Fesoterodine tablets

Fesoterodine is prescribed to treat urinary symptoms such as urgency, frequency and incontinence. Urinary urgency occurs when you have a sudden and urgent need to pass urine. If you need to take more trips to the toilet than normal, this is called urinary frequency. If you leak urine before you go to the toilet, this is called incontinence.

There are several different causes of these urinary symptoms, such as weakened pelvic floor muscles, problems causing your bladder muscles to contract too much or too early, or something causing an obstruction. Sometimes the cause of these symptoms is unknown.

Fesoterodine works by stopping sudden bladder muscle contractions and increasing the volume of urine that your bladder can hold. This helps to control the release of urine and eases your symptoms.

• Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about fesoterodine and will provide you with a full list of the side-effects which you may experience from taking it.
• Take the tablets exactly as your doctor tells you to. The recommended dose is one tablet every day. There are two strengths of tablet available: 4 mg and 8 mg. It is usual to be prescribed the 4 mg strength tablet to begin with, although this may later be increased to the 8 mg strength if needed.
• Try to take the tablet at the same time of day each day, as this will help you to remember to take your doses regularly. You can take fesoterodine either before or after meals. Swallow the tablet with a drink of water. The tablets have been specially made to release fesoterodine evenly over the day, so it is important that you swallow the tablet whole - do not chew or crush it before you swallow.
• If you forget to take a dose, take it as soon as you remember. If you do not remember until the following day, leave out the missed dose but make sure you take the dose due on that day. Do not take two doses together to make up for a forgotten dose.

• Try to keep your regular appointments with your doctor. This is so your doctor can check on your progress and review your treatment. It may take 2-8 weeks before you feel the full benefit from taking the tablets.
• Drinks containing caffeine (for example, tea, coffee, hot chocolate and cola) may make your symptoms worse. This is because caffeine increases urine flow (it is a natural diuretic) and will make you want to pass urine. If you drink a lot of caffeine-containing drinks, consider switching to decaffeinated alternatives.
• Try to maintain a normal life as much as possible with regard to drinking and visiting the toilet. However, drinking late at night may mean your sleep is disturbed by the desire to get up and go to the toilet, so you may want to avoid drinking too much during the evening.
• Your doctor may suggest that you do some pelvic floor exercises to strengthen the muscles around the underside of your bladder. These can help to improve your symptoms.
• If you drink grapefruit juice regularly, please let your doctor know about this. A chemical in grapefruit juice may increase the amount of fesoterodine in your bloodstream. Because of this, your doctor will prescribe only the 4 mg strength of fesoterodine tablets for you.
• If you buy any medicines or herbal remedies, always check with a pharmacist that they are suitable to take with fesoterodine. Some medicines (particularly antihistamines) and some herbal remedies (such as St John's wort) can increase the chance that you will experience unwanted effects such as a dry mouth, constipation and feeling sleepy.

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the common ones associated with fesoterodine. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

If you experience any other symptoms which you think may be due to the tablets, please speak with your doctor or pharmacist for further advice.

• Keep all medicines out of the reach and sight of children.
• Store in a cool, dry place, away from direct heat and light.