When other bladder control strategies fail, medication may be useful. Learn about different medications and their potential side effects. Lipo Sculpt Liverpool 1 Of UKS Best Non-Surgical Centres (lipo-sculpt.co.uk)
Sometimes, bladder control difficulties linger even after lifestyle improvements and bladder training. When alternative therapies have failed, it may be time to explore medication with your doctor.
Overactive bladder, a disorder characterised by frequent, unexpected urges to urinate, may be treated with medication. In addition, they are provided to patients who have urine leaks owing to a hyperactive bladder. This is referred to as urge incontinence.
Those who have urine incontinence during physical activity actually have fewer therapy options. It is known as urinary urgency. Urinary incontinence can cause urine loss when coughing, sneezing, or carrying heavy objects.
Here are some common drugs used to treat urinary incontinence, as well as their possible side effects. It is possible that the combination of medication and behavioural treatment is more effective than medication alone.
How they function
Anticholinergic drugs inhibit the function of the chemical messenger acetylcholine. Acetylcholine carries impulses to the brain that induce bladder spasms due to an overactive bladder. These contractions may encourage urination even when the bladder is not full.
Typically, these prescription drugs are taken orally as a pill or tablet. Oxybutynin is also available as a gel or skin patch that delivers the medication constantly upon prescription.
In addition, oxybutynin is available as a skin patch without a prescription (Oxytrol for Women).
Before anticholinergic medication begins to ease symptoms, it may take many weeks. It may take 12 weeks before the drug’s full effects are observed.
Constipation and dry mouth are the most common side effects of anticholinergic medications. A once-daily dosage of a formulation with prolonged release may have fewer unwanted effects.
Try sucking on hard candies or chewing gum to stimulate saliva production and alleviate dry mouth. Other less common side effects include heartburn, impaired eyesight, a rapid heart rate, flushed skin, and difficulty urinating. Moreover, cognitive adverse consequences may emerge. There are memory issues and confusion.
The oxybutynin skin patch might cause skin irritation. Your physician may advise you to rotate the location of your patch.
How it functions
Mirabegron is an approved medication for treating several types of urinary incontinence. It can increase the capacity of the bladder by relaxing the bladder’s muscle. It may also increase the amount of pee produced at once. This may allow you to empty your bladder entirely. It is available in tablet and granule form.
Typical side effects of Mirabegron include nausea, diarrhoea, constipation, dizziness, and headache. It can elevate blood pressure. Monitoring of blood pressure is essential when using this medicine.
Mirabegron may interact with other pharmaceuticals. Before commencing this medication, provide your doctor with a list of any medications you are presently taking.
Type A onabotulinumtoxin (Botox)
How it functions
Injections of Botox into the bladder muscle may benefit persons with overactive bladder or urge incontinence. Botox reduces the action of acetylcholine and paralyses the bladder muscle.
Patients who have not responded to earlier treatments may benefit from Botox. The duration of benefits might be a number of months. Your doctor may recommend repeating the injections every year or every other year.
Studies have demonstrated that Botox significantly alleviates incontinence symptoms with little side effects. Some data suggests that it may increase urinary tract infections, however the evidence is limited.
The Food and Drug Administration (FDA) warns that the use of Botox for both approved and unapproved applications may have significant side effects. They can result in stoppage of breathing and death.
How it functions
After menopause, the production of oestrogen declines. This oestrogen deficiency may result in the degeneration of the tissues around the bladder and the tube that transports urine out of the body. This might worsen stress incontinence.
Low-dose topical oestrogen might be advantageous. The medication is offered as a vaginal cream, ring, or patch. To reduce specific symptoms, oestrogen may assist in rebuilding vaginal and urinary tract tissues.
It may not be safe for those with a history of breast cancer, uterine cancer, or both to take topical oestrogen. Discuss the possible risks with your healthcare provider.
Combination hormone therapy is distinct from topical oestrogen and is no longer used to treat urinary incontinence. Oral oestrogen therapy entails taking pills. Additionally, it differs from topical oestrogen. Oral oestrogen medications may aggravate the symptoms of incontinence.
When used appropriately, topical oestrogen medications often do not generate adverse effects.
How it functions
Imipramine (Tofranil) is a tricyclic antidepressant. It relaxes the bladder muscle while constricting the bladder neck’s smooth muscles. This medicine may be used to treat mixed incontinence, which consists of both urge and stress incontinence.
Since imipramine can produce drowsiness, it is usually used at night. Consequently, imipramine may be an effective treatment for nocturnal incontinence. It may also aid children who urinate in their beds at night. Generally, imipramine is not suggested for older patients.
Heart and blood vessel problems are uncommon but major side effects of imipramine. Low blood pressure may cause an irregular pulse, dizziness, or fainting upon sudden standing. Children and the elderly may be more prone to these adverse effects.
In addition, you may experience dry mouth, hazy vision, and constipation. Antidepressants that are tricyclic interact with a variety of different medications. Ensure that your physician is aware of all medications you are taking.
How it functions
Duloxetine (Cymbalta, Drizalma Sprinkle) is licenced as a serotonin and norepinephrine reuptake inhibitor to treat depression and anxiety. In certain instances, it can assist relax the muscles that control pee production and prevent bladder leaks. It may be especially useful for those with urinary incontinence and depression.
Duloxetine can produce adverse effects including nausea, dry mouth, vertigo, constipation, insomnia, and fatigue. Patients with chronic liver problems should not use duloxetine. Ensure your physician is aware of your entire medical history before commencing treatment with this drug.