigue. Tolgress 4 Capsule is not recommended for use if you have myasthenia gravis as it may further worsen your condition.

Toxic megacolon

Toxic megacolon is a serious life-threatening condition characterised by extreme inflammation (swelling) and distention (dilation) of the large intestine. Tolgress 4 Capsule should be used with caution if you have toxic megacolon as it may further worsen your condition.
Warnings for special population

Pregnancy

Tolgress 4 Capsule is not recommended for use during pregnancy as animal studies indicate that it may harm the developing foetus. Hence, consult your doctor if you are pregnant.

Breast-feeding

Due to the lack of safety information, Tolgress 4 Capsule is not recommended for use while breastfeeding.
General warnings

Use in children

Tolgress 4 Capsule is not recommended for use in children less than 18 years of age as the safety and efficacy data are not clinically established.

Driving or operating machines

Tolgress 4 Capsule may cause dizziness and blurred vision. Avoid driving vehicles or operating machines if you experience such symptoms after taking the medicine.

Liver problems

Tolgress 4 Capsule should be used with caution if you have liver problems as it may increase the risk of undesired effects. Your doctor may adjust the dose based on your clinical condition.

Autonomic neuropathy

Autonomic neuropathy occurs when the nerves that control involuntary bodily functions such as heart rate, blood pressure, sweating, bowel and bladder emptying, etc., are damaged. Tolgress 4 Capsule should be used with caution if you have autonomic neuropathy due to the increased risk of worsening your condition.

Kidney problems

Tolgress 4 Capsule should be used with caution if you have kidney problems as it may increase the risk of undesired effects. Your doctor may adjust the dose based on your clinical condition.

Missed Dose

Take the missed dose of Tolgress 4 Capsule as soon as you remember. If it is time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.

Overdose

Never take more than the prescribed dose. Seek emergency medical treatment in case of an overdose of Tolgress 4 Capsule.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

N/A

Instructions

Consumption of alcohol is not recommended during treatment with Tolgress 4 Capsule due to the increased risk of side effects such as dizziness and drowsiness.
Interaction with Medicine

Ciprofloxacin

Atenolol

Topiramate

Itraconazole

Chlorpheniramine

Zonisamide

Disease interactions

Central nervous system disorders

Central nervous system (CNS) disorders are disorders related to the brain and nervous system. Tolgress 4 Capsule should be used with caution with extreme caution if you have Parkinson's disease (a brain disorder that affects movement) or dementia (memory loss) as it may further worsen your condition.

QT Prolongation

Tolgress 4 Capsule should be used with caution if you have heart rhythm problems or taking medicines to regulate heart rhythms as it may worsen your condition.
Food interactions
Information not available.
Lab interactions
Information not available.
Take Tolgress 4 Capsule exactly as prescribed by your doctor. Do not break, chew, or crush the capsule. Swallow as a whole with plenty of water. Do not take in larger or small amounts than prescribed. Consult your doctor if you experience any undesirable effects that persist or worsen. Do not stop the use of this medicine without consulting your doctor, as your symptoms may become worse. Avoid sharing this medicine with others even if their symptoms appear to be the same as yours. Keep this medicine away from the reach of children and pets. Ensure that the unused or expired medications is disposed of properly.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

May cause sleepiness

How it works
Tolgress 4 Capsule relaxes the muscles of the urinary bladder (a hollow organ that stores urine). This will help the bladder to retain a larger amount of urine and prevent the symptoms of an overactive bladder.
Legal Status

Approved

Approved

Approved

Approved

Classification

Category

antimuscarinic agents, Urinary antispasmodics

Schedule

Schedule H

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https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=db6e0b6d-0ce5-41d7-881f-881c11f530a4>

Drugs, H., 2022. Tolterodine: MedlinePlus Drug Information. [online] Medlineplus.gov. Available at: < [Accessed 5 April 2022].

https://medlineplus.gov/druginfo/meds/a699026.html>

Medicines.org.uk. 2022. Inconex XL 4 mg Prolonged-release Capsules, Hard - Summary of Product Characteristics (SmPC) - (emc). [online] Available at: < [Accessed 5 April 2022].

https://www.medicines.org.uk/emc/product/5131/smpc>

Accessdata.fda.gov. 2022. [online] Available at: < [Accessed 5 April 2022].

https://www.accessdata.fda.gov/drugsatfda_docs/label/2004/21228se8-006_detrol_lbl.pdf>

Camberpharma.com. 2022. [online] Available at: < [Accessed 5 April 2022].

https://www.camberpharma.com/wp-content/uploads/2020/08/patient-information-tolteradine.pdf>
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Information on this page was last updated on 5 Apr 2022

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