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Detrusitol

Detrusitol is a medication that’s used for the treatment of various urinary disorders such as frequent urination, urgency, and incontinence. You’ll know if you have any of these conditions as you’ll notice some of the following symptoms:

  • Going to the toilet a lot (frequent urination)
  • Needing to go to the toilet suddenly or without warning (urinary urgency)
  • Unintentionally leaking urine (urinary incontinence)

There are different types of urinary incontinence, so please talk to your GP about your symptoms and when you notice that you’re leaking urine before you decide to start treatment with detrusitol.

Detrusitol contains the active ingredient tolterodine; an antispasmodic and antimuscarinic drug. It relieves symptoms by preventing spasms of the bladder and increasing its capacity.

It’s common for patients to take detrusitol on a long-term basis, as the conditions mentioned above are often chronic. However, if you think your symptoms are being caused by something else such as an infection, you may be best with a short-course of antibiotics to kill the bacteria.

Detrusitol comes in either tablet form, or as slow-release capsules. Always read the patient information leaflet for dosages and instructions.

Last PIL Review Date: 17/01/2020

See Detrusitol 1mg & 2mg Tablets Patient Information Leaflet

See Detrusitol XL 4mg Capsules Patient Information Leaflet

This medicine is not available to request via our online service. If you are still having trouble with your symptoms please visit the NHS website for services in your area.

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What is Detrusitol?

Detrusitol is a medicine that contains the active ingredient, tolterodine. Tolterodine is an antimuscarinic and antispasmodic drug.

Detrusitol is used to treat various urinary disorders such as:

  • Frequent urination
  • Urinary urgency
  • Urinary incontinence

How does Detrusitol work?

As Detrusitol is an antimuscarinic and antispasmodic medicine, it works by preventing spasms of the bladder and increases its capacity. This reduces the symptoms of urgency and frequent urination, by helping to improve the amount of control you have over your urinary function.

By working in this way, it can relieve symptoms such as:

  • Urine leakage
  • Urinary frequency
  • Urinary urgency

However, it’s important to know whether your urinary issues are because of a long-term condition or whether they’re being caused by a short term infection such as a UTI, as in this case, Detrusitol might not be the most appropriate medicine for you.

What are the side effects of Detrusitol?

Although it isn’t pleasant to experience side effects from medication, they’re often more bearable than your original condition. Some of the most commonly reported side effects of Detrusitol are:

  • A dry mouth
  • Headache
  • Bronchitis
  • Dizziness
  • Tiredness
  • Pins and needles in your fingers and toes
  • Dry eyes
  • Blurred vision
  • Vertigo
  • Palpitations
  • Dry skin
  • Digestive issues
  • Contripation
  • Abdominal pain
  • Vomiting
  • Chest pain
  • Increased weight
  • Diarrhoea
  • Painful urination

Try not to be alarmed by this list of potential side effects. It’s likely that you either won’t experience any of them or only experience a few to a mild degree. However, if you find that any of the associated symptoms are bothering you and you’re in a great deal of discomfort or pain, please contact your GP for advice.

As the medicine might make you feel drowsy or dizzy, please wait until you know how it makes you feel before driving or operating machinery.

Can I take Detrusitol?

There are some people that are advised to avoid the medicine altogether due to some pre-existing or underlying conditions. These include people who:

  • Suffer with urinary retention
  • Are allergic to tolterodine or any ingredients in Detrusitol
  • Have uncontrolled narrow-angle glaucoma
  • Have severe ulcerative colitis
  • Have been diagnosed with toxic megacolon

In these cases, it’s best to avoid taking the medicine wherever possible and to seek alternative treatments. There are also some people that might still be able to take the medication but should consult their GP first for advice. These groups of people include those that:

  • Have difficulty passing urine
  • Have a gatro-intestinal disease
  • Suffer with kidney problems
  • Have been diagnosed with a liver condition
  • Have a disorder that affects blood pressure, bowel, or sexual function (neuronal disorder)
  • Have a hiatal hernia
  • Have noticed a decrease in bowel movements
  • Have severe constipation
  • Have a heart condition
  • Have low levels of potassium, calcium or magnesium in the blood

If you fall into any of these categories, you might still be able to use tolterodine to control your urinary disorder, but you might only be able to take it short-term, or have to take extra steps to ensure your safety. You should also avoid the medicine if you’re pregnant, and seek advice from your GP if you’re breastfeeding and planning to use Detrusitol.

What does Detrusitol interact with?

Luckily, there are only a few medicines that interact with Detrusitol, though they include some common antibiotics. Here’s a list of the medicines that don’t make for a great combination with Detrusitol:

  • Erythromycin
  • Clarithromycin
  • Ketoconazole (for fungal infections)
  • Itraconazole (for fungal infections)
  • Treatments for HIV
  • Metoclopramide
  • Cisapride
  • Treatments for arrhythmia
  • Other antimuscarinic medicines
  • Cholinergics

Please ask your doctor if you’re still able to take Detrusitol whilst using any of the above medicines, or whether alternative treatments would be a safer option for you.

What other treatments are available?

Depending on your condition and the cause of it, alternative treatments are available, many of which can work alongside Detrusitol for maximum efficiency.

If your urinary incontinence is caused by obesity, making lifestyle changes such as eating healthily and doing more exercise can greatly improve your symptoms, as less pressure is put on the bladder. It’s always a good idea to live a healthy lifestyle, even if you aren’t overweight, and in this case it can even help to relieve some of your symptoms. Antibiotics might help with your urinary issues if they’re caused by an infection such as cystitis or urethritis. Make sure to take a urine sample to your GP for testing to find out what might be causing your urgency, frequency or urinary leakage.

Some people find that pelvic floor exercises help them to regain some bladder control, as it trains the muscles in that area. A physiotherapist might be able to help with some appropriate exercises.

Other medications are also available if Detrusitol isn’t right for you. Examples of other treatments include Duloxetine and mirabegron.

In extreme cases, where urinary issues aren’t easily resolved with lifestyle changes or medication, surgery may be required.

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Delivery Charges

The following delivery methods are currently available within the UK: All orders are sent in discreet, plain packaging.

UK Standard Delivery, £1.99

Order before 12pm to have your order delivered using Royal Mail Tracked 48 Service

standard UK delivery within 3-5 working days

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UK Express Delivery, £2.99

Order before 12pm to have your order delivered using the Express delivery service* (deliveries are made Monday - Saturday)

If you order after 12pm, your order will be dispatched the next working day and will be with you within 48 hours once dispatched. This excludes weekends and bank holidays

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Royal Mail Special Delivery Next Day Anytime, £4.99 (This service includes Saturday)

Order before 12pm to have your order delivered using Royal Mail Special Delivery Service, which includes Saturday deliveries.

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Royal Mail Special Delivery Next Day Before 1pm, £7.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 1pm next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

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Royal Mail Special Delivery Next Day Before 9am, £14.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 9am next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

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DPD Next Day Delivery, £4.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

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DPD Next Day Delivery, by 12 Noon, £9.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 12 noon the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

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DPD Next Day Delivery, by 10:30am, £14.99  (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, £14.99

Orders signed by the doctor before 12 noon the day before will be delivered the following Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

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DPD Saturday Delivery, by 12:00am, £21.99

Orders signed by the doctor before 12 noon the day before will be delivered by 12:00am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, by 10:30am, £29.99

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

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All purchases require additional approval, which will involve completion of an online questionnaire and any subsequent approval.

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