An overactive bladder can cause a lot of problems for the patient, significantly reducing his quality of life. A person suffers from frequent urination, frequent night trips to the toilet and discomfort in the lower abdomen. To regulate this process, doctors prescribe medications that reduce bladder tone. One of the most affordable drugs in this category is the drug “Urotol”. Reviews, analogues and instructions for its use - we will consider these topics in our article.
Release form and composition
This drug is available in the form of white or yellow tablets. The medicine is produced by a Czech pharmaceutical company. It is supplied to pharmacies in white cardboard boxes. One package contains 2 or 4 blisters of 14 tablets. Its cost is, as a rule, 600-800 rubles, varying depending on the region.
How does the instructions for use describe the composition of the drug "Urotol"? It is worth noting that the manufacturer produces 2 versions of this product, which differ in the concentration of the active substance. It is tolterodine hydrogen tartrate. Yellow tablets contain 1 mg, and white tablets contain 2 mg. Auxiliary components are microcrystalline cellulose, silicon dioxide, sodium stearyl fumarate. The tablets are available in a round, biconvex shape. They are coated with a coating consisting of talc, hypromellose, macrogol and titanium dioxide. Yellow pills additionally contain food coloring.
Indications for use
Treatment with Urotol, analogues of which have similar indications for use, is possible only after consultation with a specialist. As a rule, doctors prescribe it for disorders of the urinary system that cause frequent and uncontrollable urination. It is often prescribed when the patient is unable to retain fluid in the body. Moreover, before using the drug, it is necessary to exclude possible organic causes of urination, since Urotol will not be able to cope with them. This medication gradually stimulates the muscle tone of the excretory tract, which helps stabilize the deurination process.
special instructions
Treatment with Urotol during pregnancy is possible only when the expected benefits of therapy significantly outweigh the risks to the life of the fetus.
It is necessary to avoid prescribing the drug during the period when lactation occurs.
Urotol is not prescribed to children, since to date the effectiveness and safety of this drug in this category of patients has been little studied.
While taking Urotol, precautions must be taken when driving vehicles and other activities requiring attention.
Contraindications
This drug, unfortunately, is not suitable for all patients. Since the instructions for Urotol tablets describe them as a medicine that slows down the functioning of the excretory system, it should not be used by patients suffering from difficulty urinating. If the deurination process is delayed, then most likely the medicine will only worsen the situation. Children under 18 years of age should not take this medicine. Doctors rarely prescribe it to pregnant women, because the drug’s harmlessness to the developing fetus has not yet been proven. It is recommended for use only if the benefits of therapy outweigh the possible risks. It is strictly contraindicated to use Urotol during breastfeeding.
The instructions for use do not recommend taking Urotol for people suffering from severe ulcerative colitis. Closed glaucoma, which cannot be treated, and myasthenia gravis (muscle fatigue) are two more reasons why patients will have to choose another drug for treatment. The drug is prescribed with caution and in small quantities to patients with neuropathy, kidney, liver and stomach problems.
Driptan
The drug Driptan is available in the form of tablets with the main substance oxybutynin hydrochloride. The drug promotes:
- relaxing the muscles of the bladder (UB), increasing its capacity;
- reducing the frequency of contractions of the organ walls;
- eliminating spasm.
The effect of the medication occurs an hour after taking it. Driptan is prescribed for the treatment of urge urinary incontinence, which occurs due to increased activity of the bladder, or previous illnesses or surgical interventions on the organ. The drug is also used to treat enuresis in children over 5 years of age.
Driptan has the following contraindications:
- chronic inflammatory disease of the colon mucosa;
- various types of urine outflow disorders;
- period of gestation and breastfeeding;
- myasthenia gravis;
- retrograde reflux of stomach contents through the lower esophageal sphincter into the esophagus;
- intestinal obstruction.
Based on the fact that the medication has a number of contraindications, it is not recommended to use it on its own. Driptan is used only on the recommendation of a specialist, who also prescribes the required dosage individually for each patient.
Average dose: 1 pill 2 or 3 times a day for adult patients and half a tablet twice a day for children.
Side effects:
- loss of appetite;
- pain in the abdominal area;
- difficulty and discomfort arising during the act of swallowing;
- nausea;
- vomit;
- disruption of the process of urine excretion;
- increased heart rate, accompanied by pain;
- heart rhythm disturbance;
- headache;
- dizziness.
The medicine is dispensed from the pharmacy only with a prescription.
Side effects
The risk of side effects is an inherent part of taking any drug. Urotol was no exception. Its analogues, as a rule, have similar accompanying symptoms. If they appear, you should stop taking the medication and seek advice from your doctor. According to statistics, patients are most often susceptible to the following side effects:
- various allergic reactions, and in rare cases, angioedema may occur;
- disturbances of consciousness, expressed in increased nervousness, drowsiness, dizziness and headaches, hallucinations appear much less frequently;
- increasing dryness in the eyes and the appearance of false myopia;
- tachycardia (rapid heartbeat), a feeling of tightness in the chest, less often - arrhythmia;
- dry mouth and regular abdominal pain, followed by vomiting, flatulence and constipation;
- dry skin;
- urinary retention and swelling of the extremities;
- With long-term use, a significant increase in body weight may occur.
Tablets "Urotol": instructions for use
Before you start taking the medicine, you need to visit a doctor who will tell you in detail how to take the pills correctly. The general procedure for using the drug is also described in detail in the instructions for use. "Urotol" can be taken regardless of food intake in the morning and evening, 2 mg at a time. The patient should swallow the tablet whole with a small amount of water. If individual intolerance to the drug is detected or if there are problems with the kidneys and liver, the dosage is reduced to 2 mg per day, that is, 1 mg at a time. They take the medicine in courses, repeating them approximately every 2-3 months.
Due to the side effects that Urotol causes, its use makes it impossible for a patient to drive a car. Doctors also recommend that women of childbearing age especially carefully monitor the contraceptives they use while taking the drug.
Consequences of overdose
You must take the medicine strictly according to the instructions. According to research, overdose symptoms begin to appear with a single use of 12 mg of the drug "Urotol". Its analogues, by the way, have similar signs of intoxication, since they all contain the same active substance in their composition. When consuming a dose many times higher than the permissible limit, the following symptoms appear:
- dilated pupils;
- the appearance of myopia and accommodation paresis;
- urinary retention and frequent painful urge to urinate;
- confusion, expressed by increased agitation and hallucinations;
- tachycardia and difficulty breathing;
- convulsions.
If an overdose is suspected, doctors immediately prescribe gastric lavage, and then give the patient a large amount of activated charcoal to drink. For convulsions and hallucinations, patients additionally take sedatives. If a person begins to choke, he is connected to a ventilator. It is recommended to keep patients in a dark room and to administer pilocarpine drops into the eyes. In case of prolonged absence of urination, fluid is removed from the body using a catheter.
"Vesicar"
Produced in the Netherlands, tablets with dosages of solifenacin succinate of 5 and 10 mg have an antispasmodic effect and are used to eliminate symptoms of urinary incontinence.
The drug should not be used in childhood, with severe damage to the stomach and intestines, kidney and liver failure. The possibility of using Vesicare with a single daily dosage attracts consumers and gives a lot of positive feedback.
The use of the Spazmex analogue, Vesicare, according to the instructions, alleviates the patient’s condition in the first days of use, and stable stabilization occurs after three to four weeks.
Analogues of the drug "Urotol"
Many drugs have several analogues, which practically do not differ from each other in composition. Their main difference is the manufacturer and cost. Russian pharmaceutical companies, as a rule, produce identical medicines much cheaper than imported ones. Manufactured by a Czech company, it also has several high-quality analogues. We list the main ones:
- "Driptan";
- "Detrusitol";
- "Roliten";
- "Spazemex";
- "Cistenal";
- "Urohol."
Tablets "Roliten"
Urotol cannot be called a budget medicine. Analogues cheaper than this drug can be easily found from other manufacturers. Thus, the cost of Roliten, produced by an Indian pharmaceutical company, is approximately 450 rubles per package. The medication is available in the form of film-coated tablets or capsules. Its side effects and contraindications are identical to Urotol, but it is prohibited for pregnant women to use.
Reviews from people taking this drug note its rapid effectiveness and affordable price. At the same time, patients get used to Roliten, after which it practically ceases to have a positive effect on the body. Due to its low cost, it sells out quickly, so it is not available in all pharmacies. In addition, counterfeits of this product are often found on the Russian market.
Bottom line
All of the above medications are highly effective and can eliminate urinary incontinence as quickly as possible. But despite the positive aspects, these medications also have unwanted drug reactions.
Spazmex has some advantages as the owner of an improved substance.
- Does not penetrate the central nervous system and does not cause corresponding side effects (sleep disturbances, attention problems).
- Also, trospium chloride is the only analogue that is practically not metabolized in the liver. Therefore, Spazmex can be used with other medications.
- Due to the accumulation of the active substance in the MP before its removal, an effect on the muscles of the organ occurs and the therapeutic effect is enhanced. The so-called double effect (source No. 5).
Detrusitol tablets
"Detrusitol" is an effective drug, the principle of action of which is the same as the drug "Urotol". Russian analogues are almost never found in pharmacies, but there are many similar products produced in Asia and Europe. Thus, “Detrusitol” is produced in Italy. User reviews note its greater efficiency, but it is a little more expensive than its analogues. Its active ingredient is an improved tolterodine L-tartrate, which has an increased concentration. Therefore, it is prohibited for pregnant and lactating women, children and adolescents. The drug is available in both tablets and capsules. Side effects, contraindications and symptoms of overdose are practically no different from Urotol.
Reviews about the drug
Because of its effectiveness, Urotol is in demand among patients suffering from frequent urination. After taking a course of the drug, they rush to share their experience and leave reviews about the medication. As a rule, users were satisfied with this tool. They point out the following advantages:
- an effective remedy that helps only after a long course of treatment;
- cases of side effects are extremely rare;
- availability of the drug, you can buy it at any pharmacy, unlike analogues, which are much more difficult to find.
However, some people note the low effectiveness of the medicine. They write that they took it for several months or six months, but the drug did not relieve them of their unpleasant symptoms. A large number of side effects discourages many patients, and they prefer to choose a safer remedy. Reviews say that when taken, patients experience dry mouth and painful redness of the eyes. In addition, the medicine relieves symptoms well, but does not cure the disease itself. Therefore, after stopping its use, the problem returns again.
"Urotol", analogues of which were also discussed in the article, when taken correctly can be a good remedy against frequent urination. In order not to harm yourself, you need to take it strictly according to the instructions and only after consulting with your doctor.
Types of incontinence
Medicines are used to treat all types of this disease. The greatest effect of treatment is observed in patients with urgency incontinence, which occurs with an imperative urge to urinate. At the same time, the woman feels the need to urinate immediately and cannot postpone urination even for a short time. Medications for urinary incontinence in women are prescribed to increase the functional capacity of the bladder and reduce its contractile activity. Overflow incontinence is also known, which develops in older people suffering from diseases of the genitourinary organs, and is caused by overdistension of the bladder due to long-existing obstructions to the outflow of urine. With mixed incontinence, there is a combination of signs of stress and urgent forms of urinary incontinence. Stress incontinence occurs in conditions that are accompanied by increased intra-abdominal pressure. In some cases, pathology develops under the influence of external factors (acute cystitis, constipation, alcohol intoxication) and disappears after their elimination. This type of incontinence is called temporary.
