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Toviaz

Generic Name: fesoterodine (FES oh TER oh deen)
Brand Names: Toviaz

Medically reviewed on Jan 30, 2018

What is Toviaz?

Toviaz (fesoterodine) reduces spasms of the bladder muscles.

Toviaz is used to treat overactive bladder with symptoms of urinary frequency, urgency, and incontinence.

Toviaz may also be used for purposes not listed in this medication guide.

Important Information

You should not take Toviaz if you have uncontrolled narrow-angle glaucoma, or if you have a blockage of the urinary tract, stomach, or intestines.

Do not crush, chew, or break a Toviaz extended-release tablet. Swallow it whole. Breaking or opening the pill may cause too much of the drug to be released at one time. Fesoterodine may cause blurred vision or impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

Avoid becoming overheated or dehydrated during exercise and in hot weather. Toviaz can decrease perspiration and you may be more prone to heat stroke.

Drinking alcohol can increase certain side effects of fesoterodine. There are many other drugs that can interact with fesoterodine. Tell your doctor about all medications you use. This includes prescription, over the counter, vitamin, and herbal products. Do not start a new medication without telling your doctor. Keep a list of all your medicines and show it to any healthcare provider who treats you.

Before taking this medicine

You should not use Toviaz if you are allergic to fesoterodine or tolterodine (Detrol), or if you have:

  • a blockage of the urinary tract (difficulty urinating);

  • a blockage in your stomach or intestines; or

  • uncontrolled narrow-angle glaucoma.

To make sure Toviaz is safe for you, tell your doctor if you have ever had:

  • a weak steam of urine, or trouble emptying your bladder;

  • glaucoma;

  • a stomach or intestinal disorder, including severe constipation;

  • liver or kidney disease; or

  • a muscle disorder such as myasthenia gravis.

It is not known whether Toviaz will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

It is not known whether fesoterodine passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

This medicice is not for use in children.

How should I take Toviaz?

Toviaz is usually taken once daily. Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Take this medicine with a full glass of water.

You may take Toviaz with or without food.

Do not crush, chew, or break the extended-release tablet. Swallow it whole.

Store at room temperature away from moisture and heat.

Toviaz dosing information

Usual Adult Dose for Urinary Incontinence:

Initial dose: 4 mg orally once daily

Maintenance dose: The dose may be increased to 8 mg orally once daily based upon individual response and tolerability.

Usual Adult Dose for Urinary Frequency:

Initial dose: 4 mg orally once daily

Maintenance dose: The dose may be increased to 8 mg orally once daily based upon individual response and tolerability.

See also: Dosage Information (in more detail)

What happens if I miss a dose?

Skip the missed dose and take the next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking Toviaz?

This medicine may cause blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

Avoid becoming overheated or dehydrated during exercise and in hot weather. Fesoterodine can decrease sweating and you may be more prone to heat stroke.

Drinking alcohol can increase certain side effects of fesoterodine.

Toviaz side effects

Get emergency medical help if you have signs of an allergic reaction to Toviaz: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using Toviaz and call your doctor at once if you have:

  • chest pain, fast or uneven heart rate;

  • swelling of your hands or feet;

  • severe stomach pain or constipation;

  • confusion, hallucinations;

  • little or no urination;

  • pain or burning when you urinate; or

  • signs of dehydration - feeling very thirsty or hot, being unable to urinate, heavy sweating, or hot and dry skin.

Adults who are 75 years or older may be more likely to have side effects from this medicine.

Common Toviaz side effects may include:

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

What other drugs will affect Toviaz?

Tell your doctor about all your current medicines and any you start or stop using, especially:

This list is not complete. Other drugs may interact with fesoterodine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Toviaz only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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