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Overview

Tolterodine

Prescription vs.OTC: Prescription by Doctor required

Tolterodine is used for a bladder that is overly active with symptoms of leakage, increased frequency of urination, and urgency. It is an antimuscarinic (anticholinergic) agent that blocks the action of a chemical that controls the contractions of the urinary bladder.

Tolterodine should not be used if you are allergic to any of its ingredients or to fesoterodine, if you’re taking potassium product, slow bowel movements or have narrow angle glaucoma. Let your doctor know if you are pregnant, planning to become pregnant or are breastfeeding, if you’re taking any prescription or non-prescription drugs, herbal medicines and diet supplements.

Tolterodine is taken orally with or without food. It would be beneficial if you take it at the same time every day. Never take a double dose of Tolterodine, it is better that you skip it till the next time you take it.

The most common side effects of Tolterodine are dry eyes and mouth, headache, drowsiness, dizziness, stomach pain and blurred vision. Find a doctor if you experience more severe side effects such as swelling of the hands and ankles, confusion, disorientation, hallucinations and memory problems.

overactive urinary bladder
In addition to its intended effect, Tolterodine may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Headache
Blurred vision
Dry skin.
Is It safe with alcohol?
Alcohol may increase drowsiness and dizziness while you are taking tolterodine.
Are there any pregnancy warnings?
Roliten 5mg tablet may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
Are there any breast-feeding warnings?
Unknown. Human and animal studies are not available. Please consult your doctor.
Is it safe to drive while on this medicine?
Do not drive,operate machinery.
Does this affect kidney function?
Caution should be exercised with impaired Renal function.
Does this affect liver function?
There is no interaction between liver impairment and consuming this drug. So dose alteration is not needed.
Are there any missed dose instructions?
If you miss a dose of Tolterodine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
Below is the list of medicines, which contains Tolterodine as ingredient
Ipca Laboratories Ltd
Sun Pharmaceutical Industries Ltd
Sun Pharmaceutical Industries Ltd
Emcure Pharmaceuticals Ltd
Sun Pharmaceutical Industries Ltd
Sun Pharmaceutical Industries Ltd
Overseas Healthcare Pvt Ltd
Overseas Healthcare Pvt Ltd
Overseas Healthcare Pvt Ltd
Bharat Serums & Vaccines Ltd
Sun Pharmaceutical Industries Ltd
Sun Pharmaceutical Industries Ltd
Zydus Cadila
La Renon Healthcare Pvt Ltd
Alkem Laboratories Ltd
Cipla Ltd
Cipla Ltd
J B Chemicals and Pharmaceuticals Ltd
J B Chemicals and Pharmaceuticals Ltd
Alkem Laboratories Ltd
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Medicine
Onabet Powder
FLUGEE 150MG TABLET
VOSICAZ 200MG TABLET
VORIZOL 200MG TABLET
What are you using Tolterodine for?
overactive urinary bladder
Other
How much was the improvement?
Average
How long did it take before seeing improvement?
Within a day
Within 6 hours
How frequently did you take this medicine?
Twice a day
Thrice a day
How did you take this medicine?
With or without food
Empty stomach
What were the side effects of this medicine?
Sleepiness
Dizziness
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

My wife recently started experiencing issues while urination. Blood in urine, burning sensation and difficultly while urination. We did sonography and urine test, and it was identified that there was a swelling in her right uterus and urine test indicated infection. After few medications the problem recovered. Again next week she started complaining same. We did the tests again and couldn't find anything else the urine infection. After medications it stopped. But it again started, so we are now worried what happened suddenly. Is there any test which can help us understand what happened suddenly and how this problem can be resolved. Her periods are regular and she had kidney stones which were removed in December 2016. Please advise.

M Ch Urology, DNB (Genito-Urinary Surgery)
Urologist, Mumbai
My wife recently started experiencing issues while urination. Blood in urine, burning sensation and difficultly while...
She should drink plenty of fluids orally. Her urine culture sensitivity test may direct further need of antibiotics. Alkalinizing liquids like Syp Cital 15 ml diluted in a glass of water after meals twice to thrice a day may be continued until the burning stops. Local hygiene has to be taken care of and frequent change of pads during menses. Also genital cleaning should be from front to back and not the reverse. She may try a ten day course of Tab Tolterodine 2 mg once daily. It may give symptomatic relief.
2 people found this helpful

I am 54 years old I have thyroid and prostate enlargement problems since 2000. Now I am taking veltam and roliten and thyronorm 75 mg. Now my problem is I have stomach digestion problem and my stool is coming out like a paste. What to do.

MBBS, MD(General Medicine), Fellowship Hemato - Oncology (Hemat-Oncology), DM(Medical Oncology), DNB(Medical Oncology)
Oncologist, Kolkata
I am 54 years old I have thyroid and prostate enlargement problems since 2000. Now I am taking veltam and roliten and...
Get thyroid function tests do PSA may take Tab pantop dsr once a day for 5 days Softovac powder three spoons in water at night.
10 people found this helpful

My wife is suffering from HT and polyuria. She is also suffering from Parkinson’s disease. She had CABG done in 2005 followed by Angioplasty done in 2014 and 2016. Currently she is suffering from polyuria and Nocturia. There is no improvement with Silodal 8, Soliten 5 or Roliten 2. She has lost 30 kgs wt and has become very weak and frail.

Diploma in Psychological Medicine, Doing Post Diploma MD, MBBS
Psychiatrist, Ludhiana
My wife is suffering from HT and polyuria. She is also suffering from Parkinson’s disease. She had CABG done in 2005 ...
Hi, I suggest, you go to a neurologist for loss of weight as chief complaint, here is some stuff which might help you: Eat small, frequent meals, every two to three hours, or eat a nutritious snack between meals. Eat foods you enjoy. Save your energy for eating by keeping easy-to-prepare foods on hand. Stimulate your appetite by seasoning food with herbs, spices and sauces. Include some high-calorie foods like cream and butter (if recommended by your primary care provider) in your diet. Consider drinking a nutritional supplement, such as Ensure® or Carnation® Breakfast Essentials™. Avoid filling up on coffee, tea and clear soups. Limit fatigue by choosing foods that are easy to chew (e.g. Smoothies, ground meats or other soft proteins) and asking for help in cutting other foods (meat) into smaller pieces. Increase consumption of whole grains (whole grain rice, breads). BUT THESE SHOULD BE ONLY TAKEN AFTER ADVISE FROM A NEUROLOGIST.

I am suffering from the problem of urination in sleeping in midnight or can say the problem of frequent or untimely urination. Because of this I am not getting the good sleep and it affect the body and mind. Please tell me the solution to overcome from this problem?

MBBS
General Physician, Trivandrum
I am suffering from the problem of urination in sleeping in midnight or can say the problem of frequent or untimely u...
1) maintain a regular sleep routine go to bed at the same time. Wake up at the same time. Ideally, your schedule will remain the same (+/- 20 minutes) every night of the week. A good sleep hygiene routine promotes healthy sleep and daytime alertness. 2) avoid sleeping during the daytime. It can disturb the normal pattern. 3) avoid caffeine, nicotine, and alcohol near bedtime. While alcohol may speed the onset of sleep, it creates problems in he second half of sleep. 4) exercise can promote good sleep. Exercise should be taken in the morning or late afternoon. Yoga, can be done before bed to help. 5) have a quiet, comfortable bedroom. Set your bedroom thermostat at a comfortable temperature. Generally, a little cooler is better than a little warmer. Turn off the tv and other extraneous noise that may disrupt sleep. Background'white noise' like a fan is ok. If your pets awaken you, keep them outside the bedroom. Your bedroom should be dark. Turn off bright lights. Have a comfortable mattress. 6) avoid heavy meals close to bedtime. 7) ensure adequate exposure to natural light. 8) avoid emotionally upsetting conversations and activities before trying to go to sleep. Do not think of, or bring your problems to bed. 9) stop using all your digital devices and stop looking at digital screens be it mobile phones or televisions at least 1 hour before the time you plan to sleep. Instead try reading a fiction book near bedtime so it makes you help relaxed and de-stressed. Sleep well live healthy and live longer. If you have tried all these and still have problems, please consult me for prescription medication. Please do urine routine test to see if you have a urinary infection, then show me the results.

My father is 72 years old. He has a prob3m with high serum creatinine, it also accompanied with prostate problem. He has been prescribed with Roliten OD 40 mg. What are other precautions we need to take care of him.

CCEBDM, PG Diploma In Clinical Cardiology, MBBS
General Physician, Ghaziabad
My father is 72 years old. He has a prob3m with high serum creatinine, it also accompanied with prostate problem. He ...
Cont medicine as advised. Do following 1, pass urine maximum quantity at one time. Even if it takes little more time, may relax in between. 2, no alcohol 3. Tea and coffee less. 4. No unnecessary medicine for other disease. 5. Less fluid at bed time 6. Pass urine in sitting position 7. Daily walk for 30 mts 8. Eat more fruits and vegetables.
37 people found this helpful

Popular Health Tips

Homeopathy For Forgetfulness / Memory Loss

BHMS
Homeopath, Navi Mumbai
Homeopathy For Forgetfulness / Memory Loss

Memory slips are aggravating, frustrating, and sometimes worrisome. When they happen more than they should, they can trigger fears of looming dementia or Alzheimer’s disease. there are many mundane—and treatable—causes of forgetfulness. Here are seven common ones and how can homeopathic treatment can help you.To know more about homeopathy and homeopathic treatment read more.....

Lack of sleep.

Not getting enough sleep is perhaps the greatest unappreciated cause of memory slips. Too little restful sleep can also lead to mood changes and anxiety, which in turn contribute to problems with memory.

Medications.

Tranquilizers, antidepressants, some blood pressure drugs, and other medications can affect memory, usually by causing sedation or confusion. That can make it difficult to pay close attention to new things. Talk to your doctor or pharmacist if you suspect that a new medication is taking the edge off your memory. As shown in the table below, alternatives are usually available.

*Medications* that may affect memory and possible substitutes
If you take these drug, ask about switching to one of these drugs:
1.paroxetine (Paxil) another antidepressant such as fluoxetine (Prozac) or sertraline (Zoloft), or a different type of antidepressant such as duloxetine (Cymbalta) or venlafaxine (Effexor)
2.cimetidine (Tagamet) a different type of heartburn drug, such as lansoprazole (Prevacid), omeprazole (Prilosec), or esomeprazole (Nexium)
3.oxybutynin (Ditropan) or tolterodine (Detrol, Detrusitol) other medications for an overactive bladder, such as trospium (Sanctura), solifenacin (Vesicare), or darifenacin (Enablex)
4.amitriptyline (Elavil), desipramine (Norpramin), or nortriptyline (Aventyl, Pamelor) another type of medication, depending on why your doctor has prescribed a tricyclic antidepressant (neuropathic pain, depression, etc.)

5.*captopril (Capoten)* a different type of ACE inhibitor, such as enalapril, lisinopril, or ramipril
cold or allergy medication containing brompheniramine, chlorpheniramine, or diphenhydramine loratadine (Claritin) or other non-sedating antihistamine
(Adapted from Improving Memory: Understanding age-related memory loss, a Harvard Medical School Special Health Report)

 

Underactive thyroid

A faltering thyroid can affect memory (as well as disturb sleep and cause depression, both of which contribute to memory slips). A simple blood test can tell if your thyroid is doing its job properly.

Alcohol.

Drinking too much alcohol can interfere with short-term memory, even after the effects of alcohol have worn off. Although “too much” varies from person to person, it’s best to stick with the recommendation of no more than two drinks per day for men and no more than one a day for women. One drink is generally defined as 1.5 ounces (1 shot glass) of 80-proof spirits, 5 ounces of wine, or 12 ounces of beer.

Stress and anxiety.

Anything that makes it harder to concentrate and lock in new information and skills can lead to memory problems. Stress and anxiety fill the bill. Both can interfere with attention and block the formation of new memories or the retrieval of old ones.

 

Depression.

Common signs of depression include a stifling sadness, lack of drive, and lessening of pleasure in things you ordinarily enjoy. Forgetfulness can also be a sign of depression—or a consequence of it.

If memory lapses are bugging you, it’s worth a conversation with your doctor to see if any reversible causes are at the root of the problem. Something like getting more sleep, switching a medication, or a stress reduction program could get your memory back on track.

TREATMENT PROTOCOLS FOR POOR MEMORY

Spleen Kidney and heart are the 3 organs which provides memory

●Following are the three patterns of poor memory :

1) spleen deficiency causes poor memory, inability to concentrate and study.

2) deficiency of kidney essence causes poor everyday memory.

3) heart deficiency causes poor memory of past events , forgetting names.

1) Spleen deficiency causes
poor memory inability to concentrate
and study:
Main symptoms :
1) poor memory
2) tiredness
3) poor appetite
4) *pale tongue*
5) *weak pulse*

Treatment principle :
1) tone the spleen
2) strengthen intellect. Spleen houses intellect , which controls memorisation, study and concentration.

2) Kidney essence deficiency
causes poor memory everyday.
Main symptoms :
1) poor everyday memory
2) can not remember names , faces, roads etc.
3) dizziness
4) tinnitus
5) weakness
6) if kidney yang is deficient , tongue will be
pale
7) if kidney yin is deficient the tongue will be
red

Treatment principles :
1) tone the kidney
2) nourish essence and marrow

3) Heart deficiency causes

  • Poor memory of past events 
  • Forgetting names 

Main symptoms :

1) poor memory of past events
2) forgetting names
3) absent mindedness
4) tiredness
5) slight breathlessness
6) if there is heart yang deficiency the tongue will be pale with heart cracking
7) if there is heart yin deficiency the tongue will be red with heart crack

Treatment principle :
1) *tone the heart*
2) strengthen the mind and memory

Homeopathic treatment

There are many remedies in homeopathy to treat this condition. It requires a detailed study of the patient to know his/her lifestyle and life circumstances to be able to diagnose at the correct cause/causes so as to administer the right remedy. Since homeopathic medicines do not have sideeffects this is a very great advantage.

11 people found this helpful

Overactive Bladder - Can Infection in Urinary Tract Lead To it?

Fellowship In Andrology, DNB-Urology , MS - General Surgery, MBBS
Urologist, Hyderabad
Overactive Bladder - Can Infection in Urinary Tract Lead To it?

An overactive bladder is marked by problems with one’s bladder storage system that results in sudden urge to urinate. Involuntary and leakage of urine is also a possibility in such a case.

The problem of an overactive bladder arises when the muscles of the bladder contract involuntarily. The conditions contributing to overactive bladder are:

  1. Excessive production of urine due to diabetes, poor kidney function or excessive fluid intake
  2. Medications that increase urine production by the bladder
  3. Acute infections in the urinary tract
  4. Abnormalities in the bladder, for instance, bladder stones or tumors
  5. Factors hindering bladder outflow such as constipation, enlarged prostate or earlier treatments for incontinence (loss of bladder control)
  6. Excessive intake of alcohol or caffeine
  7. Decline in one’s cognitive abilities due to factors such as ageing, thus making it hard for the bladder to comprehend the signals it gets from the brain
  8. Incomplete emptying of the bladder, leaving only a little storage space for the urine
  9. Constipation
  10. Neurological disorders

How it can be treated?

  1. Behavioral interventions help to manage overactive bladder effectively and without side-effects. They include-
    • Exercises to strengthen one’s urinary sphincter and pelvic floor muscles
    • Maintaining a healthy weight
    • Regulating fluid consumption
    • Planning a schedule for trips to the toilet
    • Employing a catheter to empty the bladder entirely
  2. Medications to alleviate the symptoms of incontinence and overactive bladder are-
  3. Injecting small doses of Botox (Botulinum toxin), protein-bacteria, directly into the bladder tissues to partially paralyze the bladder muscles, thus delaying urination.
  4. Surgery to magnify bladder capacity

However, it is a must that you seek the guidance of a urologist on immediate basis. If you wish to discuss any specific problem, you can consult an urologist.

3650 people found this helpful

Frequent Urination - Is It A Symptom of An Overactive Bladder?

DNB - Urology, Andrology & Kidney Transplant, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Sexologist, Bangalore
Frequent Urination - Is It A Symptom of An Overactive Bladder?

An overactive bladder is a condition that is characterized by a problem in the bladder storage function; a problem that eggs one on to urinate frequently. This condition can cause problems in your social and work life. You may isolate yourself from others and feel embarrassed about the situation.

Symptoms
If you have an overactive bladder, you may exhibit symptoms of frequent urination, involuntary leakage of urine and frequent urge to urinate. These symptoms might disrupt your daily life; so it is important to seek advice from a medical practitioner.

Causes
To better understand what causes an overactive bladder, you need to know how the urination process works. Urine is produced by the kidneys, which flows to the bladder. During urination, the urine is excreted from an opening in the bladder and flows out via the urethra. As the kidneys secrete urine, the bladder starts to fill up. During this stage, nerve signals are sent to the brain; signals that trigger your body to urinate. The bladder muscles tighten that pushes the urine out of the body.

An overactive bladder results from the involuntarily contraction of the bladder, which might happen even if the content of urine in the bladder is low. These contractions create the urge to urinate. The various causes of an overactive bladder are:

  1. Excessive fluid intake, if your fluid intake is high, then you may have the tendency to urinate frequently.
  2. Presence of tumors or stones in the bladder can make the bladder overactive as well.
  3. Excessive alcohol or caffeine consumption has the same effect as an excessive intake of fluids has.
  4. Urinary tract infections may interfere with the entire process of urination, thus causing your bladder to swell up and become overactive.
  5. Other diseases and conditions such as constipation and an enlarged prostate can hamper bladder functioning.

Treatment
There are multiple approaches to treat an overactive bladder; your doctor may use one or a combination of multiple methods.

  1. Medications: Medications such as Trospium and Tolterodine help in relaxing the bladder. These medications help treat symptoms of frequent urination.
  2. Bladder injections: Botox is a protein that is injected into the bladder that causes partial paralysis of the bladder muscles. This helps in treating the constant urge to urinate. However, its effects are temporary as they last for 6-9 months.
  3. Lifestyle modifications: Certain lifestyle modifications such as incorporating exercises to strengthen the pelvic muscles, maintaining optimal weight levels and bladder training to control its functioning can help with managing an overactive bladder.
  4. SurgeryIf the other treatments do not produce the desired results, then surgery is usually recommended. The aim of the surgery is to enhance the storage capacity of the bladder and reduce bladder pressure. 
1971 people found this helpful

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Tips on Treating Urinary Incontinence:

Many people are hesitant to see a doctor for incontinence as they feel embarrassed or believe it can't be treated or that the problem will eventually go away by itself. This may be true in a few cases, but many cases can be successfully treated or managed. The treatment of incontinence will vary according to whether it is faecal or urinary incontinence and will depend on the cause, type and severity of the problem.


1. Stress incontinence

Non-medical treatment

• Weight loss
• Cessation of smoking
• Pelvic floor exercises
• Vaginal weights
• Biofeedback
• Electrical stimulation

Non-medical treatment can be very effective in motivated patients with minor degrees of stress incontinence. The short-term results are often very good, but this isn't always maintained in the long term. Published studies quote cure/improvement rates of 50-80% for pelvic-floor exercises.

Medical treatment

• Oestrogens
• Alpha-agonist
• Combination of the above

Medical treatment doesn't have a great role in stress incontinence. Postmenopausal atrophy affects the closure of the urethra. Oestrogens, which can be taken orally or applied locally, restores the bulk of urethral tissue leading to more effective closure. Alpha-agonist s increase the tone in the bladder neck, thereby increasing outflow resistance. Some studies indicate a beneficial effect using a combination of oestrogen and an alpha-agonist in older post-menopausal women.

Surgical treatment

• Periurethral injections of bulking agents
• Suspension operations
• Sling operations
• Artificial urinary sphincters

Periurethral injections involve the injection of bulking agents into the urethra to improve effective urethral closure. Commonly used agents include fat, collagen, Teflon paste and silicon particles. Injection therapy is suitable for women with intrinsic sphincter deficiency rather than hyper mobility, as well as for men with post-prostatectomy incontinence. The major advantage of injection therapy is that it's a minor procedure. Short-term results are good, but often not maintained long-term.

The various suspension operations restore the normal anatomy in patients with hyper mobility and improve the support of the urethra and the bladder neck. Open suspension operations like the Burch copo suspension provide the best long-term results. The various needle suspensions have fallen into disuse due to high failure rates.

Urethral slings can be used in people with intrinsic sphincter deficiency as well as those with hyper mobility. It involves the placement of a strip of tissue or artificial substance that supports the urethra and bladder neck like a hammock. It increases outflow resistance and improves urethral closure by supporting the mid urethra. The vast majority of patients can be rendered dry in this way, but the operation does carry the risk of difficulty with passing urine afterwards. Other complications include infection or erosion of the synthetic sling material which then has to be removed.

An artificial urinary sphincter (AUS) made of silicone can be used in someone with total incontinence resulting from irreparable damage to the sphincter. The AUS consists of a small cuff that is placed around the urethra (bladder tube), with a reservoir (balloon) that is placed in the lower belly next to the bladder. Both of these are connected with a small tube to a valve placed in the scrotum, which the person then uses to inflate or deflate the cuff. An AUS is very effective, but it is quite expensive, and there is a risk of infection or erosion of the synthetic material.

2. Urge incontinence

Non-medical treatment

• Bladder training
• Biofeedback
• Pelvic floor exercises

Voiding by the clock and progressively increasing the time between voids can improve the symptoms of patients with urge incontinence and otherwise normal bladders. This can be combined with biofeedback and pelvic floor exercises.

Medical treatment

• Oxybutynin
• Tolterodine
• Imipramine

Drug therapy forms the mainstay of treatment for patients with urge incontinence due to bladder instability. These anti cholinergic agents relax the bladder muscle and increase bladder capacity. Side effects include a dry mouth, constipation and blurred vision.

Surgical treatment

Injection of botulinum A toxin (Botox) into the bladder muscle (detrusor) can be used if the urge incontinence is due to a neurological disease causing overactive bladder contractions.

Tiny bladders due to radiation or tuberculosis can be enlarged surgically. A segment of intestine is patched onto the opened bladder, thereby increasing the capacity. Patients with intractable bladder instability who have failed medical treatment can also be treated in this way.

3. Overflow incontinence

Overflow incontinence due to bladder outflow obstruction is treated by surgically alleviating the obstruction. The most common example would be a man with prostatic enlargement treated by resection of the prostate gland. If the incontinence is due to failure of the bladder to contract then intermittent clean self-catheterisation is the most appropriate treatment. Permanent indwelling catheters should be avoided if at all possible.

4. Total incontinence

Total incontinence due to a vesico vaginal fistula or auretero vaginal fistula is treated by surgical repair of the defect.

Treating faecal incontinence

Once your doctor has established the underlying cause of faecal incontinence, they will decide on the most suitable treatment, which could involve a combination of medication, exercise and other methods.

Let’s look at some of the treatment options available for FI:

Dietary changes: If your FI is caused by diarrhoea or constipation, making changes to your diet may sometimes help to normalize and regulate bowel movements. Your doctor may ask you to keep a food diary to monitor the impact of dietary changes. For example, he or she may suggest increasing your intake of high-fibre foods and fluids, or to eliminate foods that may exacerbate the problem.

Medications: Your doctor may recommend specific medication or bulking agents such as fibre supplements to change stool consistency, depending on whether you suffer from diarrhoea or constipation. Another option is Solesta, an injectable FDA-approved gel that's injected into the anus and effectively reduces or completely treats FI in some people. This gel narrows the anal opening by increasing the growth of rectal tissue and helping it to remain tightly closed.

Bowel retraining: This routine encourages normal bowel movements and helps you achieve greater control by becoming more aware of the need to use the toilet. It may incorporate various aspects such as making a conscious effort to have a bowel movement at a specific time of day and using suppositories to stimulate bowel movements.

Biofeedback: This improves the strength and coordination of the anal muscles that help control bowel movements, and heightens the sensation related to the rectum filling with stool. It usually involves a specially trained physiotherapist teaching you simple exercises to strengthen your pelvic-floor muscles, sense when stool is ready to be released and contract the muscles if it's not appropriate to have a bowel movement at a specific time.

Kegel exercises: Also called pelvic-floor exercises, these focus on strengthening the muscles of the anus, buttocks and pelvis. When done correctly, they can be effective in improving or resolving FI. They involve a routine of repeatedly contracting muscles used when making a bowel movement. Hold these muscles as if you're trying to stop the flow of stool or passing gas for a slow count of five, and then relax. Kegel exercises should be done in a series of 30 contractions three times a day. They usually strengthen the pelvic-floor muscles within a few weeks.

Surgery: In some cases, surgery may help people with severe FI who haven't responded to other treatments or people with an underlying condition causing incontinence that need surgery to regain control. There are various surgical options and your doctor will probably refer you to a specialist.
13 people found this helpful

Table of Content

About Tolterodine
When is Tolterodine prescribed?
What are the side effects of Tolterodine?
Key highlights of Tolterodine
What are the dosage instructions?
Medicines containing Tolterodine
What are the interactions for Tolterodine?