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Introduction About UROLAX ER 2MG CAPSULE
UROLAX ER 2MG CAPSULE contains Tolterodine which belongs to a group of medicines called Antimuscarinics. UROLAX ER 2MG CAPSULE is used to manage the symptoms of overactive bladder syndrome which occur as an inability to control urination, need to rush to the toilet with no advance warning and/or to go to the toilet more frequently. Overactive bladder syndrome is a condition associated with the bladder function that causes frequent and sudden urge to urinate which may be difficult to control.
Tolterodine is an antimuscarinic which works by inhibiting the bladder contraction that causes relaxation of the muscles of the urinary bladder resulting in the management of frequent, urgent or controlled urination thus providing relief from the symptoms of overactive bladder syndrome.
Avoid taking UROLAX ER 2MG CAPSULE, if you suffer from urinary retention (inability to pass urine), from the bladder, uncontrolled narrow-angle glaucoma (high pressure in the eyes with loss of eyesight), myasthenia gravis (excessive weakness of the muscles), severe ulcerative colitis (ulceration and inflammation of the colon). Before taking UROLAX ER 2MG CAPSULE, inform your doctor if you have difficulties in passing urine, hiatal hernia (a condition marked by the bulging of the upper part of stomach), and/or have heart, kidney, and liver disease. UROLAX ER 2MG CAPSULE is not recommended for use in pregnant and breastfeeding women. The medicine is also not recommended for use in children and adolescents (below 18years). The most common symptoms of taking UROLAX ER 2MG CAPSULE are dry mouth, dizziness, sleepiness, headache, dry eyes, and blurred vision. Consult your doctor if any of these symptoms gets worse.
Uses Of UROLAX ER 2MG CAPSULE
- It is used to manage the symptoms of overactive bladder syndrome (a disorder marked by frequent and sudden urge to urinate that may be difficult to control)
How UROLAX ER 2MG CAPSULE Works
UROLAX ER 2MG CAPSULE works by inhibiting the bladder contraction that causes relaxation of the muscles of the urinary bladder resulting in the management of frequent, urgent, or controlled urination thus providing relief from the symptoms of overactive bladder syndrome.
How to use UROLAX ER 2MG CAPSULE
Take UROLAX ER 2MG CAPSULE as advised by your physician. Swallow UROLAX ER 2MG CAPSULE with a glass of water and do not chew or crush the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.
Side Effects Of UROLAX ER 2MG CAPSULE
Common
- dry mouth
- bronchitis (inflammation of airways)
- sinusitis (inflammation of sinuses)
- dizziness
- sleepiness
- headache
- sensation of tingling or prickling in the fingers and toes
- dry eyes
- blurred vision
- vertigo (spinning sensation)
- palpitations
- indigestion
- constipation
- abdominal pain
- excessive air or gas in the stomach or the intestine
- vomiting
- dry skin
- painful or difficult urination
- inability to empty the bladder
- tiredness
- chest pain
- extra fluid in the body causing swelling (Ex. in the ankles)
- increased weight
- diarrhea
Uncommon
- allergic reactions
- nervousness
- increased heart rate
- signs of heart failure such as shortness of breath with activity, weakness, and swelling in the legs, ankles and feet
- irregular heartbeat
- heartburn
- memory impairment
Rare
Stop taking UROLAX ER 2MG CAPSULE and contact your doctor if you experience any of the following side effects:
- signs of angiodema (painless swelling under the skin) such as swollen face, tongue or pharynx, difficulty to swallow, itchy skin rash and difficulty in breathing
- signs of hypersensitivity allergic reaction such as skin rash, itching, and difficulty in breathing
- signs of heart failure such as chest pain, difficulty breathing or getting tired easily (even at rest), difficulty breathing at night, and swelling of the legs
How To Manage Side Effects

Constipation
Try to eat more high-fiber foods such as fresh fruit, vegetables, cereals, and drink plenty of water. Try doing exercise regularly (going for a daily walk or run). If this does not help, inform your doctor for receiving alternate managements for constipation.

Diarrhea
Drink lots of fluids, such as water to keep yourself hydrated. Try to avoid taking any medicine on your own to manage diarrhea and consult your doctor if the symptom gets worse.

Dizziness Or Drowsiness
Try to rest and relax and get enough sleep. Try to avoid driving or operating any tools or machines while you are feeling dizzy. Limit your consumption of alcohol, as it can aggravate your dizziness. Consult and inform your doctor if the symptom does not improve.

Dry Mouth
Try to drink plenty of cold water. Sip on cold unsweetened drinks and use lip balm if your lips are dry. Try to brush your teeth twice a day and use mouthwash. Consult your doctor if the symptom gets worse.

Headache
If UROLAX ER 2MG CAPSULE causes headache, then take rest and drink plenty of fluids. Try to avoid drinking alcohol. Ask your doctor to recommend a painkiller. Paracetamol is safe to be taken with UROLAX ER 2MG CAPSULE. Headaches should usually go away after the first week of taking UROLAX ER 2MG CAPSULE. If headaches last more than a week or severe, inform your doctor.

Indigestion
Try to have smaller and more frequent meals and eat and drink slowly. Try to reduce consumption of tea, coffee, cola, or alcohol and lose weight if you are obese. Avoid smoking and don’t have rich, spicy, or fatty foods. Consult and inform your doctor if the symptom does not improve.

Nausea And Vomiting
Try to take UROLAX ER 2MG CAPSULE with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if the symptom gets worse.

Tiredness
Make sure you take rest and drink plenty of fluids. Avoid or limit the consumption of alcohol. Try to take UROLAX ER 2MG CAPSULE at a time when you can sit down (or lie down) when the symptoms are at their worst. Try not to drive or use tools or machinery until you feel well.
Warning & Precautions

Pregnancy
ContraindicatedUROLAX ER 2MG CAPSULE is not recommended for use in pregnant women. Consult your doctor before taking UROLAX ER 2MG CAPSULE.

Breastfeeding
ContraindicatedUROLAX ER 2MG CAPSULE is not recommended for use in breastfeeding women. Consult your doctor before taking UROLAX ER 2MG CAPSULE.

Driving and Using Machines
Use with CautionUROLAX ER 2MG CAPSULE might cause dizziness, tiredness, or affect your sight. If you experience these side effects, do not drive, or operate machines. Consult your doctor before taking UROLAX ER 2MG CAPSULE.

Alcohol
Consult your doctorAvoid consumption of alcohol while taking UROLAX ER 2MG CAPSULE because it might make side effects worse.

Kidney
Use with CautionUROLAX ER 2MG CAPSULE should be used with caution in patients with kidney problems. Consult your doctor for advice before taking UROLAX ER 2MG CAPSULE.

Liver
Use with CautionUROLAX ER 2MG CAPSULE should be used with caution in patients with liver conditions. Consult your doctor for advice before taking UROLAX ER 2MG CAPSULE.

Allergy
ContraindicatedUROLAX ER 2MG CAPSULE is not recommended for use if you are allergic to Tolterodine or any of the other ingredients.

Heart Disease
Use with CautionUROLAX ER 2MG CAPSULE should be used with caution in patients with heart problems such as slow heartrate, weak heart muscle, reduced blood flow to the heart; irregular heartbeat and heart failure.Consult your doctor before taking UROLAX ER 2MG CAPSULE.

Use In Pediatrics
ContraindicatedUROLAX ER 2MG CAPSULE is not recommended for use in children and adolescents (below 18 years). Consult your doctor before taking UROLAX ER 2MG CAPSULE.

Use In Geriatrics
Use with CautionUROLAX ER 2MG CAPSULE is used with caution in elderly patients (aged 65 years or above). Consult your doctor before taking UROLAX ER 2MG CAPSULE.
Others
UROLAX ER 2MG CAPSULE is not recommended for use if you:
- inability to pass urine from the bladder (urinary retention)
- have an uncontrolled narrow-angle glaucoma (high pressure in the eyes with loss of eyesight)
- suffer from myasthenia gravis (excessive weakness of the muscles)
- suffer from severe ulcerative colitis (inflammation and ulceration of the colon)
- suffer from a toxic megacolon (a type of severe colon disease)
Before taking UROLAX ER 2MG CAPSULE, inform your doctor if you:
- have difficulty while passing urine
- have a gastro-intestinal disease that affects the passage and/or digestion of food
- suffer from neurological disorders that affect your blood pressure, bowel or sexual function
- have a hiatal hernia (condition marked by the bulging of upper part of stomach)
- have decreased bowel movements or suffer from severe constipation
- intolerant to certain sugars
- hypokalaemia (condition of low levels of potassium in blood)
- hypocalcaemia (condition of low levels of calcium in blood)
- hypomagnesaemia (condition of low levels of magnesium in blood)
Interactions
A. Drug-Drug Interactions:
Before taking UROLAX ER 2MG CAPSULE, inform your doctor, if you are taking any of the following medicine:
- antibiotics (medicines used to manage bacterial infections) Ex. erythromycin, clarithromycin
- ketoconazole, itraconazole (medicines used for fungal infections)
- medicines used in the management of HIV (Ex. indinavir, nelfinavir, ritonavir)
- medicines that affect the passage of food (Ex. metoclopramide and cisapride)
- medicines used to manage irregular heartbeat (Ex. amiodarone, sotalol, quinidine, procainamide)
- other antimuscarinic agents (medicines used to manage post operative nausea and vomiting) Ex. scopolamine
- medicines used to block the action of a neurotransmitter (chemicals that enable the brain to provide a variety of functions) Ex. clidinium, darifenacin, dicyclomine
Overdosage:
If you or anyone else accidentally takes too much of UROLAX ER 2MG CAPSULE, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are dry mouth and severe central anticholinergic effects such as confusion, restlessness.
Synopsis
Drug | : | Tolterodine |
Pharmacological Category | : | Antimuscarinic |
Therapeutic Indication | : | Overactive bladder syndrome |
Dosage Forms | : | Tablet, Capsule |
More Information
- Keep the medicine out of reach in children
- Store UROLAX ER 2MG CAPSULE at room temperature
FAQs About UROLAX ER 2MG CAPSULE
Q: What UROLAX ER 2MG CAPSULE is used for?
A: UROLAX ER 2MG CAPSULE is used to manage the symptoms of overactive bladder syndrome which occur as an inability to control urination, need to rush to the toilet with no advance warning and/or to go to the toilet more frequently.
Q: How should I take UROLAX ER 2MG CAPSULE?Can I crush UROLAX ER 2MG CAPSULE and then take it?
A: No, do not chew or crush UROLAX ER 2MG CAPSULE. Swallow the medicine with a glass of water. Take the medicine as advised by your physician. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.
Q: Can UROLAX ER 2MG CAPSULE be used in children?
A: No, UROLAX ER 2MG CAPSULE is not recommended for use in children and adolescents (below 18 years). UROLAX ER 2MG CAPSULE is accidentally ingested by a child or adolescent, go to the hospital immediately and consult the doctor for further management.
Q: What happens if you forget to take UROLAX ER 2MG CAPSULE?
A: If you forget to take UROLAX ER 2MG CAPSULE at the usual time, take it as soon as you remember unless it is almost time for your next dose. In that case, omit the forgotten dose and follow the normal dose schedule. Do not take double dose to make up for a forgotten one. If you have doubts on missed dosage, consult your doctor before taking the missed dose of UROLAX ER 2MG CAPSULE.
Q: Is it safe to drive after taking UROLAX ER 2MG CAPSULE?
A: UROLAX ER 2MG CAPSULE might cause dizziness, tiredness, or affect your sight. If you experience these side effects, do not drive, or operate machines. Consult your doctor before taking UROLAX ER 2MG CAPSULE.
References
1. KD. Tripathi. Anticholinergic Drugs and Drugs Acting on Autonomic Ganglia. Essentials of medical pharmacology. Seventh edition. 2013. Page – 118.
2. Merck Sharp & Dohme LLC. A Study to Test the Effects of Tolterodine Tartrate in Patients with Overactive Bladder (0000-107). NIH U.S. National Library of Medicine ClinicalTrials.gov. [Revised in February 2018] [Accessed on 13th May 2022] https://clinicaltrials.gov/ct2/show/NCT00768521
3. Shreya Narain; Mayur Parmar. Tolterodine. NIH National Library of Medicine, National center for biotechnology information. January 2022[Accessed on 13th May 2022] https://www.ncbi.nlm.nih.gov/books/NBK557858/
4. Kristen Hesch. Agents for treatment of overactive bladder: a therapeutic class review. NIH National Library of Medicine, National center for biotechnology information. PubMed Central. [Revised in July 2007] [Accessed on 13th May 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1906583/
5. Pfizer Italia S.r.l. Health Products Regulatory Authority (HPRA). [Revised in April 2021]. [Accessed on 13th May 2022] https://www.hpra.ie/img/uploaded/swedocuments/b18e0c2e-58f7-4300-a022-765f37c1b06f.pdf
6. Pfizer Italia S.r.l. Health Products Regulatory Authority (HPRA). [Revised in April 2021]. [Accessed on 13th May 2022] http://www.hpra.ie/img/uploaded/swedocuments/c4179abe-f1d2-4be6-9465-aa1c6c41ce1c.pdf
7. Pfizer Pharmacia & Upjohn Co. U.S. Food & Drug Administration. [Revised in August 2012] [Accessed on 13th May 2022] https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/020771s028lbl.pdf
Useful Diagnostic Tests
- Urine analysis test
- Cystometry test