Tolterodine

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Tolterodine
Systematic (IUPAC) name
2-[(1S)-3-(diisopropylamino)-1-phenylpropyl]-4-methylphenol
Identifiers
CAS number 124937-51-5
ATC code G04BD07
PubChem 60774
DrugBank APRD00146
Chemical data
Formula C22H31NO 
Mol. mass 325.488 g/mol
Pharmacokinetic data
Bioavailability 77%
Protein binding Approximately 96.3%.
Metabolism  ?
Half life 1.9-3.7 hours
Excretion  ?
Therapeutic considerations
Pregnancy cat.

?

Legal status
Routes  ?

Tolterodine is an antimuscarinic drug that is used to treat urinary incontinence. It is sold under the trade names Detrol and Detrusitol.

[edit] Pharmacology

Tolterodine acts on M1, M2, M3, M4 and M5 subtypes of muscarinic receptors whereas modern antimuscarinic treatments for overactive bladder only act on M3 receptors making them more selective. It is marketed and manufactured by Pfizer.

Tolterodine, although it acts on all types of receptors, has fewer side effects than other antimuscarinics eg. oxybutynin (M3 and M1 selective, but more so in the parotid than in the bladder) as tolterodine targets the bladder more than other areas of the body. This means that less drug needs to be given daily (due to efficient targeting of the bladder) and so there are fewer side effects.

[edit] Side effects

Known Side Effects:

Reports of Patients’ Experiences Since Detrol Became Available:

The following reactions have been reported in patients who have taken Detrol since it has become available:

Contraindications:
Not to be used in patients with Myasthenia Gravis and Angle Closure Glaucoma

[edit] External links

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