What Are The Side Effects Of Trospium
With any medication, there are risks and benefits. Even if the medication is working, you may experience some unwanted side effects.
The following side effects may get better over time as your body gets used to the medication. Let your doctor know immediately if you continue to experience these symptoms or if they worsen over time.
What If I Forget To Take It
If you forget to take your medicine, take it as soon as you remember unless the next dose is due in less than 6 hours. In this case skip the missed dose and take your next one at the usual time.
Do not take a double dose to make up for a missed dose.
If you forget doses often, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.
Best Treatment For Bladder Leaks
Recent research strengthens the link between incontinence drugs and dementia risk. Here’s how to find relief.
Drugs for an overactive bladder are promised to curb frequent bathroom breaks and bladder leaks.
But is taking medicationsmost of them members of a class of drugs called anticholingericsreally the best solution for regaining control of your bladder?
Anticholinergics commonly cause mental confusion, especially in older adults, and have, in the past, been linked to an increased risk of dementia.
Now, a large analysis from the U.K., published last week in the journal BMJ, has found that anticholinergic drugs, especially those used for bladder problems, Parkinsons disease, and depression, are associated with a higher likelihood of dementia in older adults even 20 years after use.
While this class of medications has long been known to be linked to memory troubles, it was not known whether the effects were permanent, says Michael Hochman, M.D., an associate professor of clinical medicine at the Keck School of Medicine at the University of Southern California. But this study suggests that the effects may not entirely reverse after stopping the medication.
The research doesnt prove that the drugs cause dementiaonly that there is an association between the two. However, this study does raise concerns, and anticholinergic medications for incontinence have several other well-established side effects, Hochman says.
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Why Is This Medication Prescribed
Oxybutynin topical gel is used to treat overactive bladder control frequent urination, urgent need to urinate, and urge urinary incontinence in people who have overactive bladder OAB condition in which the bladder muscles tighten uncontrollably to empty the bladder even when it is not full). Oxybutynin gel is in a class of medications called antimuscarinics. It works by relaxing the bladder muscles.
What Is Azo Urinary Pain Relief
AZO Urinary Pain Relief is a pain reliever that affects the lower part of your urinary tract .
AZO Urinary Pain Relief is used to treat urinary symptoms such as pain or burning, increased urination, and increased urge to urinate. These symptoms can be caused by infection, injury, surgery, catheter, or other conditions that irritate the bladder.
AZO Urinary Pain Relief will treat urinary symptoms, but this medication will not treat a urinary tract infection.. Take any antibiotic that your doctor prescribes to treat an infection.
AZO Urinary Pain Relief may also be used for purposes not listed in this medication guide.
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When To Avoid Azo & Precautions To Take
- Avoid using Azo if you are allergic to it or any other inactive ingredients present along with it.
- Do not use this medication while wearing soft contact lenses because this medicine can permanently discolor soft contact lenses.
- Before using this medicine, tell your doctor if you have kidney disease, liver disease, and blood disorders.
- This drug changes urine color and may affect urinalysis based on spectrometry or color reactions.
- Discontinue the use of this medicine if yellowish color of skin or sclera appears as this is an indication of drug accumulation due to renal failure.
- Urinating less than usual or not at all
- Mood changes
- Swelling of face, throat, hands/legs
Why Try Pumpkin Seeds For Overactive Bladder
In addition to relieving bladder problems, pumpkin seeds have emerged as an effective remedy for overactive bladder. In a three-month study, researchers administered 10 grams of these valuable seeds to men and women on a daily basis. Participants detected a major improvement in all parts of bladder health, ranging from the frequency of bathroom visits to frequency of urine accidents.
They realized a relief in their symptoms within just six weeks. Several studies have shown that pumpkin seeds can:
- Rebuild estrogen in the bladder
- Actively trigger bladder relaxation
- Minimize the sensation of urgency
- Reduce bladder spasms
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What If I Take Too Much
If you take too much mirabegron, it is unlikely to harm you.
If you take an extra dose by mistake, you might get some of the common side effects, such as increased heart rate, or headache and dizziness.
Urgent advice: Contact 111 now for advice if:
You’ve taken more than your usual dose of mirabegron and:
- you’re having side effects
Call or go to 111.nhs.uk
Azo Urinary Pain Relief Side Effects
Get emergency medical help if you have any of these signs of an allergic reaction:hives difficult breathing swelling of your face, lips, tongue, or throat.
Stop using AZO Urinary Pain Relief and call your doctor at once if you have:
little or no urinating
confusion, loss of appetite, pain in your side or lower back
fever, pale or yellowed skin, stomach pain, nausea and vomiting or
blue or purple appearance of your skin.
Common side effects may include:
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Do Azo Bladder Control Supplements Relieve Urgency To Go
Seen the claims for Azo Bladder Control pills?
This dietary supplement, marketed primarily to women, supposedly helps control the need to go to the bathroom, helps reduce occasional urgency, and supports a good nights sleep, according to its manufacturer.
Too bad thats not what the best study of the product shows. That study, conducted by the Belgian company that created the supplement, found that Azo Bladder Control is no more effective than a placebo at relieving the urgency to urinate and reduces only slightly the number of trips to the bathroom during the day or night.
Dont look for this news on the website of the manufacturer, i-Health, Inc., of Cromwell, Connecticut.
Azo Bladder Control pills contain an extract of pumpkin seeds and soybeans i-Health calls Go-Less. Ads for the product have been featured in the glossy coupon inserts in Sunday newspapers and have run in magazines like the Costco Connection thats mailed out to the warehouses 45 million members.
This isnt the first time i-Health has made dubious claims about the dietary supplements it sells. In 2014, the U.S. Federal Trade Commission charged that the company made deceptive claims about a memory-booster supplement. Without admitting guilt, the company signed an agreement with FTC not to make any more memory claims without adequate scientific proof.
Looks like FTC should look at the companys claims about i-Healths so-called bladder control pills.
What Are The Side Effects Of Botox When Injected In The Bladder For Treatment Of Bladder Control Problems
Large studies have shown that Botox, when injected in the urinary bladder for treatment of urinary symptoms including urinary urgency, frequent urination and for bladder control in patients with urinary incontinence, is a safe and effective treatment with few serious side effects.
While the warning label states that distant side effects of Botox are possible such as difficulty speaking/swallowing/breathing, they are apparently exceedingly rare when Botox is injected for treatment of OAB. No patients experienced distant side effects in randomized studies of Botox. In theory, the onabotulinumtoxinA can spread to other areas of the body but this would be an extremely rare occurrence following a relatively small dose of the medication which is given directly into the bladder.
Most common side effects from Botox administration in the bladder:
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When Should I See A Health Care Professional
See a health care professional if you have symptoms of a bladder problem, such as trouble urinating, a loss of bladder control, waking to use the bathroom, pelvic pain, or leaking urine.
Bladder problems can affect your quality of life and cause other health problems. Your health care professional may be able to treat your UI by recommending lifestyle changes or a change in medicine.
Percutaneous Tibial Nerve Simulation
A less invasive option called percutaneous tibial nerve stimulation is also available. It only takes about half an hour per session to perform and is usually done in a doctors office.
In PNTS, a needle electrode is inserted near the ankle that delivers electrical pulses to the tibial nerve. This nerve is linked directly to the sacral nerve.
As in SNS, these electrical pulses help block inappropriate bladder signaling.
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How Is Incontinence Treated
Your health care team can usually manage incontinence. The right treatment for you depends on what type you have, what caused it, how severe it is, and how long you have had it. You might need more than 1 treatment at a time.
Bladder training. Bladder training is a way to treat incontinence without medication. Health care providers may start with bladder training before trying other treatment options. Bladder training, sometimes called bladder retraining, can include these steps:
Learning to wait to urinate, even after you have the urge to go
Going to the bathroom at specific times
Controlling how much and when you drink and eat
Biofeedback, which uses a small device to learn to control the muscles that hold urine
Physical therapy. Working with a physical therapist can help you control your bladder. During physical therapy, you may do Kegel exercises to help strengthen the muscles that hold in urine. Electrical stimulation can also be used to strengthen muscles.
Medication. Medication that can help control your bladder includes:
Medical devices. There are medical devices that can help with bladder problems. One example is a pessary, which is worn in the vagina to support the bladder.
Estrogen cream. A vaginal cream with a low dose of estrogen can help with damage caused by menopause.
Surgery. In some cases, surgery may be needed. During surgery, a sling is placed around the bladder and urethra to keep them closed. Urine flows through the urethra after leaving the bladder.
In Case Of Emergency/overdose
In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at . If the victim has collapsed, had a seizure, has trouble breathing, or can’t be awakened, immediately call emergency services at 911.
If someone swallows oxybutynin gel, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.
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Lifestyle Medications Therapies And Procedures That Can Help
Overactive bladder is a condition characterized by the sudden and frequent need to urinate that is difficult to control, often leading to leakage and incontinence. Because the exact cause of OAB is unknown, the condition can be difficult to treat and often requires a multifactorial approach involving lifestyle, medications, and specialized procedures.
Surgery is rarely recommended but may be pursued if no other options are available and the persons quality of life is severely impacted.
According to the American Urological Society, around 60% of people treated for OAB will experience the complete resolution of symptoms within a year. Although others may continue to have symptoms, their severity and frequency can usually be alleviated with treatment.
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.
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Begin By Talking To Your Doctor
What should you do if youre experiencing bladder problems? First, speak up. People often dont bring up issues of incontinence with their clinical providers, either due to embarrassment or because they feel there are no available options that can helpor that surgery may be the only option, says Tomas Griebling, M.D., professor of urology and senior associate dean for medical education at the University of Kansas School of Medicine. But the symptoms can almost always be eased, Hochman says.
So start by working with a general practitioner, who can determine whether there may be an underlying cause for your symptoms. Urgency, incontinence, and urinary frequency can be caused by urinary tract infections or kidney stonesor, in men, a prostate infection or prostate enlargement. Medication you take to treat other conditions, such as anxiety, depression, high blood pressure, insomnia, and pain, can also lead to bladder leaks.
Your doctor might ask you to keep a diary of how often you urinate, when you have leaks, and how much liquid you consume. That will help define the problem and pinpoint the triggers.
Antidepressants And Narcotic Pain Relievers
Some antidepressants and pain medications can prevent the bladder from contracting completely so that it does not empty. That gives rise to issues with urgency or frequency. They can also decrease your awareness that you need to go to the bathroom.
Some of these drugs can also cause constipation, Dr. Rackley says. Constipation, in turn, can cause indirect bladder incontinence, because being constipated takes up more room in the pelvis that the bladder needs to expand.
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What Else Causes Bladder Control Problems In Women
- pregnancy and childbirth
Weak pelvic floor muscles can make it hard for your bladder to hold urine in during stress incontinence. Stress incontinence occurs when an actioncoughing, sneezing, laughing, or physical activityputs pressure on your bladder and causes urine to leak. A weak pelvic floor can also cause fecal incontinence, or bowel control problems.
An Important Conversation To Have With Your Patients
Patients may be embarrassed by bladder control issues and hesitate to discuss them with you. Some may feel that their symptoms indicate a lack of self-control. Others may believe no simple solutions are available.
You can help foster a conversation about bladder control issues by asking questions such as:5
- How often do you have the urge to use the bathroom during the day?
- How many times do you wake with the urge to urinate after falling asleep?
- Do you wear liners or pads because of bladder control issues?
Of course, prescriptions and surgeries are available to treat bladder control symptoms. But you may first want to consider recommending a naturally-sourced product with no known side effects. Your patients may appreciate your suggestion of an affordable, drug-free, over-the-counter solution.
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What Other Information Should I Know
Keep all appointments with your doctor.
Do not let anyone else use your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
Sedatives And Sleeping Pills
Using sedatives and sleeping pills can present a problem, especially if you already have incontinence. They can decrease your awareness of the need to go to the bathroom while you are sleeping.
The best way to address thissituation, Dr. Rackley says, is to take other steps to relax and improve yoursleep. Getting more exercise to make you tired, for example, can help. Itsalso important to maintain a regular bedtime and wake-up schedule. Findingother ways to relax before bed meditation, reading a book or listening tosoothing music or sound effects can also help you sleep better.
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Supporting Healthy Bladder Function For Happier Patients*
Nearly 20 million women battle occasional bladder control issues.3 There is a good chance some of your patients are among them.
Causes of increased urge to urinate include obesity, menopause, nerve or muscle problems, and natural aging.2,4 Whatever the cause, the impact to muscles and tissues of the bladder can cause poor bladder control and can be extremely bothersome to your patients.
Percutaneous Tibial Nerve Stimulation
Percutaneous tibial nerve stimulation is a minimally invasive procedure used to alleviate urinary urgency, urinary frequency, and urge incontinence. In 2010, the FDA formally included OAB as an indication for treatment.
PTNS is a form of nerve stimulation. An electrical needle is inserted into the ankle to deliver low-level impulses to the tibial nerve that runs to the knee joint and connects to the larger sciatic nerve.
Although the exact mechanism of action remains unclear, PTNS has proven to be safe and as effective as OAB medications in people with severe OAB. PTNS is performed once weekly on an outpatient basis and involves a total of twelve 30-minute sessions. People tend to experience an improvement of urinary function within six weeks.
In 2019, an implantable PTNS device was released, which early studies have shown may reduce severe urinary urgency by 94% and severe incontinence by 71%.
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