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Toviaz® Extended-Release Tablets for Overactive Bladder
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What Toviaz® Is and How It Works
Toviaz is the brand name for fesoterodine fumarate extended-release tablets used for overactive bladder (OAB). It helps reduce urgency, frequency, and urge incontinence. If you compare Toviaz price options, you may find Canadian pharmacy pricing more affordable, even without insurance. The active metabolite blocks muscarinic receptors in the bladder detrusor muscle and calms involuntary contractions. Tablets are taken once daily.
Youdrugstore is a licensed Canadian pharmacy headquartered in Manitoba. Licensed pharmacists review prescriptions before dispensing, and we offer brand and generic medicines at Canadian prices with online ordering, phone support where available, and customer-service chat during posted hours.
In some formularies you may see the listing as fesoterodine Toviaz. The drug class is antimuscarinic. Toviaz tablets are made by the Toviaz manufacturer, Pfizer. The most common strengths are 4 mg and 8 mg in an extended-release (ER) form that provides steady control throughout the day. The generic drug for Toviaz is fesoterodine fumarate ER.
Fesoterodine reduces acetylcholine-mediated activity at bladder M3 receptors, which lowers detrusor overactivity. This action improves bladder capacity and reduces symptoms over time. It does not treat stress incontinence. Toviaz is taken by mouth and should be swallowed whole with liquid.
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This page covers Toviaz prescription information such as dosing, onset, Toviaz side effects, and ways to manage Toviaz cost.
Dosage and Usage
- Starting dose: Many adults begin with Toviaz 4 mg ER once daily.
- Titration: If tolerated and additional benefit is needed, clinicians may increase to Toviaz 8 mg after assessing response.
- Maximum with strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): 4 mg once daily.
- Renal or hepatic impairment: Lower maximum doses may apply; clinicians adjust based on labeling and patient factors.
- Administration: Swallow tablets whole. Do not crush, split, or chew.
- With or without food: Either is acceptable. Take at the same time each day.
- Missed dose: Skip and take the next dose at the usual time. Do not double up.
- Ophthalmic/neurologic caution: Blurred vision or drowsiness can occur; use care with tasks that require alertness.
- Storage: Store at 20–25 °C (68–77 °F). Short excursions 15–30 °C (59–86 °F) are acceptable.
- Moisture: Keep tablets in the original bottle until use. Close cap tightly.
- Light: Protect from excessive light; keep in the provided container.
- Travel: Carry your medication in hand luggage with your prescription label.
- Refills: Set a reminder so you do not run out during trips.
- Shipping: Choose prompt, express shipping if you need delivery before travel.
Benefits and Savings
Toviaz reduces the number of urgency episodes and urinations per day. Some patients also see fewer incontinence events and better sleep due to less nocturia. The once-daily ER tablet is convenient, and two strength options allow dose adjustment.
Buying from Canada can reduce the price of Toviaz. Many customers report 60–80% savings versus typical U.S. prices. These savings can help when paying without insurance. Multi-month supplies and periodic bulk promotions may further lower the per-month cost.
For current offers, visit our toviaz coupon page.
We carry both brand and generic fesoterodine fumarate tablets, so you can compare Toviaz cost choices, including Toviaz 4 mg cost and Toviaz 8 mg cost, before ordering.
Side Effects and Safety
- Common: Dry mouth, constipation, dry eyes, blurred vision, dizziness, drowsiness, headache.
- Gastrointestinal: Indigestion, abdominal pain, nausea.
- Urinary: Difficulty urinating or urinary retention, especially in men with prostate enlargement.
- Infections: Urinary tract infection.
- Skin: Dry skin.
- Central nervous system: Fatigue, confusion (more likely in older adults).
Serious but uncommon risks include urinary retention, severe constipation or bowel obstruction, worsening of narrow-angle glaucoma, and allergic reactions such as angioedema. Heat prostration may occur in high temperatures due to reduced sweating. Do not use in people with urinary retention, gastric retention, or uncontrolled narrow-angle glaucoma. Toviaz does not affect blood sugar and is not known to increase hypoglycemia risk when used with insulin or sulfonylureas.
Onset Time
Some symptom relief can appear within 1–2 weeks as the dose stabilizes. Greater improvements often develop over 4–8 weeks. For many, maximum benefit is seen by 8–12 weeks at a tolerated dose. If response at 4 mg ER is modest and side effects are manageable, clinicians may consider Toviaz ER 8 mg for added benefit.
Compare With Alternatives
Myrbetriq (mirabegron) is a beta-3 agonist that relaxes the bladder without anticholinergic effects. It may suit patients who cannot tolerate dry mouth or constipation. Consider Myrbetriq® if blood pressure is well controlled and your prescriber recommends it.
Solifenacin is another antimuscarinic used for OAB. It has a similar once-daily schedule with different tolerability for some patients. Compare branded and generic options such as Vesicare® or solifenacin succinate when discussing alternatives.
Other choices include oxybutynin or tolterodine. Responses vary, so clinicians often trial one agent, then switch or combine if needed.
Combination Therapy
- Antimuscarinic plus beta-3 agonist: Toviaz with mirabegron can increase symptom control when monotherapy is inadequate.
- Behavioral therapy: Bladder training, timed voiding, fluid management, and pelvic floor exercises are often combined with medication.
- Dose adjustments: If adding or removing a strong CYP3A4 inhibitor, prescribers may limit or adjust the Toviaz dose.
- Anticholinergic load: Clinicians review other anticholinergic drugs to reduce additive side effects.
Patient Suitability and Cost-Saving Tips
Toviaz is used for adults with OAB symptoms of urgency, frequency, and urge incontinence. It is not indicated for stress incontinence. People with urinary retention, gastric retention, or uncontrolled narrow-angle glaucoma should not take it. Use caution in significant bladder outlet obstruction, moderate hepatic impairment, or reduced kidney function. Older adults may be more sensitive to cognitive or visual effects.
Pregnancy and breastfeeding data are limited. Pediatric use has not been established. Discuss current medications with your prescriber, especially strong CYP3A4 inhibitors or inducers, and other anticholinergic drugs.
To manage the price of Toviaz, compare brand and generic fesoterodine fumarate ER. Ordering a multi-month supply can lower the per-month Toviaz cost. Set reorder reminders so you do not miss doses. These steps can help if paying without insurance.
Names you may see include fesoterodine fumarate tablets, Toviaz ER 8 mg, and Toviaz 4 mg. Labeling and dosing guidance above provide high-level Toviaz prescription information; follow your prescriber’s directions.
Authoritative Sources
Pfizer product information for Toviaz
Health Canada Drug Product Database: Fesoterodine
FDA Prescribing Information for Toviaz
Order Toviaz® from Youdrugstore: add to cart, upload your prescription, and we ship with prompt, express shipping.
This material is for educational purposes only and does not replace professional medical advice. Always consult your healthcare provider about diagnosis and treatment choices.
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What is Toviaz used for?
Toviaz (fesoterodine) treats symptoms of overactive bladder, including urgency, frequent urination, and urge incontinence. It is an antimuscarinic medicine that helps relax bladder muscle contractions. Tablets are extended release and taken once daily. It does not treat stress incontinence caused by coughing, sneezing, or physical activity.
How long does Toviaz take to work?
Some people notice improvement within 1–2 weeks. Benefits often build over 4–8 weeks as the dose stabilizes, with many reaching maximum effect by about 8–12 weeks. If response at 4 mg is modest and tolerability is good, prescribers may consider increasing to the 8 mg strength.
What are common Toviaz side effects?
Common effects include dry mouth, constipation, dry eyes, blurred vision, dizziness, drowsiness, headache, and indigestion. Urinary retention can occur, especially in men with prostate enlargement. Serious but uncommon reactions include angioedema, severe constipation or bowel obstruction, and worsening of narrow-angle glaucoma.
What is the usual Toviaz dosage?
Many adults start with 4 mg once daily. If needed and tolerated, the dose may increase to 8 mg once daily. People taking strong CYP3A4 inhibitors generally should not exceed 4 mg. Tablets are extended release, so they should be swallowed whole and not split, crushed, or chewed.
How can I save on Toviaz without insurance?
Compare brand and generic fesoterodine fumarate ER. Buying through a Canadian pharmacy can reduce the price of Toviaz by 60–80% versus typical U.S. prices. Multi-month supplies may lower the per-month cost. You can also watch for promotions that may apply to your order.
What is the difference between Toviaz 4 mg and 8 mg?
Both are extended-release tablets. The 4 mg dose is a common starting point. If symptom control is not sufficient and side effects are manageable, prescribers may raise the dose to 8 mg. Some patients remain well controlled on 4 mg, while others need 8 mg for additional relief.
How much does Toviaz cost?
Toviaz price varies by strength, quantity, and whether you choose brand or generic. Many customers compare the 4 mg and 8 mg options and find meaningful savings through Canadian pharmacy pricing. Check current listings to see the price of Toviaz and choose the option that fits your prescription.