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Fesoterodine Fumarate, Oral fess-oh-TER-oh-deen FOO-mar-ate

What are other names for this medicine?

Type of medicine: anticholinergic; muscarinic receptor antagonist

Generic and brand names: fesoterodine fumarate, oral; Toviaz

What is this medicine used for?

This medicine is taken by mouth to treat overactive bladder. With this condition you may feel the need to urinate more often than usual or may not be able to control urination and leak urine.

What should my healthcare provider know before I take this medicine?

Before taking this medicine, tell your healthcare provider if you have ever had:

  • an allergic reaction to any medicine
  • glaucoma
  • kidney or liver disease
  • myasthenia gravis
  • prostate problems or trouble urinating
  • stomach problems that keeps you from digesting food properly, severe constipation, or intestinal blockage

Females of childbearing age: Talk with your healthcare provider if you are pregnant or plan to become pregnant. It is not known whether this medicine will harm an unborn baby. Do not breast-feed while taking this medicine without your healthcare provider's approval.

How do I take it?

Check the label on the medicine for directions about your specific dose. Take this medicine exactly as your healthcare provider prescribes. Do not take more or less or take it longer than prescribed.

This medicine is an extended-release form. Swallow extended-release tablets whole with water. Do not break, crush, or chew the tablets. You may take this medicine with or without food. Taking it with meals may lessen the chance the drug will upset your stomach.

What if I miss a dose?

If you miss a dose, take it as soon as you remember unless it is almost time for the next scheduled dose. In that case, skip the missed dose and take the next one as directed. Do not take double doses. If you are not sure of what to do if you miss a dose, or if you miss more than one dose, contact your healthcare provider.

What if I overdose?

If you or anyone else has intentionally taken too much of this medicine, call 911 or go to the emergency room right away. If you pass out, have seizures, weakness or confusion, or have trouble breathing, call 911. If you think that you or anyone else may have taken too much of this medicine, call the poison control center. Do this even if there are no signs of discomfort or poisoning. The poison control center number is 800-222-1222.

Symptoms of an acute overdose may include: dry mouth, drowsiness, blurred vision, fast or irregular heartbeat.

What should I watch out for?

Do not take this medicine if you are not able to urinate.

This medicine may cause blurred vision and drowsiness. Do not drive or operate machinery until you are fully alert and your vision is clear.

This medicine may make you sweat less than normal. Be careful in hot weather or when exercising or using a hot tub or sauna.

Dry mouth is a common side effect of this medicine. If it becomes bothersome, tell your healthcare provider.

This medicine may make you constipated. You may need to take a laxative or stool softener while taking this medicine. Talk with healthcare provider or pharmacist about this.

You may feel drowsy while taking this medicine. Drinking alcohol may make it worse. Do not drink alcohol unless your healthcare provider approves.

Adults over the age of 75 may be at greater risk for side effects. Talk with your healthcare provider about this.

If you need emergency care, surgery, or dental work, tell the healthcare provider or dentist you are taking this medicine.

What are the possible side effects?

Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your healthcare provider if you have any side effects that continue or get worse.

Life-threatening (Report these to your healthcare provider right away. If you cannot reach your healthcare provider right away, get emergency medical care or call 911 for help): Allergic reaction (hives; itching; rash; trouble breathing; tightness in your chest; swelling of your lips, tongue, and throat).

Serious (report this to your healthcare provider right away): Trouble urinating, fast or irregular heartbeat.

Other: Dry mouth or eyes, blurred vision, headache, dizziness, heartburn, nausea, vomiting, constipation, drowsiness, trouble sleeping, joint pain.

What products might interact with this medicine?

When you take this medicine with other medicines, it can change the way this or any of the other medicines work. Nonprescription medicines, vitamins, natural remedies, and certain foods may also interact. Using these products together might cause harmful side effects. Talk to your healthcare provider if you are taking:

  • antibiotics such as clarithromycin (Biaxin), isoniazid, and telithromycin (Ketek)
  • antidepressants such as amitriptyline, desipramine (Norpramin), doxepin, imipramine (Tofranil), nefazodone, and nortriptyline (Pamelor)
  • antifungals such as itraconazole (Sporanox), ketoconazole (Nizoral), and miconazole
  • anti-HIV medicines such as indinavir (Crixivan), ritonavir (Norvir), and saquinavir (Invirase)
  • heart medicines such as nicardipine (Cardene, Cardene SR) and quinidine
  • imatinib (Gleevec)
  • other anticholinergic medicines such as atropine sulfate, benztropine (Cogentin), dicyclomine (Bentyl), hyoscyamine (Levsin), methscopolamine (Pamine), propantheline, trihexyphenidyl, and scopolamine

If you are not sure if your medicines might interact, ask your pharmacist or healthcare provider. Keep a list of all your medicines with you. List all the prescription medicines, nonprescription medicines, supplements, natural remedies, and vitamins that you take. Be sure that you tell all healthcare providers who treat you about all the products you are taking.

How should I store this medicine?

Store this medicine at room temperature. Keep the container tightly closed. Protect it from heat, high humidity, and bright light.


This advisory includes selected information only and may not include all side effects of this medicine or interactions with other medicines. Ask your healthcare provider or pharmacist for more information or if you have any questions.

Ask your pharmacist for the best way to dispose of outdated medicine or medicine you have not used. Do not throw medicine in the trash.

Keep all medicines out of the reach of children.

Do not share medicines with other people.


Developed by RelayHealth.
Medication Advisor 2012.1 published by RelayHealth.
Last modified: 2011-12-15
Last reviewed: 2010-06-18
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
© 2012 RelayHealth and/or its affiliates. All rights reserved.
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