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|Trospium

TROSPIUM (Systemic)†

Some commonly used brand names are:

In the U.S.—

• Sanctura

† Not commercially available in Canada.

Category

• Antispasmodic (urinary bladder)

Description

Trospium (TROSE-pee-um) is used to treat bladder problems such as frequent need to urinate or loss of control of urinary function.

This medicine is available only with your doctor"s prescription, in the following dosage forms:

• Oral
• Tablets (U.S.)

Before Using This Medicine

In deciding to use a medicine, the risks of using the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For trospium, the following should be considered:

Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to trospium. Also tell your doctor and pharmacist if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy—Trospium has not been studied in pregnant women. However, studies in animals have shown that trospium may cause unwanted effects in the fetus. Before taking this medicine, make sure your doctor knows if you are pregnant or if you become pregnant.

Breast-feeding—It is not known whether trospium passes into breast milk. However, trospium does pass into the milk of animals. Mothers who are taking this medicine and who wish to breast-feed should discuss this with their doctor.

Children—Studies on this medicine have been done only in adult patients, and there is no specific information comparing use of trospium in children with use in other age groups.

Older adults—This medicine has been tested and has not been shown to cause different side effects or problems in older people than is does in younger adults. However, elderly patients are more likely to be sensitive to anticholinergic agents and may require a lower dose.

Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your health care professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Other medical problems—The presence of other medical problems may affect the use of trospium. Make sure you tell your doctor if you have any other medical problems, especially:

• Glaucoma or
• Stomach problems or
• Urinary retention—Trospium may make these conditions worse.

• Kidney problems or
• Liver problems—A lower dose of trospium may be necessary.

Proper Use of This Medicine

Dosing—The dose of trospium will be different for different patients. Follow your doctor"s orders or the directions on the label . The following information includes only the average doses of trospium. If your dose is different, do not change it unless your doctor tells you to do so.

• For oral dosage form (tablets):
  • To treat bladder problems:
    • Adults—20 milligrams (mg) one or two times a day 1 hour before meal.
    • Children—Use and dose must be determined by your doctor.

Missed dose—If you miss a dose of this medicine, take 1 hour before next meal. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage—To store this medicine:

• Keep out of the reach of children.
• Do not store in the bathroom, near the kitchen sink, or in other damp places. heat or moisture may cause the medicine to break down.
• Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

Precautions While Using This Medicine

This medicine may cause some people to have vision problems. Make sure your vision is clear before you drive or do anything else that could be dangerous if you are not able to see well.

This medicine, especially in high doses, may cause some people to become dizzy or drowsy. 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 or are not alert.

Avoid use of alcohol. Alcohol may increase your risk of drowsiness.

Use caution during exercise or hot weather. Overheating may result in heat stroke.

This medicine may cause dryness of the 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. However, if your mouth continues to feel dry for more than 2 weeks, check with your medical doctor or dentist.

Side Effects of This Medicine

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

Developed: 09/02/2004

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