TOVIAZ® Dosage and Administration

(fesoterodine fumarate)

2 DOSAGE AND ADMINISTRATION

2.1 Recommended Dosage for Adult Patients With OAB

The recommended starting dosage of Toviaz in adults is 4 mg orally once daily. Based upon individual response and tolerability, increase to the maximum dosage of Toviaz 8 mg once daily. For administration instructions, see Dosage and Administration (2.6).

2.2 Recommended Dosage for Pediatric Patients Aged 6 Years and Older With NDO

Pediatric Patients Weighing Greater than 25 kg and up to 35 kg

The recommended dosage of Toviaz is 4 mg orally once daily. If needed, dosage may be increased to Toviaz 8 mg orally once daily. For administration instructions, see Dosage and Administration (2.6).

Pediatric Patients Weighing Greater than 35 kg

The recommended starting dosage of Toviaz is 4 mg orally once daily. After one week, increase to Toviaz 8 mg orally once daily. For administration instructions, see Dosage and Administration (2.6).

2.3 Recommended Dosage in Adult Patients With Renal Impairment

The recommended dosage of Toviaz in adult patients with renal impairment is described in Table 1 [see Use in Specific Populations (8.6)]. For administration instructions, see Dosage and Administration (2.6).

Table 1: Toviaz Recommended Dose in Adult Patients With Renal Impairment (Administered Orally Once Daily)
Estimated Creatinine Clearance*Recommended Dose
*
Calculate CLcr using the Cockcroft-Gault formula

CLcr 30 to 89 mL/min

8 mg

CLcr 15 to 29 mL/min

4 mg

CLcr <15 mL/min

4 mg

2.4 Recommended Dosage in Pediatric Patients With Renal Impairment

Pediatric Patients Weighing Greater than 25 kg and up to 35 kg

The recommended dosage of Toviaz in pediatric patients with renal impairment weighing greater than 25 kg and up to 35 kg is described in Table 2 [see Use in Specific Populations (8.6)]. For administration instructions, see Dosage and Administration (2.6).

Table 2: Toviaz Recommended Dose in Pediatric Patients Aged 6 Years and Older Weighing Greater Than 25 kg and up to 35 kg With Renal Impairment (Administered Orally Once Daily)
Estimated Glomerular Filtration Rate (GFR)*Recommended Dose
*
Estimate GFR using a validated GFR estimating equation for the pediatric age range of the approved indication.
Dosing was derived assuming similar proportional effects of renal impairment in adults and pediatric patients 6 years and older.

eGFR 30 to 89 mL/min/1.73m

4 mg

eGFR 15 to 29 mL/min/1.73m

Use is Not Recommended

eGFR <15 mL/min/1.73m2 or requiring dialysis

Use is Not Recommended

Pediatric Patients weighing greater than 35 kg

The recommended dosage of Toviaz in pediatric patients with renal impairment weighing greater than 35 kg is described in Table 3 [see Use in Specific Populations (8.6)]. For administration instructions, see Dosage and Administration (2.6).

Table 3: Toviaz Recommended Dose in Pediatric Patients Aged 6 Years and Older Weighing Greater Than 35 kg With Renal Impairment (Administered Orally Once Daily)

*
Estimate GFR using a validated GFR estimating equation for the pediatric age range of the approved indication.
Dosing was derived assuming similar proportional effects of renal impairment in adults and pediatric patients 6 years and older.
The recommended starting dosage of Toviaz is 4 mg orally once daily. After one week, increase to the recommended dosage of Toviaz 8 mg orally once daily.

Estimated GFR*

Recommended Dose

eGFR 30 to 89 mL/min/1.73m

8 mg

eGFR15 to 29 mL/min/1.73m

4 mg

eGFR <15 mL/min/1.73m2 or requiring dialysis

Use is Not Recommended

2.5 Toviaz Dosage Modifications Due to Strong CYP3A4 Inhibitors

Adult Patients with OAB

The maximum recommended dosage is Toviaz 4 mg orally once daily in adult patients taking strong CYP3A4 inhibitors [see Drug Interactions (7.2) and Clinical Pharmacology (12.3)]. For administration instructions, see Dosage and Administration (2.6).

Pediatric Patients with NDO

Pediatric Patients Weighing Greater than 25 kg and up to 35 kg

The use of Toviaz in pediatric patients weighing greater than 25 kg and up to 35 kg and taking strong CYP3A4 inhibitors is not recommended [see Drug Interactions (7.2) and Clinical Pharmacology (12.3)]. For administration instructions, see Dosage and Administration (2.6).

Pediatric Patients Weighing Greater than 35 kg

The maximum recommended dosage is Toviaz 4 mg orally once daily in pediatric patients weighing greater than 35 kg and taking strong CYP3A4 inhibitors [see Drug Interactions (7.2) and Clinical Pharmacology (12.3)]. For administration instructions, see Dosage and Administration (2.6).

2.6 Administration Instructions

Swallow Toviaz whole with liquid. Do not chew, divide, or crush. Take with or without food [see Clinical Pharmacology (12.3)].

Find TOVIAZ® medical information:

Find TOVIAZ® medical information:

Our scientific content is evidence-based, scientifically balanced and non-promotional. It undergoes rigorous internal medical review and is updated regularly to reflect new information.

TOVIAZ® Quick Finder

Prescribing Information
Download Prescribing Information

Health Professional Information

Dosage and Administration

2 DOSAGE AND ADMINISTRATION

2.1 Recommended Dosage for Adult Patients With OAB

The recommended starting dosage of Toviaz in adults is 4 mg orally once daily. Based upon individual response and tolerability, increase to the maximum dosage of Toviaz 8 mg once daily. For administration instructions, see Dosage and Administration (2.6).

2.2 Recommended Dosage for Pediatric Patients Aged 6 Years and Older With NDO

Pediatric Patients Weighing Greater than 25 kg and up to 35 kg

The recommended dosage of Toviaz is 4 mg orally once daily. If needed, dosage may be increased to Toviaz 8 mg orally once daily. For administration instructions, see Dosage and Administration (2.6).

Pediatric Patients Weighing Greater than 35 kg

The recommended starting dosage of Toviaz is 4 mg orally once daily. After one week, increase to Toviaz 8 mg orally once daily. For administration instructions, see Dosage and Administration (2.6).

2.3 Recommended Dosage in Adult Patients With Renal Impairment

The recommended dosage of Toviaz in adult patients with renal impairment is described in Table 1 [see Use in Specific Populations (8.6)]. For administration instructions, see Dosage and Administration (2.6).

Table 1: Toviaz Recommended Dose in Adult Patients With Renal Impairment (Administered Orally Once Daily)
Estimated Creatinine Clearance*Recommended Dose
*
Calculate CLcr using the Cockcroft-Gault formula

CLcr 30 to 89 mL/min

8 mg

CLcr 15 to 29 mL/min

4 mg

CLcr <15 mL/min

4 mg

2.4 Recommended Dosage in Pediatric Patients With Renal Impairment

Pediatric Patients Weighing Greater than 25 kg and up to 35 kg

The recommended dosage of Toviaz in pediatric patients with renal impairment weighing greater than 25 kg and up to 35 kg is described in Table 2 [see Use in Specific Populations (8.6)]. For administration instructions, see Dosage and Administration (2.6).

Table 2: Toviaz Recommended Dose in Pediatric Patients Aged 6 Years and Older Weighing Greater Than 25 kg and up to 35 kg With Renal Impairment (Administered Orally Once Daily)
Estimated Glomerular Filtration Rate (GFR)*Recommended Dose
*
Estimate GFR using a validated GFR estimating equation for the pediatric age range of the approved indication.
Dosing was derived assuming similar proportional effects of renal impairment in adults and pediatric patients 6 years and older.

eGFR 30 to 89 mL/min/1.73m

4 mg

eGFR 15 to 29 mL/min/1.73m

Use is Not Recommended

eGFR <15 mL/min/1.73m2 or requiring dialysis

Use is Not Recommended

Pediatric Patients weighing greater than 35 kg

The recommended dosage of Toviaz in pediatric patients with renal impairment weighing greater than 35 kg is described in Table 3 [see Use in Specific Populations (8.6)]. For administration instructions, see Dosage and Administration (2.6).

Table 3: Toviaz Recommended Dose in Pediatric Patients Aged 6 Years and Older Weighing Greater Than 35 kg With Renal Impairment (Administered Orally Once Daily)

*
Estimate GFR using a validated GFR estimating equation for the pediatric age range of the approved indication.
Dosing was derived assuming similar proportional effects of renal impairment in adults and pediatric patients 6 years and older.
The recommended starting dosage of Toviaz is 4 mg orally once daily. After one week, increase to the recommended dosage of Toviaz 8 mg orally once daily.

Estimated GFR*

Recommended Dose

eGFR 30 to 89 mL/min/1.73m

8 mg

eGFR15 to 29 mL/min/1.73m

4 mg

eGFR <15 mL/min/1.73m2 or requiring dialysis

Use is Not Recommended

2.5 Toviaz Dosage Modifications Due to Strong CYP3A4 Inhibitors

Adult Patients with OAB

The maximum recommended dosage is Toviaz 4 mg orally once daily in adult patients taking strong CYP3A4 inhibitors [see Drug Interactions (7.2) and Clinical Pharmacology (12.3)]. For administration instructions, see Dosage and Administration (2.6).

Pediatric Patients with NDO

Pediatric Patients Weighing Greater than 25 kg and up to 35 kg

The use of Toviaz in pediatric patients weighing greater than 25 kg and up to 35 kg and taking strong CYP3A4 inhibitors is not recommended [see Drug Interactions (7.2) and Clinical Pharmacology (12.3)]. For administration instructions, see Dosage and Administration (2.6).

Pediatric Patients Weighing Greater than 35 kg

The maximum recommended dosage is Toviaz 4 mg orally once daily in pediatric patients weighing greater than 35 kg and taking strong CYP3A4 inhibitors [see Drug Interactions (7.2) and Clinical Pharmacology (12.3)]. For administration instructions, see Dosage and Administration (2.6).

2.6 Administration Instructions

Swallow Toviaz whole with liquid. Do not chew, divide, or crush. Take with or without food [see Clinical Pharmacology (12.3)].

Medication Guide

Health Professional Information

{{section_name_patient}}

{{section_body_html_patient}}

Resources

Didn’t find what you were looking for? Contact us.

MI Digital Assistant

Chat online with Pfizer Medical Information regarding your inquiry on a Pfizer medicine.

Call 800-438-1985*

*Speak with a Pfizer Medical Information Professional regarding your medical inquiry. Available 9AM-5PM ET Monday to Friday; excluding holidays.

Medical Inquiry

Submit a medical question for Pfizer prescription products.

Report Adverse Event

Pfizer Safety

To report an adverse event related to the Pfizer-BioNTech COVID-19 Vaccine, and you are not part of a clinical trial* for this product, click the link below to submit your information:

Pfizer Safety Reporting Site

*If you are involved in a clinical trial for this product, adverse events should be reported to your coordinating study site.

If you cannot use the above website, or would like to report an adverse event related to a different Pfizer product, please call Pfizer Safety at (800) 438-1985.

FDA Medwatch

You may also contact the U.S. Food and Drug Administration (FDA) directly to report adverse events or product quality concerns either online at www.fda.gov/medwatch or call (800) 822-7967.