Sanctura

Sanctura is a prescription medication used to treat an overactive bladder with the symptoms of urinary urgency, frequency, or leakage. Sanctura belongs to a group of drugs called anticholinergics. These work by relaxing the bladder muscles to prevent urgent, frequent, or uncontrolled urination.

This medication comes in tablet form. It is taken once or twice daily, on an empty stomach, at least 1 hour before a meal.

Common side effects of Sanctura include dry mouth and constipation.

Sanctura can cause blurred vision and drowsiness. Do not drive or operate heavy machinery until you know how Sanctura XR affects you.

Sanctura is a prescription medication used to treat an overactive bladder with the following symptoms:

• strong need to urinate right away
• leaking or wetting accidents due to a strong need to urinate right away
• a need to urinate often

This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.

Take this medication exactly as prescribed by your doctor. Follow the directions on your prescription label carefully.

The dose your doctor recommends may be based on the following:

• the condition being treated
• other medical conditions you have
• other medications you are taking
• your kidney function
• your age

The recommended dose of Sanctura (trospium) is 20 mg twice daily. 

For patients with severe kidney dysfunction, the recommended dose of Sanctura (trospium) is 20 mg once daily at bedtime.

For patients 75 years of age and older, the dose may be reduced to 20 mg once daily at bedtime.

Serious side effects have been reported with Sanctura including the following: 

• heat prostration. Due to decreased sweating, heat prostration can occur when drugs such as Sanctura are used in a hot environment. Exercise with caution. 
• interaction with alcohol. Do not drink alcohol within 2 hours of taking Sanctura. Alcohol can make the drowsiness worse. 
• blurred vision and drowsiness. Sanctura can cause blurred vision and drowsiness. Do not drive or operate heavy machinery until you know how Sanctura affects you.
• severe allergic reaction. Sanctura has been reported to cause angioedema of the face, lips, tongue, and or throat. 

In patients with narrow-angle glaucoma, Sanctura should only be used with careful monitoring. Before taking this medication, tell your doctor if you have narrow-angle glaucoma. 

Sanctura is not recommended to be taken by patients with severe kidney impairment (kidney does not function as well as it should). Your dose may be reduced to once daily administration. 

Do not take Sanctura if you:

• are allergic to Sanctura or to any of its ingredients
• have trouble emptying your bladder
• have delayed or slow emptying of your stomach
• have an eye problem called uncontrolled narrow-angle glaucoma

Serious side effects have been reported with Sanctura. See the “Drug Precautions” section.

Common side effects of Sanctura include the following:

• dry mouth
• constipation
• headache
• upset stomach
• dry eyes

This is not a complete list of Sanctura side effects. Ask your doctor or pharmacist for more information.

Tell your doctor if you have any side effect that bothers you or that does not go away.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
 

Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take:

• digoxin
• medications that are secreted by the kidneys (e.g. procainamide, pancuronium, morphine, vancomycin, metformin and tenofovir)
• antacids such as those containing aluminum hydroxide and magnesium carbonate
• anticholinergic medications such as some allergy medications

This is not a complete list of Sanctura drug interactions. Ask your doctor or pharmacist for more information.

Tell your doctor if you are pregnant or plan to become pregnant.

The FDA categorizes medications based on safety for use during pregnancy. Five categories - A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy.

Sanctura falls into category C. There are no adequate and well-controlled studies of Sanctura in pregnant women. It is not known if Sanctura can harm your unborn baby. Sanctura should be used during pregnancy only if the potential benefit to the patient outweighs the risk to the patient and fetus. Women who become pregnant during Sanctura treatment are encouraged to contact their physician.

Tell your doctor if you are breastfeeding or plan to breastfeed.

It is not known if Sanctura crosses into human milk. Because many medications can cross into human milk and because of the possibility for serious adverse reactions in nursing infants with use of this medication, a choice should be made whether to stop nursing or stop the use of this medication. Speak to your doctor about the best way to feed your baby if you are taking Sanctura.