Terod 4 mg Capsule ER

Terod 4 mg Capsule ER is an extended-release capsule that contains tolterodine 4 mg in each capsule. It belongs to the antimuscarinic drug class and is used to help manage overactive bladder symptoms such as frequent urination, sudden urge to urinate, and urge urinary incontinence. Because it is an ER capsule, the medicine is released gradually over time rather than all at once. Terod 4 mg Capsule ER is intended for adults whose symptoms and medical history have been assessed by a clinician.

How it works: Tolterodine works by relaxing the bladder muscle and reducing involuntary bladder contractions, which can lower urgency and leakage. In the ER capsule form of Terod 4 mg Capsule ER, the ingredient is released slowly to help maintain steadier symptom control over the day.

Terod 4 mg Capsule ER is the higher-strength extended-release form of tolterodine, so it may be chosen when a doctor wants a once-daily ER capsule that provides full-day symptom control. Since there are no other strengths or forms listed for this brand, this product represents the specific ER dose a prescriber may select for an adult patient based on response and tolerability. It is not meant to be treated like an immediate-relief capsule.

• Overactive bladder
• Urinary urgency
• Frequent urination
• Urge urinary incontinence

• Swallow the Terod 4 mg Capsule ER whole with water; do not crush, chew, or open it.
• Take it at the same time each day so the release pattern stays consistent.
• It may be taken with or without food unless your prescriber gives different instructions.
• Do not take extra capsules to make up for a missed dose.
• If a dose is missed, take it when remembered unless it is close to the next dose; do not double up.

Each Terod 4 mg Capsule ER provides 4 mg of tolterodine in one capsule, which is a full once-daily extended-release dose for many adults when prescribed. Your doctor decides whether 4 mg once daily is appropriate and whether any dose adjustment is needed based on side effects, liver or kidney function, and other medicines. Do not exceed the prescribed amount, and do not take more than one capsule in 24 hours unless specifically instructed by your prescriber.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Tolterodine may include:

• Dry mouth
• Constipation
• Headache
• Dizziness
• Blurred vision
• Sleepiness or fatigue
• Dry eyes

• Terod 4 mg Capsule ER can cause drowsiness or blurred vision, so use caution when driving or operating machinery until you know how it affects you.
• This 4 mg ER strength may be less suitable for people who are sensitive to anticholinergic side effects, because the dose is intended for once-daily sustained control.
• Tell your doctor if you have glaucoma, urinary retention, stomach or bowel blockage, myasthenia gravis, liver disease, kidney disease, or a history of prolonged QT or heart rhythm problems.
• Alcohol can worsen dizziness and sleepiness and may make side effects feel stronger.
• Use caution if you already struggle with constipation, since tolterodine can make it worse.
• Do not use this medicine without medical advice if you are pregnant, breastfeeding, or planning surgery.
• Avoid taking it with other medicines that have anticholinergic effects unless your prescriber approves.

• Strong CYP3A4 inhibitors such as ketoconazole, clarithromycin, ritonavir, or itraconazole
• Other anticholinergic medicines such as some allergy, motion-sickness, or Parkinson’s drugs
• Medications that can affect heart rhythm, including certain antiarrhythmics and some antibiotics
• Alcohol, which can increase dizziness or sedation
• Some bladder medications used for similar symptoms, which may add side effects

Store Terod 4 mg Capsule ER in its original strip/box at room temperature, away from excess heat, moisture, and light.