Bladder Control Medications
Facts on Bladder Control Medications
What Are the Medications for Bladder Control Problems?
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Any underlying disease or condition that may cause loss of bladder control must be treated. For example, antibiotics are necessary for treatment of urinary tract infections, and drugs that specifically decrease symptoms caused by an enlarged prostate gland may decrease urinary urgency. Drug treatment may be directed to relax the bladder so it can hold more urine, decreasing the need for frequent urination. Other drugs help tighten the sphincter muscles to avoid uncontrolled urine leakage. Still other drugs are used to help empty the bladder for conditions in which the bladder does not empty completely.
Anticholinergic and Spasm-Relieving Drugs for Bladder Problems
The anticholinergic class of drugs includes darifenacin (Enablex), dicyclomine (Antispas, Bentyl), flavoxate (Urispas), hyoscyamine (Anaspaz, Levbid, Levsin), methantheline (Banthine, Pro-Banthine), oxybutynin (Ditropan, Ditropan XL, Oxytrol, Gelnique), solifenacin (VESIcare), tolterodine (Detrol, Detrol LA), fesoterodine (Toviaz), and trospium (Sanctura).
Anticholinergic agents may help relieve urge incontinence. Anticholinergic means to oppose or counteract the activity of certain nerve fibers that cause the bladder to contract. Some tricyclic antidepressants (TCAs), such as imipramine (Tofranil, Tofranil PM), nortriptyline (Pamelor), or amitriptyline (Elavil), have strong anticholinergic effects and may be prescribed to treat incontinence. Because the effects of newer, long-acting agents (for example, Detrol LA, Ditropan XL, Enablex, or VESIcare) last throughout the day, they need to be taken only once daily, which makes them very convenient. Additionally, the effects of Detrol and Detrol LA are mostly limited to the bladder, thus lessening the prevalence of side effects typically caused by anticholinergics (for example, dry mouth and blurry vision).
Medically Reviewed by a Doctor on 11/16/2016
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