{"id":61164,"date":"2024-02-28T07:27:25","date_gmt":"2024-02-28T07:27:25","guid":{"rendered":"https:\/\/medsname.com\/terol-la\/"},"modified":"2026-04-30T10:23:38","modified_gmt":"2026-04-30T10:23:38","slug":"terol-la","status":"publish","type":"product","link":"https:\/\/medsbase.com\/hu\/product\/terol-la\/","title":{"rendered":"Terol La"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:18px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin-top:0;color:#8a5a00;\">Quick Answer \u2014 What is Terol LA?<\/h3>\n<p style=\"margin:0;font-size:15px;line-height:1.6;\"><strong>Terol LA<\/strong> tartalmaz <strong>tolterodin-tartarat<\/strong> \u2014 verseng\u0151 muszkarinikus acetilkolin-receptor antagonista, amelyet <strong>t\u00falm\u0171k\u00f6d\u0151 h\u00f3lyag (OAB)<\/strong> with urgency, frequency, and urge incontinence. Available as 2 mg and 4 mg extended-release capsules. The <strong>extended-release (LA) formulation<\/strong> allows once-daily dosing, with <strong>slightly less dry mouth<\/strong> than the immediate-release version because of smoother plasma levels. Standard dose: <strong>4 mg once daily<\/strong> (or 2 mg once daily in renal\/hepatic impairment, in patients on strong CYP3A4 inhibitors, or in those poorly tolerating 4 mg). Tolterodine is generally <strong>jobban toler\u00e1lhat\u00f3, mint az oxibutinin<\/strong> \u2014 kevesebb sz\u00e1jsz\u00e1razs\u00e1g, kevesebb sz\u00e9kreked\u00e9s \u00e9s alacsonyabb k\u00f6zponti idegrendszeri penetr\u00e1ci\u00f3. <strong>\u00d3vatosan alkalmazand\u00f3 65 \u00e9v feletti feln\u0151ttekn\u00e9l<\/strong> \u2014 a 2023-as American Geriatrics Society Beers krit\u00e9riumai minden antikolinerg OAB gy\u00f3gyszert \u201cpotenci\u00e1lisan nem megfelel\u0151nek\u201d min\u0151s\u00edtenek id\u0151sebb feln\u0151ttekn\u00e9l a kumulat\u00edv antikolinerg terhel\u00e9s miatt. <strong>Mirabegron (Mirago)<\/strong> az el\u0151nyben r\u00e9szes\u00edtett els\u0151 vonalbeli OAB gy\u00f3gyszer ebben a popul\u00e1ci\u00f3ban.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Mit kapsz a MedsBase-n\u00e1l:<\/strong> WHO-GMP min\u0151s\u00edt\u00e9s\u0171 gy\u00e1rt\u00f3 \u00b7 Diszkr\u00e9t csomagol\u00e1s \u00b7 Vil\u00e1gszerte sz\u00e1ll\u00edt\u00e1s \u00b7 1.400+ hiteles\u00edtett <a href=\"https:\/\/medsbase.com\/hu\/reviews\/\">v\u00e1s\u00e1rl\u00f3i v\u00e9lem\u00e9ny<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Minden rendel\u00e9st fedez a <a href=\"https:\/\/medsbase.com\/hu\/medsbase-re-shipment-assurance-policy\/\"><strong>\u00dajrak\u00fcld\u00e9si Garancia<\/strong><\/a> \u2014 ha a csomagod nem \u00e9rkezik meg 20 munkanapon bel\u00fcl, \u00fajrak\u00fcldj\u00fck.<\/p>\n<div style=\"background:#f4f8fb;border:1px solid #d6e4ec;padding:12px 18px;margin:14px 0;border-radius:4px;font-size:14px;color:#3a5160;text-align:center;\">\n<strong>\ud83d\udd12 Titkos\u00edtott fizet\u00e9s<\/strong> \u00b7 <strong>\ud83d\udcb3 Hiteles\u00edtett feldolgoz\u00f3<\/strong> \u00b7 <strong>\ud83d\ude9a Vil\u00e1gszerte sz\u00e1ll\u00edtunk<\/strong> \u00b7 <strong>\u2b50 4,9\/5 1400+ \u00fcgyf\u00e9lt\u0151l<\/strong>\n<\/div>\n<p><!-- medsbase-why-order --><\/p>\n<h3>Mi\u00e9rt rendelj a MedsBase-r\u00f3l<\/h3>\n<p>Minden t\u00e9tel egy <strong>WHO-GMP tan\u00fas\u00edtott gy\u00e1rt\u00f3<\/strong>. WHO-GMP <a href=\"\/hu\/medsbase-re-shipment-assurance-policy\/\">\u00dajrak\u00fcld\u00e9si Garancia<\/a>: ha egy csomag nem \u00e9rkezik meg 20 munkanapon bel\u00fcl, ingyenes ut\u00e1nk\u00fcld\u00e9st biztos\u00edtunk, k\u00e9rd\u00e9sek n\u00e9lk\u00fcl.<\/p>\n<div style=\"background:#fafafa;border:1px solid #e0e0e0;padding:16px 20px;margin:18px 0;border-radius:4px;\">\n<strong style=\"display:block;margin-bottom:8px;color:#333;\">Ezen az oldalon<\/strong><\/p>\n<ul style=\"margin:0;padding-left:20px;line-height:1.8;\">\n<li><a href=\"#what-is\">What is Terol LA?<\/a><\/li>\n<li><a href=\"#how-it-works\">Hogyan hat a tolterodin?<\/a><\/li>\n<li><a href=\"#uses\">Mikor haszn\u00e1lj\u00e1k a tolterodint?<\/a><\/li>\n<li><a href=\"#how-to-take\">Adagol\u00e1s \u00e9s szed\u00e9si m\u00f3d<\/a><\/li>\n<li><a href=\"#side-effects\">Mell\u00e9khat\u00e1sok \u00e9s biztons\u00e1g<\/a><\/li>\n<li><a href=\"#geriatric\">Anticholinerg terhel\u00e9s \u00e9s az id\u0151sek<\/a><\/li>\n<li><a href=\"#contraindications\">Ellenjavallatok \u00e9s figyelmeztet\u00e9sek<\/a><\/li>\n<li><a href=\"#interactions\">Gy\u00f3gyszerk\u00f6lcs\u00f6nhat\u00e1sok<\/a><\/li>\n<li><a href=\"#alternatives\">A tolterodin \u00f6sszehasonl\u00edt\u00e1sa<\/a><\/li>\n<li><a href=\"#storage\">T\u00e1rol\u00e1s \u00e9s eltarthat\u00f3s\u00e1g<\/a><\/li>\n<li><a href=\"#faq\">Gyakran Ism\u00e9telt K\u00e9rd\u00e9sek<\/a><\/li>\n<\/ul>\n<\/div>\n<h2 id=\"what-is\" class=\"wp-block-heading\">What is Terol LA?<\/h2>\n<p>Terol LA is a brand of <strong>tolterodine tartrate 2 mg and 4 mg extended-release capsules<\/strong>.  m\u00e1rkaneve. A tolterodin az egyik legt\u00f6bbet fel\u00edrt antimuszkarin OAB gy\u00f3gyszer vil\u00e1gszerte. Nemzetk\u00f6zi m\u00e1rkanevei: <strong>Detrol \/ Detrol LA (US), Detrusitol \/ Detrusitol XL (UK\/EU)<\/strong>. MedsBase-n\u00e1l el\u00e9rhet\u0151 csomagm\u00e9ret: 30, 60, 90 vagy 180 tabletta\/kapszula.<\/p>\n<p>The LA (long-acting \/ extended-release) formulation in capsules releases tolterodine over 24 hours, allowing <strong>napi egyszeri adagol\u00e1sra<\/strong> and producing a flatter plasma-concentration curve than the immediate-release version &mdash; which translates into modestly less dry mouth and constipation.<\/p>\n<h2 id=\"how-it-works\" class=\"wp-block-heading\">Hogyan hat a tolterodin?<\/h2>\n<p>A tolterodin kompetit\u00edv antagonista a <strong>M2 \u00e9s M3 muszkarin acetilkolin receptorok<\/strong>.  szintj\u00e9n. A h\u00f3lyag M3 receptorok blokkol\u00e1sa cs\u00f6kkenti a paraszimpatikus \u00faton vez\u00e9relt detrusor-\u00f6sszeh\u00faz\u00f3d\u00e1sokat a t\u00f6lt\u00e9si f\u00e1zisban \u2013 ezzel cs\u00f6kkentve a s\u00fcrg\u0151ss\u00e9get \u00e9s a inkontinencia epiz\u00f3dokat, valamint n\u00f6velve a funkcion\u00e1lis h\u00f3lyagkapacit\u00e1st.<\/p>\n<p>\u00d6sszehasonl\u00edtva <a href=\"https:\/\/medsbase.com\/hu\/oxyspas\/\">oxybutynin<\/a>, a tolterodin kicsit jobb szelektivit\u00e1ssal rendelkezik a h\u00f3lyag versus ny\u00e1lmirigy muszkarinos receptorokra, alacsonyabb k\u00f6zponti idegrendszeri penetr\u00e1ci\u00f3val \u00e9s kedvez\u0151bb mell\u00e9khat\u00e1sprofillal \u2013 k\u00fcl\u00f6n\u00f6sen kev\u00e9sb\u00e9 s\u00falyos sz\u00e1jsz\u00e1razs\u00e1g. Mindkett\u0151 m\u00e9g mindig antikolinergikum a szok\u00e1sos oszt\u00e1lyfigyelmeztet\u00e9sekkel az id\u0151s kor\u00fa haszn\u00e1lat kapcs\u00e1n.<\/p>\n<p>A tolterodint a CYP2D6 metaboliz\u00e1lja akt\u00edv metabolitra (5-hidroximetil tolterodin), amely jelent\u0151sen hozz\u00e1j\u00e1rul a klinikai hat\u00e1shoz. A n\u00e9pess\u00e9g kb. 5-10%-a CYP2D6 \u201cgyenge metaboliz\u00e1l\u00f3\u201d, akik kevesebb metabolitot k\u00e9peznek \u00e9s d\u00f3zism\u00f3dos\u00edt\u00e1sra van sz\u00fcks\u00e9g\u00fck.<\/p>\n<h2 id=\"uses\" class=\"wp-block-heading\">Mikor haszn\u00e1lj\u00e1k a tolterodint?<\/h2>\n<ul>\n<li><strong>T\u00falm\u0171k\u00f6d\u0151 h\u00f3lyag szindr\u00f3ma (OAB)<\/strong> s\u00fcrg\u0151ss\u00e9ggel, gyakoris\u00e1ggal, s\u00fcrg\u0151ss\u00e9gi inkontinenci\u00e1val, nokturi\u00e1val \u2013 a enged\u00e9lyezett indik\u00e1ci\u00f3<\/li>\n<li><strong>Neurog\u00e9n detruszor t\u00falm\u0171k\u00f6d\u00e9s<\/strong> \u2013 kiv\u00e1lasztott feln\u0151tt esetek (sclerosis multiplex, gerincvel\u0151-s\u00e9r\u00fcl\u00e9s)<\/li>\n<li><strong>Az oxybutyninra intoler\u00e1ns betegek<\/strong> \u2013 a tolterodin gyakori m\u00e1sodik v\u00e1laszt\u00e1s\u00fa antimuszkarinos, kiss\u00e9 jobb toler\u00e1lhat\u00f3s\u00e1ggal<\/li>\n<li><strong>OAB kombin\u00e1ci\u00f3s ter\u00e1pia mirabegronnal<\/strong> \u2013 refrakter OAB t\u00fcnetek eset\u00e9n olyan betegekn\u00e9l, akik toler\u00e1lj\u00e1k, de nem reag\u00e1lnak teljesen egyed\u00fcl semmire<\/li>\n<\/ul>\n<h2 id=\"how-to-take\" class=\"wp-block-heading\">Adagol\u00e1s \u00e9s szed\u00e9si m\u00f3d<\/h2>\n<ul>\n<li><strong>Standard adult dose: 4 mg once daily<\/strong>, taken with water at the same time each day. Take with or without food.<\/li>\n<li><strong>Reduced dose 2 mg once daily<\/strong> for: significant renal impairment (eGFR &lt;30), moderate hepatic impairment, concurrent strong CYP3A4 inhibitors (ketoconazole, itraconazole, ritonavir, clarithromycin), or patients poorly tolerating 4 mg<\/li>\n<li><strong>Swallow capsule whole<\/strong> &mdash; do not chew, crush, or open. Doing so destroys the controlled-release matrix and releases the entire 24-hour dose at once.<\/li>\n<li>A hat\u00e1s 4-8 h\u00e9t alatt fejl\u0151dik ki. Ha 8 h\u00e9t ut\u00e1n nincs javul\u00e1s, v\u00e1ltson m\u00e1sik szerre.<\/li>\n<\/ul>\n<h2 id=\"side-effects\" class=\"wp-block-heading\">Mell\u00e9khat\u00e1sok \u00e9s biztons\u00e1g<\/h2>\n<ul>\n<li><strong>Gyakori (1 a 10-b\u0151l):<\/strong> <strong>sz\u00e1jsz\u00e1razs\u00e1g<\/strong> (kev\u00e9sb\u00e9 s\u00falyos, mint az oxibutinin, de m\u00e9g mindig a leggyakoribb abbahagy\u00e1si ok), sz\u00e9kreked\u00e9s, sz\u00e1raz szemek, hom\u00e1lyos l\u00e1t\u00e1s, fejf\u00e1j\u00e1s, gyomork\u00e9nyelem, f\u00e1radts\u00e1g<\/li>\n<li><strong>Kevesebb gyakoris\u00e1ggal:<\/strong> \u00e1lmoss\u00e1g, sz\u00e9d\u00fcl\u00e9s, perif\u00e9ri\u00e1s \u00f6d\u00e9ma, vizeletretenti\u00f3 vagy vizelet\u00fcr\u00edt\u00e9si neh\u00e9zs\u00e9g, sz\u00e1raz b\u0151r, s\u00falygyarapod\u00e1s<\/li>\n<li><strong>Kevesebb gyakori, de fontos:<\/strong> zavaross\u00e1g, hallucin\u00e1ci\u00f3k (k\u00fcl\u00f6n\u00f6sen id\u0151sekn\u00e9l), QT-intervallum meghosszabbod\u00e1s (\u00f3vatosan QT-hosszabb\u00edt\u00f3 gy\u00f3gyszerek egy\u00fcttes szed\u00e9se eset\u00e9n)<\/li>\n<li><strong>Ritka, de s\u00falyos:<\/strong> akut z\u00e1r\u00f3d\u00e1si glauk\u00f3ma, s\u00falyos sz\u00e9kreked\u00e9s \/ paralitikus ileusz, vizeletretenti\u00f3, anafilaxia, angio\u00f6d\u00e9ma<\/li>\n<\/ul>\n<h2 id=\"geriatric\" class=\"wp-block-heading\">Anticholinerg terhel\u00e9s \u00e9s az id\u0151sek<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:14px 0;border-radius:4px;\">\n<strong>\u26a0\ufe0f Anticholinerg terhel\u00e9s az id\u0151sekn\u00e9l.<\/strong> Az anticholinerg gy\u00f3gyszerek n\u00f6velik az es\u00e9s, a kognit\u00edv hanyatl\u00e1s, a delirium \u00e9s a demencia kock\u00e1zat\u00e1t id\u0151sebb feln\u0151ttekn\u00e9l \u2013 k\u00fcl\u00f6n\u00f6sen m\u00e1s anticholinerg szerekkel kombin\u00e1lva (difenhidramin, hidroxizin, amitriptilin, hioszciamin, szkopolamin, oxibutinin, tolterodin). 65 \u00e9v feletti betegekn\u00e9l a mirabegron (\u03b23-agonista) az els\u0151 v\u00e1laszt\u00e1s\u00fa OAB gy\u00f3gyszer. A 2023-as American Geriatrics Society Beers Krit\u00e9riumai minden anticholinerg OAB gy\u00f3gyszert <strong>\u201cpotenci\u00e1lisan nem megfelel\u0151nek\u201d<\/strong> min\u0151s\u00edt id\u0151sebb feln\u0151ttekn\u00e9l.\n<\/div>\n<p>A tolterodin CNS-penetr\u00e1ci\u00f3ja valamivel alacsonyabb, mint az oxibutinin\u00e9, \u00e9s \u00e1ltal\u00e1ban jobban toler\u00e1ltnak tartj\u00e1k a k\u00e9t anticholinerg OAB gy\u00f3gyszer k\u00f6z\u00fcl id\u0151sebb feln\u0151ttekn\u00e9l \u2013 de a Beers Krit\u00e9riumok szerint tov\u00e1bbra is \u201cpotenci\u00e1lisan nem megfelel\u0151nek\u201d min\u0151s\u00fcl, \u00e9s \u00f3vatosan, a legkisebb hat\u00e9kony adagban kell alkalmazni. <strong>A mirabegron tov\u00e1bbra is az els\u0151 v\u00e1laszt\u00e1s\u00fa OAB gy\u00f3gyszer 65 \u00e9v feletti feln\u0151ttekn\u00e9l.<\/strong> ha megfizethet\u0151 \u00e9s nem ellenjavallott a hypertonia miatt.<\/p>\n<h2 id=\"contraindications\" class=\"wp-block-heading\">Ellenjavallatok \u00e9s figyelmeztet\u00e9sek<\/h2>\n<p><strong>Ne szedjen tolterodint, ha a k\u00f6vetkez\u0151 \u00e1llapotok k\u00f6z\u00fcl valamelyik fenn\u00e1ll:<\/strong><\/p>\n<ul>\n<li>Kezeletlen sz\u0171ksz\u00f6g\u0171 glauk\u00f3ma<\/li>\n<li>Vizeletretentio vagy jelent\u0151s h\u00f3lyagkimeneti obstrukci\u00f3<\/li>\n<li>S\u00falyos gastrointestinalis motilit\u00e1si zavarok (paralitikus ileusz, s\u00falyos ulcerat\u00edv colitis, toxikus megacolon)<\/li>\n<li>Myasthenia gravis<\/li>\n<li>S\u00falyos m\u00e1jel\u00e9gtelens\u00e9g<\/li>\n<li>Tolterodinre vagy fesoterodinre (annak prodrugj\u00e1ra) \u00e9rz\u00e9kenys\u00e9g<\/li>\n<\/ul>\n<p><strong>\u00d3vatosan haszn\u00e1lja, ha rendelkezik a k\u00f6vetkez\u0151kkel:<\/strong> id\u0151s kor (l\u00e1sd fent), j\u00f3indulat\u00fa prosztatahyperplasia (vizeletretentio kock\u00e1zata), refluxoesophagitis, auton\u00f3m neuropathia, velesz\u00fcletett vagy szerzett QT-intervallum-hosszabbod\u00e1s, koszor\u00fa\u00e9rbetegs\u00e9g.<\/p>\n<h2 id=\"interactions\" class=\"wp-block-heading\">Gy\u00f3gyszerk\u00f6lcs\u00f6nhat\u00e1sok<\/h2>\n<ul>\n<li><strong>Er\u0151s CYP3A4 g\u00e1tl\u00f3k<\/strong> (ketokonazol, itrakonazol, ritonavir, klaritromicin, indinavir) \u2014 jelent\u0151sen n\u00f6velik a tolterodin szintj\u00e9t; cs\u00f6kkentse az adagot 1 mg naponta k\u00e9tszer (IR) vagy 2 mg naponta egyszer (LA) m\u00e9rt\u00e9kre<\/li>\n<li><strong>Egy\u00e9b antikolinerg szerek<\/strong> \u2014 addit\u00edv hat\u00e1sok; minimaliz\u00e1lja a kombin\u00e1l\u00e1st (difenhidramin, hidroxizin, amitriptilin, paroxetin, kvetiapin, hioszciamin, oxibutinin)<\/li>\n<li><strong>Kolin\u00e9szter\u00e1z-g\u00e1tl\u00f3k<\/strong> (donepezil, rivasztigmin, galantamin demenci\u00e1ra) \u2014 ellent\u00e9tes mechanizmusok; mindkett\u0151 egy\u00fcttes fel\u00edr\u00e1sa irracion\u00e1lis<\/li>\n<li><strong>QT-intervallumot meghosszabb\u00edt\u00f3 gy\u00f3gyszerek<\/strong> (Ia\/III. oszt\u00e1ly\u00fa antiaritmetikumok, egyes antipszichotikumok, kinolon antibiotikumok) \u2014 elm\u00e9leti addit\u00edv kock\u00e1zat<\/li>\n<li><strong>CYP2D6 szubsztr\u00e1t gy\u00f3gyszerek<\/strong> \u2014 a tolterodint a CYP2D6 metaboliz\u00e1lja, \u00edgy a gyenge metaboliz\u00e1l\u00f3k (a n\u00e9pess\u00e9g 5-10%-a) magasabb expoz\u00edci\u00f3val rendelkeznek<\/li>\n<\/ul>\n<h2 id=\"alternatives\" class=\"wp-block-heading\">A tolterodin \u00f6sszehasonl\u00edt\u00e1sa<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Gy\u00f3gyszer<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Jellemz\u0151 tulajdons\u00e1g<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/oxyspas\/\">Oxybutynin<\/a><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">R\u00e9gebbi, olcs\u00f3bb; a legnagyobb sz\u00e1jsz\u00e1razs\u00e1g + kognit\u00edv kock\u00e1zat<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>Tolterodin IR \/ LA<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Jobban toler\u00e1lt, mint az oxybutynin; az LA napi egyszeri adagol\u00e1st tesz lehet\u0151v\u00e9<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Solifenacin \/ darifenacin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">T\u00f6bb M3-szelekt\u00edv; enyh\u00e9n kevesebb sz\u00e1jsz\u00e1razs\u00e1g<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/mirago\/\"><strong>Mirabegron<\/strong><\/a><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u03b23 agonist \u2014 <strong>els\u0151 vonalban prefer\u00e1lt 65 felett;<\/strong> nincs anticholinerg terhel\u00e9s<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/urispas\/\">Flavox\u00e1t (Urispas)<\/a><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Antispazmodikum; hasznos vizeleti g\u00f6rcs eset\u00e9n beavatkoz\u00e1s ut\u00e1n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"storage\" class=\"wp-block-heading\">T\u00e1rol\u00e1s \u00e9s eltarthat\u00f3s\u00e1g<\/h2>\n<p>Store Terol LA below 25&deg;C in the original blister pack. Protect from moisture and light. Keep out of reach of children. Do not use after the expiry date.<\/p>\n<h2 id=\"faqs\">Gyakran Ism\u00e9telt K\u00e9rd\u00e9sek<\/h2>\n<h3 class=\"wp-block-heading\">What&#8217;s the difference between Terol LA and Roliten (immediate-release)?<\/h3>\n<p>Ugyanaz a hat\u00f3anyag (tolterodin-tartar\u00e1t), m\u00e1s felszabadul\u00e1si profil. <strong>Roliten 1 mg naponta k\u00e9tszer<\/strong> azonnali felszabadul\u00e1s\u00fa tablett\u00e1kat haszn\u00e1l \u2014 olcs\u00f3bb, rugalmasabb adagol\u00e1si lehet\u0151s\u00e9g, de a plazmakoncentr\u00e1ci\u00f3 ingadoz\u00e1sa miatt v\u00e1ltoz\u00f3bbak a mell\u00e9khat\u00e1sok. <strong>Terol LA 4 mg naponta egyszer<\/strong> uses an extended-release capsule &mdash; flatter plasma curve translates into modestly less dry mouth, simpler regimen (better adherence). Choose LA for convenience and tolerability; choose IR if you need finer dose titration.<\/p>\n<h3 class=\"wp-block-heading\">Mi\u00e9rt okoz sz\u00e1jsz\u00e1razs\u00e1got a tolterodin?<\/h3>\n<p>A tolterodin blokkolja az M3 muszkarinreceptorokat, amelyek a ny\u00e1ltermel\u00e9st szab\u00e1lyozz\u00e1k \u2014 ugyanazt a receptort, amelyet a h\u00f3lyagban is blokkol. Mell\u00e9khat\u00e1s enyh\u00edt\u00e9se: cukormentes r\u00e1g\u00f3gumi, gyakori v\u00edziv\u00e1s, ny\u00e1lp\u00f3tl\u00f3 (Biotene). Ha a sz\u00e1jsz\u00e1razs\u00e1g elviselhetetlen, <a href=\"https:\/\/medsbase.com\/hu\/mirago\/\">a mirabegron (Mirago)<\/a> teljesen elker\u00fcli az antimuszkarinos mechanizmust.<\/p>\n<h3 class=\"wp-block-heading\">Mennyi id\u0151 alatt hat a tolterodin?<\/h3>\n<p>A s\u00fcrg\u0151ss\u00e9g \u00e9s a gyakoris\u00e1g kezdeti javul\u00e1sa \u00e1ltal\u00e1ban 1-2 h\u00e9ten bel\u00fcl \u00e9szlelhet\u0151; teljes hat\u00e1s 4-8 h\u00e9t alatt \u00e9rhet\u0151 el. Ha 8 h\u00e9t eltelt\u00e9vel a maxim\u00e1lisan toler\u00e1lt d\u00f3zis mellett sem tapasztalhat\u00f3 javul\u00e1s, c\u00e9lszer\u0171 \u00e1t\u00e1llni egy m\u00e1sik OAB gy\u00f3gyszerre (mirabegron, solifenacin).<\/p>\n<h3 class=\"wp-block-heading\">Bevehetem a tolterodint, ha 65 \u00e9v felett vagyok?<\/h3>\n<p>A 2023-as American Geriatrics Society Beers krit\u00e9riumai szerint minden anticholinerg OAB gy\u00f3gyszer \u201cpotenci\u00e1lisan nem megfelel\u0151\u201d az id\u0151sebb feln\u0151ttek sz\u00e1m\u00e1ra. A tolterodin n\u00e9mileg jobban toler\u00e1lhat\u00f3, mint az oxibutinin, de m\u00e9g mindig hordozza az anticholinerg terhel\u00e9s kock\u00e1zat\u00e1t \u2013 eles\u00e9sek, kognit\u00edv lassul\u00e1s, esetleges hossz\u00fa t\u00e1v\u00fa demencia kialakul\u00e1sa. Besz\u00e9lje meg <strong>a mirabegront<\/strong> el\u0151sz\u00f6r orvos\u00e1val; ekvivalens hat\u00e9konys\u00e1g\u00fa ezek n\u00e9lk\u00fcl a kock\u00e1zatok n\u00e9lk\u00fcl.<\/p>\n<h3 class=\"wp-block-heading\">Bevehetem a tolterodint mirabegronnal egy\u00fctt?<\/h3>\n<p>Igen \u2013 a kis d\u00f3zis\u00fa anticholinerg \u00e9s a mirabegron kombin\u00e1ci\u00f3ja j\u00f3l dokument\u00e1lt a refrakter OAB t\u00fcnetek kezel\u00e9s\u00e9ben (BESIDE-st\u00edlus\u00fa adatok). Figyeljen a vizeletretenci\u00f3ra, k\u00fcl\u00f6n\u00f6sen a h\u00fagy\u00fati elz\u00e1r\u00f3d\u00e1ssal k\u00fczd\u0151 f\u00e9rfiakn\u00e1l.<\/p>\n<h3 class=\"wp-block-heading\">Hat a tolterodin a vezet\u00e9semre vagy munk\u00e1mra?<\/h3>\n<p>\u00c1lmos\u00e1g, sz\u00e9d\u00fcl\u00e9s \u00e9s hom\u00e1lyos l\u00e1t\u00e1s befoly\u00e1solhatja a vezet\u00e9st vagy g\u00e9pek kezel\u00e9s\u00e9t. Ker\u00fclje, am\u00edg meg nem tudja, hogyan hat \u00d6nre a gy\u00f3gyszer. A hat\u00e1sok \u00e1ltal\u00e1ban az els\u0151 1-2 h\u00e9t ut\u00e1n enyh\u00fclnek.<\/p>\n<h3 class=\"wp-block-heading\">Where can I order Terol LA online?<\/h3>\n<p>You can order Terol LA from MedsBase in standard pack sizes. Orders ship worldwide with discreet packaging. Tolterodine is specialist-supervised worldwide.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\">\n<strong>\u2695 Orvosi nyilatkozat.<\/strong> Ez az oldal csak t\u00e1j\u00e9koztat\u00f3 jelleg\u0171, \u00e9s nem helyettes\u00edti a kvalifik\u00e1lt eg\u00e9szs\u00e9g\u00fcgyi szakember tan\u00e1cs\u00e1t. Mindig konzult\u00e1ljon orvos\u00e1val vagy gy\u00f3gyszer\u00e9sz\u00e9vel, miel\u0151tt elkezden\u00e9, megv\u00e1ltoztatn\u00e1 vagy abbahagyn\u00e1 a vizelet\u00fcgyi vagy prosztata t\u00fcnetek kezel\u00e9s\u00e9t \u2013 ezek olyan \u00e1llapok (h\u00fagy\u00fati fert\u0151z\u00e9s, prosztatar\u00e1k, h\u00f3lyagk\u00f6vek) korai jelei lehetnek, amelyek diagn\u00f3zist \u00e9s c\u00e9lzott kezel\u00e9st ig\u00e9nyelnek, nem csak t\u00fcneti enyh\u00edt\u00e9st. A MedsBase nem ny\u00fajt diagn\u00f3zist, receptet vagy klinikai aj\u00e1nl\u00e1st.\n<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Kapcsol\u00f3d\u00f3 alternat\u00edv\u00e1k<\/h3>\n<p>Egy\u00e9b term\u00e9kek a <strong>\u00c1ltal\u00e1nos eg\u00e9szs\u00e9g<\/strong> v\u00e1s\u00e1rl\u00f3k \u00e1ltal szint\u00e9n megtekintett term\u00e9kek:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/hu\/flagyl-suspension\/\">Flagyl Szuszpenzi\u00f3<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/ciplox-drop\/\">Ciplox csepp<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/griso\/\">Griso<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/lexaheal\/\">Lexaheal<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/distaclor\/\">Distaclor<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Relieves urinary incontinence<br \/>\n\u2705 Kezeli a t\u00falakt\u00edv h\u00f3lyagot<br \/>\n\u2705 Cs\u00f6kkenti a gyakori vizel\u00e9st<br \/>\n\u2705 Jav\u00edtja a h\u00f3lyagfunkci\u00f3t<br \/>\n\u2705 Cs\u00f6kkenti a s\u00fcrg\u0151s vizelet\u00fcr\u00edt\u00e9si ingert<\/p>\n<p>Terol La contains Tolterodine Tartrate.<\/p>","protected":false},"featured_media":61165,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3614,3141,3342],"product_tag":[4993,4940,3615],"class_list":{"0":"post-61164","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-bladder-prostate","7":"product_cat-category-overview","8":"product_cat-general-health","9":"product_tag-terol-la","10":"product_tag-tolterodine","11":"product_tag-tolterodine-tartrate","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product\/61164","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/comments?post=61164"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media\/61165"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media?parent=61164"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_brand?post=61164"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat?post=61164"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_tag?post=61164"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}