Tolsama

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.

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.

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.

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.

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.

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.