Toviaz - patient leaflet, side effects, dosage

Patient leaflet - Toviaz

1. What TOVIAZ is and what it is used for

TOVIAZ contains an active substance called fesoterodine fumarate, and is a so called antimuscarinic treatment which reduces the activity of an overactive bladder and it is used in adults to treat the symptoms.

TOVIAZ treats the symptoms of an overactive bladder such as

not being able to control when you empty your bladder (called urgency incontinence)
suddenly needing to empty your bladder (called urgency)
having to empty your bladder more often than usual (called increased urinary frequency)

2. What you need to know before you take TOVIAZ

Do not take TOVIAZ:

– if you are allergic to fesoterodine or to peanut or soya or to any of the other ingredients of TOVIAZ (listed in section 6) (see section 2, “TOVIAZ contains lactose and soya oil”)
– if you are not able to completely empty your bladder (urinary retention)
– if your stomach empties slowly (gastric retention)
– if you have an eye disease called narrow angle glaucoma (high pressure in the eye), which is not under control
– if you have excessive weakness of the muscles (myasthenia gravis)
– if you have ulceration and inflammation of the colon (severe ulcerative colitis)
– if you have an abnormally large or distended colon (toxic megacolon)
– if you have severe liver problems.
– if you have kidney problems or moderate to severe liver problems and are taking medicines containing any of the following active substances: itraconazole or ketoconazole (used to treat fungal infections), ritonavir, atazanavir, indinavir, saquinavir or nelfinavir (antiviral medicine for treating HIV), clarithromycin or telithromycin (used to treat bacterial infections) and nefazodone (used to treat depression)

Warnings and Precautions

Fesoterodine may not always be suitable for you. Talk to your doctor before taking TOVIAZ, if any of the following apply to you:

– if you have difficulties in completely emptying your bladder (for example due to prostate enlargement)
– if you ever experience decreased bowel movements or suffer from severe constipation
– if you are being treated for an eye disease called narrow angle glaucoma
– if you have serious kidney or liver problems, your doctor may need to adjust your dose
– if you have a disease called autonomic neuropathy which you notice from symptoms such as

changes in your blood pressure or disorders in the bowel or sexual function

– if you have a gastrointestinal disease that affects the passage and/or digestion of food
– if you have heartburn or belching.
– if you have an infection of the urinary tract, your doctor may need to prescribe some antibiotics

Heart problems: Talk to your doctor if you suffer from any of the following conditions

– you have an ECG (heart tracing) abnormality known as QT prolongation or you are taking any medicine known to cause this
– you have a slow heart rate (bradycardia)
– you suffer from heart disease such as myocardial ischaemia (reduced blood flow to the heart

muscle), irregular heartbeat or heart failure

– you have hypokalaemia, which is a manifestation of abnormally low levels of potassium in your blood.

Children and adolescents

Do not give this medicine to children and adolescents below 18 years of age because it is yet to be established whether it would work for them and whether it would be safe.

Other medicines and TOVIAZ

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Your doctor will tell you whether you can take TOVIAZ with other medicines.

Please inform your doctor if you are taking medicines according to the following list. Taking them at the same time as fesoterodine may make side effects such as dry mouth, constipation, difficulty in completely emptying your bladder or drowsiness more serious or occur more often.

– medicines containing the active substance amantadine (used to treat Parkinson’s disease).
– certain medicines used to enhance gastrointestinal motility or to relieve stomach cramps or spasm and to prevent travel sickness like medicines containing metoclopramide.
– certain medicines used to treat psychiatric diseases, like anti-depressives and neuroleptics.

Please also inform your doctor if you are taking any of the following medicines:

– medicines containing any of the following active substances may increase the break-down of fesoterodine and thus decrease its effect: St. John’s Wort (herbal medicinal product), rifampicin (used to treat bacterial infections), carbamazepine, phenytoin and phenobarbital (used, among others, to treat epilepsy).
– medicines containing any of the following active substances may increase the blood levels of fesoterodine: itraconazole or ketoconazole (used to treat fungal infections), ritonavir, atazanavir, indinavir, saquinavir or nelfinavir (antiviral medicine for treating HIV), clarithromycin or telithromycin (used to treat bacterial infections), nefazodone (used to treat depression), fluoxetine or paroxetine (used to treat depression or anxiety), bupropion (used for smoking cessation or to treat depression), quinidine (used to treat arrhythmias) and cinacalcet (used to treat hyperparathyroidism).
– medicines containing the active substance methadone (used in the treatment of severe pain and abuse problems).

Pregnancy and breast-feeding

You should not take TOVIAZ if you are pregnant, as the effects of fesoterodine on pregnancy and the unborn baby are not known.

It is not known whether fesoterodine is excreted into human milk; therefore, do not breast-feed during treatment with TOVIAZ.

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Driving and using machines

TOVIAZ can cause blurred vision, dizziness, and sleepiness. If you experience any of these effects, do not drive or use any tools or machines.

TOVIAZ contains lactose and soya oil

TOVIAZ contains lactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

TOVIAZ contains soya oil. If you are allergic to peanut or soya, do not use this medicinal product.

3. How to take TOVIAZ

Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.

The recommended starting dose of TOVIAZ is one 4 mg tablet a day. Based on how you respond to the medicine, your doctor may prescribe you a higher dose; one 8 mg tablet a day.

You should swallow your tablet whole with a glass of water. Do not chew the tablet. TOVIAZ can be taken with or without food.

To help you remember to take your medicine, you may find it easier to take it at the same time every day.

If you take more TOVIAZ than you should

If you have taken more tablets than you have been told to take, or if someone else accidentally takes your tablets, contact your doctor or hospital for advice immediately. Show them your pack of tablets.

If you forget to take TOVIAZ

If you forget to take a tablet, take your tablet as soon as you remember, but do not take more than one tablet in one day. Do not take a double dose to make up for a forgotten tablet.

If you stop taking TOVIAZ

Do not stop taking TOVIAZ without talking to your doctor, as your symptoms of overactive bladder may come back again or become worse once you stop taking TOVIAZ.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Some side effects could be serious

Serious allergic reactions including angioedema occurred rarely. You should stop taking TOVIAZ and contact your doctor immediately if you develop swelling of the face, mouth or throat.

Other side effects

Very common (may affect more than 1 in 10 people)

You may get a dry mouth. This effect is usually mild or moderate. This may lead to a greater risk of dental caries. Therefore, you should brush your teeth regularly twice daily and see a dentist when in doubt.

Common (may affect up to 1 in 10 people)

dry eye
constipation
trouble digesting food (dyspepsia)
straining or pain when emptying the bladder (dysuria)
dizziness
headache
pain in the stomach
diarrhoea
feeling sick (nausea)
difficulty sleeping (insomnia)
dry throat

Uncommon (may affect up to 1 in 100 people)

urinary tract infection
sleepiness (somnolence)
difficulty tasting (dysgeusia)
vertigo
rash
dry skin
itching
an uncomfortable feeling in the stomach
wind (flatulence)
difficulty in completely emptying the bladder (urinary retention)
delay in passing urine (urinary hesitation)
extreme tiredness (fatigue)
increased heart beat (tachycardia)
palpitations
liver problems
cough
nasal dryness
throat pain
stomach acid reflux
blurred vision

Rare (may affect up to 1 in 1,000 people)

urticaria
confusion

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system listed in

Appendix V. By reporting side effects you can help provide more information on the safety of this medicine.

5. How to store TOVIAZ

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the carton and the blister after “EXP”.

The expiry date refers to the last day of that month.

Do not store above 25°C.

Store in the original package in order to protect from moisture.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

6. Contents of the pack and other information

What TOVIAZ contains

The active substance is fesoterodine fumarate.

TOVIAZ 4 mg

Each prolonged-release tablet contains 4 mg fesoterodine fumarate, equivalent to 3.1 mg of fesoterodine.

TOVIAZ 8 mg

Each prolonged-release tablet contains 8 mg fesoterodine fumarate, equivalent to 6.2 mg of fesoterodine.

The other ingredients are:

What TOVIAZ looks like and contents of the pack

TOVIAZ 4 mg prolonged-release tablets are light blue, oval, curved outwards on both sides, film-coated tablets, and engraved on one side with the letters ‘FS’.

TOVIAZ 8 mg prolonged-release tablets are blue, oval, curved outwards on both sides, film-coated tablets, and engraved on one side with the letters ‘FT’.

TOVIAZ is available in blister packs of 7, 14, 28, 30, 56, 84, 98 and 100 prolonged-release tablets. In addition, TOVIAZ is also available in HDPE bottles containing 30 or 90 tablets.

Please note that not all the above pack sizes may be marketed.

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder:

Pfizer Europe MA EEIG

Boulevard de la Plaine 17 1050 Bruxelles

Belgium

Manufacturer:

R- Pharm Germany GmbH Heinrich- Mack- Str. 35, 89257 Illertissen Germany

Pfizer Manufacturing Deutschland GmbH Betriebsstätte Freiburg Mooswaldallee 1

79090 Freiburg

Germany

For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder:

België /Belgique / Belgien

Pfizer S.A./ N.V.

Tél/Tel: +32 (0)2 554 62 11

Luxembourg/Luxemburg

Pfizer S.A.

Tél/Tel: +32 (0)2 554 62 11

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Ten.: +359 2 970 4333

Magyarország

Pfizer Kft.

Tel.: + 36 1 488 37 00

Česká Republika

Pfizer, spol. s r.o.

Tel: +420 283 004 111

Malta

Vivian Corporation Ltd.

Tel: +356 21344610

Danmark

Pfizer ApS

Tlf: +45 44 20 11 00

Nederland

Pfizer bv

Tel: +31 (0)10 406 43 01

Deutschland

Pfizer Pharma GmbH

Tel: +49 (0)30 550055 51000

Norge

Pfizer AS

Tlf: +47 67 52 61 00

Eesti

Pfizer Luxembourg SARL Eesti filiaal

Tel: +372 666 7500

Österreich

Pfizer Corporation Austria Ges.m.b.H.

Tel: +43 (0)1 521 15–0

EXXáóa

Pfizer EZZàç A.E.

TnX: +30 210 6785800

Polska

Pfizer Polska Sp. z o.o.

Tel.: +48 22 335 61 00

España

Pfizer S.L.

Tel: +34 91 490 99 00

Portugal

Laboratórios Pfizer, Lda.

Tel: +351 21 423 5500

France

Pfizer

Tél: +33 (0)1 58 07 34 40

România

Pfizer România S.R.L.

Tel: +40 (0)21 207 28 00

Hrvatska

Pfizer Croatia d.o.o.

Tel: +385 1 3908 777

Slovenija

Pfizer Luxembourg SARL, Pfizer, podružnica za svetovanje s področja farmacevtske dejavnosti, Ljubljana

Tel: + 386 (0)1 52 11 400

Ireland

Pfizer Healthcare Ireland

Slovenská republika

Pfizer Luxembourg SARL, organizačná zložka

Tel: +421–2–3355 5500

Tel: 1800 633 363 (toll free) Tel: +44 (0)1304 616161

Island

Icepharma hf.

Simi: + 354 540 8000

Suomi/Finland

Pfizer Oy

Puh/Tel: +358(0)9 43 00 40

Italia

Pfizer S.r.l.

Tel: +39 06 33 18 21

Sverige

Pfizer AB

Tel: +46 (0)8 550 520 00

Knnpog

Pfizer EXXag A.E. (Cyprus Branch)

Tql: +357 22 817690

United Kingdom (Northern Ireland)

Pfizer Limited

Tel: +44 (0)1304 616161

Latvija

Pfizer Luxembourg SARL, filiale Latvija

Tel: +371 670 35 775

Lietuva

Pfizer Luxembourg SARL, filialas Lietuvoje

Tel. +3705 2514000

This leaflet was last revised in

Other sources of information

Detailed information on this medicine is available on the European Medicines Agency web site:.