Tolterodine is used to treat the symptoms of an overactive bladder. These are:
urinary frequency (a need to pass water often), urinary urgency (a need to pass
water urgently) and urinary incontinence (a lack of control over passing water).
Tolterodine works by reducing the muscle contractions that cause these symptoms.
(source:
http://www.patient.co.uk/)
Tolterodine is a competitive muscarinic receptor antagonist. Both urinary
bladder contraction and salivation are mediated via cholinergic muscarinic
receptors. After oral administration, tolterodine is metabolized in the liver,
resulting in the formation of the 5-hydroxymethyl derivative, a major
pharmacologically active metabolite. The 5-hydroxymethyl metabolite, which
exhibits an antimuscarinic activity similar to that of tolterodine, contributes
significantly to the therapeutic effect. Both tolterodine and the
5-hydroxymethyl metabolite exhibit a high specificity for muscarinic receptors,
since both show negligible activity or affinity for other neurotransmitter
receptors and other potential cellular targets, such as calcium channels.
Tolterodine has a pronounced effect on bladder function. The main effects of
tolterodine are an increase in residual urine, reflecting an incomplete emptying
of the bladder, and a decrease in detrusor pressure, consistent with an
antimuscarinic action on the lower urinary tract. For the treatment of
overactive bladder (with symptoms of urinary frequency, urgency, or urge
incontinence)
(source: http://www.mongabay.com)
Muscarinic antagonists
Product
|
CAS
RN
|
Atropine |
51-55-8 |
Scopolamine
|
51-34-3
|
Scopolamine
hydrochloride |
55-16-3 |
Quinidine |
56-54-2 |
Dicyclomine
hydrochloride |
67-92-5 |
Procyclidine |
77-37-2 |
Dicycloverine |
77-19-0 |
Orphenadrine |
83-98-7 |
Benztropine
|
86-13-5 |
Trihexyphenidyl |
144-11-6 |
Butylscopolamine bromide |
149-64-4 |
Propantheline
|
298-50-0 |
Benactyzine |
302-40-9 |
Cyclopentolate |
512-15-2 |
Biperiden |
514-65-8 |
Glycopyrrolate |
596-51-0 |
Tropicamide |
1508-75-4 |
Oxybutynin chloride |
1508-65-2 |
Procyclidine
hydrochloride |
1508-76-5 |
Quinidine
hydrochloride |
1668-99-1 |
Oxybutynin |
5633-20-5 |
Scopolamine Hydrobromide |
6533-68-2 |
Quinuclidinyl benzilate |
6581-06-2 |
Butylscopolamine
|
7182-53-8 |
Trospium chloride |
10405-02-4 |
Oxyphenonium
|
14214-84-7 |
Scopolamine
nonylmethansulfonate |
19032-53-2 |
Dexetimide |
21888-98-2 |
Dexetimide
hydrochloride |
21888-96-0 |
Otilonium iodide
|
26095-58-9 |
Otilonium bromide |
26095-59-0 |
Emepronium
|
27892-33-7 |
Pirenzepine |
28797-61-7 |
Pirenzepine
hydrochloride |
29868-97-1 |
Oxitropium bromide |
30286-75-0 |
Propylbenzilylcholine
mustard |
36167-80-3 |
4-Diphenylacetoxy-1,1-dimethylpiperidinium
|
81405-11-0 |
Strophanthidine
scopolamine bromide |
97817-84-0 |
Hexahydrosiladifenidol
|
98299-40-2 |
4-Fluorohexahydrosiladifenidol
|
116679-83-5 |
Tolterodine tartrate |
124937-52-6 |
Tolterodine |
124937-51-5 |
Papaveretum-hyoscine
|
127060-78-0 |
Darifenacin |
133099-04-4 |
Solifenacin
hydrochloride |
180468-39-7 |
Solifenacin |
242478-37-1 |
Solifenacin succinate |
242478-38-2 |
Fesoterodine fumarate |
286930-03-8 |
Fesoterodine
|
286930-02-7 |
|