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Tolsama 15 Tablet

Prescription Required
SALT COMPOSITION
Storage
Store below 30°C
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Product introduction

Tolsama 15 Tablet is a medicine used in the treatment of low levels of sodium in the blood. It treats low levels of sodium in the blood, which can result from conditions such as heart failure, cirrhosis, and syndrome of inappropriate antidiuretic hormone (SIADH).

Tolsama 15 Tablet can be taken with or without food. It should be taken exactly as prescribed by your doctor. Your doctor will decide the dose and how often you should take them. You should take this medicine regularly to get the most benefit from it. Do not stop taking the medicine even if you feel better unless the doctor tells you so.

Using this medicine may cause few common side effects such as frequent urge to urinate, nocturia (increased urge to urinate during the night), dryness in mouth, increased thirst, nausea, increased blood creatinine, hyperkalemia, and constipation. Let your doctor know if any of these side effects do not go away with time or get worse. Before using this medicine, inform your doctor if you have any problems with your kidneys or liver. While on this medicine, your doctor will closely monitor the sodium levels in your blood. You should also tell your doctor all the other medications you are taking.

Uses of Tolsama Tablet

  • Treatment of Low levels of sodium in the blood

Benefits of Tolsama Tablet

In Treatment of Low levels of sodium in the blood

Low levels of sodium may be caused due to multiple reasons such as excess of body fluids, heart disease, and kidney problems. There may be many symptoms such as nausea, headache confusion and the person may even need to get hospitalized. Tolsama 15 Tablet helps to get rid of the excess fluids and retains sodium in the blood. This restores the normal sodium levels in our body and prevents further complications such as memory loss.

Side effects of Tolsama Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Tolsama

  • Frequent urge to urinate
  • Nocturia (increased urge to urinate during the night)
  • Dryness in mouth
  • Increased thirst
  • Constipation
  • Nausea
  • Increased creatinine level in blood
  • Increased potassium level in blood

How to use Tolsama Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Tolsama 15 Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Tolsama Tablet works

Tolsama 15 Tablet is a vasopressin antagonist. It works by blocking the effect of the hormone vasopressin in the body. This increases urine production, reduces the amount of water in the blood and raises the blood sodium level.

Safety advice

Alcohol
CAUTION
Caution is advised when consuming alcohol with Tolsama 15 Tablet. Please consult your doctor.
Pregnancy
CONSULT YOUR DOCTOR
Tolsama 15 Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Tolsama 15 Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
UNSAFE
Tolsama 15 Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
SAFE IF PRESCRIBED
Tolsama 15 Tablet is safe to use in patients with kidney disease. No dose adjustment of Tolsama 15 Tablet is recommended.
However, the use of Tolsama 15 Tablet is not recommended in patients with severe kidney disease.
Liver
CAUTION
Tolsama 15 Tablet should be used with caution in patients with liver disease. Dose adjustment of Tolsama 15 Tablet may be needed. Please consult your doctor.
Use of Tolsama 15 Tablet is not recommended in patients with severe liver disease.

What if you forget to take Tolsama Tablet?

If you miss a dose of Tolsama 15 Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.
Tolsama 15 Tablet
₹151.25/Tablet
₹59.9/tablet
60% cheaper
Natrise Tablet
Sun Pharmaceutical Industries Ltd
₹139.25/tablet
8% cheaper
Tolvat 15 Tablet
MSN Laboratories
₹144.75/tablet
4% cheaper
₹175.75/tablet
16% costlier
Vaptan Tablet
Steadfast Medishield Pvt Ltd
₹95/tablet
37% cheaper

Quick tips

  • Tolsama 15 Tablet treats low sodium levels in the blood.
  • It also improves urine flow without causing the body to lose too much sodium as you urinate.
  • Take it at the same time everyday. Take it according to the dose and duration prescribed by your doctor.
  • To avoid dehydration, it is best to drink something as soon as you feel thirsty, but avoid alcoholic drinks.
  • Do not take Tolsama 15 Tablet if you are unable to urinate, if you are unable to tell when you are thirsty, or if you are severely dehydrated.
  • You will need to be in a hospital under observation any time you start or restart treatment with Tolsama 15 Tablet.
  • Inform your doctor if you notice problems with speech or muscle control, trouble swallowing, trouble moving your arms and legs, or mood changes.
  • Your doctor may check your liver function before starting treatment and regularly thereafter. Inform your doctor if you notice yellowing of eyes or skin, dark urine, or stomach pain.

Fact Box

Chemical Class
Benzazepine Derivative
Habit Forming
No
Therapeutic Class
UROLOGY
Action Class
Vasopressin antagonist

Patient concerns

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I'm having tegrital 200mg daily for last 6 years. Is there any problem having this medicine?
Dr. Vikas Sharma
Neurology
can cause fall in sodium levels. rarely, rash and fall in blood counts
low blood pressure reasons and treatment plz told me coz i hv seen. sm friends suffering these deases mainly in early morning vertigo vomiting please shere your views
Dr. Venkatraju Kalidindi
Psychiatry
Dear 1mg user, people who have low sodium they will have this problem go for blood test sodium and potassium and get treatment
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User feedback


FAQs

Q. What is the most important information I need to be aware of while taking Tolsama 15 Tablet?

Tolsama 15 Tablet may cause the level of sodium in your blood to increase too quickly. This quick increase in sodium levels [osmotic demyelination syndrome (ODS)] may cause serious nerve damage, which can further cause coma and even death. The symptoms of ODS could be trouble in speaking, trouble in swallowing or a feeling of food or liquid getting stuck while swallowing, drowsiness, confusion, mood changes, fits, trouble controlling body movement (involuntary movement) and weakness in muscles of the arms and legs.

Q. For how long do I need to take Tolsama 15 Tablet?

Tolsama 15 Tablet is used for correction of sodium levels in blood. Though the dose and duration are prescribed by the doctor, Tolsama 15 Tablet should not be taken for more than 30 days. Once the sodium levels return to normal, it can be stopped after talking to the doctor.

Q. Does Tolsama 15 Tablet affect the sugar levels in blood?

Yes, Tolsama 15 Tablet may increase the blood sugar levels. Therefore, patients with diabetes mellitus need to be extra careful while taking Tolsama 15 Tablet and should keep a check on blood sugar levels regularly.

Q. Who should not take Tolsama 15 Tablet?

You should not take Tolsama 15 Tablet if you have low sodium levels, cannot replace fluids by drinking or if you cannot tell when you are thirsty, dizzy or feeling faint or if your kidneys are not working properly because of excessive loss of fluids. You should also avoid Tolsama 15 Tablet if your body is not able to make urine, you are allergic to Tolsama 15 Tablet or if you are on certain medicines which interfere with the working of Tolsama 15 Tablet.

Q. Can I have grapefruit juice while taking Tolsama 15 Tablet?

No, you should not take grapefruit or grapefruit juice while on Tolsama 15 Tablet. The reason being, grapefruit or grapefruit juice may increase the levels of Tolsama 15 Tablet in your blood and your sodium levels may rise too quickly.

Q. What will happen if I take excess of Tolsama 15 Tablet?

You may need urgent medical attention. Call your doctor or seek emergency service at a nearby hospital. Symptoms of taking too much Tolvaptan may include thirst, dry and flaky skin, sunken eyes, rapid heartbeat, rapid and shallow breathing, very low blood pressure, passing more urine than normal and fainting.

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Disclaimer:

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. Reilly RF, Jackson EK. Regulation of Renal Function and Vascular Volume. In: Brunton LL, Chabner BA, Knollmann BC,12th ed. editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 714.
  2. Masters SB. Hypothalamic & Pituitary Hormones. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 659.
  3. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1379-80.
  4. Tolvaptan. Otsuka Pharmaceutical Co.; 2009 [revised Apr. 2013]. [Accesses 04 Apr. 2019] (online) Available from:External Link
  5. ScienceDirect. Tolvaptan. [Accessed 04 Apr. 2019] (online) Available from:External Link
  6. PubChem. Tolvaptan. [Accessed 04 Apr. 2019] (online) Available from:External Link
  7. Tolvaptan. Wexham, UK: Otsuka Pharmaceuticals (UK) Ltd.; 2015 [revised Feb. 2019]. [Accessed 22 Feb. 2019] (online) Available from:External Link
  8. Tolvaptan [Product Label]. Mumbai, Maharashtra: Alkem Labs Limited; 2019. [Accessed 07 Aug. 2023]. (online) Available from:External Link
  9. Rangarajan B, Binoy V, Hingmire SS, Noronha V. Tolvaptan. South Asian J Cancer. 2014 Jul;3(3):182-4. [Accessed 07 Aug. 2023]. (online) Available from:External Link

Marketer details

Name: MSN Laboratories
Address: MSN House, Plot No: C-24, Industrial Estate, Sanathnagar, Hyderabad - 18 Telangana, INDIA
Country of origin: India
Expires on or after: June, 2024

A licensed vendor partner from your nearest location will deliver Tolsama 15 Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

In case of any issues, contact us

Email ID: [email protected]
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India

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4.0 tablets in 1 strip
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