Shipping with this method takes 3-5 days
Detrol LA® Capsules for Overactive Bladder
Stock up and Save - Get 20% off when you buy 3 or more of any one product. Use code SAVE20 at checkout.
Coupon code cannot be combined with other offers. Sale applies to all products originating from Canada. Maximum allowable quantity equal to a 90 day supply per single order.
$69.99
Secure Encrypted Payments
Tolterodine is an antimuscarinic medicine used to treat overactive bladder symptoms. We offer tolterodine ER 4 mg without insurance with US delivery from Canada. This page explains how it works, who it’s for, and key safety points so you can compare options with your prescriber.
What Detrol LA Is and How It Works
Detrol LA® is the brand name for tolterodine extended-release capsules. It helps relax overactive bladder muscle by blocking specific cholinergic receptors in the bladder wall. That action can reduce urgency, frequency, and urge leakage. The generic contains the same active ingredient as the brand.
YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.
This treatment is part of the antimuscarinic class. It acts primarily on bladder receptors, though effects can occur in other tissues. Many people take it once daily because the extended-release design provides steady exposure over 24 hours.
To learn more about the condition, see our overview of Overactive Bladder and the article on Overactive Bladder Signs.
Who It’s For
This medicine is used for adults with overactive bladder symptoms, including urgency, frequent urination, and urge incontinence. The Detrol LA 4 mg capsule may be considered when daily control is needed. People with urinary retention, uncontrolled narrow-angle glaucoma, or severe gastric emptying problems should generally avoid antimuscarinics unless a prescriber advises otherwise.
Tell your clinician about liver or kidney issues, bladder outlet obstruction, gastrointestinal disorders, or a history of significant constipation. Share all medicines you take, including over-the-counter products and supplements.
Dosage and Usage
Follow your prescriber’s directions and the official label. Many adults start once daily, taken at the same time each day. Swallow capsules whole with water; do not crush or chew. You can take it with or without food. If side effects occur, your prescriber may consider a lower daily amount according to the label.
Some individuals take tolterodine ER 4 mg capsules as a standard daily regimen. Your clinician will decide if this extended-release option fits your needs. Do not change your dose on your own.
Tips: build a routine around meals or brushing teeth; set reminders; and keep a simple bladder diary to discuss progress at follow-ups.
Strengths and Forms
Tolterodine is available as extended-release capsules, commonly in 2 mg and 4 mg strengths. Immediate-release tablets also exist in widely used strengths. Availability may vary by manufacturer and market. The label and your prescription determine which product you receive.
Some patients are prescribed tolterodine tartrate ER 4 mg when the extended-release format is preferred for daily use. Check your dispensed product label for the exact strength and form.
Missed Dose and Timing
If you miss a dose, take it when you remember unless it is close to the time of your next dose. If it is nearly time for the next dose, skip the missed one and resume your usual schedule. Do not double up. Consistency helps support steady symptom control.
Storage and Travel Basics
Store capsules at room temperature in a dry place away from excess heat and moisture. Keep them in the original container with the label intact. Protect from light as directed by the manufacturer. Always store medicines out of reach of children and pets.
For travel, pack your medication in your carry-on with a copy of your prescription. Keep the labeled container for security checks. If crossing time zones, maintain a roughly consistent dosing interval based on your home schedule and ask your clinician for guidance if you are unsure.
Benefits
Antimuscarinic therapy can reduce urgency, frequency, and urge incontinence. The extended-release design supports once-daily convenience. Many people appreciate a steady daily schedule without multiple doses. This medicine can be used alone or after behavioral measures such as bladder training and pelvic floor exercises.
Side Effects and Safety
Common effects may include dry mouth, constipation, headache, abdominal discomfort, and dry eyes. Some people notice dizziness or blurred vision, especially at the start. These are often mild and may lessen after your body adjusts.
- Dry mouth and throat discomfort
- Constipation or hard stools
- Headache or dizziness
- Abdominal pain or indigestion
- Dry eyes or blurred vision
Serious but less common risks can include urinary retention, severe constipation, confusion, or allergic reactions. Seek urgent care for signs of swelling, rash, trouble breathing, or difficulty passing urine. If you use other medicines that affect the heart rhythm, your prescriber may monitor you more closely.
When used with certain bladder medicines, opioids, or other agents with anticholinergic properties, side effects may add up. If you also take an insulin or a sulfonylurea, discuss low blood sugar risk from those agents with your clinician; this medicine itself is not known to cause hypoglycemia.
Drug Interactions and Cautions
Strong CYP3A4 or CYP2D6 inhibitors can raise tolterodine levels. Examples include some macrolide antibiotics, azole antifungals, and certain antidepressants. Dose adjustments may be needed by your prescriber. Conversely, strong inducers may lower levels. Additive anticholinergic effects may occur with medicines for allergies, motion sickness, or irritable bowel that have similar properties.
Use caution if you have bladder outlet obstruction, gastrointestinal obstruction, or uncontrolled narrow-angle glaucoma. People with significant liver or kidney impairment may require specific dosing guidance per the label. Alcohol may increase dizziness or drowsiness in some patients.
For lifestyle context and non-drug measures, you can read Myrbetriq Alternatives and Myrbetriq Uses.
What to Expect Over Time
Many people notice gradual improvement in urgency and frequency with steady, daily use. Some benefits may be subtle at first. Keep taking it as directed unless your clinician advises a change. A simple bladder diary can help you track patterns and discuss adjustments during visits.
Hydration, caffeine moderation, and timed voiding may complement therapy. If you experience side effects that do not ease, contact your prescriber. Never stop or switch medicines without professional guidance.
Compare With Alternatives
Extended-release tolterodine is one option among bladder-control treatments. Beta-3 agonists like Myrbetriq work differently and may be considered if antimuscarinics are not a fit. Other antimuscarinics such as Oxybutynin or solifenacin are alternatives your prescriber may discuss. Some patients also add pelvic floor therapy, behavioral training, or fluid timing strategies for additional support.
Ask your clinician about relative side-effect profiles, including dry mouth and constipation, as these can vary across the class.
Pricing and Access
Canadian generic options can offer value for patients paying cash. If you search for the tolterodine 4 mg price, compare it with comparable generics and the brand to understand your options. We provide clear pricing and a simple checkout flow. You can also explore seasonal Promotions when available.
We provide US fulfilment that Ships from Canada to US. A prescription is required and verified before we dispense. If you have coverage, check your plan’s policies for reimbursement. If you pay out of pocket, multi-month fills may help reduce per-fill fees.
Availability and Substitutions
Availability can vary by manufacturer and time. If your specific product is not in stock, your prescriber may recommend a comparable alternative from the same class or a different class. Pharmacies dispense the exact medicine written on your prescription unless your prescriber or local rules allow a generic substitution.
Patient Suitability and Cost-Saving Tips
This therapy may suit adults with bothersome urgency, frequent urination, or urge leakage who can tolerate antimuscarinic effects. It may not suit people with urinary retention, severe gastric emptying issues, or uncontrolled narrow-angle glaucoma. Share all health conditions so your clinician can decide safely.
For savings, consider 60- or 90-day supplies if appropriate, use reminders to prevent lapses, and compare generic options. Patients sometimes look for tolterodine 4 mg extended release 24 hr when a stable daily option is preferred. Keep your medications in one place and set calendar alerts for refills.
Questions to Ask Your Clinician
- Is an antimuscarinic the right class for my symptoms?
- How should I time doses with my daily routine?
- What side effects should I watch for early on?
- Could other conditions or medicines raise my risk of problems?
- What lifestyle changes may enhance results?
- When should I schedule follow-up to review progress?
Authoritative Sources
For detailed prescribing information, consult these official sources:
- FDA Prescribing Information (tolterodine)
- Health Canada Product Monograph (tolterodine)
- DailyMed Label Database
Storage and Travel Basics
Keep this medicine at room temperature, away from moisture and direct sunlight. Do not store in a bathroom. Secure the container to prevent access by children. If you travel, bring enough medication plus a small buffer in case of delays. Keep your prescriber’s contact details handy for any questions while away.
Use a pill organizer if it helps with routine. If you need to switch time zones, aim for consistency and consult your clinician for detailed advice.
Drug Interactions and Cautions
Share a complete medication list at each visit. Inform your prescriber about new over-the-counter drugs, vitamins, or herbal products, including St. John’s wort or antihistamines, as these can interact or add to side effects. If you experience confusion, eye pain, or an inability to urinate, seek care promptly.
For broader urology topics and related products, browse our Urology section or read about Urinary Incontinence.
Ready to proceed? Place your order with prompt US shipping from Canada. Information here is educational and not a substitute for professional medical advice. Always follow your prescriber’s directions and the official label.
Express Shipping - from $25.00
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
How does tolterodine work compared with other bladder medicines?
Tolterodine reduces involuntary bladder contractions by blocking certain muscarinic receptors in the bladder wall. That helps lessen urgency, frequency, and urge incontinence. Oxybutynin acts on similar receptors but may differ in tolerability for some people. Mirabegron (a beta-3 agonist) works differently by relaxing the bladder muscle via a separate pathway. Your clinician will consider your symptoms, other conditions, and prior responses when recommending a treatment approach.
Can I drink alcohol while taking this medicine?
Alcohol can increase dizziness or drowsiness in some people taking antimuscarinics. If you choose to drink, do so cautiously until you know how the therapy affects you. Avoid activities that require clear focus if you feel sedated. People with liver issues, interaction risks, or a history of falls should discuss alcohol use with a clinician. If you experience worsening side effects, contact your prescriber for guidance.
What if I have liver or kidney problems?
People with significant hepatic or renal impairment may require specific dosing guidance or additional monitoring, as published in the official label. Your clinician may adjust therapy or choose a different option depending on your situation and other medicines. Always share recent lab results, current prescriptions, and over-the-counter products. Do not change your dose without medical advice, and report notable side effects promptly.
Does this treatment cause dry mouth or constipation?
Dry mouth and constipation are common with antimuscarinics. Staying hydrated, using sugar-free gum or lozenges, adding fiber, and maintaining physical activity may help. If symptoms remain troublesome, speak with your clinician. They may suggest adjustments, supportive measures, or a different therapy. Seek care urgently for severe constipation, abdominal pain with vomiting, or inability to pass urine.
How long before symptoms improve with tolterodine?
Responses vary. Many people notice gradual changes over time with steady daily use. Early effects can be subtle before becoming more noticeable. A bladder diary can help you track changes in urgency, frequency, and leakage. If you do not feel better or if side effects are hard to tolerate, contact your prescriber. They may recommend alternative strategies or another medicine based on your goals and medical history.
Can I open or crush the capsule?
Extended-release capsules are designed to release medicine slowly over the day. Crushing, chewing, or opening can affect how the drug is released and may raise side effects. Swallow capsules whole with water. If you have difficulty swallowing, discuss options with your clinician. They can review alternative forms or other therapies that better match your needs and safety profile.
What should I discuss with my clinician before starting?
Share your full medical history, including glaucoma, urinary retention, gastric emptying problems, constipation, liver or kidney disease, and any heart rhythm concerns. Provide an updated list of all medicines, supplements, and allergy history. Ask about potential side effects, expected benefits, and when to follow up. Clarify what to do if you miss a dose or experience intolerable effects. This helps tailor a safe and practical plan.
