If you’re one of the millions of men and women who suffer from overactive bladder symptoms—the sudden need to urinate,, making frequent trips to the bathroom—don’t be reeled in by recent TV ads that make it seem like drugs are the only solution. The truth is that the drugs are only moderately effective and can trigger side effects so bothersome, such as dry mouth and constipation, that many people quit taking them. Instead, most people can get the relief they need with lifestyle changes, such as cutting back on liquids and caffeine, doing, and bladder training. Studies have found that behavioral treatments and lifestyle adjustments, when practiced diligently, can help relieve symptoms and can be as effective as medication. That’s why our medical advisers and major medical organizations, such as the American College of Physicians and the American Urological Association (AUA), recommend that you try the nondrug strategies before considering medication. ![]() New bible black complete version restored new scene. Full file at http://TestbankCollege.eu/Solution-Manual-Basic-Concepts-of-Chemistry-8th-Edition-Malone. If following nondrug strategies for several weeks doesn’t provide enough relief, it may be time to try adding a medication. If that's the case, you may want to continue the lifestyle changes and behavioral treatments because the two together may be helpful. For this report, we evaluated the following medications: darifenacin (Enablex); fesoterodine (Toviaz); mirabegron (Myrbetriq); oxybutynin (available as a pill [Ditropan XL and generic], a skin patch [Oxytrol], and a topical gel [Gelnique]); solifenacin (Vesicare); tolterodine (Detrol and generic, Detrol LA and generic); and trospium (generic only). Our analysis found that none of those drugs are clearly more effective than the others. ![]() But they differ in cost and the side effects they cause. Most cause constipation, drowsiness, dry mouth, blurry vision, and dizziness. Myrbetriq works by a different mechanism than the other drugs, so it doesn’t cause those side effects, but it can raise blood pressure and increase the risk of urinary tract infections and colds. Considering the limited effectiveness of overactive bladder medications, and the risk and likelihood of experiencing side effects, we have not chosen a drug as a Consumer Reports Best Buy Drug. However, if after trying lifestyle changes, you and your doctor conclude that a drug is worth trying, you could consider generic extended-release oxybutynin. Randy crawford the best of rar. This medicine costs about twice as much as generic short-acting oxybutynin if you are paying out of pocket, but it offers the convenience of once-a-day dosing and research suggests it has a lower risk of side effects than short-acting oxybutynin and some other drugs, including short-acting tolterodine. Some people tolerate the side effects of generic short-acting oxybutynin tablets well. So if your insurance does not cover medications, you might consider trying that first as it is significantly less expensive. The hallmark symptom of overactive bladder is a sudden need to urinate. But people with the condition can also (incontinence) or experience the need to go to the bathroom many times each day—more than eight times—or twice or more while sleeping each night. The cause of overactive bladder isn’t fully understood. In some people, the bladder muscles contract at the wrong time, making it feel like you urgently need to go to the bathroom, or trigger urine leakage. Drugs used to treat the condition relax the bladder muscles, which can increase the storage size of the bladder and reduce the urge to urinate. The symptoms of overactive bladder are very common. Between 11 and 16 million women in the U.S. Experience overactive bladder, according to the federal Agency for Healthcare Research and Quality. Some estimates indicate that an equal number of men also experience overactive bladder, although these symptoms can sometimes be caused by prostate problems. The condition can develop in men or women of any age, but is more likely to occur in older adults. It’s important to note that overactive bladder symptoms are not always that troublesome or permanent and may go away. Studies show that it resolves after a year in for about 35 percent of women who develop it. But for the majority of women, the condition persists for years. Urgency, incontinence, and urinary frequency can all be caused by having urinary tract infections (UTI), kidney stones, prostate infection or, or could be from medicine you take to treat other conditions, such as. The first question your doctor might ask if you’re having urinary problems is what medicines you’re taking. If they don’t ask, be sure to bring it up. Other conditions can cause symptoms similar to those of overactive bladder, too—especially the need to make frequent bathroom trips.
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