Sanctura XR Side Effects
Generic name: trospium
Medically reviewed by Drugs.com. Last updated on Apr 17, 2025.
Note: This document provides detailed information about Sanctura XR.
Applies to trospium: oral capsule extended release, oral tablet Side Effects associated with trospium. Some dosage forms listed on this page may not apply specifically to the brand name Sanctura XR.
Applies to trospium: oral capsule extended release, oral tablet.
Precautions
It is very important that your doctor check your progress at regular visits to make sure this medicine is working properly and to check for unwanted effects.
This medicine may cause a serious type of allergic reaction called angioedema. Angioedema may be life-threatening and requires immediate medical attention. Stop taking trospium (the active ingredient contained in Sanctura XR) and check with your doctor right away if you have a rash, itching, a large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs, trouble breathing, or chest tightness while you are using this medicine.
This medicine, especially in high doses, may cause some people to become dizzy, drowsy, confused, or have blurred vision. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy, not alert, or not able to see well. Drinking alcohol with this medicine may increase your risk of having drowsiness.
This medicine may make you sweat less, causing your body temperature to increase. Use extra care not to become overheated during exercise or hot weather while you are taking this medicine, since overheating may result in heat stroke.
This medicine may cause a dry mouth, nose, and throat. For temporary relief of mouth dryness, use sugarless candy or gum, melt bits of ice in your mouth, or use a saliva substitute. If your mouth continues to feel dry for more than 2 weeks, check with your medical doctor or dentist. Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections.
Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.
Serious side effects of Sanctura XR
Along with its needed effects, trospium may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking trospium:
More common side effects
- bladder pain
- bloody or cloudy urine
- decrease in the frequency of urination
- decrease in urine volume
- difficult or burning urination
- difficulty in passing urine (dribbling)
- frequent urge to urinate
- lower back or side pain
- painful urination
Less common side effects
- chills
- cough
- diarrhea
- fast, pounding, or irregular heartbeat or pulse
- fever
- general feeling of discomfort or illness
- headache
- joint pain
- loss of appetite
- muscle aches and pains
- nausea
- runny nose
- shivering
- sore throat
- sweating
- trouble sleeping
- unusual tiredness or weakness
- vomiting
Incidence not known
- blistering, peeling, or loosening of the skin
- changes in vision
- clammy skin
- confusion as to time, place, or person
- dark-colored urine
- difficulty with swallowing
- dizziness
- enlarged pupils
- fainting
- fast or slow heartbeat
- hallucinations
- hives
- holding false beliefs that cannot be changed by fact
- increased sensitivity of the eyes to light
- increased sweating, possibly with fever or cold
- itching
- muscle cramps or spasms
- muscle stiffness
- puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
- red skin lesions, often with a purple center
- red, irritated eyes
- seeing, hearing, or feeling things that are not there
- severe chest pain
- severe headache
- shortness of breath
- skin rash
- sores, ulcers, or white spots in the mouth or on the lips
- stiff or sore neck
- tightness in the chest
- unusual excitement, nervousness, or restlessness
- wheezing
Other side effects of Sanctura XR
Some side effects of trospium may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
More common side effects
- back pain
- blurred vision
- difficulty having a bowel movement (stool)
- dry mouth
- dry skin
- sleepiness or unusual drowsiness
Less common side effects
- acid or sour stomach
- belching
- bloated or full feeling
- dry eyes
- excess air or gas in the stomach or intestines
- heartburn
- indigestion
- passing gas
- stomach discomfort, upset, or pain
- stuffy nose
- trouble with urinating
- unable to have a bowel movement (stool)
- upper stomach pain
Incidence not known
- burning feeling in the chest or stomach
- change in taste
- dry throat
- indigestion
- loss of taste
- swelling of the abdomen or stomach area
- tenderness in the stomach area
For healthcare professionals
Applies to trospium: oral capsule extended release, oral tablet.
Cardiovascular adverse events
- Uncommon (0.1% to 1%): Tachycardia, chest pain
- Frequency not reported: Tachyarrhythmia
- Postmarketing reports: Palpitations, supraventricular tachycardia, chest pain, syncope, hypertensive crisis[Ref]
Gastrointestinal
- Common (1% to 10%): Abdominal pain, constipation aggravated, dyspepsia, flatulence, nausea, dyspepsia, abdominal distension
- Uncommon (0.1% to 1%): Abdominal distention, vomiting, dry throat, diarrhea
- Postmarketing reports: Gastritis[Ref]
Nervous system
- Common (1% to 10%): Headache
- Uncommon (0.1% to 1%): Dysgeusia
- Rare (less than 0.1%): Dizziness[Ref]
Ocular
- Common (1% to 10%): Dry eyes
- Uncommon (0.1% to 1%): Blurred vision
- Rare (less than 0.1%): Vision disorders
- Postmarketing reports: Vision abnormal[Ref]
Psychiatric
- Postmarketing reports: Confusion, hallucinations, somnolence, delirium, agitation[Ref]
Other
- Common (1% to 10%): Fatigue[Ref]
Dermatologic
- Uncommon (0.1% to 1%): Dry skin
- Rare (0.01% to 0.1%): Rash
- Very rare (less than 0.01%): Angioedema
- Frequency not reported: Pruritus, Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN)[Ref]
Hypersensitivity
- Frequency not reported: Anaphylactic reaction[Ref]
Immunologic
Musculoskeletal
- Rare (less than 0.1%): Myalgia, arthralgia
- Postmarketing reports: Rhabdomyolysis[Ref]
Hepatic
- Frequency not reported: Mild to moderate increase in serum transaminase levels[Ref]
Respiratory
- Common (1% to 10%): Nasopharyngitis, nasal dryness
- Frequency not reported: Dyspnea[Ref]
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References
1. (2012) "Product Information. Sanctura (trospium)." Odyssey Pharmaceuticals
2. Lopez Pereira P, Miguelez C, Caffarati J, Estornell F, Anguera A (2003) "Trospium chloride for the treatment of detrusor instability in children." J Urol, 170, p. 1978-81
3. Epstein BJ, Gums JG, Molina E (2006) "Newer agents for the management of overactive bladder." Am Fam Physician, 74, p. 2061-8
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Further information
Sanctura XR side effects can vary depending on the individual. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Note: Medication side effects may be underreported. If you are experiencing side effects that are not listed, submit a report to the FDA by following this guide.