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compositionComposition:TROSPIUM-20MG
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Prescription Medicine
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Flotros 20mg Tablet is used to treat overactive bladder (OAB) symptoms such as frequent urination, involuntary loss of urine, an urgent and uncontrollable need to urinate, or bedwetting. It relaxes the involuntary muscle (detrusor) in the bladder wall and reduces unstable and involuntary contractions of the bladder, and increases the bladder's capacity to hold urine. Thus, it decreases the need to urinate. It may cause side effects such as dry mouth, nausea, stomach pain, indigestion, or constipation.

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Written By Veda Maddala , M Pharmacy
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
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More about the Product

Composition :

TROSPIUM-20MG

Manufacturer/Marketer :

Raptakos Brett & Co Ltd

Consume Type :

Oral

Expires on or after :

Dec-28

Return Policy :

Not Returnable

About Flotros 20mg Tablet

Flotros 20mg Tablet is a prescription medication used to treat the symptoms of an overactive bladder. It specifically addresses sudden, uncontrollable urges to urinate, frequent trips to the bathroom, and accidental bladder leaks. By helping the bladder muscle relax, this medicine helps you regain predictable control over your bladder function.


To achieve the best results, you must take Flotros 20mg Tablet consistently at the same times every day. It should be taken on an empty stomach, at least one hour before meals, as food significantly interferes with how well your body absorbs the medicine. Making certain dietary adjustments and habit changes alongside taking your medication can also enhance its overall effectiveness.


While Flotros 20mg Tablet is highly effective, it can cause some common, manageable side effects like a dry mouth or constipation. However, you should consult your doctor immediately if you experience serious issues, such as an absolute inability to pass urine, severe abdominal pain, or signs of an allergic reaction.


Talk to your doctor about your complete medical history before starting this treatment. Do not take this if you have urinary retention (inability to empty your bladder), gastric retention (severe slowing of stomach emptying), or uncontrolled narrow-angle glaucoma.


This medication can interact with other drugs that cause dryness, as well as alcohol, which can worsen both bladder irritation and drowsiness. If you are pregnant, planning to breastfeed, or are an older adult, consult your doctor or pharmacist to make sure this medication is safe for your specific situation.

Uses of Flotros 20mg Tablet

Doctors prescribe Flotros 20mg Tablet to treat conditions associated with an unstable or overactive bladder. These include:

  • Urge urinary incontinence: Flotros 20mg Tablet helps control unexpected bladder leaks and wetting accidents caused by a sudden, intense need to urinate.
  • Urinary urgency: It manages the sudden, powerful urge to urinate that is difficult to delay or control.
  • Urinary frequency: It reduces the need to urinate too often during the day and night, allowing for a more normal bathroom schedule.

Key Benefits

Flotros 20mg Tablet helps manage symptoms of overactive bladder by relaxing the bladder muscle and reducing involuntary bladder contractions. This can improve bladder control and make daily activities more comfortable.

  • Reduces Urinary Urgency: Helps decrease sudden, difficult-to-control urges to urinate, giving you more time to reach the toilet.
  • Lowers Urination Frequency: Helps reduce the need to urinate repeatedly throughout the day, making work, travel, and social activities easier to manage.
  • Improves Bladder Control: May reduce episodes of urge urinary incontinence, or accidental urine leakage associated with a sudden urge to urinate.
  • Supports Better Sleep: By reducing frequent urges to urinate, including at night in some patients, it may support more restful and less interrupted sleep.
  • Improves Daily Confidence: Better control of bladder symptoms may reduce worry about sudden urgency or leakage and support greater independence in everyday activities.
Side effects of Flotros 20mg Tablet
Here are the steps to Dry Mouth (xerostomia) caused by medication:
  • Inform your doctor about dry mouth symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Drink plenty of water throughout the day to help keep your mouth moist and alleviate dry mouth symptoms.
  • Chew sugar-free gum or candies to increase saliva production and keep your mouth moisturized.
  • Use saliva substitutes, such as mouthwashes or sprays, only if your doctor advises them to help moisturize your mouth and alleviate dry mouth symptoms.
  • Avoid consuming smoking, alcohol, spicy or acidic foods, and other irritants that may aggravate dry mouth symptoms.
  • Schedule regular dental check-ups to keep track of your oral health and handle any dry mouth issues as they arise.
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.
Here are the steps to manage the medication-triggered Tachycardia (Fast Heart Rate):
  • Contact your doctor immediately if you're experiencing a fast heart rate, palpitations, or other heart-related symptoms. This is crucial to determine whether the symptoms are related to your medication.
  • Your doctor may need to adjust your medication regimen to alleviate the fast heart rate symptoms. This could involve changing the medication, reducing the dosage, or adding new medications to counteract the side effects.
  • Follow your doctor's advice on monitoring your heart rate and blood pressure. This will help track any changes and ensure your heart rate returns normal.
  • If you experience severe symptoms such as chest pain, dizziness, or shortness of breath, seek immediate medical attention. These symptoms can indicate a more serious condition that requires prompt treatment.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.
  • Skin rash caused by allergies is due to irritants or allergens. Therefore, avoid contact with such irritants.
  • Consult your doctor for proper medication and apply an anti-itch medication. Follow the schedule and use the medication whenever needed.
  • Protect your skin from extreme heat and try to apply wet compresses.
  • Soak in the cool bath, which gives a soothing impact to the affected area.
Here are the step-by-step strategies to manage the side effects of "indigestion" caused by medication usage:
  • Take medications with food (if recommended): It can help prevent stomach distress and indigestion.
  • Eat smaller, more frequent meals: Divide daily food intake into smaller, more frequent meals to ease digestion.
  • Avoid trigger foods: Identify and avoid foods that trigger indigestion, such as spicy, fatty, or acidic foods.
  • Stay upright after eating: Sit or stand upright for at least 1-2 hours after eating to prevent stomach acid from flowing into the oesophagus.
  • Avoid carbonated drinks: Avoid drinking carbonated beverages, such as soda or beer, which can worsen indigestion.
  • Manage stress: To alleviate indigestion, engage in stress-reducing activities like deep breathing exercises or meditation.
  • Consult a doctor if needed: If indigestion worsens or persists, consult a healthcare professional to adjust the medication regimen or explore alternative treatments.

Directions for Use

  • Take Flotros 20mg Tablet on an empty stomach, at least one hour before a meal.
  • Follow your doctor’s recommendations on the dosage and timing of this medication to achieve optimal results.
  • Swallow it as a whole with a glass of water.
  • Do not crush, chew, or break it.

How Flotros 20mg Tablet Works

Flotros 20mg Tablet contains trospium, which belongs to a class of medications known as anticholinergics or bladder antispasmodics. It works by blocking specific chemical receptors on the surface of the bladder muscle. In a normally functioning bladder, these receptors receive chemical signals telling the muscle to squeeze when it is time to urinate. In people with an overactive bladder, these muscles contract involuntarily or too early, creating a premature and intense urge to urinate even when the bladder is not full. By blocking these chemical signals, Flotros 20mg Tablet prevents these sudden, involuntary spasms. This allows the bladder to remain relaxed while filling, helping you control when you empty your bladder.
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Alcohol

Unsafe

You are recommended to avoid consumption of alcohol with Flotros 20mg Tablet as it may increase the risk of adverse effects of Flotros 20mg Tablet.

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Pregnancy

Caution

Flotros 20mg Tablet is a category C pregnancy drug and is given to pregnant women only if the doctor thinks benefits outweigh risks. However, please consult a doctor if you are pregnant.

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Breast Feeding

Caution

It is unknown whether Flotros 20mg Tablet is excreted in human milk. Therefore, please consult a doctor if you are breastfeeding. Flotros 20mg Tablet is given to breastfeeding mothers only if the doctor thinks benefits are greater than risks.

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Driving

Caution

Flotros 20mg Tablet may cause blurred vision in some people. Therefore, wait until your vision is clear before driving or operating heavy machinery.

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Liver

Caution

Take Flotros 20mg Tablet with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required. Avoid taking Flotros 20mg Tablet if you have severe liver disease.

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Kidney

Caution

Take Flotros 20mg Tablet with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required.

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Children

Unsafe

Flotros 20mg Tablet is not recommended for children below 12 years as the safety and effectiveness were not established.

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Heart

Caution

Flotros 20mg Tablet should be taken with caution in patients with heart problems as it can caue increased heart rate. Please inform your doctor about any existing heart problems before using Flotros 20mg Tablet.

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Geriatrics

Safe if prescribed

Flotros 20mg Tablet is safe for use in elderly patients if prescribed by the physician.

What if I have taken an overdose of Flotros 20mg Tablet

In case of an accidental overdose, seek emergency medical care or contact a poison control centre immediately. Symptoms of taking too much of this medication can include severe dry mouth, a rapid or pounding heartbeat, extreme dizziness, blurred vision, or an inability to pass urine.

Diet & Lifestyle Advise

  • Limit bladder irritants: Cut down on foods and beverages known to irritate the bladder lining, such as caffeine, alcohol, carbonated drinks, chocolate, spicy dishes, and highly acidic foods like citrus fruits and tomatoes.
  • Optimise fluid timing: Drink a healthy amount of water throughout the day, but avoid drinking fluids for two to three hours before bedtime to reduce nighttime bathroom visits.
  • Practice bladder training: Try to urinate on a set schedule and gradually increase the time between bathroom visits to help retrain your bladder muscles.
  • Do pelvic floor exercises: Regularly performing Kegels can strengthen the muscles that support your bladder, giving you more physical control over sudden urges.
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How Soon It Starts Working

The time required for Flotros 20mg Tablet to start to work: Flotros 20mg Tablet ideally shows its action within 4 to 6 hours after administration. The time for which the effects of Flotros 20mg Tablet last: The effect of Flotros 20mg Tablet lasts for 12 hours.

What if you forget to take Flotros 20mg Tablet

If you miss a dose, take it on an empty stomach as soon as you remember. However, if your next scheduled dose is only a few hours away, skip the missed dose and return to your regular dosing schedule. Do not double your dose to make up for a missed one.

Storage

Store Flotros 20mg Tablet tablets at room temperature, ideally between 20°C and 25°C (68°F to 77°F). •Keep this medication strictly out of the reach and sight of children and pets.

Drug Warnings

  • Avoid getting overheated: This medication reduces your body's ability to sweat, which can lead to overheating. Use extra caution during vigorous exercise, in hot weather, or when using hot tubs and saunas to prevent heat stroke.
  • Exercise caution while driving: Because this medicine can cause blurred vision or drowsiness, do not drive, operate machinery, or perform hazardous tasks until you know how it affects your alertness and vision.
  • Manage constipation early: Prevent constipation by eating a high-fibre diet and drinking plenty of water, unless your doctor advises you otherwise.
  • Check other cold or allergy remedies: Many over-the-counter allergy, cold, or sleep medications contain anticholinergic ingredients that can worsen side effects like severe dry mouth, blurred vision, or urinary retention. Always consult your pharmacist before starting any new over-the-counter product.

Drug-Drug Interactions

verifiedApollotooltip

The following medicines may interact with Flotros 20mg Tablet and require caution, closer monitoring, or treatment adjustments:

  • Other anticholinergic medications: Taking Flotros 20mg Tablet with antihistamines, certain antidepressants, or other bladder medicines can dramatically increase your risk of severe dry mouth, constipation, blurred vision, and urinary blockages.
  • Kidney-cleared medications: Drugs that are cleared by your kidneys through active secretion (such as metformin, morphine, or digoxin) may compete with Flotros 20mg Tablet for elimination, potentially altering drug levels in your body.
TrospiumPotassium citrate
Critical

Drug-Drug Interactions

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How does the drug interact with Flotros 20mg Tablet:
Taking Flotros 20mg Tablet with Potassium chloride can increase the risk of stomach ulcers.

How to manage the interaction:
Taking Flotros 20mg Tablet with Potassium chloride is not recommended as it may lead to an interaction, it can be taken if prescribed by the doctor. However, if you experience severe stomach pain, bloating, sudden lightheadedness or dizziness, nausea, vomiting (especially with blood), decreased hunger, or dark, tarry stools, consult the doctor immediately. Do not discontinue any medications without a doctor's advice.
TrospiumPotassium citrate
Critical
How does the drug interact with Flotros 20mg Tablet:
Taking Potassium citrate and Flotros 20mg Tablet together can increase the risk of stomach ulcers, bleeding, and gastrointestinal injury.

How to manage the interaction:
Taking Flotros 20mg Tablet with Potassium citrate is not recommended as it may lead to an interaction, it can be taken if prescribed by the doctor. However, if you experience severe stomach pain, bloating, sudden lightheadedness or dizziness, nausea, vomiting (especially with blood), decreased hunger, or dark, tarry stools, consult the doctor immediately. Do not discontinue any medications without a doctor's advice.
TrospiumProcainamide
Severe
How does the drug interact with Flotros 20mg Tablet:
Using Flotros 20mg Tablet together with procainamide may increase the blood levels and effects of both the drugs.

How to manage the interaction:
There may be a possibility of interaction between Flotros 20mg Tablet and Procainamide, but it can be taken if prescribed by a doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without a doctor's advice.
How does the drug interact with Flotros 20mg Tablet:
Taking Flotros 20mg Tablet with Topiramate can cause increase in body temperature and decrease sweating.

How to manage the interaction:
Although taking Flotros 20mg Tablet and Topiramate together can evidently cause an interaction, but it should be taken if your doctor has suggested it. However, if you experience feeling sweating, feeling very tired, dizzy or lightheaded, or having trouble thinking clearly contact your doctor immediately. Do not stop using any medications without a doctor's advice.
How does the drug interact with Flotros 20mg Tablet:
Coadministration of Flotros 20mg Tablet with Zonisamide can increase the risk or severity of Zonisamide side effects like increased body temperature and decreased sweating.

How to manage the interaction:
Taking Flotros 20mg Tablet with Zonisamide together can result in an interaction, but it can be taken if your doctor has advised it. However, if you experience changes in blood pressure, increased heart rate, fever, or excessive sweating, contact a doctor immediately. Make sure to hydrate yourself during warm weather or after exercise. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
  • Food and meals: High-fat meals or any food intake close to your dosing time will significantly lower the amount of medicine your body absorbs, making the treatment much less effective. Always take Flotros 20mg Tablet on an empty stomach.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[ANTIMUSCARINIC AGENTS]

FAQs

Flotros 20mg Tablet is used to treat overactive bladder (OAB) symptoms.
Flotros 20mg Tablet contains Trospium that works by relaxing the involuntary muscle (detrusor) in the bladder wall responsible for overactive bladder by contracting in uncontrollable spasms. Thereby, Flotros 20mg Tablet reduces the bladder's involuntary and unstable contractions and increases bladder capacity to hold urine. Thus, it decreases the need to urinate.
Flotros 20mg Tablet may cause dryness of the mouth as a side effect. It is not necessary for everyone taking Flotros 20mg Tablet to experience this side effect. Therefore, drink plenty of water, chew sugar-free gum or candy, limit caffeine intake, avoid smoking and alcohol-containing mouthwashes to prevent dry mouth.
You are not recommended to take Flotros 20mg Tablet with diphenhydramine (anti-allergic drug) as co-administration of these two medicines may increase adverse effects such as blurred vision, dry mouth, drowsiness, decreased sweating, confusion, irregular heartbeat, memory problems or constipation. However, please consult a doctor before taking Flotros 20mg Tablet with other medicines.
Flotros 20mg Tablet may increase the risk of heatstroke as it may decrease sweating and leads to overheating. Therefore, drink plenty of water while taking Flotros 20mg Tablet to prevent dehydration and avoid becoming dehydrated or overheated during exercise and in hot weather.
Flotros 20mg Tablet is not recommended for patients suffering from narrow-angle glaucoma as it may worsen the condition. Therefore, inform your doctor if you have glaucoma or any other eye problems before taking Flotros 20mg Tablet.
Flotros 20mg Tablet may cause temporary blurred vision in some patients. However, avoid driving or operating machinery until your vision is clear.
No, you must take Flotros 20mg Tablet on an empty stomach, at least one hour before meals. Taking it with food severely limits how much of the medication is absorbed, making it much less effective. If you suffer from stomach upset, talk to your doctor or pharmacist for advice.
Yes, Flotros 20mg Tablet can cause drowsiness, dizziness, or blurred vision in some individuals. You should avoid driving, operating machinery, or participating in tasks that require complete alertness until you are sure how this medication affects you. Talk to your doctor if these symptoms are bothersome.
It is highly recommended to avoid alcohol while taking Flotros 20mg Tablet. Alcohol can worsen the drowsiness and dizziness caused by the medication, and it is also a known bladder irritant that can worsen your overactive bladder symptoms. Talk to your doctor for further guidance.
The safety of Flotros 20mg Tablet during pregnancy and breastfeeding has not been fully established. It should only be used if your doctor determines that the benefits clearly outweigh the potential risks. If you are pregnant, planning to become pregnant, or breastfeeding, talk to your doctor before starting this medicine.
Yes, but older adults may be more sensitive to side effects like dry mouth, constipation, drowsiness, or confusion. Additionally, because kidney function naturally declines with age, a doctor may need to adjust the dose carefully. Talk to your doctor or pharmacist to find the safest approach.
No, Flotros 20mg Tablet does not permanently cure an overactive bladder; it helps manage and control the symptoms while you are actively taking it. If you stop taking the medication, your symptoms of urgency, frequency, and leakage are highly likely to return. Talk to your doctor before making any changes to your treatment.

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Country of origin

India
Other Info - FL87748
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