Trospium chloride 60 mg prolonged-release hard capsules What Trospium is used for : Trospium is a medicine used for the relaxation of the muscles of the urinary bladder. It is used for the treatment of symptoms associated with involuntary loss of urine and/or increased frequency of urination and/or urgency of urination in patients with an overactive urinary bladder. Do not take Trospium: If you have ever had an allergic reaction to trospium chloride or any of the other ingredients of this medicine. If you suffer from any of the following: urinary retention, i.e. blockage of the urinary tract, the eye condition narrow-angle glaucoma, abnormal/faster than normal heart beats, myasthenia gravis (a disorder that causes muscle fatigue), a severe gastro-intestinal condition, such as toxic megacolon, problems with your kidneys, severe problems with your liver. Warnings and precautions : Talk to your doctor of pharmacist before taking Trospium if you suffer from any of the following: any type of stomach or bowel obstruction, an impaired urine flow (e.g. in the case of benign tissue growth of the male prostate), neuropathy, i.e. nerve damage, a hiatus hernia associated with reflux esophagitis. This is usually associated with heartburn which worsens on bending or lying down, an overactive thyroid, any heart conditions, such as coronary artery disease or congestive heart failure, any liver problems. Do NOT give Trospium to children under 18 years of age. Possible side effects : Like all medicines, this medicine can cause side effects, although not everybody gets them. The following side effects have been reported for Trospium prolonged-release hard capsules: Dryness of the mouth Constipation, nausea, abdominal pain, indigestion, dry eyes, dry nose. Flatulence difficulty emptying the bladder, urinary retention, fast heart rate, palpitations, difficulty seeing objects close-up, rash, general feeling of weakness, urinary tract infection, headache. sporadic cases of hallucination, confusion and agitation. Other medicines and Trospium : Please tell your doctor or pharmacist if you are taking or have recently taken or might take any other medicines. Inform your doctor in particular if you are taking any of the following medicines: certain anti-depressants e.g. amitryptiline or imipramine some medicines for the treatment of asthma that may accelerate the heart rate (e.g. salbutamol) other medicines with anticholinergic action (e.g. amantadine - used to treat Parkinson’s disease) metoclopramide –medicine used for nausea and vomiting medicines containing guar, colestipol or colestyramine. How to take Trospium : Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure. Unless otherwise prescribed by your doctor, the usual daily dose is one Trospium prolonged-release capsule. Swallow one prolonged-release capsule whole with a glass of water. Take the capsule at least one hour before meal on an empty stomach. Your doctor will determine the duration of treatment. The need for continued treatment should be checked at regular intervals of 3-6 months. Patients with a kidney disorder should consult their doctor and not take this medicine. Patients with a liver disorder should consult their doctor before taking this medicine. How to store Trospium : 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 blister and the container after EXP. The expiry date refers to the last day of that month. This medicine does not require any special storage conditions. Do not use this medicine if you notice that the package has been damaged or shows signs of tampering. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment. A valid prescription should be available upon delivery

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