Doctor insights on:
Urispas Anti Bladder Spasm Agent
It works. : Ditropan (oxybutynin) is part of a family of medications called anticholinergics that can help calm the bladder. It is an effective treatment for overactive bladder and has been used to help manage bladder spasms. Bladder spasms often occur with bladder irritation, such as that after surgery, or during infection, or in neurologic problems of the bladder. Side effects often can limit the dose. ...Read more
The bladder is a muscular organ in the pelvis that accepts urine from the kidneys, stores the urine at low pressure, & expels the urine during voluntary voiding. Though seemingly a simple reservoir, the bladder is a complex organ intricately connected with the brain and spinal cord with sensory, motor, and autonomic circuits. The muscular layer that contracts during voids ...Read more
Leak at catheter?: If the catheter is a suprapubic catheter and you are leaking around it, it is probably related to bladder contractions causing the leak around the catheter. If it is a female urethral catheter and you are leaking around the catheter, it could be wrong size catheter, partial catheter blockage or bladder contractions. ...Read more
Can vesicare (solifenacin) or other overactive bladder medications cause urethral irritation? I've been have urethral urgency.
Possibly: They usually help but not necessarily a cure. ...Read more
Can oxybutinin be used to treat non bacterial prostatitis/interstitial cystitis/chronic pelvic pain syndrome?
Yes: Oxybutynin is an antimuscarinic and primarily used for the symptoms of urinary frequency, urgency, and urge incontinence. Though most commonly used as part of the treatment of overactive bladder and neurogenic bladder-related detrusor instability it can be used for any condition or symptom complex with bothersome bladder-related urinary urgency and frequency. It treats the symptom, not the disease. ...Read moreSee 1 more doctor answer
Is oxybutynin the best choice for neurologic bladder and occasional bladder leakage? or detrol? or vesicare (solifenacin)?
It's the cheapest: oxybutynin happens to be the original (and che"anticholinergic" on the market, originally developed in the 1970's. It is effective but has side effects (dry mouth, eyes, and constipation). The newer drugs have slightly better side effect profiles. Check out the new beta agonist myrbetriq too. See a specialist in neurogenic bladder, urologists often have additional training in this area. ...Read more
Both: Alpha blockers relax the smooth muscle component of the prostate (as opposed to the glandular part). They also relax the INTERNAL urinary sphincter at the neck of the bladder.This is why retrograde ejaculation(the ejaculate goes into the bladder instead of coming out) can occur. They do not relax the EXTERNAL sphincter(below the prostate) which controls urine voluntarily. ...Read more
Is it safe to take 2 overactive bladder medications Detrol (tolterodine) LA 4mg with Oxybutynin Er 10 mg...
Not a good idea: They are the same class of medicine (antocholinergic) and both work in pretty much the same way, by reducing spasm of the muscle that contracts to push urine out of the bladder. Taken in excess they can actually cause incontenence by paralysis of that muscle (overflow incontenence). If the meds are not working you should see a urologist. You can have systemic side effects with too much meds. ...Read moreSee 1 more doctor answer
Here are some ...: Disregarding the wonderful side effect profile of a drug, you should stop using Replens now; then, wait and see if the described symptoms are tolerable to you and you're getting better slowly but surely day by day. If not resolved as wished and expected, see Doc timely for evaluation, confirmation, and counseling for the future. ...Read more
Medical + nonmedical: In addition to Detrol (tolterodine) (instead of) there are many, many different "anti-cholinergic" medications that have a fewer side effects (but they may be more expensive or not covered by your insurance). There are also nonmedical aids, including avoiding certain types of foods and bladder stimulants (eg, caffeine) and timed voiding (keep you bladder less full). Discuss with your doctor. ...Read more
What's to be expected? Might using an indwelling catheter and alpha blocker muscle relaxer cause incontinence?
Incontinence: Having a urinary catheter in place does not cause incontinence once its removed, assuming it was for a short term only. Use of Alpha blocker therapy can relax the bladder neck and urinary sphincter but doesn't typically doesn't promote incontinence. Would definitely recommend you have cystoscopy and possibly urodynamic studies by a urologist. ...Read more
Can quitting tamsulosin cause diarrhea? (I'm a female patient taking it for urinary retention caused by interstitial cystitis)
Tamulosin quit: hello ~ no if you stop taking tamulosin, it will not cause diarrea. You should look for another cause of the diarrea if it continues and ask your doc to investigate. thanks ...Read more
Do the bladder instillation treatments of heparin, bicarbinate of soda, and lidocane help bladder inflamation?
Can be helpful: Often used in management of interstitial cystitis with or without dmso. ...Read more
Is it true that antispasmodic medicines such as methampyrone and papaverine HCl can also reduce uterine contraction?
Constant irritation bladder feeling. Can bladder neck cause this? Doc said Botox to relax bladder neck? Tabs not work even though ret ejaculation
Maybe, but...: Please refer this Q to your potential urologist. Botox injection to bladder is to denervate the bladder hoping to ease the related pain and urgency after failing to behavioral modification + oral medications (antimuscarinic agents). It helps improve symptom but not cure since we doctors have never cured anything for anyone, but help modify something to some degree with/without drugs or procedures. ...Read more
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