DETROL (Page 5 of 6)

Post-marketing Surveillance

The following events have been reported in association with tolterodine use in worldwide post-marketing experience: General: anaphylactoid reactions, including angioedema; Cardiovascular: tachycardia, palpitations, peripheral edema; Central/Peripheral Nervous: confusion, disorientation, memory impairment, hallucinations.

Reports of aggravation of symptoms of dementia (e.g. confusion, disorientation, delusion) have been reported after tolterodine therapy was initiated in patients taking cholinesterase inhibitors for the treatment of dementia.

Because these spontaneously reported events are from the worldwide post-marketing experience, the frequency of events and the role of tolterodine in their causation cannot be reliably determined.

OVERDOSAGE

A 27-month-old child who ingested 5 to 7 DETROL Tablets 2 mg was treated with a suspension of activated charcoal and was hospitalized overnight with symptoms of dry mouth. The child fully recovered.

Management of Overdosage

Overdosage with DETROL can potentially result in severe central anticholinergic effects and should be treated accordingly.

ECG monitoring is recommended in the event of overdosage. In dogs, changes in the QT interval (slight prolongation of 10% to 20%) were observed at a suprapharmacologic dose of 4.5 mg/kg, which is about 68 times higher than the recommended human dose. In clinical trials of normal volunteers and patients, QT interval prolongation was observed with tolterodine immediate release at doses up to 8 mg (4 mg bid) and higher doses were not evaluated (see PRECAUTIONS, Patients with Congenital or Acquired QT Prolongation).

DOSAGE AND ADMINISTRATION

The initial recommended dose of DETROL Tablets is 2 mg twice daily. The dose may be lowered to 1 mg twice daily based on individual response and tolerability. For patients with significantly reduced hepatic or renal function or who are currently taking drugs that are potent inhibitors of CYP3A4, the recommended dose of DETROL is 1 mg twice daily (see PRECAUTIONS, General and PRECAUTIONS, Drug Interactions).

HOW SUPPLIED

DETROL Tablets 1 mg (white, round, biconvex, film-coated tablets engraved with arcs above and below the letters “TO”) and DETROL Tablets 2 mg (white, round, biconvex, film-coated tablets engraved with arcs above and below the letters “DT”) are supplied as follows:

Bottles of 60
1 mg NDC 0009-4541-02
2 mg NDC 0009-4544-02

Bottles of 500
1 mg NDC 0009-4541-03
2 mg NDC 0009-4544-03

Unit Dose Pack of 140
1 mg NDC 0009-4541-012 mg NDC 0009-4544-01

Store at 25°C (77°F); excursions permitted to 15–30°C (59–86°F) [see USP Controlled Room Temperature] (DTL).

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LAB-0257-8.0

March 2008

PATIENT INFORMATION DETROL® (DE-trol) (tolterodine tartrate tablets)

Read the Patient Information that comes with DETROL before you start using it and each time you get a refill. There may be new information. This leaflet does not take the place of talking with your doctor about your condition or your treatment. Only your doctor can determine if treatment with DETROL is right for you.

What is DETROL?

DETROL is a prescription medicine for adults used to treat the following symptoms due to a condition called overactive bladder:

  • Urge urinary incontinence: a strong need to urinate with leaking or wetting accidents
  • Urgency: a strong need to urinate right away
  • Frequency: urinating often

DETROL LA (tolterodine tartrate extended release capsules) did not help the symptoms of overactive bladder when studied in children.

What is overactive bladder?

Overactive bladder happens when you cannot control your bladder muscle. When the muscle contracts too often or cannot be controlled, you get symptoms of overactive bladder, which are leakage of urine (urge urinary incontinence), needing to urinate right away (urgency), and needing to urinate often (frequency).

Who should not take DETROL?

Do not take DETROL if you

  • are not able to empty your bladder (urinary retention)
  • have delayed or slow emptying of your stomach (gastric retention)
  • have an eye problem called “uncontrolled narrow-angle glaucoma”
  • are allergic to DETROL or to any of its ingredients. See the end of this leaflet for a complete list of ingredients

What should I tell my doctor before starting DETROL?

Before starting DETROL, tell your doctor about all of your medical and other conditions that may affect the use of DETROL, including

  • stomach or intestinal problems or problems with constipation
  • problems emptying your bladder or if you have a weak urine stream
  • treatment for an eye problem called narrow-angle glaucoma
  • liver problems
  • kidney problems
  • a condition called myasthenia gravis
  • if you or any family members have a rare heart condition called QT prolongation (long QT syndrome)
  • if you are pregnant or trying to become pregnant. It is not known if DETROL could harm your unborn baby.
  • if you are breastfeeding. It is not known if DETROL passes into your breast milk or if it can harm your baby. Talk to your doctor about the best way to feed your baby if you take DETROL.

Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins and herbal supplements. Other medicines can affect how your body handles DETROL. Your doctor may use a lower dose of DETROL if you are taking:

  • Certain medicines for fungus or yeast infections
  • Certain medicines for bacterial infections
  • Sandimmune® (cyclosporine) or Velban® (vinblastine)

Ask your doctor or pharmacist for a list of these medicines, if you are not sure.

Know the medicines you take. Keep a list of them with you to show your doctor or pharmacist each time you get a new medicine.

How should I take DETROL?

  • Take DETROL exactly as your doctor tells you to take it.
  • Your doctor will tell you how many DETROL tablets to take and when to take them.
  • Do not change your dose unless told to do so by your doctor.
  • You can take DETROL with or without food.
  • Take DETROL at the same times each day.
  • If you miss a dose of DETROL, just take your next regular dose at your next regular time. Do not try to make up for your missed dose.
  • If you take too much DETROL, call your doctor, or go to the hospital emergency room right away.

What should I avoid while taking DETROL?

Medicines like DETROL can cause blurred vision or drowsiness. Use caution while driving or doing other dangerous activities until you know how DETROL affects you.

What are possible side effects of DETROL?

The most common side effects with DETROL are:

  • dry mouth
  • dizziness
  • headache
  • stomach pain
  • constipation

Tell your doctor if you have any side effects that bother your or that do not go away.

These are not all the side effects with DETROL. For a complete list, ask your doctor or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

How do I store DETROL?

  • Store DETROL at room temperature (59 to 86° F).
  • Keep it in a dry place.

Keep DETROL and all medicines out of the reach of children.

General Information about DETROL

Medicines are sometimes prescribed for conditions that are not mentioned in the patient information leaflet. Only use DETROL the way your doctor tells you. Do not give DETROL to other people even if they have the same symptoms you have. It may harm them.

This leaflet summarizes the most important information about DETROL. If you would like more information, talk with your doctor. You can ask your doctor or pharmacist for information about DETROL that is written for health professionals. You can also visit www.DETROL.com on the Internet, or call 1-888-4-DETROL (1-888-433-8765).

What are the ingredients in DETROL?

Active ingredients: tolterodine tartrate

Inactive ingredients: colloidal anhydrous silica, calcium hydrogen phosphate dihydrate, cellulose microcrystalline, hypromellose, magnesium stearate, sodium starch glycolate (pH 3.0 to 5.0), stearic acid, and titanium dioxide.

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LAB-0329-5.0April 2009

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