frequency, urgency and urge incontinence are symptoms of overactive bladder. The first line of management is to follow healthy bladder diet advice. lots of what we drink and eat can be irritant to the bladder and once we modify our diet, we start feeling much better
if conservative measures fail to control the condition, we usually start medical management. The most common drug is called Solifenacin. this is antimuscarinic drug which helps to relax the bladder wall and reduce these symptoms
we start with smallest dose which is 5mg tablets. side effects include headache, dry mouth, blurring of vision and constipation. there are quite few contraindications to the use of solifenacin especially uncontrolled hypertension. after 4-6 weeks, you will receive follow up call and if no side effects, we can increase the dose of medication to achieve the full control if not achieved on the smallest dose
if solifenacin failed, we can use another drug called Betmiga (mirabegron) which has different mechanism of action but achieve the same target. we need to make sure that there are no contraindications to the use of these medications before prescribing them
if you suffer from overactive bladder, we are here to help you and manage your symptoms. Please contact us and have your first consultation.