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Use with caution in patients with myasthenia graviswhich is characterized by decreased cholinergic activity at neuromuscular junction.

Anticholinergics may potentially adversely affect the clinical course of alzheimer disease in patients receiving cholinesterase inhibitorsmonitor for decreases in congnitionfunctional abilities and increased problematic behaviors in patients with dementia receiving dual therapy with an anticholinesterase inhibitor and a bladder anticholinercgic agent like tolterodine.

Abnormal visionincluding difficulty with adjusting to distances bloody or cloudy urine difficultburningor painful urination frequent urge to urinate.

Immediate release2 mg PO q12hrmay lower dose to 1 mg twice daily based on response and tolerability.

Tolterodine may cause side effectsTell your doctor if any of these symptoms are severe or do not go away:

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