Overactive Bladder – Incontinence

Overactive Bladder:

  • Sx: urinary urgency, frequency, or urge incontinence [person feels the need to urinate often but only small amount of urine each time]
  • Stress incontinence: Recommend Kegel exercises.
    1. http://www.mayoclinic.org/healthy-living/womens-health/in-depth/kegel-exercises/art-20045283
  • Urge incontinence: Recommend Oxybutynin – relaxes detrusor muscles (allows the bladder to relax).
    1. Tx: Vesicare (Solifenacin) 5-10 mg PO qd
      1. Muscarinic receptor antagonist: inhibits detrusor muscle contractions.
    2. Tx: Tolterodine tartrate ER 4mg PO qd.
      1. Muscarinic receptor antagonists
    3. Tx: Oxybutynin 5mg PO bid – Best for Urge incontinence b/c it relaxes the detrusor muscle.
      1. Muscarinic receptor antagonists

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