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.
How Should This Medicine Be Used
Topical oxybutynin comes as a gel to apply to the skin. It is usually applied once a day. Apply oxybutynin gel at around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Apply oxybutynin gel exactly as directed. Do not apply more or less of it or apply it more often than prescribed by your doctor.
Oxybutynin gel may help control your symptoms but will not cure your condition. Continue to use oxybutynin gel even if you feel well. Do not stop using oxybutynin gel without talking to your doctor.
Oxybutynin gel is only for use on the skin. Do not swallow oxybutynin gel and be careful not to get the medication in your eyes. If you get oxybutynin gel in your eyes, wash them with warm, clean water right away. Call your doctor if your eyes become irritated.
You can apply oxybutynin gel anywhere on your shoulders, upper arms, stomach, or thighs. Choose a different area to apply your medication every day, and apply the entire dose to the place you choose. Do not apply oxybutynin gel to your breasts or your genital area. Do not apply the medication to skin that has recently been shaved or that has open sores, rashes, or tattoos.
Keep the area where you applied oxybutynin gel dry for at least 1 hour after you apply the medication. Do not swim, bathe, shower, exercise, or get the area wet during this time. You may apply sunscreen during your treatment with oxybutynin gel.
Jazzee Naturals Higher Extra Strength Dosage
Another great over the counter UTI medicine is Jazzee Naturals D-Mannose Healthy Urinary Tract Support. This product is also an all-natural remedy that seeks to improve urinary tract health and fight off infections. The product incorporates mannose into its formula as well, however the concentration is slightly less potent that the previous item.
The product works by cleansing the system to encourage the body to expel whatever bacteria caused the infection. While this is a very effective method for ridding the body of foreign particles, it also causes much more urination. This, coupled with the already strong urge to urinate associated with UTI, can be troubling for some users.
Read Also: Best Way To Treat Bladder Infection
Beta Agonists For Bladder Problems
This class of medication, mirabegron , works by relaxing the bladder muscle during the storage phase, thus increasing the capacity of bladder to hold more urine. They can be used for the treatment of overactive bladder . Mirabegron is the first drug in this category.
- How beta-agonist drugs work: They work by relaxing the bladder muscles and reducing bladder overactivity.
- Who should not use this medication: Individuals with the following conditions should not use mirabegron or a similar class of drugs:
- Allergy to this drug
- Advanced kidney disease
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
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Bri Nutrition 3x Strength Crangel Power Plus
Coming in at third on the list of the most popular UTI remedies is BRI Nutrition Cranberry Concentrate Extra Strength. The main difference between this product and others on the list is that it includes lingonberry into its formula, which is an all-natural ingredient that helps fight off UTI.
While its not the cheapest option on the list, it has proven to be quite effective on some people. That said however, its worth saying that BRI Nutrition Cranberry Concentrate Extra Strength has been said to be ineffective on others.
Based on consumer reviews, some people failed to experience any sort of benefit from the product, which makes it a questionable choice for some buyers. Nonetheless, it has been said to work wonders for others, so you should keep in mind that the results always depend on how the system takes to the product.
Use Of Myrbetriq And Important Safety Information
Do not take MYRBETRIQ® if you are allergic to mirabegron or any ingredients in MYRBETRIQ. MYRBETRIQ may cause your blood pressure to increase or make your blood pressure worse if you have a history of high blood pressure. You and your doctor should check your blood pressure while you are taking MYRBETRIQ.
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Selecting Medications For The Treatment Of Urinary Incontinence
BARRY D. WEISS, M.D., University of Arizona College of Medicine, Tucson, Arizona
Am Fam Physician. 2005 Jan 15 71:315-322.
In response to the growing population of older patients with incontinence, pharmaceutical companies are developing new drugs to treat the condition. Before prescribing medications for incontinence, however, physicians should determine the nature and cause of the patients incontinence. The evaluation should rule out reversible conditions, conditions requiring special evaluation, and overflow bladder. The best treatment for urge incontinence is behavior therapy in the form of pelvic floor muscle exercises. Medications, used as an adjunct to behavior therapy, can provide additional benefit. Many therapies are available for patients with stress incontinence, including pelvic floor muscle exercise, surgery, intravaginal support devices, pessaries, periurethral injections, magnetic chairs, and intraurethral inserts. No medication has been approved for the treatment of stress incontinence, although medications are under development.
Urinary incontinence is one of the most common chronic medical conditions seen in primary care practice. It is more prevalent than diabetes, Alzheimers disease, and many other conditions that receive considerably more attention. Incontinence is an expensive problem, generating more costs each year than coronary artery bypass surgery and renal dialysis combined.1,2
Strength of Recommendations
Treatment Of Urge Incontinence
The anticholinergic agents oxybutynin and tolterodine are used widely to treat urge incontinence. These medications are not, however, the most effective therapies. Behavior therapies are more effective, and theynot medicationsshould be first-line treatment.
Behavior Therapy
Behavior therapies for urge incontinence include bladder training and pelvic floor muscle exercises. Bladder training is more effective than oxybutynin and improves incontinence in more than 50 percent of patients.6 Kegel exercises are even more effective. In a randomized controlled trial 7 comparing Kegel exercises with oxybutynin in patients with urge incontinence, patients performing Kegel exercises had an 81 percent reduction in incontinence episodes compared with a 69 percent decrease in oxybutynin-treated patients, a statistically significant difference.
Although biofeedback commonly is used to help patients learn effective Kegel technique, evidence suggests that biofeedback training does not result in decreased frequency of incontinence episodes compared with Kegel exercises alone.8 Physicians should keep in mind that successful use of Kegel exercises is dependent on a patients motivation and ability to cooperate with the exercise routine.
Medications
|
One patch twice weekly |
86 to 95 |
Electrical Therapy
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Complementary And Alternative Medicine
There are many complementary and alternative therapies used to treat OAB. These include mind-body therapies that help minimize urinary urgency and symptoms of stress incontinence .
Naturopathic doctors and others also use herbal remedies to treat OAB, but few of these are strongly supported by research. Among those that have some evidence of a positive effect are:
- Gosha-jinki-gan : This traditional Chinese medicine remedy is composed of 10 herbs. Animal studies suggest GJC can mute bladder sensations that contribute to urinary urgency. Small studies in women and men have shown positive results, albeit with side effects in 1 in 10 users .
- Saw palmetto: Saw palmetto is a popular herbal remedy said to increase testosterone levels and alleviate prostate enlargement that can contribute to OAB symptoms in men. A 12-week study involving 44 men with OAB reported improved bladder control and decreased prostate size compared to men who didnt take it.
Always speak with your healthcare provider before using a herbal remedy to treat OAB. The overuse of herbal remedies, especially imported ones, can expose you to substances that may be toxic to your liver and kidneys or interact with drugs you are taking.
What Is Overactive Bladder
Normally, your urinary tract functions quite well. Yourkidneys produce urine that is stored in the bladder, and your bladder isrelaxed when there is no urine present. As your bladder fills withurine, your nerves send a signal that it needs to be emptied. When youhave overactive bladder, the signals to empty the bladder are sent eventhough the bladder is not full. As a result, you may notice thefollowing: 1) you feel the need to urinate 8 or more times during theday, and 2 or more times during a typical night 2) you feel a sudden,strong, and immediate urge to urinate and 3) you leak urineuncontrollably after you have the sudden and strong urge to urinate.Further, when you attempt to urinate, there is often very little urineor no urine at all.
Overactive bladder is not the same as stress incontinence.With stress incontinence, you leak urine when sneezing, laughing, orcarrying out other physical activities.
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How Common Is Urinary Incontinence
Losing bladder control doesnt commonly occur in younger men, but if youre an older man especially over the age of 60 your chances of developing urinary incontinence increases due to associated prostate issues. The National Institutes of Health reports that between 11% and 34% of older men experience incontinence at least occasionally and 2-11% report it is a problem daily.
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It can affect your everyday life because if you strain physically, or even sneeze or cough, you could find yourself with leakage in your pants. As a result, you might stop doing things you enjoy, such as socializing or sporting activities. Even sexual encounters can be affected, as position and pressure during intercourse can cause bladder spasm or leakage.
Medications For Unspecified Oab
If your doctor cant find a cause for your OAB, dont worry. Drugs can still help ease your symptoms. Some of these drugs work by relaxing your bladder. They stop involuntary contractions that bring on the urge to urinate. Other drugs help strengthen the tissues around your bladder that may have become weak. The stronger tissue can help improve your bladder control.
Recommended Reading: Not Being Able To Hold Bladder
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.
Who Can And Cannot Take Mirabegron
Mirabegron can be taken by adults .
It is not suitable for everyone. To make sure it’s safe for you, tell your doctor or pharmacist before starting mirabegron if you:
- have had an allergic reaction to mirabegron or any other medicines in the past
- have liver or kidney problems
- have high blood pressure
- are not able to pee or empty your bladder completely
- have a blockage in your bladder
- have a heart problem called QT prolongation
- are pregnant, trying to get pregnant or breastfeeding
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Overactive Bladder Medication Over The Counter
When you are suffering from overactive bladder , it can be easy to run to the drugstore or your local supermarket to look for a quick solution. But does the easiest option mean it will be effective? In this article we will explore overactive bladder medication that is over the counter to see if it is an effective treatment option.
Over-the-counter overactive bladder medications are an easy option, but they might not work for everyone. Symptoms often vary between people, and depending on what you experience, speaking with a doctor and getting a prescription may be a better option.
Types Of Urinary Incontinence
Urgency incontinence, also known as overactive bladder, is involuntary urination or a very strong desire or urgency to urinate.
Stress incontinence is a weakness of the bladder or sphincter muscles.
Overflow incontinence, also known as after-dribble, is a consequence of not emptying the bladder properly.
Functional incontinence happens when you know you need to urinate, but due to mental or physical reasons, such as dementia or impaired mobility, cannot make it to the bathroom in time.
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Herbal Supplements To Treat Oab
Various herbal supplements, available at many pharmacies or online, may help improve OAB symptoms. Though many have been used for years, there is little research to back the efficacy of these treatments. They include:
- Green tea extract: There are no human studies performed to date to prove green tea extracts work. However, a study on rats indicate that rats treated with green tea catechins had fewer bladder contractions than rats without the treatment when recovering from removal of ovaries as a treatment for bladder damage.
- Gosha-jinki-gan: A combination of 10 Asian herbs is said to reduce urinary frequency. A small study â 44 women in Japan â demonstrated this when taking 7.5 milligrams of this supplement for eight weeks. However, this study has yet to be replicated on a large scale.
- Buchu: A flowering plant that is native to South Africa, buchu supposedly heals a variety of medical conditions. There are no studies that indicate that buchu helps to ease OAB symptoms, but buchu tea is caffeine-free. Perhaps swapping buchu tea for coffee may ease symptoms as caffeine can exacerbate symptoms.
- Hachimi-jio-gan: Similar to gosha-jinki-gan, hachimi-jio-gan is a combination of Asian herbs. HE contains several of the same herbs as gosha-jinki-gan. A small-scale Japanese study performed on rats indicated that this supplement reduced bladder contractions prompted by acetylcholine.
While some of these may be helpful, you might able be wondering what herbs do not work.
Buchu And Your Bladder
A flowering plant native to the mountainous areas of South Africa, buchu has a long history of traditional use. Legend has it that buchu helps heal everything from fevers to coughs to urinary tract infections.
Buchu tea has no caffeine, so swapping your morning coffee or black tea for buchu will cut your caffeine consumption. That may be helpful in easing OAB symptoms, but dont expect a cure-all. No studies measure buchus effect on OAB.
Also Check: Can You Have Intercourse While Having A Bladder Infection
A New Nonprescription Product
Women may try the behavioral changes mentioned above, aswell as one of several prescription medications that relax the muscles of the bladder to preventcontractions. Physicians may also attempt such therapies as applicationof electrical impulses or Botox.
A new nonprescription product may be helpful for overactive bladder. It is known as Oxytrol For Women, which is available as a patch that is worn continuously on the skin for 4 days and contains the medication oxybutynin.
This product may be appropriate for you if you have hadtwo or more of the following symptoms for at least 3months: 1) urinary frequency, more than 8 times in 24 hours 2) urinaryurgency and 3) urge incontinence. However, urinary frequency can alsobe caused by urinary tract infections, diabetes, pregnancy , and other more serious conditions. If you think you have anyof these, you should see a physician instead.
The products label will have many additional useprecautions, warnings, and instructions. You should read and heed eachof these. Further, it is wise to Consult Your Pharmacist for additional assistance regarding use of this innovative new approach to overactive bladder.
Remember, if you have questions, Consult Your Pharmacist.
How Can Diet Affect Overactive Bladder
Some foods and drinks irritate the bladder, possiblycontributing to the problem. You should strive to eliminate caffeinefrom your diet by halting use of coffee, tea, and all caffeinated softdrinks. Alcohol should be eliminated entirely, as it is another bladderirritant. Spices such as pepper add flavor to foods, but they also cancause severe irritation to the bowels and bladder. It may be helpful tokeep a diary of your intake of these foods and drinks to see if theyactually do produce a worsening of symptoms.
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