Tuesday, May 14, 2024

Drugs To Control Urinary Incontinence

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To Use Oxybutynin Gel Follow These Steps:

Male Incontinence – Mayo Clinic
  • Wash the area where you plan to apply the medication with mild soap and water. Allow it to dry.
  • Wash your hands.
  • If you are using the pump, hold the pump upright and press down on the top three times. You can hold the pump so that the medication comes out directly onto the area where you want to apply it, or you can dispense the medication onto your palm and apply it to your chosen area with your fingers.
  • If you are using the single dose packets, tear one packet at the notch to open it. Squeeze all of the medication out of the packet. The amount of medication that you squeeze out of the packet should be about the size of a nickel. You can squeeze the medication directly onto the area where you plan to apply it, or you can squeeze it onto your palm and apply it to your chosen area with your fingers. Dispose of the empty packet safely, so that is out of the reach of children.
  • Wash your hands again.
  • Ask your pharmacist or doctor for a copy of the manufacturer’s information for the patient.

    What The Drug Ads Don’t Say

    Drug ads may leave out information you need to decide whether medication is best for you, Hochman says. For example:

    Symptoms may be addressed without drugs. About one-third of the time, bladder leaks and strong urges to go resolve in women within a year without treatment. In many cases, simple lifestyle changes, such as cutting back on certain fluids or doing exercises to strengthen muscles supporting the bladder, can greatly improve control.

    The drugs often dont work well. According to an analysis by Consumer Reports Best Buy Drugs, most people who take these medications can expect only modest relief. Medication reduces the number of daily bathroom trips from 12 to nine or 10, on average. People who experience bladder leaks can expect one or two fewer episodes per day.

    Anticholinergic Drugs For Oab

    The largest class of drugs used to treat OAB is anticholinergic drugs. They work by blocking a chemical in your body called acetylcholine. This chemical sends a message to your bladder to contract. By blocking this chemical, these drugs reduce the contractions that cause you to release urine. In studies that compared the drugs, all anticholinergics worked in treating OAB.

    Anticholinergics are sold under different brand names. Some are also available as generic drugs. These medications include:

    • oxybutynin
    • solifenacin
    • fesoterodine

    All of these drugs except for Oxytrol come as either tablets or capsules that you take by mouth. Oxytrol is available as a skin patch.

    The most common side effects of anticholinergic drugs include:

    • dry mouth
    • blurry vision
    • constipation

    Seniors have the greatest risk of side effects from these drugs. These medications may also cause drowsiness and an increased risk of falls in seniors. Oxybutynin may cause more side effects than the other drugs in this class. However, taking oxybutynin in its extended-release form may reduce some of the side effects. Anticholinergics may also worsen dementia symptoms and should be used with caution in people with this disease.

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    Where To Go For Urinary Incontinence Treatment

    For urinary incontinence treatment, start with your primary care doctor. Tell them you are having problems with bladder control. If your primary care doctor is unable to help, ask for a referral to a specialist. Doctors who specialize in treating urinary incontinence include urogynecologists, gynecologists with extra training in urinary incontinence, or urologists, doctors who specialize in problems of the urinary tract system in men and women.

    Medicine For Stress Incontinence

    Pills for urinary incontinence drugs to quickly eliminate ...

    If stress incontinence does not significantly improve with lifestyle changes or exercises, surgery will usually be recommended as the next step.

    However, if you’re unsuitable for surgery or want to avoid an operation, you may benefit from an antidepressant medicine called duloxetine. This can help increase the muscle tone of the urethra, to help keep it closed.

    You’ll need to take duloxetine tablets twice a day and will be assessed after 2 to 4 weeks to see if the medicine is beneficial or causing any side effects.

    Possible side effects of duloxetine can include:

    Do not suddenly stop taking duloxetine, as this can also cause unpleasant side effects. A GP will reduce your dose gradually.

    Duloxetine is not suitable for everyone, however, so a GP will discuss any other medical conditions you have to determine if you can take it.

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    Mechanisms Of Urinary Continence

    In healthy individuals, the urinary bladder senses the volume of urine by means of distention. Distention of the bladder excites afferent A-delta fibers that relay information to the pontine storage center in the brain. The brain, in turn, triggers efferent impulses to enhance urine storage through activation of the sympathetic innervation of the lower urinary tract . These impulses also activate the somatic, pudendal, and sacral nerves.1

    The hypogastric nerves release norepinephrine to stimulate beta3-adrenoceptors in the detrusor and alpha1-adrenoceptors in the bladder neck and proximal urethra. The role of beta3-adrenoceptors is to mediate smooth-muscle relaxation and increase bladder compliance, whereas that of alpha1-adrenoceptors is to mediate smooth-muscle contraction and increase bladder outlet resistance.1 The somatic, pudendal, and sacral nerves release acetylcholine to act on nicotinic receptors in the striated muscle in the distal urethra and pelvic floor, which contract to increase bladder outlet resistance.1

    Efferent sympathetic outflow and somatic outflow are stopped when afferent signaling to the brain exceeds a certain threshold. At this point, the parasympathetic outflow is activated via pelvic nerves. These nerves release acetylcholine, which then acts on muscarinic receptors in detrusor smooth-muscle cells to cause contraction. A number of transmitters, including dopamine and serotonin, and endorphins are involved in this process.1

    Causes Of Urinary Incontinence

    Incontinence can happen for many reasons. For example, urinary tract infections, vaginal infection or irritation, constipation. Some medicines can cause bladder control problems that last a short time. When incontinence lasts longer, it may be due to:

    • Weak bladder muscles
    • Overactive bladder muscles
    • Weak pelvic floor muscles
    • Damage to nerves that control the bladder from diseases such as multiple sclerosis, diabetes, or Parkinsons disease
    • Blockage from an enlarged prostate in men
    • Diseases such as arthritis that may make it difficult to get to the bathroom in time
    • Pelvic organ prolapse, which is when pelvic organs shift out of their normal place into the vagina. When pelvic organs are out of place, the bladder and urethra are not able to work normally, which may cause urine to leak.

    Most incontinence in men is related to the prostate gland. Male incontinence may be caused by:

    • Prostatitisa painful inflammation of the prostate gland
    • Injury, or damage to nerves or muscles from surgery
    • An enlarged prostate gland, which can lead to Benign Prostate Hyperplasia , a condition where the prostate grows as men age.

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    What Is Urinary Incontinence Symptoms Causes Diagnosis Treatment And Prevention

    Urinary incontinence , the involuntary loss of urine, is a very common condition that no one wants to talk about. Because of the stigma that surrounds it, many people are too humiliated to seek help. But most conditions that cause UI can be corrected with medical or alternative interventions.

    Occurring much more often in women than men, UI happens when the muscles in the bladder that control the flow of urine contract or relax involuntarily, resulting in leaks or uncontrolled urination. UI itself is not a disease, but it can be a symptom of an underlying medical issue.

    Home Remedies For Urinary Incontinence In Dogs

    Urinary & Fecal Incontinence – Symptoms & Treatment Options

    All you have to do is Google this header, and youll find any number of home remedies for urinary incontinence in dogs. I would be doing you a great disservice, though, if I didnt tell you that I believe the ONLY home remedy you should be using for urinary incontinence in dogs is one that your veterinarian recommends. There are plenty of holistic veterinarians out there probably at least one in your community who can tell you whats true and whats bull crap when it comes to home remedies. Talk to your vet and then decide if you want to go with a home remedy, or with conventional veterinary treatments.

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    What Is Urinary Incontinence

    Urinary incontinence is a loss of control over urination. Urine leaks before you are able to get to a toilet.

    Normally, kidneys make urine that travels through tubes into the bladder. The bladder is a balloon-shaped structure with walls of muscle. The muscular walls are relaxed until the bladder fills up. The underside of the bladder is supported by pelvic floor muscles.

    When the bladder is full, the walls of the bladder are stretched. That signals the muscular walls to squeeze down, causing an urge to urinate. When you are ready to urinate, the muscular walls squeeze down harder, and another tube opens up that carries urine out of the bladder and into the outside world.

    With the various types of urinary incontinence, this normal process gets disrupted.

    One type of incontinence is stress incontinence. Your pelvic muscles are located beneath your bladder. Stress incontinence occurs when your pelvic muscles aren’t strong enough. They cannot withstand a “stress” or pressure pushing on the bladder.

    When your pelvic muscles give way, they release their squeeze around the bottom of your bladder. As a result, urine can drain out.

    Stress incontinence is common during:

    • Pregnancy
    • Laughing
    • Some awkward body movements

    Many women have urinary incontinence after childbirth. Pregnancy and childbirth can affect the conditioning of the pelvic muscles. They can also stretch and injure the pelvic nerves. Incontinence may last for a surprisingly long time after childbirth.

    Sleeping Pills And Incontinence

    Only a small percent of people with incontinence have a problem with bed-wetting, according to Anger, who estimates that about 10% of patients with incontinence wet the bed. However, sleeping pills may pose a problem for those with incontinence at night.

    “Sleeping pills can make things worse, because people don’t wake up ,” she says.

    As an alternative, cut down on caffeine so you sleep better on your own, Anger suggests.

    Sleep will come more easily if you keep a regular bedtime and wake-up schedule, according to the National Sleep Foundation. You can also develop a relaxing bedtime ritual, such as reading a book or listening to soothing music.

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    Medications For Urinary Incontinence

    Other names: Bladder, Weak Incontinence Incontinence, Urge Urge Incontinence Weak Bladder

    Incontinence is the inability to control the passage of urine. This can range from an occasional leakage of urine, to a complete inability to hold any urine.

    The three main types of urinary incontinence are:

    Stress incontinence — occurs during certain activities like coughing, sneezing, laughing, or exercise.

    Stress incontinence is a bladder storage problem in which the strength of the muscles that help control urination is reduced. The sphincter is not able to prevent urine flow when there is increased pressure from the abdomen.

    Stress incontinence may occur as a result of weakened pelvic muscles that support the bladder and urethra or because of a malfunction of the urethral sphincter.

    Treatment for stress incontinence may include behavioral changes, medication, pelvic floor muscle training or surgery.

    Urge incontinence — involves a strong, sudden need to urinate followed by instant bladder contraction and involuntary loss of urine. You don’t have enough time between when you recognize the need to urinate and when you actually do urinate.

    In most cases of urge incontinence, no specific cause can be identified.Although urge incontinence may occur in anyone at any age, it is more common in women and the elderly.

    Treatment for urge incontinence may include medication, retraining, and surgery.

    Mixed incontinence — contains components of both stress and urge incontinence.

    Can Fish Oil Cause Urinary Incontinence In Dogs

    Urinary Incontinence

    Generally speaking, fish oil is very good for your dog. That said when youre buying dog food that contains fish oil you should be very careful about reading the label to determine when the dog food was manufactured and how long it was sitting on the shelf. Rancid fish oil can cause all kinds of problems, and no fish oil at all is better than rancid fish oil. Bad fish oil will not in and of itself cause your dog to become incontinent. However, it could cause other health problems that might lead to incontinence.

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    Symptoms Of Urinary Incontinence In Dogs

    The most common symptom of urinary incontinence in dogs is, as you might expect, the dog peeing where he shouldnt. If the incontinence is due to crystals in the urine, you will also notice that the dog is straining when he tries to pee. There may be blood in the urine, although this can be difficult to identify unless its winter and your dog goes out to pee on the snow. If you suspect a urinary tract infection, your veterinarian can provide you with a kit consisting of a tray and a bottle you catch your dogs urine in the tray and transfer it to the bottle. Then you take it to the vet for a urinalysis.

    What Is The Role Of Medications In Urinary Incontinence Treatment

    The goal of therapy is to improve the symptoms of frequency, nocturia, urgency, and urge incontinence. Pharmacologic treatment options include anticholinergics, antispasmodic agents, tricyclic antidepressants , and beta-3-adrenergic receptor agonists.

    In patients with stress incontinence, alpha agonist treatment results in contraction of the internal urethral sphincter and increases the urethral resistance to urinary flow. Sympathomimetic drugs, estrogen, and tricyclic agents increase bladder outlet resistance to improve symptoms of stress urinary incontinence.

    Pharmacologic therapy for stress incontinence and an overactive bladder may be most effective when combined with a pelvic exercise regimen. The 3 main categories of drugs used to treat urge incontinence include anticholinergic drugs, antispasmodics, and TCAs.

    When a single drug treatment does not work, a combination therapy such as oxybutynin and imipramine may be used. Although their mechanism of action differs, oxybutynin and imipramine work together to improve urge incontinence.

    Beta-3 adrenergic receptor agonists cause relaxation of the detrusor muscle and increased bladder capacity. These agents are indicated for overactive bladder with symptoms of urge urinary incontinence, urgency, and urinary frequency.

  • Russo E, Caretto M, Giannini A, Bitzer J, Cano A, Ceausu I, et al. Management of urinary incontinence in postmenopausal women: An EMAS clinical guide. Maturitas. 2021 Jan. 143:223-230. .

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    Urinary Incontinence In Dogs: Causes Symptoms Treatments


    Urinary incontinence in dogs is a condition in which the dog has little or no control over his bladder. It can vary considerably in degree, from the occasional dribble to full-on flood. Dont confuse urinary incontinence with poor house training or peeing when the dog is nervous. When a dog is incontinent, its not that he wants to pee where he shouldnt he cant help it.

    Why would a dog become incontinent? And what can you do about it? In the material that follows, well delve into the issue of urinary incontinence in dogs, offer suggestions on what measures you can take, and answer several common questions, so keep reading!

    Am I At A Higher Risk Of Incontinence At An Older Age

    Urinary Incontinence treatment

    Your body constantly changes throughout your life. As you age, the muscles that support your pelvic organs can weaken. This means that your bladder and urethra have less support often leading to urine leakage. Your risk for developing incontinence as you age might be higher if you have a chronic health condition, have given birth to children, went through menopause, have an enlarged prostate or have had prostate cancer surgery. Its important to talk to your healthcare provider over time about the risks of incontinence and ways you can manage it without interference to your daily life.

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    What Is The Bottom Line About This Health Issue

    If you have trouble with leaking urine, know that you are not alone many women suffer from urinary incontinence. There is no shame in discussing this problem with your doctor or an incontinence professional . The real harm is in ignoring incontinence. Non-drug treatments, such as healthy lifestyle changes or pelvic floor exercises, should be the first choice. Once you start adopting healthy behaviors, sticking to these good habits will serve you well in the long run.

    Currently there are no effective medications for women with stress incontinence. In contrast, women with urgency incontinence have good evidence that several medications can be helpful. There are eight drug choices available and women can make informed decisions with their doctors. We “urge” you to take into account the balance between benefits and harm for each of eight available drugs and to make informed treatment decisions after discussions with incontinence professionals.

    Botox Injection For Bladder Problems

    Botox injection has recently been approved by the Food and Drug Administration for the treatment of overactive bladder for patients who have failed to respond to standard therapy with anticholinergic medications.

    Overactive bladder is a type of urinary incontinence caused by overactivity of the muscles in the bladder, causing frequent squeezing of the bladder and, thus, frequent urge to urinate. Botox can be injected into the bladder directly through a cystoscope .

    Common side effects of Botox injection may include incomplete emptying, urinary tract infection, and painful urination.

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    Forms Of Urinary Incontinence That Affect Men Only

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