Tolterodine ER is the generic term for an antispasmodic medication used to help manage symptoms of an overactive bladder, a common condition which affects millions of individuals and often produces symptoms of:

• Urgent urination
• Frequent urination
• Incontinence
• Nighttime incontinence
• Frequent waking up to urinate

The ER in this product's name stands for extended-release, meaning it's only taken once per day, which is convenient for most patients. Most people buy Tolterodine ER under its more widely-known brand names of Detrol XL, Detrusitol XL, or Incont LA.

It's also possible to buy Tolterodine ER in regular tablets, taken twice per day, under the names Detrol, Detrusitol, or Tolterodine. Some individuals find the more frequent dosing with regular tablets to be more effective than the ER version.

Tolterodine ER is suitable for patients age 16 and up. In younger children effects were non-existent to marginal when compared to placebo in numerous, large-scale studies.

Pros & Cons of Extended-Release

The decision to buy Tolterodine ER versus regular Tolterodine tablets is largely a matter of personal preference. Extended-release tablets offer some benefits not found in regular tablets:

• Once-per-day administration
• More convenient and discreet than regular tablets

And some cons:

• Cannot be split or crushed like regular tablets
• Some patients find more frequent dosing to be more effective

While dosage and administration differs a bit, it's easy enough to switch between the two products to see which is preferred. Simply take the ER version on the day after taking the last regular version, or vice-versa---take the first regular tablet on the day after taking the last ER tablet.

Overcoming Overactive Bladder

Tolterodine ER relaxes the muscle walls of the bladder, inhibiting the spasms that cause inconvenient and embarrassing symptoms. Most patients find symptoms are minimized or even eliminated for the duration of treatment; however, without other intervention, symptoms will likely return once treatment ends.

Those who buy Tolterodine ER are often encouraged to practice pelvic floor therapy, in which the pelvic muscles are strengthened, and bladder retraining, in which urination takes place on a schedule whether one needs to urinate or not. Both methods can significantly reduce incontinence and frequency of urination.

As the medication inhibits the contractions or spasms of the bladder wall, patients should not buy Tolterodine ER to treat urgency or incontinence from other causes.

Treatment is remarkably similar in the majority of patients:

• Take 4 mg once per day.
• This dose is suitable for the vast majority of patients.
• Do not exceed 4 mg per day without explicit doctor approval.

Smaller doses----2 mg once per day---are good for those who have kidney or liver impairment, or those on certain other medications, most notably those taking potent inhibitors of CYP3A4. These are:

• Antibiotics called clarithromycin or telithromycin;
• An antidepressant called nefazodone;
• Protease inhibitors (antivirals used to treat HIV or Hepatitis C) that end with -avir, such as ritonavir or tipranavir.

Improvements are sometimes noticed within taking the first few doses, but most will need to take the medication for a week or two to see full benefit. In reducing spasms in the bladder, patients are better able to function and sleep without getting up frequently to urinate.

The need to continue treatment should be evaluated every three to six months, especially if bladder retraining or pelvic floor therapy are being utilized.

Buy Tolterodine ER the Easy Way at Kiwi Drug

Kiwi Drug is proud to offer this antispasmodic medication to our clients around the world. We are an authentic pharmacy, subject to the same regulatory compliance as our real-world counterparts and backed by an international network of brick & mortar pharmacies to ensure your medications are safe and authentic.

Clients will need a prescription to buy Tolterodine ER at Kiwi Drug. If you don't have one you may want to take advantage of our online doctor services:

• Add the product to your cart and initiate checkout.
• Answer the questions on the following page about your medical history and other medications being taken.
• There is no extra charge for our online doctor services.

Patients who already have a prescription to buy Tolterodine ER will be given options to transfer it to us upon completing checkout.

As always, we're here for you any time if you have any questions or need a hand with your order!