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Tolterodine Tartrate 0.4 mg/mL Oral Suspension

FDA-approved generic
Dose form
Suspension
Active ingredients
Tolterodine Tartrate

Tolterodine Tartrate 0.4 mg/mL Oral Suspension is a liquid dosage form in which the active ingredient, tolterodine tartrate, is uniformly dispersed throughout a liquid medium, ensuring a homogeneous mixture for administration.

This formulation is primarily used to treat overactive bladder, a condition characterized by symptoms such as urinary urgency, frequency, and incontinence. By relaxing the bladder muscles, it helps reduce these symptoms, improving the quality of life for patients.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Tolterodine Tartrate
Suspension
66fd7b0bdc31c32733aec9f2
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Tolterodine Tartrate 0.4 mg/mL Oral Suspension is a compounded liquid medication designed to effectively manage symptoms associated with an overactive bladder. As an antimuscarinic agent, Tolterodine Tartrate works by inhibiting involuntary contractions of the bladder muscles, thereby reducing episodes of urinary frequency, urgency, and urge incontinence. This oral suspension provides a homogeneous mixture, ensuring consistent and precise dosing with each administration.

The liquid dosage form is particularly beneficial for patients who have difficulty swallowing tablets or capsules, such as pediatric or elderly patients, or those with dysphagia. By dispersing the active ingredient uniformly throughout the liquid medium, the suspension allows for flexible dosing adjustments tailored to individual patient needs. This ensures that each dose delivers the intended therapeutic effect while minimizing potential side effects.

For prescribers, Tolterodine Tartrate Oral Suspension offers an alternative to conventional solid dosage forms, enabling customized therapy for patients requiring specific dose modifications. It is important to monitor patients regularly to assess the efficacy of the treatment and adjust the dosage accordingly. Prescribers should consider the patient's overall medical condition, concomitant medications, and potential drug interactions when initiating therapy with Tolterodine Tartrate.

Patients using this medication should adhere strictly to the prescribed dosing regimen. It is essential to use an accurate measuring device, such as an oral syringe or dosing cup, to ensure proper dosing. Common side effects may include dry mouth, constipation, headache, dizziness, and blurred vision. Patients are advised to report any persistent or severe side effects to their healthcare provider promptly.

Before starting Tolterodine Tartrate Oral Suspension, patients should inform their healthcare provider of their full medical history, especially if they have conditions like glaucoma, urinary retention, gastric retention, or a history of certain gastrointestinal disorders. Additionally, they should disclose all medications they are currently taking to avoid potential interactions, particularly with other anticholinergic agents or medications metabolized by the cytochrome P450 system.

If you have any questions or require further information about Tolterodine Tartrate 0.4 mg/mL Oral Suspension, please reach out to us. Our team of compounding pharmacists at Bayview Pharmacy is dedicated to providing personalized care and assisting with your medication needs.

Drug Interactions

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Tolterodine Tartrate 0.4 mg/mL Oral Suspension is a liquid dosage form designed to provide a homogeneous mixture for administration, ensuring consistent dosing and ease of use, particularly for patients who may have difficulty swallowing tablets or capsules. This formulation is primarily used in the management of overactive bladder symptoms, such as urinary frequency, urgency, and incontinence. By acting as a competitive muscarinic receptor antagonist, Tolterodine Tartrate helps to reduce bladder muscle contractions, thereby alleviating these symptoms.

When considering the use of Tolterodine Tartrate Oral Suspension, it is crucial to be aware of potential drug interactions that may affect its efficacy or increase the risk of adverse effects. One significant interaction is with other anticholinergic medications, such as oxybutynin or solifenacin, which can lead to an additive anticholinergic effect. This may result in increased side effects such as dry mouth, constipation, blurred vision, and confusion, particularly in elderly patients. Therefore, concurrent use of multiple anticholinergic agents should be approached with caution and under close medical supervision.

Another important interaction to consider is with medications that are strong inhibitors of the cytochrome P450 3A4 (CYP3A4) enzyme, such as ketoconazole, itraconazole, and certain macrolide antibiotics like clarithromycin and erythromycin. These inhibitors can increase the plasma concentration of Tolterodine Tartrate, potentially leading to enhanced pharmacological effects and a higher risk of adverse reactions. In such cases, dose adjustments of Tolterodine Tartrate may be necessary, and patients should be monitored closely for signs of toxicity.

Conversely, inducers of CYP3A4, such as rifampin, carbamazepine, and phenytoin, may decrease the effectiveness of Tolterodine Tartrate by reducing its plasma levels. This interaction may necessitate an increase in the dosage of Tolterodine Tartrate to achieve the desired therapeutic effect. However, any dosage adjustments should be made cautiously and under the guidance of a healthcare professional.

Additionally, caution is advised when Tolterodine Tartrate is used in combination with medications that prolong the QT interval, such as certain antiarrhythmics, antipsychotics, and antidepressants. Although Tolterodine itself has a low potential for QT prolongation, the risk may be increased when used with other QT-prolonging agents, necessitating careful monitoring of cardiac function.

Patients and prescribers should also be aware of potential interactions with herbal supplements and over-the-counter medications, which may not be as well-documented but could still impact the safety and efficacy of Tolterodine Tartrate. It is always advisable to inform healthcare providers of all medications and supplements being taken to ensure safe and appropriate use of this formulation.

If you have any questions or concerns regarding the use of Tolterodine Tartrate 0.4 mg/mL Oral Suspension and its potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries and provide guidance tailored to your specific needs.

How Does it Work

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Tolterodine Tartrate 0.4 mg/mL Oral Suspension is a liquid dosage form designed to provide a uniform dispersion of the active ingredient, tolterodine tartrate, throughout a liquid medium. This formulation ensures a homogeneous mixture, allowing for precise dosing and ease of administration, particularly beneficial for patients who may have difficulty swallowing tablets or capsules. The liquid suspension is carefully compounded to maintain stability and efficacy, ensuring that each milliliter of the suspension delivers the intended dose of tolterodine tartrate.

Tolterodine tartrate is an antimuscarinic agent that works by inhibiting the action of acetylcholine on muscarinic receptors in the bladder. Acetylcholine is a neurotransmitter that plays a crucial role in the contraction of the bladder muscle. By blocking these receptors, tolterodine tartrate reduces involuntary contractions of the bladder, thereby increasing bladder capacity and decreasing the frequency and urgency of urination.

For patients, the oral suspension offers a flexible dosing option that can be easily adjusted to meet individual therapeutic needs. The liquid form allows for gradual titration of the dose, which can be particularly useful in minimizing potential side effects while achieving optimal therapeutic outcomes. The suspension is flavored to enhance palatability, making it more acceptable for patients, especially children or the elderly, who may be sensitive to taste.

For prescribers, the tolterodine tartrate oral suspension provides an alternative to solid dosage forms, offering a customizable treatment option that can be tailored to the specific needs of each patient. This is particularly advantageous in cases where patients have comorbid conditions that may affect drug absorption or metabolism, or when precise dosing adjustments are necessary. The suspension form also facilitates administration in patients with feeding tubes or those who require enteral nutrition.

If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or specific needs you may have.

Other Uses

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Tolterodine Tartrate 0.4 mg/mL Oral Suspension is primarily used for the treatment of overactive bladder with symptoms of urinary frequency, urgency, and incontinence. However, this formulation may have other potential uses that could be beneficial for both patients and prescribers to consider. One such use is in the management of neurogenic bladder, a condition often associated with neurological disorders such as spinal cord injuries, multiple sclerosis, or Parkinson's disease. In these cases, the oral suspension form can be particularly advantageous for patients who have difficulty swallowing pills or require precise dosing adjustments.

Additionally, Tolterodine Tartrate may be explored for off-label use in pediatric patients who experience urinary incontinence or enuresis (bedwetting), especially when other treatments have proven ineffective. The liquid suspension allows for easier administration and dosage customization, which is crucial in pediatric care. Furthermore, the oral suspension can be considered for elderly patients who may have comorbidities that complicate the use of solid dosage forms, ensuring they receive the appropriate therapeutic effects without the risk of choking or difficulty swallowing.

For patients with conditions that cause muscle spasms or hyperactivity in the bladder, such as interstitial cystitis, Tolterodine Tartrate may offer symptomatic relief by reducing bladder muscle contractions. While not a primary treatment, it can be part of a comprehensive management plan tailored to individual patient needs. As always, it is essential for prescribers to weigh the benefits against potential side effects, such as dry mouth, constipation, or blurred vision, and to monitor patients closely for any adverse reactions.

In all cases, the decision to use Tolterodine Tartrate 0.4 mg/mL Oral Suspension for these alternative indications should be based on a thorough evaluation of the patient's medical history, current medications, and overall health status. Prescribers should engage in open communication with their patients, discussing the potential risks and benefits, and ensuring that patients understand the purpose and expected outcomes of the treatment. If you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy. We are here to assist both patients and healthcare providers in making informed decisions about their medication needs.

Frequently Asked Questions

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What is Tolterodine Tartrate 0.4 mg/mL Oral Suspension?

Tolterodine Tartrate 0.4 mg/mL Oral Suspension is a liquid dosage form where the active ingredient, Tolterodine Tartrate, is uniformly dispersed in a liquid medium, creating a homogeneous mixture for easy administration.

What is the purpose of Tolterodine Tartrate Oral Suspension?

This medication is used to treat symptoms of an overactive bladder, such as frequent or urgent urination and urinary incontinence.

How should I take Tolterodine Tartrate Oral Suspension?

Take the prescribed dose of Tolterodine Tartrate Oral Suspension by mouth, usually once or twice daily, as directed by your healthcare provider. Shake the bottle well before each use to ensure the medication is evenly mixed.

Can Tolterodine Tartrate Oral Suspension be taken with food?

Yes, Tolterodine Tartrate Oral Suspension can be taken with or without food. However, it is best to follow your healthcare provider's instructions regarding food intake.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Tolterodine Tartrate Oral Suspension?

Common side effects may include dry mouth, headache, constipation, and dizziness. If you experience severe side effects or signs of an allergic reaction, seek medical attention immediately.

How should I store Tolterodine Tartrate Oral Suspension?

Store the oral suspension at room temperature, away from light and moisture. Do not freeze. Keep the bottle tightly closed and out of reach of children.

Can I use Tolterodine Tartrate Oral Suspension if I am pregnant or breastfeeding?

If you are pregnant, planning to become pregnant, or breastfeeding, consult your healthcare provider before using this medication to discuss potential risks and benefits.

What should I avoid while taking Tolterodine Tartrate Oral Suspension?

Avoid consuming alcohol and engaging in activities that require alertness, such as driving, until you know how the medication affects you, as it may cause dizziness or drowsiness.

Can Tolterodine Tartrate Oral Suspension interact with other medications?

Yes, Tolterodine Tartrate Oral Suspension can interact with other medications. Inform your healthcare provider about all the medications and supplements you are taking to avoid potential interactions.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Tolterodine Tartrate 0.4 mg/mL Oral Suspension
Suspension
30 mL
controlled

Take orally

Twice daily