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Fesoterodine is a small molecule antimuscarinic agent used to treat overactive bladder in adults and neurogenic detrusor overactivity in pediatric patients aged 6 years and older weighing more than 25 kg. It works by competitively antagonizing muscarinic acetylcholine receptors (M1–M5), leading to relaxation of the bladder muscle, increased bladder capacity, and reduced symptoms of urinary frequency, urgency, and urge incontinence. Fesoterodine is administered orally as an extended-release tablet. Its active metabolite is 5-hydroxymethyltolterodine.
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