Detrol La
Detrol LA Uses, Side Effects & Warnings
Generic Name: tolterodine (tol TER oh deen)Brand Name: Detrol, Detrol LA
Tolterodine reduces spasms of the bladder muscles.
Tolterodine is used to treat overactive bladder with symptoms of urinary frequency, urgency, and incontinence.
Tolterodine may also be used for purposes not listed in this medication guide.
What is the most important information I should know about Detrol LA (tolterodine)?
You should not take this medication if you are allergic to tolterodine or fesoterodine (Toviaz), if you have untreated or uncontrolled narrow-angle glaucoma, or if you have a blockage of the urinary tract, stomach, or intestines.
Before you take tolterodine, tell your doctor if you have kidney or liver disease, glaucoma, myasthenia gravis, or a personal or family history of "Long QT syndrome."
How to Manage Your Overactive Bladder
Do not crush, chew, break, or open a controlled-release capsule. Swallow it whole. Breaking or opening the pill may cause too much of the drug to be released at one time.
Tolterodine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.
Drinking alcohol can increase some of the side effects of tolterodine.
There are many other drugs that can interact with tolterodine. Tell your doctor about all medications you use. This includes prescription, over the counter, vitamin, and herbal products. Do not start a new medication without telling your doctor. Keep a list of all your medicines and show it to any healthcare provider who treats you.
What should I discuss with my healthcare provider before taking Detrol LA (tolterodine)?
You should not use this medication if you are allergic to tolterodine or fesoterodine (Toviaz), or if you have:
a blockage of the urinary tract (difficulty urinating);
a blockage in your stomach or intestines; or
untreated or uncontrolled narrow-angle glaucoma.
To make sure you can safely take tolterodine, tell your doctor if you have any of these other conditions:
liver disease;
kidney disease;
myasthenia gravis;
glaucoma; or
a personal or family history of Long QT syndrome.
FDA pregnancy category C. It is not known whether tolterodine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication..
It is not known whether tolterodine passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I take Detrol LA (tolterodine)?
Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.
Your doctor may occasionally change your dose to make sure you get the best results.
Take this medication with water.
Do not crush, chew, break, or open a controlled-release capsule. Swallow it whole. Breaking or opening the pill may cause too much of the drug to be released at one time.
Store at room temperature away from moisture and heat.
What happens if I miss a dose?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Overdose symptoms may include dry mouth, blurred vision, and fast heartbeat.
What should I avoid while taking Detrol LA (tolterodine)?
Tolterodine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.
Drinking alcohol can increase some of the side effects of tolterodine.
Detrol LA (tolterodine) side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Stop using tolterodine and call your doctor at once if you have any of these serious side effects:
chest pain, fast or uneven heart rate;
confusion, hallucinations;
urinating less than usual or not at all; or
painful or difficult urination.
Less serious side effects may include:
dry mouth, dry eyes;
blurred vision;
dizziness, drowsiness;
constipation or diarrhea;
stomach pain or upset;
joint pain; or
headache.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See also: Side effects (in more detail)
What other drugs will affect Detrol LA (tolterodine)?
Tell your doctor about all other medicines you use, especially:
arsenic trioxide (Trisenox);
chloroquine (Arelan) or halofantrine (Halfan);
cyclosporine (Gengraf, Neoral, Sandimmune);
droperidol (Inapsine);
narcotic medication such as levomethadyl (Orlaam) or methadone (Dolophine, Methadose);
pentamidine (NebuPent, Pentam);
vinblastine (Velban);
antibiotics such as azithromycin (Zithromax), clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), pentamidine (NebuPent, Pentam), or telithromycin (Ketek);
medicines to treat psychiatric disorders, such as chlorpromazine (Thorazine), haloperidol (Haldol), mesoridazine (Serentil) pimozide (Orap), or thioridazine (Mellaril); or
heart rhythm medicine such as amiodarone (Cordarone, Pacerone), dofetilide (Tikosyn), disopyramide (Norpace), procainamide (Procan, Pronestyl), quinidine (Quin-G), or sotalol (Betapace).
This list is not complete and there are many other drugs that can interact with tolterodine. Tell your doctor about all medications you use. This includes prescription, over the counter, vitamin, and herbal products. Do not start a new medication without telling your doctor. Keep a list of all your medicines and show it to any healthcare provider who treats you.
Where can I get more information?
Your pharmacist can provide more information about tolterodine.
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Face-lifts and hair transplants. Chin implants and forehead lifts and lip augmentation.
ReplyDeleteBaby boomers hoping to retain their youth -- and maybe get back into the dating scene -- are seeking plastic surgery in ever-increasing numbers, according to the American Society of Plastic Surgeons.
Nearly 50,000 more cosmetic procedures were performed on Americans 55 and older in 2018 than the year before, new statistics showed.
"Older Americans are vibrant and living their lives to the fullest, and they want the way they look to reflect that," said Dr. Alan Matarasso, president of the society.
More than 4.2 million cosmetic procedures took place in 2018, including nearly 381,000 surgical procedures and 3.8 million minimally invasive ones.
Among the specific procedures and techniques:
Hair transplants went up 18%.
Lip augmentation increased 5%.
Liposuction and breast augmentation increased 4%.
Botox injections and fillers went up 3%.
Two-thirds of all face-lifts are performed on people 55 and older, along with roughly half of eyelid surgeries, forehead lifts and lip augmentations, the stats showed.
These numbers reflect what is happening in the practice of Dr. Lyle Leipziger, a plastic surgeon in Great Neck, N.Y.
"People are taking better care of themselves. They're dieting. They're exercising. They're seeing their doctor for any medical indications," said Leipziger, chief of plastic and reconstructive surgery at North Shore University Hospital in Manhasset, N.Y. "These same people are looking in the mirror and they really want to look as good on the outside as they feel on the inside. They want to look as young as they feel."
On top of that, plastic surgery isn't considered as taboo or vain among boomers as it was for previous generations, Matarasso said.
Societal changes are also at play. For example, the rise of social media and dating apps have caused boomers to take renewed interest in their appearance, Leipziger said.
"I have many patients that come to me that have either been divorced or have lost a spouse. They want to slowly get back into the dating scene, and they look in the mirror and feel that they haven't done things to make themselves look better," Leipziger said. "They'd like to enhance themselves just to feel better about going out into the dating scene once again."
Changes in the economy and the U.S. job market also are spurring interest among older Americans, Matarasso said.