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compositionComposition:TOLTERODINE-4MG
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Terol LA-4 Capsule is used to treat overactive bladder syndrome (frequent and sudden urge to urinate). It helps reduce frequent urination and sudden urges to urinate. It improves bladder control and reduces accidental urine leakage. This supports better urinary comfort by helping reduce irritation, urgency, and discomfort during urination.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Veda Maddala , M Pharmacy
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More about the Product

Composition :

TOLTERODINE-4MG

Manufacturer/Marketer :

Cipla Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Terol LA-4 Capsule

Terol LA-4 Capsule is an oral prescription medication used to treat symptoms of an overactive bladder. It helps manage sudden, uncontrollable urges to urinate, frequent trips to the bathroom, and accidental leakage. By relaxing the bladder muscle, this medicine helps you gain better control over your urination.

For this medication to work effectively, you must take it consistently every day at the same time, exactly as prescribed by your doctor. You can take this medicine either with or without food, depending on your preference. Combining this treatment with simple lifestyle changes, such as limiting bladder irritants and performing pelvic floor exercises, can significantly improve your results.

While taking Terol LA-4 Capsule , you may experience some mild side effects, with dry mouth and dry eyes being the most common. Most people tolerate this medication well, but you should contact your doctor immediately if you experience serious side effects like severe stomach pain, confusion, or difficulty urinating.

Before starting this medication, tell your doctor if you have liver damage, kidney issues, or stomach problems. Do not take this if you suffer from urinary retention, gastric retention, or uncontrolled narrow-angle glaucoma.

This medicine can interact with other drugs, alcohol, and tobacco; for instance, drinking alcohol while taking it may worsen drowsiness and dizziness. If you are pregnant, planning to become pregnant, breastfeeding, or are an elderly individual, consult your doctor or pharmacist before starting treatment to ensure it is safe for you.

Uses of Terol LA-4 Capsule

Terol LA-4 Capsule is used in the treatment of overactive bladder syndrome. The detailed use of Terol LA-4 Capsule is as follows:

  • Overactive bladder (OAB): Terol LA-4 Capsule helps reduce the sudden, frequent, and uncontrollable urges to urinate that characterize this condition.
  • Urinary frequency: It helps reduce the total number of times you need to visit the bathroom throughout the day and night.
  • Urge incontinence: It helps prevent accidental leaking or involuntary loss of urine that often follows a sudden, strong urge to go.

Key Benefits

Terol LA-4 Capsule helps improve bladder control by relaxing the bladder muscles and reducing unwanted bladder contractions. This helps decrease urinary symptoms and allows you to carry out daily activities with greater comfort and confidence. Benefits may include:

  • Reduced frequency of urination throughout the day.
  • Decreased sudden and urgent need to urinate.
  • Improved control over urinary leakage and accidents.
  • Greater confidence during work, travel, and social activities.
  • Reduced need to wake up frequently at night to urinate.
  • Improved sleep quality and overall quality of life.
Side effects of Terol LA-4 Capsule
  • Follow the 20-20-20 rule, such as looking at something 20 feet away for 20 seconds every 20 minutes to relax your eye muscles.
  • Blinking your eyes frequently helps to prevent dryness and refresh your eyes.
  • Adjust screen settings: Reduce screen brightness, minimise glare, and adjust text size for comfortable viewing.
  • The screen should be positioned below eye level and at a comfortable distance for viewing.
  • Use artificial tears to lubricate your eyes.
  • Using blue light filtering glasses can help in reducing strain from blue light emitted by digital devices.
  • Remember to take breaks and perform eye exercises, such as rolling your eyes in circles.
  • Have sufficient sleep to rest your eyes.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.

Directions for Use

To get the most benefit from Terol LA-4 Capsule , follow these step-by-step instructions carefully:

  • Swallow the tablet or capsule whole with a full glass of water. Do not crush, chew, or break it.
  • Take the medicine at the same time every day to maintain a steady level of the medication in your body.
  • You may take this medication with or without food.

Always follow your doctor's exact instructions regarding how and when to take this medicine. Do not change your dose or stop taking it without talking to your doctor or pharmacist first.

How Terol LA-4 Capsule Works

Terol LA-4 Capsule belongs to a class of medications called antimuscarinics. It works by blocking specific chemical receptors on the surface of the bladder muscle. Normally, when these receptors receive chemical signals, they tell the bladder muscle to squeeze, which creates the urge to urinate.By blocking these signals, the medication helps prevent the bladder muscle from contracting too early or too suddenly. This allows your bladder to hold more urine before you feel the need to go, effectively reducing sudden urges and frequent bathroom trips.
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Alcohol

Unsafe

It is unsafe to consume alcohol with Terol LA-4 Capsule .

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Pregnancy

Caution

Terol LA-4 Capsule should not be taken until prescribed. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

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Breast Feeding

Caution

Please consult a doctor before using it if you are a breastfeeding mother.

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Driving

Unsafe

It is not safe because Terol LA-4 Capsule may cause dizziness, drowsiness, blurred vision, or other vision problems, which can affect one's ability to drive.

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Liver

Caution

Terol LA-4 Capsule to be taken with caution, especially if you have a history of liver diseases. Your doctor may have to adjust the dose.

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Kidney

Caution

Terol LA-4 Capsule to be taken with caution, especially if you have a history of kidney diseases. Your doctor may have to adjust the dose.

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Children

Caution

The safety of the Terol LA-4 Capsule is not determined in children. Therefore, always consult with your doctor before using the Terol LA-4 Capsule .

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Heart

Caution

Caution should be exercised when administering Terol LA-4 Capsule to patients with cardiac disease, as it may affect cardiac rhythm and heart rate.

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Geriatrics

Safe if prescribed

Terol LA-4 Capsule is safe for use in elderly patients if prescribed by the physician.

What if I have taken an overdose of Terol LA-4 Capsule

If you take more than your prescribed dose, seek immediate medical attention or contact a poison control center right away. Symptoms of an overdose may include severe dry mouth, blurred vision, rapid heartbeat, or extreme difficulty urinating.

Diet & Lifestyle Advise

Making targeted adjustments to your daily habits can support your treatment with Terol LA-4 Capsule and improve your bladder control:

  • Limit bladder irritants: Reduce your intake of caffeine, alcohol, artificial sweeteners, and highly spicy or acidic foods, as these can irritate the bladder and worsen sudden urges.
  • Perform pelvic floor exercises: Regularly practicing Kegel exercises strengthens the muscles that support your bladder, helping you suppress sudden urges more effectively.
  • Manage your fluid intake: Stay hydrated, but try to limit the amount of fluids you drink in the evening, especially in the 2 to 3 hours before going to bed.
    Eat a high-fiber diet: Prevent constipation by eating plenty of fruits, vegetables, and whole grains. Constipation can put extra pressure on your bladder and worsen symptoms of an overactive bladder.
  • Maintain a healthy weight: Carrying extra weight can put increased pressure on your bladder muscles. Talk to your doctor about safe ways to manage your weight.
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Have a query?

How Soon It Starts Working

  • The time required for Terol LA-4 Capsule to start to work: The time required for Terol LA-4 Capsule to show its action is not clinically established.
  • The time for which the effects of Terol LA-4 Capsule last: The duration of action for Terol LA-4 Capsule is not clinically established.

What if you forget to take Terol LA-4 Capsule

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and return to your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are unsure, talk to your doctor or pharmacist.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Drug Warnings

  • Watch out for overheating: This medication can decrease your body's ability to sweat. Be cautious in hot weather, during strenuous exercise, or when using hot tubs to avoid heatstroke.
  • Avoid dangerous activities if dizzy: Terol LA-4 Capsule can cause drowsiness, dizziness, or blurred vision. Do not drive, operate heavy machinery, or perform hazardous tasks until you know how this medication affects you.
  • Manage dry mouth: To ease dry mouth, try sucking on sugarless hard candies, chewing sugarless gum, or sipping water frequently.
  • Monitor your urination: If you find it increasingly difficult to start urinating or if you cannot empty your bladder at all, stop taking the medication and seek medical help immediately.
  • Check other over-the-counter medicines: Talk to your doctor or pharmacist before taking new allergy or cold medicines, as many contain ingredients that can worsen dry mouth, drowsiness, or urinary retention.

Drug-Drug Interactions

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Drug-Drug Interactions

  • Other anticholinergic medications: Taking Terol LA-4 Capsule with other drugs that dry the body (such as certain antihistamines or psychiatric medications) may increase the risk of severe dry mouth, constipation, and difficulty urinating.
  • Antifungal medicines (e.g., ketoconazole, itraconazole): Taking these medicines along with Terol LA-4 Capsule may slow down its breakdown in the body, increasing the amount of medicine in the bloodstream and raising the risk of side effects.
  • Antibiotics (e.g., erythromycin): Taking these medicines together with Terol LA-4 Capsule may slow down its breakdown in the body, increasing the amount of medicine in the bloodstream and raising the risk of side effects.

Drug-Food Interactions

  • Grapefruit juice: Drinking large amounts of grapefruit juice may interfere with how your body breaks down this medication, potentially raising the amount of medicine in your bloodstream and increasing side effects.

Drug-Disease Interactions

  • Urinary or gastric retention: Do not take this medication if you have a blockage that prevents your bladder from emptying or if you have severe slow stomach emptying.
  • Uncontrolled narrow-angle glaucoma: This medicine must not be used if you have uncontrolled narrow-angle glaucoma, as it can dangerously increase the pressure inside your eyes.
  • Kidney or liver disease: If you have liver damage or kidney issues, your body may process this medicine more slowly. Talk to your doctor, as they may need to recommend gradually increasing doses or prescribe a lower starting dose.
TolterodinePotassium citrate
Critical

Drug-Drug Interactions

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TolterodinePotassium citrate
Critical
How does the drug interact with Terol LA-4 Capsule:
Taking Terol LA-4 Capsule together with potassium citrate can increase the harmful effects of potassium on your stomach and upper intestine.

How to manage the interaction:
Although there is an interaction between Terol LA-4 Capsule and potassium citrate, it can be taken if prescribed by the doctor. However, contact a doctor immediately if you develop severe abdominal pain, bloating, sudden dizziness or lightheadedness, nausea, vomiting (especially with blood), or loss of appetite(reduced desire to eat). Do not discontinue medications without consulting a doctor.
How does the drug interact with Terol LA-4 Capsule:
Taking Terol LA-4 Capsule and Potassium chloride together can increase the risk of side effects.

How to manage the interaction:
Although there is an interaction between Terol LA-4 Capsule and Potassium chloride, they can be taken if prescribed by a doctor. However, contact a doctor immediately if you develop severe abdominal pain, bloating, sudden dizziness or lightheadedness, nausea, vomiting (especially with blood), or less desire to eat. Do not discontinue medications without consulting a doctor.
How does the drug interact with Terol LA-4 Capsule:
Taking carbamazepine and Terol LA-4 Capsule together may possibly reduce the blood levels of Terol LA-4 Capsule, which could reduce its capacity to treat the condition you have.

How to manage the interaction:
Although taking carbamazepine and Terol LA-4 Capsule together can possibly result in an interaction, it can be taken if your doctor has prescribed it.
How does the drug interact with Terol LA-4 Capsule:
Coadministration of Terol LA-4 Capsule with Zonisamide can increase the risk or severity of Zonisamide side effects like increased body temperature and decreased sweating.

How to manage the interaction:
Although there is an interaction between Terol LA-4 Capsule and Zonisamide, it can be taken if a doctor has advised it. However, if you experience 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.
How does the drug interact with Terol LA-4 Capsule:
Using Terol LA-4 Capsule with Topiramate can increase body temperature and decreased sweating.

How to manage the interaction:
Although there is an interaction between Terol LA-4 Capsule and Topiramate, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience sleepiness, dizziness, or lightheadedness. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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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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Habit Forming

No

Therapeutic Class

[ANTIMUSCARINIC AGENTS]

FAQs

Terol LA-4 Capsule is used for overactive bladder syndrome (a condition in which the bladder contracts muscles uncontrollably, causing an urgent need to urinate, frequent urination, and inability to control urination).
Terol LA-4 Capsule contains Tolterodine, which works by relaxing the muscles of the urinary bladder and preventing urgent, frequent, or uncontrolled urination.
Terol LA-4 Capsule did not relieve symptoms of overactive bladder in children. So, its use in children is not mentioned.
It is unclear whether Terol LA-4 Capsule can cause dementia or not. However, according to some reports, when people with dementia were given Terol LA-4 Capsule , their symptoms (confusion and misunderstanding) became worse.
No, Terol LA-4 Capsule does not cure overactive bladder, but it effectively manages and controls the symptoms of urgency, frequency, and leakage as long as you continue taking it. If you stop taking the medicine, your symptoms are likely to return. Talk to your doctor before stopping treatment.
Patients who have urinary retention (unable to pass urine), have delayed emptying of stomach or blocked intestinal tract (toxic megacolon, ulcerative colitis, pyloric stenosis) or uncontrolled high pressure in the eyes (narrow-angle glaucoma).
Some patients notice an improvement in their bladder symptoms within the first week of starting Terol LA-4 Capsule . However, it can take up to 4 to 8 weeks of consistent daily use to experience the full benefits. Talk to your doctor if you do not notice any improvement after a few weeks.
Inform your doctor about your detailed medical, surgical and allergy history, if you have a history of irregular heartbeats, kidney or liver problems. Also, let your doctor know if you are taking any other medicines including antidepressants, antibiotics, or any heart medicines.
Take Terol LA-4 Capsule for as long as it is prescribed by your doctor. Do not discontinue Terol LA-4 Capsule without consulting your doctor.
The side effects of Terol LA-4 Capsule include dryness in the mouth, headache, dizziness, sleepiness, constipation, or blurred vision. If these side effects persist or worsen, please consult your doctor.
Terol LA-4 Capsule contains Tolterodine as its active ingredient.
Terol LA-4 Capsule belongs to the class of drugs called antimuscarinic agents. Terol LA-4 Capsule is not a diuretic; it is a urinary antispasmodic which relaxes the urinary bladder muscles and prevents urgent, frequent, or uncontrolled urination.
No, do not stop taking Terol LA-4 Capsule on your own, even if you see improvement in your symptoms, as discontinuing suddenly may cause recurring symptoms or worsen your condition. Therefore, take Terol LA-4 Capsule for as long as your doctor has prescribed it, and if you experience any difficulty while taking Terol LA-4 Capsule , please consult your doctor.
No, do not crush or chew Terol LA-4 Capsule . Swallow it as a whole with a glass of water. Take it as advised by your doctor.
No, discontinuing Terol LA-4 Capsule will not have any harmful effects, but overactive bladder symptoms may recur. If you have constipation, contact your doctor and you can stop taking Terol LA-4 Capsule if your doctor advises.
It is best to limit or avoid alcohol while taking Terol LA-4 Capsule . Alcohol can worsen side effects like drowsiness, dizziness, and dry mouth, and it can also irritate your bladder, making your symptoms worse. Talk to your doctor if you have questions about alcohol use.
Dry mouth is a common side effect of Terol LA-4 Capsule . You can manage it by chewing sugarless gum, sucking on sugarless hard candies, melting ice chips in your mouth, or drinking small sips of water throughout the day. If the dry mouth becomes severe or painful, talk to your doctor or pharmacist.
There is limited information about the safety of Terol LA-4 Capsule during pregnancy and breastfeeding. It should only be used if the potential benefit outweighs the risk to the baby. Talk to your doctor if you are pregnant, planning to become pregnant, or breastfeeding.
Yes, Terol LA-4 Capsule can cause drowsiness, dizziness, or blurred vision in some individuals. You should avoid driving, operating machinery, or performing tasks that require clear vision and alertness until you know how this medicine affects you. Talk to your doctor if these symptoms persist.
Older adults may be more sensitive to the side effects of Terol LA-4 Capsule , such as drowsiness, confusion, dry mouth, or constipation. Doctors often prescribe it cautiously or at lower doses for older patients. Talk to your doctor to determine if this is the right option for you.
You can take Terol LA-4 Capsule either with or without food. It is most important to take it consistently at the same time each day to maintain a steady level of medicine in your body. Talk to your doctor or pharmacist if you experience any stomach upset.

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Country of origin

India

Manufacturer/Marketer address

Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013
Other Info - TER0025
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