Tablets for urinary incontinence - a review of effective drugs with descriptions

Incontinence is a pathology that is characteristic not only of children and adolescents, but also of adults and older patients. Representatives of the fairer sex often suffer from this disorder due to the physiological characteristics of their body and complications during labor. Lack of timely treatment can lead to dangerous consequences, including death. One of the ways to eliminate urinary incontinence in women and men is treatment with tablets, which are prescribed by a doctor based on test data.

List of medications

There are many medications that are effective for urinary incontinence in postmenopausal women, older men, and even children. During menopause, estrogen levels decrease, mucous membranes become thinner, and the risk of injury and infection of the genitourinary system increases.

The drugs help relieve spasms, reduce inflammation, block pathological nerve impulses in the pelvic organs, and increase bladder capacity.

Older people, as a rule, are diagnosed with a lot of different ailments. And medications used to treat incontinence have side effects, so you should not take them without a doctor’s prescription.

Driptan

This drug from French manufacturers contains 5 mg of the active substance oxybutynin hydrochloride for each tablet. It combines the properties of an M-anticholinergic blocker and a myotropic antispasmodic. The medicine helps relieve tension in the detrusor muscle of the bladder and reduce the frequency of its involuntary contractions.

Tablets for stress urinary incontinence

The main problem solved with this nature of the disease is reducing the tension of the bladder and restoring the functioning of the sphincter. The list of prescribed drugs for the treatment of urinary incontinence in women includes drugs with different modes of action.

Attention: self-medication of uncontrolled urination is strictly not recommended, since the drugs have numerous side effects and require precise dosage.

Duloxetine Canon

The drug belongs to the group of antidepressants, the use of which is indicated for bladder overactivity, accompanied by neurosis. The drug interacts well with chemical compounds involved in the transmission of nerve signals to the pelvic muscles. Due to this, their contractions are normalized.

Studies have revealed positive dynamics from taking Duloxetine in 60% of elderly women with urinary incontinence.

Cymbalta

The drug also belongs to the group of antidepressants, therefore it is prescribed for urinary disorders caused by stressful conditions. Stabilizing nervous conditions helps improve sphincter function and restore bladder functionality. It is used for generalized disorders of the nervous system and increased anxiety.

It is a recommended treatment for stress urinary incontinence in women. A long course of treatment is indicated. Available in capsules, taken regardless of food consumption.

Midodrine

It is a representative of the group of andrenomimetics. Its action is based on strengthening the tone of the sympathetic part of the nervous system and has a positive effect on the urethral sphincter.

Available for oral administration and intravenous administration. When prescribing this medication for urinary incontinence, consideration should be given to possible hypertensive reactions in older women.

Pantocalcin

It has a pronounced antidysuric effect, reduces detrusor tension, which leads to a decrease in the number of urinations, urges, and reduces the possibility of “leaks”.

Other drugs - Imipramine, Gutron, Duloxetine DR Teva, Melipramine.

Hormones

Often the cause of the problem is a decrease in estrogen production. Age-related urinary incontinence in women requires taking hormonal tablets; suppositories or vaginal creams are often also prescribed.

These drugs are prescribed by gynecologists after conducting tests and identifying diseases of the genital organs. The most commonly prescribed drug is Ovestin.

Contraindications

Any medicine intended to normalize the condition when urinary incontinence is diagnosed in older people has contraindications:

• disruption of the excretory organs (renal and liver failure);
• complete retention of urine outflow;
• intolerance to the main and additional components included in the composition of medicines (including lactose);
• ulcerative colitis, megacolon and intestinal malabsorption;
• closed-angle type of glaucoma;
• tendency to bleed;
• cardiac dysfunction;
• myasthenia gravis.

Persons with polyvalent allergies should be wary of treatment with any of the listed agents. Before starting treatment for urinary incontinence in women, it is advisable to consult with an allergist.

Suppositories for incontinence

Treatment of urinary incontinence in women with rectal or vaginal suppositories is prescribed as additional therapy. The combination of several techniques can reduce the negative effects of incontinence pills by reducing the dosage of medications.

Ovestin is a hormonal drug, used 1-3 times a week, as prescribed by a doctor, depending on the woman’s health condition.

Important! Suppositories for the treatment of problems with urination are hormonal drugs; self-medication is unacceptable. Any means are selected individually, taking into account the level of hormones in the blood and underlying diseases.

The problem of urinary incontinence and ways to solve it

Diagnosis and therapy of incontinence is considered an important medical problem. In practice, partial urinary incontinence occurs predominantly, in particular stress, imperative and mixed types. There are a number of factors that provoke the development of the disorder. Features of the anatomical location of organs, general innervation, blood circulation, functional interactions - all this is combined into a complex system, where local changes in one organ have a negative impact on the work and condition of neighboring ones.

The success of treating a person with urinary incontinence depends on correct diagnosis, complex therapy, including the use of medications, physiotherapy, personal hygiene products, as well as surgical options to eliminate the problem.

Features of treatment in women

Therapeutic measures for women have their own characteristics in terms of the use of hormonal therapy. In elderly women, tablet forms of estrogen, as mentioned above, are undesirable. However, for everyone else, estrogen replacement therapy is an excellent solution. The most popular drugs are oral contraceptives containing ethinyl estradiol and diethylstilbestrol.

Natural estrogens (Hormoplex, Premarin) and ethereal compounds (Clymene) are also well suited.

If a woman’s uterus is healthy, then it is recommended to combine estrogen preparations with gestogen-containing compounds, for example, utrozhestan

It is worth noting that in addition to drug therapy, gymnastic exercises have an amazing effect, and for women who are faced with this problem after childbirth, this method is very relevant. The most well-established system for treating urinary incontinence is Kegel exercises. They are aimed at strengthening the pelvic floor muscles.

Undesirable effects

Side effects of drugs intended to cure urinary incontinence usually develop when the principles of administration are violated. But sometimes undesirable effects occur even at normal dosages:

• heart rhythm disturbance (tachyarrhythmia);
• the addition of a genitourinary tract infection;
• development of cystitis;
• constipation;
• headaches and dizziness;
• allergic reaction;
• nausea;
• pain in the chest or abdomen.

If you have such symptoms, you should stop taking the medicine. You should consult your doctor to review the dosage or choose a different drug.

Features of drug treatment in men

Since urinary incontinence is very often caused by problems with the prostate in men, the doctor may prescribe alpha blockers, they potentiate the relaxation of the urinary reservoir and the prostate gland. Due to this effect, urine output becomes normal. The same medications are taken for benign prostate hyperplasia. Among these funds it is worth noting Omnik, Cardura, Omsulozin, Setegis, Zoxon.

Five-alpha reductase tablets normalize the volume of the prostate. Their active ingredients are finasteride and dutasteride. Their trade names are Finast, Avodart, Proserid.

If the situation has not become serious, then the doctor can prescribe homeopathic medications: Urilan, Enuran. There are also conjugated forms of such drugs (Femoston). It is worth noting that for diseases of the liver, pancreas, and hypertension above 160 millimeters of mercury, gel forms (Divigel) and estrogens in the form of a patch (Klimara) are recommended for use.

"Detrusitol"

Instructions for use, price and reviews are of interest to many patients with incontinence. This medication belongs to the group of competitive blockers of M-cholinergic receptors. It reduces the tone of smooth muscles of the urinary tract.

The active substance of this drug is tolterodine, a competitive antagonist of muscarinic cholinergic receptors, which exhibits the greatest selectivity for the nerve endings of the bladder. In addition, the 5-hydroxymethyl derivative of the main component also has high specificity for muscarinic receptors and does not have a significant effect on other receptors. Treatment with tolterodine reduces detrusor contractility. Use of the drug in high doses can lead to an increase in the amount of residual urine and cause incomplete emptying of the bladder. According to reviews, the greatest effect of therapy is observed after 4 weeks from the start of treatment.

Urgent urinary incontinence

This type of pathology is characterized by a strong desire to urinate that is uncontrollable. This is explained by the high contractility of the muscular base of the bladder. Drug treatment consists primarily of anticholinergics. They significantly reduce involuntary muscle contractility, increasing bladder capacity.

Differential diagnosis of incontinence is the prerogative of a qualified specialist

The most popular representatives of this group are Driptan. And also its analogue Novitrapone, the active ingredients of which are oxybdutinin chloride. Tolterodine also has a good effect; its trade names are Detrusitol, Rolitene, Urotol, Uroflex. All these drugs block the activity of cholinergic receptors, reducing the ability to excite the muscles of the bladder, namely the detrusor.

Due to the fact that such receptors are also present in a number of organs, a person experiences dizziness, a desire to sleep, and constipation as a side effect. Contraindications to taking drugs in this group would be glaucoma and intestinal pathology.

It is worth saying that Detrusitol has the least pronounced side effects, but due to its high price, its use is very limited.

Driptan can also cure enuresis in children over five years of age

Another type of medication to combat urinary incontinence is zolinergic agents. They have the effect of relaxing the detrusor: Spazmex, Vesicare, Enablex, Toviaz. Their undeniable advantage is their long-lasting action and relatively rare unwanted side reactions.

One more drug should be noted: Bettmina or Merabegron. It has a stimulating effect on the walls of the bladder, increasing fluid capacity.

All of the above medications are used for two to three months; if they do not have the desired effect, the doctor recommends surgery. This is explained by the fact that all medications used to cure the disease under discussion lead to addiction in the body.

Antibiotics of various groups are prescribed for treatment in case of infectious nature of the disease. During treatment, some rules should be followed, namely:

• exclude alcohol;
• do not drink caffeine-containing liquids;
• visit the toilet in a timely manner;
• minimize stress;
• Clean drinking water, fruit drinks, and herbal teas are recommended for consumption.

Hormonal drugs

To treat urinary incontinence due to malfunction of the thyroid gland and endocrine system, hormone replacement therapy is prescribed. The main purpose of medications is to compensate for the lack of progestin and the female hormone estrogen. In most cases, these types of medications are prescribed to women who have experienced menopause or menopause. The main drugs in this group: Cymbalta, Ubretide, Gutron.

Hormonal drugs have a negative effect on the body, including the development of benign and malignant neoplasms, and can cause myocardial infarction.

According to the latest medical research, hormone replacement therapy does not have any positive effect on the bladder and does little to help with the problem of urinary incontinence.

Currently, hormones for incontinence are not prescribed in Europe.

The course of therapy lasts several months, depending on the stage of development of the disease and the severity of symptoms. The effect lasts up to a year. If the pathology reoccurs, hormone replacement therapy is prescribed again. In the absence of positive dynamics, the patient is offered surgery.

Treatment of urinary incontinence in older women

To treat urinary incontinence in older women, medications, special exercises, and surgical interventions are used. The choice of therapeutic technique depends on the severity of the signs of the disease, the presence of concomitant pathologies, and the general condition of the patient’s body.

Medications

The following medications are used to treat the disease:

1. Pantogam. Prescribed to eliminate incontinence associated with dysfunction of the central nervous system. The drug is taken 1-2 tablets half an hour after meals. Treatment is carried out under the supervision of a neurologist for at least 3 months.
2. Glycine. Normalizes brain function, eliminates depressive disorders, increases sleep sensitivity, which allows a woman to wake up when the urge arises. Glycine is taken once a day for 2-4 weeks.
3. Melipramine. Increases bladder capacity and improves sphincter tone. The walls of the bladder relax, which prevents the spontaneous release of urine. Melipramine is taken 3 times a day, regardless of food intake. Treat for at least 2 weeks.
4. Radedorm. Relieves smooth muscle spasms and normalizes night sleep. The tablet is taken half an hour before going to bed.
5. Driptan. Eliminates symptoms of bladder hyperactivity, relaxes muscle tissue, and prevents spontaneous contractions. The use of the drug reduces the risk of spontaneous urine loss at night. The product is used 3 times a day. The last dose is taken before bedtime.
6. Spasmex. Increases sphincter tone, relieving bladder muscle tension. Taking tablets 2-3 times a day helps to cope with the signs of incontinence. Treat for at least 12 weeks.
7. Desmopressin. Reduces the amount of urine produced during night sleep. The product is taken for 2-3 months. The dose is selected by the attending physician taking into account the individual characteristics of the patient’s body.
8. Minirin. Affects the functioning of the kidneys, preventing the production of excess urine. The tablet is taken 1 time per day, before bedtime. Treatment lasts 1-3 months.
9. Femoston. The hormonal remedy replenishes estrogen deficiency, increasing the tone of the pelvic muscles in older women.
10. Monural. An antibacterial agent is used in the treatment of urinary tract infections that can cause incontinence.
11. Ovestin. Suppositories have a local effect, eliminating signs of sex hormone deficiency.

Treatment of urinary incontinence

Kegel exercises

Oral medication and suppositories are combined with Kegel exercises, which help strengthen the pelvic floor muscles. Exercises involve alternately tensing and relaxing the muscles of the vagina and anal area. The duration of tissue retention in a tense state must be gradually increased. Exercises can be performed at any convenient time.

Reasons for violations

This phenomenon occurs due to the degeneration of fat cells in the bladder, failure of the passage of nerve impulses, and weakening of smooth muscle muscles.

Common causes of frequent urination for people of any age are pathological processes that develop in the genitourinary system. Experts conventionally divide them into congenital and acquired.

In women, a frequent desire to urinate appears during menopause. When the hormonal balance is disturbed, degenerative changes in the urethral muscles occur.

In men

Pathology develops in the case of:

• hypothermia or overstrain of the body;
• prostate pathology;
• prostate adenomas;
• treating the bladder with certain medications;
• development of type 2 diabetes mellitus, urethritis, pyelonephritis;
• urethral injuries;
• inflammation of the genital organs;
• severe intoxication.

Among women

Disturbs the process of urination:

• overexertion and hypothermia of the body;
• pregnancy, when the uterus puts pressure on the urine-collecting organ;
• inflammatory diseases of the genital organs;
• prolapse or prolapse of the uterus;
• premenstrual syndrome;
• diseases of the kidneys, ureter;
• uterine tumors, diabetes mellitus;
• cystitis, vulvitis, genital endometriosis;
• pathologies of the nervous system;
• thrush.

Any type of neoplasm also contributes to increased urination.

Types of drugs

Pathological urine output manifests itself differently depending on the nature of the disease.
Types of involuntary urine discharge:

1. Stress incontinence (50%) is the most common pathology. It occurs against a background of weakening of the pelvic floor muscles and is activated by physical stress (when sneezing, coughing, laughing or lifting something heavy).
2. Urge incontinence (18-22%) manifests itself against the background of a strong urge to urinate. The release of urine occurs immediately after the urge or against the background of a strong desire to empty the bladder.
3. Mixed (30-32%) included the clinical manifestations of stress and urgency. Urine production occurs during physical stress and is accompanied by the urge to urinate.
4. Iatrogenic is caused by taking medications (antispasmodics, diuretics or antidepressants). To solve the problem, it is enough to stop taking the pills that caused the pathology.
5. Urinary incontinence in response to substances that irritate the bladder (tea, coffee, alcohol, citrus fruits).

The causes of the stress type of pathology are:

• pregnancy (mechanical pressure of the growing uterus on the bladder in the 2-3rd trimester or changes in hormonal levels in the 1st period;
• childbirth (perineal rupture affects the functioning of the sphincter and intra-abdominal pressure);
• surgeries on the pelvic organs (uterus, intestines, bladder);
• age-related changes (weakening of the pelvic muscles).

Pathological urination can be provoked by:

• heredity;
• overweight;
• hormone-dependent pathologies;
• diabetes;
• habitual depression and chronic stress;
• pelvic organ injuries;
• diseases of the nervous system (stroke, spinal cord injury, heart attack);
• acute infections of the urinary system.

Important! Determining the cause is paramount before starting therapy. For this purpose, you should contact a gynecologist or urologist.

For urinary incontinence in women, 4 main groups of medications are used:

• sympathomimetics;
• estrogens;
• antispasmodics;
• antidepressants.

Only a doctor can prescribe them, depending on the individual characteristics of the body and the reasons that led to the development of the syndrome, as well as the presence of concomitant diseases that aggravate the patient’s condition.

Sympathomimetics are drugs that act on the smooth muscles of the bladder, preventing the spontaneous flow of urine. In most cases, these drugs do not have an individual release form to combat the problem of urinary incontinence. Their main components are contained in other antihistamine medications or drugs intended to treat cough.

In most cases, this happens during the onset of menopause and menopause. The drugs contain two hormones - progestin and estrogen, which have a beneficial effect on the smooth muscles of the genitourinary system, activating the process of its timely contraction.

Antispasmodics are prescribed in the early stages of the disease, when urinary incontinence does not have pronounced symptoms, that is, several drops of urine may be released during the day. Antispasmodics have a gentle effect on the muscles, preventing urine leakage and further development of the disease. These drugs can only be used with a doctor’s prescription if there are no contraindications.

Antidepressants are prescribed if incontinence is caused by disruption of the central nervous system, exposure to constant stress, emotional or psychological fatigue. These drugs have the greatest effect in cases of bedwetting.

There are several types of violation. Before choosing a medicine or composition from a plant for enuresis, you need to determine the type of disease. For each problem, different remedies are prescribed.

Another common cause of pathology is hormonal imbalance. Malfunctions of the thyroid gland, menopause - all this can lead to involuntary urination.

Increased urination due to prostate pathologies

Many men have encountered this problem with prostate diseases. Infectious inflammation of this organ and its tumors do not affect the condition of the urinary system in the best way. Prostate diseases always occur with a sharp increase in the volume of the gland, which results in increased pressure on the urinary tract itself. For a man, such a violation results not only in the appearance of pain and discomfort, but also in a sharp increase in the number of urges to pass urine or even incontinence.

What are the types of urinary incontinence?

The stressful type of pathology is observed in almost 50% of patients; urine is excreted when laughing, coughing, or playing sports. It is caused by high intra-abdominal pressure, which develops due to the low collagen content in the ligamentous apparatus of the pelvis.

An urgent appearance is observed in 18-22% of patients. There is a sudden urge to deurinate. Urine will be released along with or after the urge. The pathology develops due to high pressure in the urinary reservoir and low pressure in the urethra.

A mixed variety is observed in 32% of cases. The disease manifests itself when coughing, while laughing, and at the same time there is a desire to urinate. There is also a disease that is caused by a side effect of drug use, metabolic disorders.

Prevention

For high-quality muscle function, you need to pay enough attention to health.

Required:

• adhere to a balanced diet;
• give up all bad habits;
• sleep at least 7-8 hours;
• regulate physical activity;
• allocate more time for rest;
• prevent stressful situations;
• do physical exercises daily;
• train the muscles of the pelvis and bladder.

Diseases of the genitourinary area are most often associated with a lack of competent care, so we must not forget about daily personal hygiene.

Mechanism of drug action

The main treatment for frequent urination in men is antidepressants. The action of these tablets is aimed at relaxing the bladder, but also at the same time controlling involuntary urinary diversion.

Erosion on the penis: causes, symptoms and treatment

The following medications will help:

• Imipramine;
• Duloxetine.

If you take M-anticholinergics, they have a relaxing effect on the smooth muscles of organs, including the bladder. As a result, the capacity of the bladder increases, which reduces the frequency of trips to the toilet.

The following tablets for frequent urination are usually prescribed:

• Driptan;
• Oxybutynin;
• Spasmex.

If the pathology is caused by atrophic changes in the bladder, then the symptoms of the disease can be relieved with the help of hormonal medications, for example, Desmopresin. Increased urine output due to urinary stones should be treated with drugs that regulate urine acidity. They help the body naturally remove stones and salts from the urinary tract and bladder. Such medicines include:

• Detrol LA;
• Detrol;
• Tolterodine.

A nasal medicine for frequent urination in men (especially at night) is the hormonal drug Desmopressin. This is a spray for injection into the nasal passages. The effect of the drug is due to a decrease in urine production by the kidneys. Even children are allowed to use this medication.

Appointment with a urologist: preparation for examination, diagnosis and treatment measures

If frequent emptying of the bladder is caused by various infectious pathologies of the urinary tract, then in this case the main pills for frequent urination in men are antibiotics and antimicrobial agents.

List of drugs

If frequent urination is observed in men, what to treat is stated in the medical protocol. As a rule, according to the instructions, drugs from the following list are prescribed:

1. Oxybutynin is commonly used to treat enuresis caused by detrusor dysfunction and problems with nerve regulation. The medicine is contraindicated in gastrointestinal atony, during lactation and pregnancy. Its analogues are Driptan and Novitropan. The dosage is determined individually depending on the age of the patient.
2. The drug Spazmex has an M-chlinolytic effect. It is prescribed for various forms of frequent urination and enuresis. The drug causes adverse reactions, so it is used with caution in elderly patients.
3. Duloxen is a sedative. It is considered an antidepressant and antispasmodic. The drug not only reduces the frequency of trips to the toilet, but also relieves the pain that accompanies the process of emptying the bladder. This medicine is not prescribed for people under 18 years of age. Duloxen is used to treat patients with diabetes, nervous pathologies and depression.
4. Imipramine is an antidepressant and is prescribed for incontinence and pain. Dosage depends on age. The product is suitable for treating children.

Important! To increase the effectiveness of drug therapy, physiotherapeutic methods of getting rid of frequent urination and special exercises are used along with it.

Folk remedies

Do you want to know how to treat frequent urination in men using alternative medicine? At home, medicinal herbs, wraps and baths are used. To cure enuresis and frequent urges, you should pay attention to the following remedies:

1. It is useful to do sitz baths with the addition of horsetail infusion. It is prepared as follows: 30 g of chopped herbs are poured with boiling water (0.6 l), left for an hour. The filtered infusion is poured into a bath of warm water. They take a bath for a third of an hour, after which they put on warm underwear.
2. It is easy to cure incontinence and frequent urges caused by infectious and inflammatory pathologies using a composition with an astringent, antiseptic, soothing and anti-inflammatory effect. To prepare it, mix equal amounts of thyme, chamomile and sage. Wash the genitals with warm broth twice a day.
3. Mix equal amounts of centaury and St. John's wort. 15 g of the mixture is poured with boiling water (approximately 0.45 l) and left for 20 minutes. You should drink the medicine instead of tea throughout the day.
4. Prepare an infusion of carrot tops and parsley. Finely chopped raw materials are poured with boiling water (0.5 liters per bunch). Keep in a thermos for 2 hours, take 15 ml ½ hour before meals.
5. Corn silk is brewed in a ceramic teapot, like tea leaves. After two hours of infusion, take a glass at a time.
6. Young cherry twigs are brewed in the same way. Honey is added to the resulting medicine for taste.
7. 45 grams of shepherd's purse herb are poured with boiling water (no more than 0.6 l) and kept in a thermos for three hours. Take 25 ml before meals three times throughout the day.
8. Stinging nettle is a good diuretic and anti-inflammatory agent. The rhizomes and leaves of the plant are brewed and drunk instead of tea.
9. In case of frequent urinary diversion, it is useful to drink lingonberry and cranberry juice, as well as rosehip decoction.
10. Linden blossom helps a lot. 5 grams of flowers are poured with boiling water (about 0.5 l) and left for half an hour. Drink 100 ml three times before meals in small sips.
11. In 250 milliliters of boiling water, infuse 20 g of dill seeds, filter and drink at a time.

Worth knowing! Compresses and wraps made from fresh onions are very helpful for incontinence. The crushed pulp, placed on a gauze napkin, is applied to the lower abdomen and wrapped in a scarf.

Consequences

An advanced disease becomes chronic. This often leads to complications.

You may see:

• skin inflammation;
• allergic rash;
• infectious process in the urinary system;
• increased symptoms;
• deterioration of condition.

Unpleasant symptoms can appear at any time. Prolonged spontaneous urination ends with catheterization. A catheter is inserted into the bladder and connected to a urine collector.

Indications for therapy for frequent urination

The urologist decides how to treat frequent urination in men. The best drugs that are effective in treating pathology are drugs from the group of anticholinergics. Treatment is also carried out with antidepressants.

Medicines for frequent urination in men are prescribed in the following cases:

• with unstable activity of the urinary tract;
• if there is frequent urge at night and enuresis;
• with urinary detrusor dysfunction;
• with frequent urination due to diabetes (with this pathology, in addition to treating frequent urination, therapy is indicated to reduce the concentration of sugar in the blood);
• Sometimes frequent urination occurs in men due to treatment with tablets, such as diuretics, tranquilizers, antihistamines and decongestants.

Treatment for prostatitis and adenoma

The goal of prostatitis treatment is to eliminate the causes of the disease and remove the pain symptom. It is carried out on an inpatient and outpatient basis.

For complex treatment of prostatitis, medications are selected from 3 groups:

1. Uroseptics. Phytolysin, Canephron.
2. Immunomodulators. Timalin, Ribomunil.
3. Antibacterial agents. Erythromycin, Acyclovir.

BPH is usually treated with surgery. Conservative treatment is allowed only at an early stage of the disease.

Use of uroseptics and antibacterial agents

Antibiotics are indicated in cases where the patient’s frequent urge to urinate occurs due to urogenital infections - prostatitis, cystitis, urethritis or pyelonephritis. Self-selected medications do not always have a positive effect. For the drug to help, you need to know the type of pathogen.

When a person urgently needs help, then among all the remedies for frequent urination in men, uroseptics and antibacterial medications with a wide range of effects are chosen. More often, medications are prescribed for this purpose, which are described in more detail below.

• Furadonin. This drug belongs to a number of nitrofurans. This antibiotic should not be taken with fluoroquinolones. The drug is indicated for use in infectious diseases of the urinary tract that are caused by bacterial pathogens. These tablets for frequent urination in women are also used by men. Furadonin is one of the cheapest and most effective medicines. Adults need to take the medicine 3-4 times within 24 hours. Already 2 hours after using it, the patient feels a significant improvement and gets rid of discomfort, and the frequency of visits to the restroom returns to normal.
• Monural. The active effect of such a drug is aimed at destroying the cell membranes of pathogenic microbes. Another useful property of this remedy is considered to be a violation of the fixing ability of the pathogen, as a result of which the bacterium cannot gain a foothold on the urethral mucosa. Monural shows excellent results in the fight against streptococcal and staphylococcal microflora, as well as Proteus, Escherichia coli, Enterococcus and Pseudomonas. For frequent urination, it is recommended to take this medicine on an empty stomach. An additional condition is that you need to drink it when your bladder is empty. Usually, before going to bed, take 1 granule or 1 sachet of Monural, thoroughly stirring its contents in water.
• Nolitsin. This drug has worked well for frequent urination. The medication belongs to the group of quinolones. Its active ingredient is norfloxacin. Nolitsin prevents the development and reproduction of harmful bacteria by suppressing the DNA of pathogens. This drug is mainly taken for the treatment of acute infections. When using these tablets, it is very important to take them with enough liquid - this helps the medications to be absorbed better and faster. It is recommended to take Nolitsin on an empty stomach - 1 hour before or two hours after meals. In acute cases of the disease, take 2 tablets twice a day.
• Doxycycline. When considering medications for frequent urination in women or men, it is impossible not to mention Doxycycline. It has a broad antimicrobial effect on most representatives of harmful microflora. This drug has a very long-lasting antibacterial effect, so in standard situations, 1 dose per day is enough for therapy. When acute forms of bacterial infection develop, the drug is used as follows: 1 day – 2 tablets (morning, evening); subsequent days - 1 tablet per day. The chronic course of the disease requires taking 2 tablets twice a day. It is recommended to take doxycycline in courses of 4-5 days, but only as prescribed by the treating doctor.
• Urolesan. A popular antiseptic from a number of urological medications. Its active ingredients are completely natural in origin - various plants, herbs and essential oils. This medicine eliminates harmful microorganisms, relieves irritation and itching in the urethral tract, and reduces inflammation. The functioning of the urinary organs is normalized due to the elimination of the cause of the disease.
• Canephron. It is often used to treat frequent urination in men. It has a completely natural composition - the preparation contains rosemary leaves, centaury herb and lovage rhizome. This medication is indicated for urolithiasis. Canephron removes stones from the kidneys and ureters naturally. After using it, the color of urine and its biochemical properties are restored, and the patient stops urinating frequently.

Attention! For the treatment of urolithiasis, drugs from a number of urological antiseptics are often used. They have a double positive effect - they ensure rapid removal of stones and free the urethra from bacteria. After using such medications in combination with antibacterial drugs, the effect of the latter is significantly enhanced.

Causes and symptoms of pathology

The most common causes of the disease:

• physiological abnormalities;
• use of diuretic drugs;
• inflammation of the urinary system;
• diseases of internal organs.

Among the symptoms:

• pain when urinating;
• urine changes its color to darker;
• urination becomes more frequent;
• process of spontaneous urination;
• blood in urine;
• the process of urination is difficult.

Frequent urination is a result of neurological disorders

Failures in the nervous regulation of the urine excretion process are much less common than genitourinary tract infections. With this disorder, impulses from receptors located in the bladder mucosa are transmitted incorrectly. Usually, eliminating the main cause of such a disease helps to reduce the number of urinations.

Hyperreflex bladder is a neurological pathology that manifests itself as incontinence and increased urination. The medications taken for this disease help relieve the patient from the unpleasant signs of the disease. For this purpose, the following drugs are taken:

• Enablex is a representative of antispasmodic medications. It has an inhibitory effect on M3 muscarinic receptors. The main active ingredient is darifenacin. This substance can control the contractility of the bladder muscles.
• Spazmex is a typical M-anticholinergic. Provides increased urinary capacity due to the gradual relaxation of the muscular system of this organ. These anti-frequency tablets are advised to be used with caution in older men.
• Miktonorm - the medicine has a double effect. The medication relieves muscle spasm of the bladder and controls the process of urination. The active ingredient is propiverine.
• Oxybutynin – blocks M-cholinergic receptors and has pronounced antispasmodic properties. It is the drug of choice for enuresis, disorders of the nervous regulation of urination, and nocturia. Helps to retain urine longer and reduces the number of urges. Accepted in courses from 1-2 months to 2 years.

Desmopresin is used to treat frequent urination caused by age-related disorders of hormonal regulation. This remedy significantly slows down the degenerative changes occurring in the muscle tissue of the bladder. As a result, the frequency of urination decreases, and the man’s body no longer experiences such a strong need to take in excess fluid. Hormonal medications will also help eliminate this symptom in diabetes mellitus and diabetes insipidus.

Good to know! When treating frequent urination, doctors recommend using physiotherapeutic procedures along with medications. Exercises have a beneficial effect on the urinary muscles, strengthening and restoring them. This makes the patient’s recovery process much faster and more productive.

If you are visiting the toilet too often, do not hesitate to consult a qualified doctor about this problem. Such a sign often indicates the development of various pathologies in the human genitourinary organs - ranging from banal cystitis to malignant tumors. Early diagnosis will help you find out the cause of the disorder in time and effectively get rid of it. In addition, it will be better if your doctor selects the pills for you.

Diagnostics

Before prescribing medications for urinary incontinence, women are examined, including the following diagnostic procedures:

1. Anamnesis collection. At this stage, the doctor finds out the possible causes of the pathology and analyzes the patient’s symptoms. A woman needs to keep a diary containing information about the frequency of urges, the volume of urine released, and the appearance of associated symptoms.
2. Gynecological examination. During the procedure, prolapse of the uterus, bladder or urethra is detected. A cough test is used for this. When coughing, prolapse of organs into the vaginal lumen is observed.
3. Gasket test. Helps determine the severity of the pathological condition.
4. Ultrasound of the pelvic organs. Aimed at assessing the storage function of the bladder, identifying diseases of the kidneys and genital organs.
5. Analysis of smears from the vagina and cervix. Helps identify infectious diseases that can cause incontinence.
6. Urine culture. Used to diagnose infectious complications associated with incontinence (cystitis, pyelonephritis).

Diagnosis of urinary incontinence
To determine the cause of the pathology, a gynecologist or urologist conducts a survey of the patient and palpates. Finds out whether pain and pain appear during deurination.

To identify the pathogen, as well as to clarify the diagnosis, laboratory and instrumental studies of the organ are prescribed:

• biochemical and clinical blood tests;
• general urine analysis;
• Ultrasound (ultrasound examination);
• X-ray;
• CT (computed tomography).

When diagnosing, special attention is paid to the presence of calculi (stones) and neoplasms.

To make a correct diagnosis, a urologist is needed; she prescribes a comprehensive examination:

• collecting data on the course of the disease, on the nature and frequency of urine discharge, intensity and volume, number of births, whether there have been surgical interventions and whether the person suffers from diseases;
• vaginal (internal) examination - at this stage the doctor takes a smear for laboratory testing of the environment of the vagina and cervix;
• They do an ultrasound of the ureter, bladder, and kidneys. This is necessary for the doctor to determine the presence and absence of inflammation.

In addition to this, a general urine test is performed to detect infections (hematuria and glycosuria).

It is important to emphasize that older people often suffer from asymptomatic bacteriuria, which does not cause incontinence and does not require treatment, except in patients whose leakage has recently appeared or is accompanied by high fever or burning when urinating.

Traditional methods of treatment

Very often this trouble occurs in children, as well as in elderly women. In men, it may be in the terminal stage of adenoma or prostate cancer. In all these cases, incontinence medications are used to alleviate the patient's condition and normalize voiding.

Please note that it is advisable to consult a doctor in order to begin drug treatment for urinary disorders in the following situations:

• with nocturnal enuresis of various etiologies in children;
• if women experience uncontrolled (urgent) urination when lifting heavy objects or during prolonged intense physical labor;
• if uncontrolled urination is indicated as a side effect of medications;
• if incontinence occurs when laughing or coughing;
• when such a problem appeared after psycho-emotional overload;
• if it appears as a result of the action of individual sound stimuli;
• when enuresis appears as a result of inflammation of the bladder or as a result of hypothermia;
• for prostate pathologies in men.

Women additionally need to examine the condition of their genital organs. Atrophy of the mucous membrane and hormonal imbalance also contribute to the appearance of enuresis.

Medicines for urinary incontinence in the stress type of pathology are aimed at reducing the tone of the bladder. The following drugs have the necessary therapeutic effect:

• Antidepressants (Duloxetine or Cymbalta). Such drugs increase the tone of the sphincter and at the same time relax the tone of the smooth muscle fibers of the bladder. The therapeutic effect is achieved two hours after administration. The use of tablets must be strictly justified; there are contraindications and side effects. Abrupt withdrawal of the drug is not permissible due to severe withdrawal syndrome.
• Adrenomimetics help strengthen the tone of the urethral sphincter by increasing the tone of the sympathetic system.
• Hormone therapy is prescribed to women over 50 years of age. Normalizing the content of progesterone and estrogen in the blood helps to normalize the lost function of the genitourinary muscles.

Herbal treatment methods show high effectiveness in the initial stage of pathology; in the case of an advanced process, they improve the effect of prescribed medications and speed up recovery. To treat urinary incontinence in women, medicinal plant materials are used in the form of decoctions (teas).

General principles for preparing a remedy for the treatment of incontinence: for a tablespoon of dry crushed raw materials you will need a glass of boiled water, pour in, infuse, strain and drink.

Herbs that help overcome urinary incontinence are listed below.

• Dill seeds. Consume a glass of dill daily in 1 dose, a course until the problem is completely eliminated.
• A decoction of corn silks is used instead of tea; adding a spoonful of honey improves the healing properties.
• Use yarrow in a course of up to 30 days, a glass a day, divided into 2-3 doses (according to convenience).
• Drink freshly squeezed carrot juice (a glass a day) until complete recovery.
• Use sage as tea, drink no more than 3 glasses a day, in courses of 20 days every other week or constantly.
• Rosehip decoction, 2 cups a day, optionally with the addition of honey.

Advice! When treating with the gifts of nature, follow the simple rules of herbal treatment: take daily, preferably at the same time, prepare the decoction fresh (can be stored for up to a day in the refrigerator). If you have the slightest allergic reaction, stop taking the drug; it is better to choose a medicinal plant together with your doctor; contraindications are possible.

Urinary incontinence in women is a serious disease that affects the quality of life. Lack of treatment leads to worsening of the pathology. At the first symptoms of incontinence, you should contact a urologist or gynecologist. The doctor will select treatment. Taking tablets for urinary incontinence in women is prescribed in a course of three months.

The prescription of medications for various types of incontinence is based on the mechanisms of regulation of urination and retention. If in the stress type it is necessary to strengthen the contractility of the bladder neck and urethra, then in the imperative and mixed form the actions should be aimed at relaxing the detrusor.

Treatment of urinary incontinence begins with the selection of medications that, when used in combination, have a positive effect on the condition of the urinary system. The purposes of their purpose:

• reducing the frequency of the urge to defecate;
• increasing the periods between migrations;
• increased tone of the sphincter apparatus.

According to experts, the optimal duration of the initial course of therapy is 3 months. During this period, local blood supply is restored, pathological changes in elderly patients are reduced, and the psycho-emotional state is restored. When positive dynamics are achieved, the course of treatment is extended to a year. If necessary, the doctor decides to conduct repeated courses.

Medicines for urinary incontinence are prescribed to women and men to relieve the syndrome and eliminate the provoking factor. However, in some cases this treatment method becomes ineffective:

• severe forms of the disorder that are not amenable to conservative therapy;
• acquired stress incontinence;
• uterine prolapse;
• age-related changes;
• rapid progression of pathology;
• mixed incontinence with a predominance of the stress component;
• second or third degree urinary incontinence;
• alcohol intoxication.

If one of the listed conditions is detected (except for the last point), the doctor may decide to use a surgical method to correct the disorder.

Attention! Caution should be exercised when prescribing urinary incontinence tablets to older women and men, as well as pregnant women and children, due to the risk of side effects.

There is a whole list of medications that are effective for urinary incontinence in women after menopause, in elderly men and even children. They help relieve spasms, reduce inflammation, and block nerve impulses in the pelvic organs. Since a lot of concomitant diseases are diagnosed in old age, medications can only be used as prescribed by a specialist. The list includes the following groups of drugs:

1. Sympathomimetics. They have a positive effect on bladder tissue and block the process of involuntary urine release.
2. Estrogens. It is recommended to take if the pathology is provoked by hormonal imbalance, disruption of the endocrine system, which is observed during menopause.
3. Antispasmodics. They have a positive effect on the bladder and relieve muscle spasms.
4. Antidepressants. Prescribed for nervous disorders, deterioration of psycho-emotional state.

Each drug used in combination therapy and being a representative of even one group has individual medicinal properties, differs in composition, mechanism of action and contraindications.

Tablets for urinary incontinence in women are selected taking into account their pharmacological action. Their use is aimed at improving the condition of bladder tissue and reducing muscle spasms. In the line of medications, the following drugs are considered the most effective.

"Betmiga". It is prescribed to patients with bladder overactivity and involuntary urine production, as it increases the contractility of the organ. Provides a prolonged and antispasmodic effect. The active ingredient is mirabegron. Take 1 time per day with water (50 mg).

"Spazmex." The active ingredient is tropsium chloride. Increases sphincter tone, while weakening the bladder muscles. It is used for mixed types of incontinence, the presence of inflammatory processes, and frequent urge to urinate. Take 1 tablet 2-3 times a day after meals.

"Vesicar". The active ingredient is salifenacin succinate. The drug has an antispasmodic effect and is indicated for patients with involuntary urination of varying severity. You can take 5 mg parenterally per day, regardless of meals.

"Pantogam". The basis of the medication is the calcium salt of hopatenic acid, which has a moderate sedative and anticonvulsant effect. Can be used for involuntary urine discharge, brain dysfunction, and neurological diseases. Adult patients are prescribed 2-4 tablets two or three times.

"Imipramine." The antidepressant is effective in treating conditions associated with mental or nervous disorders. Normalizes involuntary urine output at night. The standard dose for adults is 50 mg. Take 2-3 times daily.

Drugs such as Oxybutynin, Melifarolip, and Picamilon are no less effective. You just need to remember that taking medications on your own is strictly prohibited.

The instructions for any drug highlight the following sections: use in children, the elderly, during pregnancy and lactation. However, there are no special instructions for use in men or women. From the medical point of view, these age categories are considered to be the most vulnerable to the toxic effects of the drug.

The exception is purely female and male drugs, the action of which is aimed at treating a specific pathology. The first category includes progestin agents, oral contraceptives, and medications for abortion. The second includes medications to correct erectile dysfunction. All others can be used by persons of both sexes as needed.

Tablets for children

We speak of enuresis in children if episodes of incontinence occur in a child over 5 years of age, and problems with urinary control occur at any time of the day. Specialists prescribe various tablets to young patients, which produce a specific effect on the child’s body. Any medicine for urinary incontinence from the following is considered relatively safe.

1. "Minirin." A synthetic analogue of the hormone vasopressin, increases the amount of the latter in the body. It affects the kidneys, causing urine to accumulate at night.
2. "Driptane." The anticholinergic drug affects the bladder, causing it to stretch and increase its volume. At the same time, it helps strengthen the sphincters that regulate urine retention.
3. "Phenibut" or "Pantogam". Medicines affect metabolic processes in the tissues of the nervous system. They improve the absorption of substances such as glucose, vitamins, microelements, and ensure the saturation of brain cells with oxygen. At the same time, they stimulate the production of carbohydrates, proteins and fats. An additional effect is the protection of nerve fibers from the negative effects of toxins.
4. "Amitriptyline" or "Imipramine". Tricyclic antidepressants stimulate biochemical and metabolic processes in the body, activate the nervous system, reducing the sensitivity of receptors in the bladder. Due to this, urine production at night is reduced and the functions of the sphincter apparatus are improved.
5. "Enurezol". The combined herbal preparation has restorative, tonic and relaxing properties. It has a beneficial effect on the condition of nervous and brain tissue. Provides normal and sound sleep for the child.

Enuresis in children treatment with folk remedies

Most children urinate towards the middle of the night. Here, favorable sleep and body warmth gradually relax the bladder, followed by the release of urine. Do not give your child any drinks containing sugar, juices from any fruits, or even the fruits themselves. Vegetable oil in large volumes is not advisable.

The best dish before your child's bedtime is something you can prepare yourself. Try to chop the garden carrots as little as possible, as well as the root of the burdock itself. Add some tomari sauce and sesame oil. Let the child eat little by little constantly. After lunch, do not give apples, but it is best to let him eat buckwheat porridge.

If a child constantly urinates in the second half of the night, then the bladder is already completely filled. In many cases, it does not expand on its own and urination occurs. Then include boiled or crispy vegetables in your diet with the complete exclusion of salt after lunch. A boiled apple is healthy, but we limit buckwheat.

Treatment of enuresis in children with folk remedies.

An old teacher's recipe.

For nocturnal enuresis, she simply moistened ordinary cotton wool in water, always at room temperature. By slightly pressing on the cotton wool, she got rid of the drops and passed it about 7 times along the entire spine, starting from the very neck. Without wiping the area, she covered the child and left him to sleep. This has helped many children, so try it and it will definitely help your child.

Dill seeds.

Using a glass of boiling water, you need to brew exactly 1 tablespoon of medicinal dill seeds, wait an hour and give it to the child on an empty stomach, always in the morning with a dose of half a glass. Teenagers are allowed to give a whole glass. The course should last only ten days, then we allocate the same amount of time for rest and repeat the ten-day course.

Cowberry.

We will need already dry medicinal lingonberry leaves, which in the volume of half a glass are poured with 500 ml of pure boiling water. Using the lowest heat, boil the leaves for about 6 minutes, leave for 50 minutes and immediately strain. Treatment of enuresis should last 30 calendar days, 3 times a day before the main meal. During this treatment, children run to the toilet a lot, but at night they begin to sleep peacefully.

Honey.

It is also used for the treatment of enuresis with folk remedies. It has a beneficial effect on the child’s nervous system itself and calms the general condition. Real honey is able to retain moisture and relieve the kidneys without additional stress. All this will definitely lead to regulated urination. First, start taking it with 1 tsp at night, and then gradually reduce the dose.

Ice water.

Fill the bathtub with only cold water, up to about the child's ankle. The child should immerse his feet in the water and leave them in the water as long as he can (it is better to walk around the bath). Without further wiping your feet, let the child walk on the floor until the feet are completely warm. This procedure must be performed in the morning.

In the evening you will have to use only a warm decoction of any pine needle extract. Pine needle extract can be easily sold in pharmacies. For many, only 10 of these described procedures will be enough to completely forget about enuresis.

Weak bladder in women and men - effective treatment with folk remedies

Due to weakened bladder muscles, voluntary urine leakage becomes common. You can cope with the situation and improve your own well-being thanks to folk recipes and the use of various natural remedies to eliminate pain, discomfort, and also fight the inflammatory process.

Cranberry juice is especially important for people suffering from chronic cystitis

The most popular recipes are the following:

infusion of dried dill seeds. A tablespoon of seeds is poured into a glass of boiling water and covered with a tight lid. When the infusion has cooled to a warm, pleasant state, it is completely drunk. It is recommended to drink the infusion daily for the first week. Starting from the second week of therapy, the drink is consumed every other day for a month; cranberry juice

It is especially important for people suffering from chronic cystitis to include cranberry juice in their diet. This healthy drink has an anti-inflammatory effect and also helps strengthen the body's protective functions; onion gruel

Peel a medium-sized onion, wash and dry thoroughly with a paper towel. Grind the onion in a blender into a paste and pour 250 ml of hot water into it. When the temperature of the resulting mixture is comfortable, you should drink it. This composition should be consumed daily for a week. The experience of many patients shows that this remedy helps get rid of incontinence for a long time; corn fibers. A small amount of fiber is poured into 200 ml of boiling water, covered with a lid and left to steep overnight. In the morning, the resulting infusion is filtered and slightly heated. It is recommended to use it in the morning. The drink helps flush the urinary system; tea made from cherry branches of a young tree. In combination with honey, tea helps eliminate problems such as frequent urge to urinate; yarrow flowers. 2 tsp. dried flowers are placed in an enamel pan and filled with a glass of clean water. The mixture is brought to a boil and left on the fire for another 5 minutes, after which the boiling broth is removed from the stove and left to steep for another 1 hour. The finished drink is filtered and taken 3 times a day, ½ cup; fresh plantain leaves are thoroughly washed, poured with boiling water (250 ml) and left to steep for an hour. The finished infusion is filtered and drunk a tablespoon three times a day; dried rose hips. The raw materials for the decoction can be purchased at the pharmacy. The decoction is prepared according to the instructions on the package. Drink a glass of the strained and cooled broth twice a day. Rosehip is an excellent source of vitamin C, it strengthens the immune system and increases its protective properties; agrimony infusion. The agrimony plant helps cope with urinary incontinence at night. To prepare the infusion, pour 15 g of dry raw materials with a glass of boiling water. After cooling, the drink is filtered and drunk ¼ glass with a teaspoon of honey 4 times a day; sage herb. Sage infusion helps to quickly get rid of unpleasant, uncomfortable sensations and soothe an irritated bladder. 50 g of dry raw materials must be poured with a liter of boiling water and left for 60 minutes. For this purpose, it is best to use a thermos.

Various herbal infusions and decoctions help in treatment

During treatment and after recovery, the patient is advised to avoid heavy lifting and physically strenuous work. To prevent hypothermia of the body with the subsequent development of inflammatory processes, you should dress according to the weather, and also keep your lower back and legs warm. Regular use of various diuretic infusions will help maintain the organs of the urinary system in excellent condition. If you don’t have the time or opportunity to prepare infusions and decoctions, it is enough to consume a teaspoon of homemade honey before bed. This is an excellent effective method to strengthen the bladder in women and men.

All the folk remedies described above have helped many people restore the normal functioning of the bladder and the urinary system as a whole. In addition to using infusions and decoctions, you should perform exercises to pump up the muscle tissue of the bladder.

Medicine "Urotol"

This medication belongs to the group of competitive blockers of M-cholinergic receptors. It reduces the tone of smooth muscles of the urinary tract.

The active substance of this drug is tolterodine. The drug improves urodynamics. The active substance is a blocker of muscarinic receptors, and acts specifically against the muscles of the bladder. Under the influence of the medication, the average volume of urine decreases, urinary incontinence is eliminated and the frequency of the urge to urinate is reduced. Reviews of Urotol indicate that this drug is well tolerated.

What groups of medications are used?

Numerous medications will help male patients get rid of urinary dysfunction, but this does not mean that any self-selected medication will eliminate the pathological symptom in your case. Pills for frequent urination in men will be highly effective if they are prescribed correctly. Therefore, you first need to go to an appointment with a urologist.

During the diagnosis, the doctor will determine the cause of the increased urine output and prescribe the correct treatment to the patient. To treat frequent urination, representatives of the stronger sex are advised to use medications from the following groups:

• Antibiotics - they are advisable to use to eliminate the frequent urge to urinate, which is caused by bacterial infection of the urethral canal. Basically, antibacterial tablets that have a fairly wide spectrum of beneficial effects are used to treat such problems (Nolitsin, Doxycycline, Monural).
• Antispasmodics – thanks to the drugs in this group, the tension in the smooth muscle tissue of the bladder decreases and spasms disappear. This affects the volume of the organ itself, which increases slightly, which reduces the number of trips to relieve oneself. These medications contain components that have an anti-inflammatory effect. For frequent urination in women and men, Spazmex, Papaverine, Oxybutynin, No-shpu and Driptan are used.
• Antidepressants - such medications are recommended to be used if the main cause of urinary disorders is stress overexertion. Drugs in this series have a good relaxing effect. They cause a decrease in bladder muscle tension and allow the organ to independently regulate the amount of urine leaving the body. These drugs are Intriv, Imipramine, Cymbalta and Duloxetine.
• Uroseptics - they show good results both in the treatment of frequent urination in women and in the stronger sex. In general, these drugs belong to the group of antibiotics, but they are often separated into a separate category. The reason for this attitude is the dual effect of such drugs - they are effective in the fight against bacteria, and also have a pronounced antiseptic effect specifically in the organs of the urinary system (Canephron, Urokhol, Urolesan).
• Hormonal medications - help eliminate progressive atrophy of the bladder walls caused by age-related changes (Desmopresin, Uropress, Minirin).

How to choose a product

Treatment of urinary incontinence in women involves medicinal effects on the walls and smooth muscles of the bladder, preventing its spontaneous weakening and the leakage of urine. The success of taking prescribed medications depends on an accurate diagnosis. The main causes of urinary incontinence:

• insufficient production of the female hormone - estrogen;
• pelvic organ injuries;
• uterine prolapse;
• chronic inflammation of the appendages;
• infectious diseases of the genitourinary system;
• consequences after surgery to remove the uterus;
• stress, depression;
• frailty of the muscles of the genitourinary system.

A common reason that causes urine leakage is the development of an overactive bladder. With such a diagnosis, only comprehensive treatment will help, including taking hormonal and anticholinergic drugs (Driptan, Vesicare, Detrusitol, Oxybutynin). These medications relieve spasms of the walls and muscular corset of the bladder, while simultaneously relaxing the muscular system, bringing it to the desired tone.

It is necessary to treat the disease depending on the reasons that caused the pathology.

It is important to remember that only the attending physician can prescribe medications, since almost all drugs have side effects on the body.

For the treatment to be beneficial, the dosage must be strictly followed.

Tablets for urge urinary incontinence

How to treat urge urinary incontinence in women with tablets? The range of therapy tools is much larger. Let's look at the most effective drugs.

Many modern drugs have a pronounced effect on increasing the volume of the bladder and restoring the functions of the detrusor (muscle).

Spazmex

The medicine is prescribed for bedwetting, frequent urges, and cystitis. It works well for combined forms of the disease, and for traumatic injury to the pelvis. Approved for use from 14 years of age. It has pronounced antispasmodic properties and has a good effect on the detrusor. Treatment is prescribed according to different schemes, depending on the age and course of the disease.

Betmiga

Indications for use are bladder overactivity, incontinence and increased urination, frequent urge. The tablets are taken according to the indicated regimen, without exceeding the dose, regardless of food intake.

Betmig tablets for urinary incontinence in women should not be taken until the age of 18 or during pregnancy. Despite the contraindications, this drug has proven itself well, as it is acceptable when driving and engaging in complex activities.

Mirabegron, Mirbetrik

The latest generation of drugs regulate urination functions and have a positive effect on the bladder muscle and urethra. Have a minimal number of side effects. Studies of their effects were conducted in Japan and the USA on numerous volunteers.

In most patients, urodynamics improved and sphincter function was restored. Recommended for elderly patients.

Novitropan

Belongs to the group of antispasmodics, eliminates spasms and reduces muscle tone. It has an anticholinergic effect and relaxes the detrusor. Helps reduce the number of urinations, eliminates involuntary urine output and bladder hyperreflex. Can be prescribed from 5 years of age.

Urotol

It has an antispasmodic effect and affects smooth muscles. Reduces bladder tone. Take twice a day at the recommended dose.

Other drugs for urge urinary incontinence in women:

• Rolitene;
• Driptan;
• Enuran;
• Detrusitol;
• Vesicare;
• Toviaz;
• Pantogam;
• Enablex;
• Vitaprost;
• Uroflex.

Antidiuretic hormones of synthetic origin

The pituitary hormone vasopressin is responsible for the processes of urine regulation by the kidneys in the body. Its deficiency can cause such unpleasant effects as urinary incontinence, bladder weakness, and increased blood pressure. Vasopressin deficiency is especially common in women.

Tablets for urinary incontinence in elderly women with a synthetic analogue of hormones help normalize kidney function and reduce the amount of urine produced during sleep. Preference is often given to two drugs:

Medications

There are several medications available for stress urinary incontinence. This type of disease is typical for most women. During this process, a person begins to cough, sneeze, laugh or engage in physical activity, as a result of which the functioning of the genitourinary system is disrupted and involuntary urination begins due to stress in the body.

For stress urination, it is necessary to use medications that are designed to reduce the increased tone of the sphincter and bladder.

The most popular means:

Sertine and norepinephrine inhibitors - the drug can also act as an antidepressant. Its analogues are Duloxetine Canon (from 839.00 to 1,979.00 rubles), which is produced in Russia, Cymbalta (from 1,749.00 to 3,374.00 rubles), the drug is imported from Swiss enterprises. The first medicine is sold in the form of capsules and tablets, and the second only in capsule form. The effect of the presented drugs is observed already two hours after use. The drugs activate the nervous system, which connects to the bladder. It should be noted that Dulocestine can cause the following side effects: poor sleep, constant drowsiness, deteriorating vision, frequent headaches, even fainting is possible, hands may shake, rapid fatigue and decreased energy capacity, dehydration of the oral cavity, diarrhea. Due to too high a dosage, epilepsy attacks may be caused. Also, this medicine should not be stopped abruptly, otherwise this may also negatively affect the patient’s health.

Duloxetine Canon

• Midodrine belongs to the classification of andrometics. The medicine is sold in the form of tablets and drops. Its effect is associated with an increase in the tone of the nervous system. There are the following contraindications to its use: pheochrocyte, arrhythmia, renal failure and dysfunction of this organ, glaucoma, high blood pressure.
• There are also drugs that affect hormones, they are called hormonal. The medication is prescribed by a gynecologist to increase estrogen in a woman’s body. In addition, the medicine “Ovestin” (from 1,190.00 to 1,475.00 rubles) is often used and is sold in a creamy state or in the form of suppositories.
• For urgent urination, the following medications are used: Novitropan, Driptan - 679.00 rubles, Urotol - from 584.00 to 667.00 rubles, Detrusitol. These drugs act on the bladder and retain its contents. The above medications are indicated for use in children who have reached five years of age. They have side effects: headaches, drowsiness, diarrhea. These drugs are expensive.

• Of all modern medicines, the most harmless drugs can be identified; they have the least side effects: Toviaz, Vesicare - from 761.00 to 1,208.00 rubles, Enablex.
• Recently, new products in their field appeared on the shelves of pharmacies - Begming (483 rubles) and Mirabegron. The drugs have a low percentage of side effects and are approved for use by older people. British specialists are improving the composition of medicines every day. An analogue of the described medications is Mirbetrik. It improves bladder function and restores it.

The average duration of treatment for this disease in women is about three months. For a complete cure, you must adhere to a special diet, exercise and lead a healthy lifestyle.

You can also learn about urinary incontinence in women from this video.

Indications for drug therapy

Medicines for urinary incontinence are prescribed to women in order to relieve the syndrome and return the patient to a normal rhythm of life. Which tablets to use and in what dosages can only be determined by a specialist (urologist or gynecologist), taking into account the cause, type and severity of the pathology. In severe forms of the disorder that do not respond to conservative treatment, surgery may be required. The disease caused by age-related changes can be eliminated at an early stage of the process by strengthening the pelvic floor muscles using Kegle exercises. Treatment with traditional medicine methods or physiotherapy also shows good results.

When are medications for urinary incontinence prescribed?

The problem begins with the loss, complete or partial, of control of the functions of the bladder sphincter, which ensures the retention or release of urine. Uncontrolled urine output has two main forms:

• stress - involuntary discharge during slight physical effort - coughing, sneezing, lifting heavy objects, laughing, as well as the sounds of pouring water, hypothermia;
• Urgent (imperative) – inability to hold back the urge to urinate, reflexive, immediate release of urine.

Often incontinence is present in both forms (combined) or is a temporary condition caused by pregnancy.

Before considering which tablets are most effective for various forms of urinary incontinence in women, let’s determine in what cases they are needed:

1. hyperreflex of the bladder muscles;
2. stressful conditions;
3. injuries and infections of the genitourinary organs;
4. loss of elasticity and strength of muscles and ligaments in the pelvic area;
5. problems with the uterus - prolapse or surgical removal;
6. lack of hormones.

Urinary incontinence occurs more often in older women; due to numerous contraindications, pills and other methods of treatment for urinary incontinence are selected for them with particular caution.

Preventing frequent urination in men

To prevent the development of enuresis and other forms of frequent urination, you should follow some preventive measures:

• any infectious and inflammatory diseases of the genitourinary system must be treated immediately;
• it is important to get rid of chronic constipation and improve the functioning of the digestive tract;
• discriminating sex life is the key to protection from sexually transmitted infections and related diseases;
• maintain personal hygiene and use protection during sex;
• giving up bad habits is also important;
• regularly do exercises to strengthen the muscles of the perineum (these are the so-called Kegel exercises);
• follow a diet (avoid hot and spicy foods, eat more fiber and vitamin-rich foods);
• observe the regime of work, sleep and rest;
• avoid stress;
• toughen up and dress for the weather.

Timely treatment of frequent bowel movements helps to avoid many complications, such as incontinence, sexual dysfunction and enuresis. All preventive measures are aimed at overall strengthening the body and maintaining a man’s sexual strength.

Elimination of genitourinary tract infections

Frequent urination causes diseases such as urethritis, cystitis, pyelonephritis. Pathologies are associated with the penetration of pathogenic microflora into the human body and damage to the urethra, bladder or kidneys.

To eliminate frequent urges, the underlying disease is cured - inflammatory damage to the organs of the excretory system.

Doctors prescribe antibacterial drugs and uroseptics. Antispasmodics and anti-inflammatory drugs will help eliminate pain.

Penicillins

The penicillin group of antibacterial agents has still not lost their relevance. The drugs are active against gram-positive flora and some gram-negative bacteria.

The effect of using drugs is associated with the property of disrupting the synthesis of the cell membrane of a pathogenic microorganism, which is why it soon dies.

Prescribed for patients with frequent urination. The drugs kill pathogenic microflora and normalize trips to the toilet. Such drugs include Amoxicillin, Ampicillin, Penicillin and others.

Amoxicillin is an antibiotic active against cocci. Has bactericidal properties.

The drug is absorbed by the body - beneficial effect - 93%. An hour after entering the body, the drug reaches its maximum.

The medicine is excreted unchanged by the kidneys. The drug destroys bacteria and prevents them from multiplying.

Available in tablet form, capsules and powder for the preparation of injection solution. Occasionally allergic reactions to the medicine. Does not apply during lactation.

Fluoroquinolones

Drugs in this group of drugs are no less active against pathogenic microbiota inhabiting the urethra and bladder.

Four generations of these medications have already been released. The effect of fluoroquinolones is to damage the DNA of the pathogenic organism, resulting in death.

The drugs fight gram-positive microflora, which predominantly inhabits the mucous membrane of the urethra and bladder and provokes painful symptoms - pain and frequent urination. Effective representatives are Ciprofloxacin and Moxifloxacin.

Ciprofloxacin is a drug that inhibits the ability of bacteria to grow and reproduce. Affects gram-positive and gram-negative microorganisms.

Available in tablets and injection solutions. Take pills to restore normal frequency of urination for at least ten days.

The drug is taken with plenty of water; it is recommended to increase the daily volume of fluid to remove breakdown products.

Apply 1-2 times a day, depending on the severity of the disease. Since the drug has a negative effect on the kidneys, the drug is taken only with the permission of a doctor.

Cephalosporins

Drugs with an antibacterial effect that allow you to get rid of diseases that cause frequent urination in a short time.

There are four generations of drugs that differ in the breadth of their action on pathogenic bacteria.

The mode of action of cephalosporins resembles the work of the penicillin group of drugs. They disrupt the structure of the pathogenic microorganism's shell, but act more effectively than penicillins. They fight diseases with Ceftriaxone and Cefuroxime.

If the desire to urinate frequently is caused by severe infectious pathologies of the urinary tract, then such women are hospitalized in a clinic, and treatment of the pathology continues there.

Among the drugs, doctors often choose Ceftriaxone, a representative of the third generation of cephalosporins.

Available in the form of injection solutions. "Ceftriaxone" is capable of destroying the cell wall of a pathogenic microorganism, due to which the pathogenic bacteria die. Therapy is carried out exclusively in a hospital, monitoring the patient’s blood counts.

Nitrofurans

These are medicinal substances that help to carefully get rid of infections in the urinary organs.

They are less active in relation to severe infectious processes, therefore they are used to treat uncomplicated diseases or pathologies in the initial period of development, when the symptoms are not severe. The nitrofuran group of products is represented by “Nevigramon”, “Nitroxoline”.

"Nevigramon" is a drug containing nalidixic acid. Capable of influencing the DNA of pathogenic microorganisms, destroying and leading to death.

The drug binds to proteins and concentrates in the urine after 3-4 hours. The medicine is not recommended for long-term and frequent use, since microorganisms develop resistance to it.

Women do not drink Nevigramon during breastfeeding, since the active substance can pass into breast milk. In exceptional cases, lactation is stopped during drug therapy.

Herbal preparations

Not only synthetic drugs can fight infection, but also products based on natural ingredients.

Now there is no need to brew or infuse jars of herbs - the pharmaceutical industry produces extracts of the necessary herbs in tablet form.

It is enough to buy tablets and drink as recommended in the instructions to normalize the frequency of visits to the toilet and improve physiological urination.

Such drugs include “Canephron”, “Cyston”, “Monurel”, “Fitolysin”, “Uronefron”.

The “Cyston” product contains an extract of ten medicinal herbs that act against frequent urination in women and help normalize this process.

"Cyston" has an antimicrobial and anti-inflammatory effect. If the medication is used for a long time, it enhances the effect of antibacterial synthetic drugs, so they are often prescribed together. The product "Cyston" helps to dissolve stones formed in the kidneys.

"Monurel" is a natural drug. It is based on cranberry, which has a natural antimicrobial effect, and is used by populists for frequent urination in women. Cranberries contain specific substances - tannins, which block the ability of bacteria to attach to the mucous membranes of the urinary organs. Monurel has a gentle effect on a woman’s health, so it is recommended to use it in girls if urination problems appear after the first sexual intercourse.

"Canephron" is a tablet remedy for urinary disorders, which is based on the action of medicinal herbs with an antimicrobial effect.

It includes centaury, lovage, rosemary. The drug acts in the urinary organs and helps cope with pathogens.

If a woman drinks Canephron from the very beginning of the appearance of signs of pathology, then the use of antibacterial drugs is often avoided.

This is important for pregnant and lactating mothers, so doctors prefer to start therapy for patients with herbal preparations.

Tablets for the treatment of urinary disorder will help cope with the problem. After all, disruption of the urinary organs chains a woman to the toilet, makes her dependent and prevents her from working or doing household chores.

When disorders appear, you should not use drugs at random. Frequent urination is not always a sign of inflammation of the bladder, and if a woman took antibacterial drugs for a nervous etiology, then they do not help her much. Consulting a doctor is the first step to competent and effective therapy.

Therapy for stress as a reason for going to the toilet

The psyche of women is more stable than that of men. Prolonged stress, stress, depression are things that rarely drag women into a state of illness. Stress has become a problem of the 21st century, therefore it affects the health and psyche of women and men.

Women's stress primarily affects the genitourinary system. Menstrual irregularities and decreased sexual desire are accompanied by frequent urination and sometimes urinary incontinence. To normalize, there is no point in taking antibacterial agents - they will not improve the woman’s emotional state, and vaginal candidiasis will be added to the “bouquet” of diseases.

For frequent urination in women of stress etiology, treatment is carried out with a psychologist. The doctor will help identify the cause of stress, after which nervous tension will be eliminated.

Causes of incontinence in older women

There are many reasons that can cause a pathological condition in older women, but the main one is considered to be hormonal changes in the female body. Because of it, the amount of female hormones is significantly reduced, which leads to changes in the organs of the genitourinary system. Other causes of urinary incontinence include:

• Excess weight;
• Frequent and traumatic childbirth;
• Neurological diseases;
• Damage to the pelvic muscles and nerves during surgery;
• Hypertonicity of the bladder;
• Diseases of the central nervous system;
• Infectious diseases of the genitourinary system;
• Atrophy of the pelvic muscles, etc.

Malfunctions of the urinary system are also provoked by factors such as diabetes, smoking, alcohol, heavy physical work and taking certain medications.

Useful tips

Women over 40 years of age may experience age-related changes, which may result in urinary incontinence. You can protect yourself from this unpleasant phenomenon if you adhere to the following rules:

• Limit your consumption of caffeinated drinks, including alcohol. They have a diuretic effect.
• Stop smoking. Cigarette smoke irritates the mucous membranes of the body, undermines the immune system and generally has an adverse effect on the general physical condition.
• You should not limit your fluid intake. Lack of water in the body will not eliminate the problem.
• Do Kegel exercises regularly, which exercise your pelvic floor muscles. Train your bladder by holding the stream of urine for 5-6 seconds.
• Get rid of stress and tension.

Most women consult a doctor only when the problem becomes pronounced. Although in the initial stages you can get rid of it in a fairly short time. Using only hygiene products will not help cope with age-related incontinence. Therefore, it is important to promptly seek help from a specialist.

When can you be treated without pills?

If frequent urination in men is not accompanied by pain, you can not take pills, but make do with nutritional correction and traditional medicine with the permission of the doctor.

The following recommendations must be followed:

• reduce the amount of salt consumed;
• exclude products containing chemical additives;
• enrich the diet with seafood, grains, and plant foods;
• drink at least 1.5 liters of water per day;
• exclude alcohol, smoking;
• don't overeat.

Any medications are taken only with the knowledge of the doctor. If a man begins to urinate more often, he should reconsider his lifestyle and try to find the reason for this. If correcting your diet and drinking regime does not lead to an improvement in the situation or urination is accompanied by pain, you should urgently consult a urologist.

Only a specialist can make a diagnosis, prescribe a course of treatment and draw up a list of necessary medications.

Changes in the frequency of urination in women occur for various reasons. Small visits to the toilet are caused by pregnancy, large amounts of liquid drunk, stress and problems with the urinary organs.

The first two reasons are normal and do not require treatment; to eliminate the latter, treatment with tablets is necessary.

The most effective tablets

Detrusitol

M-anticholinergic blocker, which includes the active substance tolterodine hydrotartrate. An antispasmodic that reduces the tone of the muscle fibers of the bladder.

If there are no disturbances in the liver, then Detrusitol is prescribed 1-2 capsules once a day, depending on the dosage of the drug.

The indication for tolterodine is increased bladder muscle tone.

• For acute urinary retention.
• In case of allergic reactions to the components of the drug.
• For children.
• Patients with angle-closure glaucoma.
• For severe forms of ulcerative colitis.
• For myasthenia gravis.
• For constipation.
• For malformations of the colon.

The use of the drug during pregnancy is also not recommended.

Urotol

It is an analogue of Detrusitol in chemical composition and pharmacological action. This drug is prescribed twice a day, 2 mg.

Spazmex

The active component of this medicine is tropsium chloride . It has an antispasmodic effect and to some extent a ganglion blocker.

Indications for use:

• Mixed type of urinary incontinence.
• Bladder spasms due to injuries and disorders of the central nervous system.
• Excitability of the bladder, which is accompanied by instability of urination.
• Simultaneous contraction of the urethral valve and muscularis propria.
• Incontinence during sleep and wakefulness.
• Inflammatory process in the bladder.
• Increased frequency of the urge to urinate.

Obstacles to the use of Spazmex:

• Disturbances in the functioning of the heart.
• Dialysis for kidney failure.
• Age up to 12 years.
• Intolerance to substances included in the drug.
• Delayed gastric emptying.

During pregnancy, Spazmex should be taken with caution.

The dosage and duration of treatment depends on the established diagnosis. Take the tablets with a glass of water strictly before meals. The average daily dose is 45 mg.

Pantogam

The basis of the drug is the calcium salt of hopantenic acid, which has a moderate sedative and anticonvulsant effect.

Indications for use are:

• Brain dysfunction in old age or due to injury and infection.
• Enuresis.
• Overactive bladder.
• Unstable urination.
• Atherosclerosis of cerebral vessels.
• Chronic neurological diseases.

Taking Pantogam is contraindicated:

1. In case of non-standard reactions of the body to the components of the drug.
2. In acute renal dysfunction.
3. Pregnancy and breastfeeding period.
4. Children under three years of age (in tablet form)

For urinary system disorders, adults are prescribed 2-4 tablets 2-3 times a day; for children over three years old, a single dose is 1-2 tablets. The course of treatment is from two to twelve weeks. The drug is taken 20 minutes after meals.

Vesicare

The active substance is salifenacin succinate . Vesicare has an antispasmodic effect. Prescribed to patients with uncontrolled urination of varying degrees.

The tablets must be taken parenterally (orally), regardless of meals. The standard daily dose is 5 mg, but can be increased according to indications.

This drug is contraindicated for persons suffering from renal failure, severe diseases of the gastrointestinal tract, and closed-angle glaucoma. Vesicare is also not prescribed to children and pregnant women due to lack of research results.

Driptan

The active component of this drug is oxybutynin hydrochloride , which has a vasodilator and antispasmodic effect. Driptan is able to minimize spasm of the smooth muscles of the gastrointestinal tract and genitourinary system, and also increases the capacity of the bladder.

Oxybutynin is prescribed to treat bedwetting in children (at least 5 years of age) and frequent uncontrollable urge to void in adults.

Driptan is not prescribed to patients with intestinal obstruction syndrome, decreased or absent intestinal motility, glaucoma, autoimmune neuromuscular disease, including children under 5 years of age, pregnant and lactating women.

Children and elderly people should take the drug 2-3 times a day, 2.5-3 mg. According to the doctor's decision, the daily dose can be gradually increased to 5 mg.

Imipramine

An effective drug for the treatment of depressive conditions in mental and neurological diseases. This antidepressant can reduce the intensity of the symptoms of the disorder, which will allow you to live a full life.

Imipramine hydrochloride is available in the form of dragees, tablets and solution for intramuscular injection. In urology, it is used to block nocturnal enuresis and facilitate the functioning of the urinary tract.

Imipramine should not be taken:

• During pregnancy and breastfeeding.
• Patients with allergic reactions to the components of the drug.
• Children under 6 years old.
• For cardiovascular diseases.
• Patients with epilepsy.
• For infectious diseases.
• For pathologies of the kidneys and liver.
• People who have had a stroke.

Adult patients are prescribed a daily dose of 25-50 mg for 14 days, then gradually increased to 150-250 mg per day. If the dynamics are positive, by the end of the course the dosage is reduced to 50-150 mg. In children and the elderly, the initial dose of Imipramine is 10 mg. On average, the course of treatment lasts 6 months.

Betmiga

The drug contains the active ingredient mirabegron . Tablets that relax the bladder muscles.

This drug is indicated for patients with overactive bladder and uncontrolled urination. It is dangerous to take by persons with allergic reactions to the components of the drug, with severe forms of renal and liver failure, under the age of majority, pregnant and lactating women.

The medicine should be taken with water (without chewing) once a day - 50 mg.

Desmopressin

The drug is similar to the antidiuretic hormone vasopressin, which is produced by the pituitary gland. Prescribed for increased urine production, frequent urge to urinate at night, diabetes insipidus, non-clotting, after brain surgery.

• With unquenchable thirst.
• Patients with anuria.
• With low sodium concentration in the blood.
• With fluid retention in the body.
• For heart failure.
• If you are allergic to the drug.

For children aged 3 months to 12 years, a synthetic analogue of the hormone is prescribed intranasally at a dose of 5-30 mcg per day or parenterally 0.4-2 mg.

For adults, the daily dose is 10-40 mcg in the nasal cavity or 1-4 mcg by injection.

Enablex

Long-acting tablets containing darifenacin . I prescribe the drug for increased bladder activity.

Enablex is prescribed at a dose of 7.5 mg per day. Then after 2 weeks it is increased to 15 mg, provided that the patient has no side effects.

This drug is indicated for pregnant and lactating women if other antispasmodics are not effective. Enablex should not be taken by patients with angle-closure glaucoma; ishuria; inhibited motor function of the stomach and previously identified allergic reactions to the components of the drug.

Toviaz

Available in the form of tablets for oral administration. The active substance is fesoterodine . Prolonged (long-term) action drug.

Used to treat acute incontinence. Start taking 4 mg once a day, then, if necessary, increase the dose by 2 times.

In case of allergic reactions to fesoterodine, slow gastric motility, closed-angle glaucoma, as well as ischuria, the use of Toviaz should be discontinued.

Regardless of what triggered the occurrence of urinary incontinence, at the first signs a woman should seek help from a urologist or gynecologist. Only timely and correctly selected treatment will help to completely get rid of urinary problems.

Treatment in old age

The list of medications for urinary incontinence in older women can be supplemented with drugs from the adrenergic blocking group. Omnic, Tulosin, Focusin interact with the nerve endings of the walls of the excretory system and have a beneficial effect on the process of accumulation and retention of urine. Elderly people are prescribed 1 tablet or capsule in the morning after meals. It is important to ensure that the patient drinks the medicine without chewing, otherwise it will not have a therapeutic effect.

During treatment, it is necessary to monitor blood pressure due to the frequent development of hypotension (low blood pressure). If after taking the drug you often experience weakness, double vision, loss of orientation in space, take the medicine while sitting or lying in bed.

In addition to tablets for urinary incontinence, intimate exercises using the Kegel method and a diet limiting caffeine and tannin have a good effect in women. It is necessary to monitor the regularity of visiting the toilet and maintain (if possible) an active motor mode, and get rid of excess weight.

Under no circumstances should you self-medicate and delay visiting a specialist. Only a doctor, based on examination and testing data, can determine which pills will help in a particular case of incontinence. The sooner therapy begins, the more successful it is.

Mechanism of action of drugs

For urinary incontinence in women, treatment with tablets must be carefully selected based on the etiological factor that provokes the development of the pathological condition.

Sympathomimetics have a stimulating effect on the smooth muscle cells of the bladder, while the urethral sphincter contracts, which prevents the spontaneous flow of urine. Pharmacological companies do not produce drugs for the treatment of a specific syndrome; sympathomimetics are specifically used for pulmonary diseases, but they are also widely used in urological practice.

Estrogens, as hormone replacement therapy, are used to treat urinary incontinence in older women. The syndrome develops during menopause due to a sharp decrease in the level of sex hormones in a woman’s body.

The chemical composition of medications includes two main components:

• progestin;
• estrogen.

They contribute to the resumption of the process of contractile activity of the bladder muscles.

Antispasmodics as a conservative treatment are effective only in the early stages of the disease, in the complete absence of clinical symptoms or in their incomplete manifestation. Drugs in this group have a weak effect on the bladder muscles and are therefore used to prevent further progression of the disease.

Antidepressants are used as a method of etiotropic treatment for enuresis, as well as for disorders of the mental or emotional state of a woman or for various organic pathologies of the central and peripheral nervous system.

The mechanism of the disease

Overactive bladder is a characteristic syndrome. From 5 to 7 acts of urination per day is considered normal. If the number of urinations during the day is more than 8 times, this is a sign of overactive bladder syndrome.

There are no inflammatory phenomena. Disturbances occur in the lower urinary tract. During the filling phase of the bladder, the bladder muscle (detrusor) suddenly begins to contract involuntarily. Pressure rises in the bladder. A woman suddenly feels the need to go to the toilet. The patient cannot stop the urge.

An overactive bladder in women is dangerous because it potentiates the ascending path of infection and affects the kidneys. High detrusor pressure affects the upper urinary tract. This can lead to disruption of normal kidney function. To live a full life, the patient has to use various pads and diapers. This is especially dangerous for women because the vagina is nearby. Incorrect padding damages the skin and disrupts the flora in the vagina. Colpitis develops

To avoid complications, it is important to promptly treat such an unpleasant pathology.

Why are antidepressants prescribed?

When urination becomes more frequent due to diabetes mellitus, enuresis, or unstable functioning of the bladder detrusor, urologists prescribe anticholinergics and antidepressants.
The following drugs are used:

1. “Imipramine” is prescribed for urinary incontinence and painful sensations. Even a child can take the medicine. The daily dosage is determined by the doctor.
2. Duloxetine is an antidepressant that relieves spasms. Indicated for use from 18 years of age.

The action of the drugs is based on relaxation of the bladder. At the same time, control of fluid discharge is maintained.

Types of urinary incontinence

All types of inability to retain urine in adulthood are conventionally divided into 4 subgroups, based on the root causes of this pathological process:

• Stressful
• Urgentnoe
• Overcrowded
• Mixed

They also record false incontinence, in which there is no urge to urinate, and true incontinence, if there is any. This disease may be:

• Primary. As a result of congenital pathologies or previous injuries
• Secondary. Develops as a consequence of mental or infectious pathological processes in the body

Therapy for depression

Treatment of stress urinary incontinence in women begins with the prescription of sedatives. These include antidepressants and nootropics. The first ones normalize sleep, creating conditions so that a person can recognize the desire to urinate in a dream. The second group improves metabolic processes in the tissues of the nervous system and has a slight calming effect.

The main objectives of urinary incontinence tablets for women suffering from stress enuresis are to relieve anxiety and gently calm the nervous system. Due to this, the patient gains greater control over urinary retention during exercise.

Antidepressants

For stress urinary incontinence in women, antidepressants are the most successful treatment.

1. Imipramine and drugs containing it (Tofranil, Melipramine) have a calming effect, help cope with involuntary urination during sleep, and relax the walls of the excretory system. Take 1 – 3 tablets per day shortly before bedtime. The duration of treatment is determined by the doctor. Prescribed to patients at least 6 years of age.
2. Duloxetine acts centrally, relaxing the muscles of the urinary reservoir and reducing the likelihood of spontaneous leakage of urine. The standard dosage is from 2 to 4 capsules 1 time per day. Prescribed to patients over 18 years of age.

Antidepressants have a number of side effects, including dry mouth, dizziness, and visual disturbances. They cannot be used for glaucoma, hypertension, liver disease, pregnancy (the substance penetrates the placental barrier to the fetus).

Important! Medicines in this group affect vascular tone and can cause an attack of a sharp increase in blood pressure. The patient taking them should regularly check blood pressure readings in both arms.

Antidepressant medications should not be stopped at once. This provokes interruptions in the functioning of the heart, dizziness and nausea. The withdrawal or replacement of the medication should be done gradually.

Nootropics

They act more gently than antidepressants and have fewer contraindications.

• Phenibut reduces vascular tone, reduces anxiety, and improves sleep quality. The drug reduces excessive emotionality, which provokes neurotic reactions and stress incontinence. The dose and duration of administration depend on the patient’s age and the severity of the disorder.
• Pantogam stimulates metabolic processes in the cells and tissues of the nervous system, has a slight tonic effect without causing excitement. Prescribed 1 - 2 tablets 2 times a day after meals. The course of treatment is 2 – 3 months.
• Glycine helps get rid of insomnia and provides restful “watchdog” sleep (during which a person is able to wake up to go to the toilet). The tablets are dissolved in the mouth (under the tongue), 1 tablet three times a day.

Nootropic medications can enhance the effect of sleeping pills, painkillers, and anticonvulsants and reduce their side effects. Drug treatment is initially carried out with half the selected dose, gradually increasing it to the whole dose by the middle of the course, then the dosage is reduced back until the end of therapy.

Important! Most medications for urinary incontinence in women have contraindications and serious side effects. Under no circumstances should you take them on your own, without a doctor’s prescription. Before starting treatment, it is necessary to check the compatibility of the drugs with other tablets taken continuously.

Reviews

The reviews contain a large amount of information about effective tablets for urinary incontinence in women. Such remedies are also suitable for men, however, this pathology is most often diagnosed in the fair sex, due to anatomical features.

Most of the good reviews were left about the drug "Urotol". Patients note that this medicine quickly eliminates the problem described above, does not contribute to the development of adverse reactions and is well tolerated.

Driptal is also a popular medication, which, according to patients, successfully combats urinary incontinence, increases the time interval between urination and does not have a negative effect on the body.

About the importance of diagnosis

To determine the cause of frequent urination, a preliminary examination and interview of the patient is carried out.
He should describe his feelings as accurately as possible, and also tell information about his intimate life. It is necessary to pass the following tests:

1. Clinical blood test - determines the presence of an inflammatory process.
2. General urine test - provides information about sugar levels, the presence of pus and blood in the fluid.
3. Blood test for biochemistry - informs about the condition of the kidneys based on the level of urea, uric acid, creatinine.
4. A smear from the urethra to identify pathogenic microflora.
5. Urinalysis according to Nechiporenko to identify kidney pathologies.

If an STD of non-bacterial etiology is suspected, there is a need for a PCR analysis to detect the DNA of the pathogen. Also, to clarify the diagnosis, an instrumental examination will be required:

• Ultrasound of the kidneys, prostate, pelvic organs;
• cystoscopy;
• CT scan.

The doctor selects the necessary diagnostic methods depending on the suspected disease.

The absence of additional signs of the disease is an indication for a urine test according to Zimnitsky. It helps to distinguish physiological from pathological increased frequency of urination.

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Contents [Show]

Tablets for urinary incontinence in women allow you to relieve an extremely unpleasant syndrome that prevents you from leading a normal lifestyle and causes a lot of inconvenience. Due to the sensitivity of the disease, most patients seek medical help only when the disease has progressed and is very difficult to cure.

For urinary incontinence in women, 4 main groups of medications are used:

• sympathomimetics;
• estrogens;
• antispasmodics;
• antidepressants.

Only a doctor can prescribe them, depending on the individual characteristics of the body and the reasons that led to the development of the syndrome, as well as the presence of concomitant diseases that aggravate the patient’s condition.

Sympathomimetics are drugs that act on the smooth muscles of the bladder, preventing the spontaneous flow of urine. In most cases, these drugs do not have an individual release form to combat the problem of urinary incontinence. Their main components are contained in other antihistamine medications or drugs intended to treat cough.

Estrogens are prescribed to women whose urinary incontinence is caused by disruption of the endocrine system and hormonal imbalance.

In most cases, this happens during the onset of menopause and menopause. The drugs contain two hormones - progestin and estrogen, which have a beneficial effect on the smooth muscles of the genitourinary system, activating the process of its timely contraction.

Antispasmodics are prescribed in the early stages of the disease, when urinary incontinence does not have pronounced symptoms, that is, several drops of urine may be released during the day. Antispasmodics have a gentle effect on the muscles, preventing urine leakage and further development of the disease. These drugs can only be used with a doctor’s prescription if there are no contraindications.

Antidepressants are prescribed if incontinence is caused by disruption of the central nervous system, exposure to constant stress, emotional or psychological fatigue. These drugs have the greatest effect in cases of bedwetting.

Treatment of urinary incontinence in women involves medicinal effects on the walls and smooth muscles of the bladder, preventing its spontaneous weakening and the leakage of urine. The success of taking prescribed medications depends on an accurate diagnosis. The main causes of urinary incontinence:

• insufficient production of the female hormone - estrogen;
• pelvic organ injuries;
• uterine prolapse;
• chronic inflammation of the appendages;
• infectious diseases of the genitourinary system;
• consequences after surgery to remove the uterus;
• stress, depression;
• frailty of the muscles of the genitourinary system.

A common reason that causes urine leakage is the development of an overactive bladder. With such a diagnosis, only comprehensive treatment will help, including taking hormonal and anticholinergic drugs (Driptan, Vesicare, Detrusitol, Oxybutynin). These medications relieve spasms of the walls and muscular corset of the bladder, while simultaneously relaxing the muscular system, bringing it to the desired tone.

It is necessary to treat the disease depending on the reasons that caused the pathology.

It is important to remember that only the attending physician can prescribe medications, since almost all drugs have side effects on the body.

For the treatment to be beneficial, the dosage must be strictly followed.

If the problem is caused by constant stress and depression, the main medications are antidepressants:

1. Imipramine (can be sold under the name Tofranil) is prescribed for stress urinary incontinence and in cases where the disease is of an urgent nature. Designed for the treatment of nocturnal incontinence. It affects the nerve endings of the bladder, controlling the process of urination. The drug is prescribed together with anticholinergic drugs.
2. Duloxetine prevents spontaneous contraction of the bladder walls and reduces the incidence of urine leakage. Possible side effects and the effect of the drug on the genitourinary system have not been fully studied. The maximum effect is achieved when taking Duloxetine simultaneously with special therapeutic exercises.

Treatment of urinary incontinence caused by urgent pathologies - infections and inflammatory processes in the genitourinary system - includes a comprehensive approach. Anticholinergic drugs (Ditropan, Ditrol, Oskitrol) are prescribed without fail. These medications have a long-lasting effect and quickly relieve the unpleasant symptom. A significant disadvantage of taking them is a number of side effects: constipation, dry mouth, blurred vision, delayed urine output.

Urgent urinary incontinence is treated with antispasmodics: Driptan, Oxybutynin, Spazmex, Tolterodine. Driptan is the most effective remedy that affects the smooth muscles of the bladder, preventing the passage of impulses that cause the process of urination. Spazmex is prescribed in most cases, since its side effects are minor and occur quite rarely. The drug has a cumulative effect, acting on receptors located in the submucosal and mucous membranes.

To treat urinary incontinence due to malfunction of the thyroid gland and endocrine system, hormone replacement therapy is prescribed. The main purpose of medications is to compensate for the lack of progestin and the female hormone estrogen. In most cases, these types of medications are prescribed to women who have experienced menopause or menopause. The main drugs in this group: Cymbalta, Ubretide, Gutron.

Hormonal drugs have a negative effect on the body, including the development of benign and malignant neoplasms, and can cause myocardial infarction.

According to the latest medical research, hormone replacement therapy does not have any positive effect on the bladder and does little to help with the problem of urinary incontinence.

Currently, hormones for incontinence are not prescribed in Europe.

The course of therapy lasts several months, depending on the stage of development of the disease and the severity of symptoms. The effect lasts up to a year. If the pathology reoccurs, hormone replacement therapy is prescribed again. In the absence of positive dynamics, the patient is offered surgery.

Urinary incontinence in older women is caused by the onset of menopause, during which a total restructuring of the functioning of all internal systems occurs. First of all, hormonal drugs are prescribed - Gutron and Cymbalta. They should be taken only as prescribed by a doctor, carefully observing the dosage. During the course of hormone replacement therapy, it is necessary to constantly monitor blood pressure. For any deviations from the norm, stop taking the pills.

Incontinence in elderly women, which is caused by urgent diseases and pathological processes of the genitourinary system, is treated with Spazmex, Detrusitol, Omnic, Driptan, Vesicare.

Omnic is designed to smooth out the soft muscles of the bladder and its neck, which leads to a reduction in the incidence of spontaneous muscle contraction with further leakage of urine. Spazmex relieves muscle spasms. Driptan is a drug from the group of antispasmodics that relaxes the muscular corset of the bladder, which causes an increase in the volume of the organ and a decrease in the number of urges to urinate.

Detrusitol is aimed at improving urodynamics. The drug reduces the number of nerve impulses that come from the central nervous system, causing the feeling of needing to empty the bladder. After a course of taking the medication, the amount of urine decreases. Vesicare is a medication that acts on the muscles of the bladder, relaxing them and restoring their tone. The positive effect of taking Vesicare appears a few days after the course of administration. The dynamics continue throughout the year. The course of treatment is about 3 months.

Urinary incontinence caused by mixed causes (psychological, hormonal and urgent) is treated comprehensively.

The dosage of drugs and the stages of their administration are prescribed only by the attending physician after a full medical examination.

The problem of urinary incontinence worries up to 20% of women of all ages. It has serious consequences in the form of inflammatory diseases, neuroses, and forces a woman to give up interesting work and sex life.

For the treatment of urinary incontinence in women, modern urology has accumulated sufficient experience in combining physical exercises, regimen, dietary restrictions, medications and folk remedies.

The use of tablets for urinary incontinence in women may be limited by concomitant diseases and serious contraindications. Therefore, you should not try to choose your own medications. Only a specialist can prescribe a specific drug and its dosage.

Read about the features of general therapy depending on the form of the disease in this article.

Drug treatment is one of the means of choice. It depends primarily on the type of incontinence.

Let us remember that stress incontinence accounts for half of all cases among the female population. It is characterized by involuntary “leakage” when coughing, sneezing, laughing, or exercise. Some scientists in the field of urology defend the opinion that this is the initial stage of a general disease, which will be followed by an urgent form.

The stress variant should be treated with drugs that reduce the increased tone of the bladder and sphincter. The level of α-adrenergic agonists should increase in a woman’s body. Therefore, you can achieve the result:

• artificially blocking the destruction of these substances;
• stimulating synthesis through hormonal influence.

Medicines for urinary incontinence with the desired properties are the following drugs.

Norepinephrine and serotonin inhibitors are from the group of antidepressants (Duloxetine Canon, produced in Russia, Cymbalta, supplied from Switzerland, are suitable). Duloxetine is available in tablets and capsules, Cymbalta is available only in capsules.

The increase in the concentration of neurotransmitters in the spinal cord reaches its maximum level within 2 hours after administration. They activate the communication of nerve centers and pathways with the bladder, the detrusor tone decreases and the sphincter tone increases.

Duloxetine has many negative effects. Patients taking the drug complain of:

• insomnia alternating with drowsiness;
• dizziness;
• blurred vision;
• nausea;
• hand tremors;
• decreased appetite;
• unmotivated fatigue;
• constant dry mouth;
• prolonged constipation or diarrhea.

In case of overdose, epileptic convulsions appear.

Contraindicated for:

• hypertension;
• glaucoma;
• pregnancy and lactation;
• up to 18 years of age;
• renal and liver failure, including patients using hemodialysis.

The drug should not be stopped immediately; withdrawal syndrome may occur. It consists in the appearance:

• headaches;
• severe dizziness;
• increased blood pressure;
• pain in the heart area, tachycardia.

A representative of the class of adrenergic agonists is Midodrine (Gutron). Can be purchased in drops or tablets. It acts by increasing the tone of the sympathetic nervous system. There is a good strengthening of the urethral sphincter with urinary incontinence in women, in pediatric practice. Use is limited due to a large list of undesirable effects, therefore it is contraindicated for:

• arterial hypertension;
• suspected pheochromocytoma;
• obliterating endarteritis;
• spasm of peripheral arteries;
• glaucoma;
• mechanical blockage of the urinary tract with a stone or tumor;
• thyrotoxicosis;
• arrhythmias;
• renal and liver failure.

In the treatment of pregnant and lactating women, it is applicable only for strict neurological indications, and not for the treatment of urinary incontinence.

Hormonal drugs that increase the level of lost estrogens are prescribed mainly by gynecologists. But in urological practice, vaginal suppositories or Ovestin cream are also used. Their use does not affect what changes the gynecologist finds in the uterus or appendages.

The packaging of Ovestin contains a special nozzle for easy insertion into the vagina.

A mild trophic effect on the mucous membrane of the urethra and urinary tract improves its nutrition in women of the older age group. Slowing down the atrophy process helps control urination.

For the treatment of imperative (urgent) urinary incontinence, there is a much larger selection of drugs. The basis of the pathology is increased detrusor tone, which a person is unable to cope with. Urination occurs at any time, suddenly. Bedwetting (enuresis) accompanies bladder overactivation.

To try to cure this type of pathology, patients will have to take medications that suppress muscle excitability. Anticholinergic drugs have the desired effect.

Various organs, including the bladder, have cholinergic receptors in the muscle wall, which are “platforms” to which the nerve impulse is transmitted using the enzyme acetylcholine. You can block this process by:

• suppression of the cholinergic apparatus;
• destruction of the enzyme cholinesterase, necessary for the synthesis of acetylcholine.

As a result, the volume of the bladder increases and at the same time its ability to hold urine increases. The main drugs for urinary incontinence of this pharmacological group include:

• Novitropan, Driptan - the active ingredient is oxybutynin chloride;
• Rolitene, Detrusitol, Uroflex, Urotol - containing tolterodine.

Drugs of the first subgroup are indicated for the treatment of enuresis in children over five years of age. Capable of causing:

• dizziness,
• drowsiness,
• headache,
• diarrhea.

People who are driving should not take pills. Contraindications concern:

• elderly;
• pregnant and lactating women;
• renal dysfunction.

Not recommended when dysuric phenomena are combined with:

• neurocirculatory dystonia;
• thyrotoxicosis;
• glaucoma;
• heart diseases with myocardial ischemia, arrhythmias, heart failure;
• hypertension;
• reflux esophagitis;
• the presence of postoperative ileo- or colostomy (removal of an intestinal loop into the abdominal area).

Drugs of the second subgroup are easier to tolerate, since their effect is less widespread on internal organs. Their use is limited by their high cost.

The most effective anticholinergic, but has its contraindications

Which modern drugs have the least side effects? More modern treatments for urge incontinence include anticholinergics with a targeted effect on the detrusor. Relaxation is caused by:

• Spazmex - active ingredient trospium chloride;
• Vesicare - solifenacin;
• Enablex - darifenacin;
• Toviaz - fesoterodine.

Spasmex is considered the most effective. However, it is not recommended to prescribe it:

• bedridden patients;
• children under 14 years of age.

It is used very carefully in old age with concomitant cardiac pathology.

The drugs are incompatible with alcohol intake. Due to possible inhibition of nervous reactions, you cannot drive. Negative effects occur quite rarely. Some medications (Vesicare) can be taken once a day.

The drug has a prolonged effect and maintains therapeutic concentration in the blood for a long time

Contraindications include:

• severe stage of renal and liver failure;
• myasthenia gravis;
• glaucoma;
• diseases of the stomach and intestines at the time of exacerbation.

Mirabegron or Begminga is considered a new generation drug. Its mechanism of action is based on stimulation of β3-adrenergic receptors located in the smooth muscle fibers of the bladder wall. This allows you to increase the reservoir for storing urine.

Judging by the published results of a one-year study, negative symptoms occurred in a small percentage of cases and were leveled out by reducing the dosage. The most common symptoms observed were tachycardia and urinary tract infections.

When prescribing, the doctor must take into account interactions with other drugs. Cardiac glycosides are recognized as clinically significant (need to reduce the dosage). Some aspects of the drug's use continue to be studied in animals and volunteers.

You can take the drug once a day, regardless of food intake.

Approved for the treatment of elderly people. The Japanese pharmaceutical company Astellas is working to improve its drug.

Mirbetrik is another new drug from the same company, already approved by the Quality Control Agency in the USA. It helps to completely expel the entire volume of urine and restore sphincter strength.

The course of treatment for urinary incontinence in women usually lasts up to three months. A repeat appointment cannot be ruled out. The doctor requires adherence to a diet, drinking regimen, and the use of special exercises. If there is no effect, a surgical method of eliminating the pathology is proposed.

Given the many negative effects of drugs, the attending physician is responsible for their prescription. Self-medication can cause serious harm and be hazardous to health. Any side symptoms should be reported to your doctor and you should temporarily stop taking it until further action is determined.

Urinary incontinence is a common urological problem that occurs most often in elderly patients. A properly selected urinary incontinence medication will help you cope with the symptoms of the disease. Treatment tactics will depend on the cause that caused the development of the pathological phenomenon. Let's consider the most effective means for treating the disease and the features of their use.

Urinary incontinence can occur for a variety of reasons. The risk of developing the disease increases significantly with age.

Among the predisposing factors, the following should be noted:

• changes in hormonal levels (in women, estrogen production decreases);
• age-related changes in the prostate gland in men;
• presence of prostate adenoma;
• genitourinary system infections;
• weakness of the pelvic floor muscles;
• being overweight;
• urolithiasis disease;
• diabetes;
• a history of operations performed on the genitourinary system;
• severe neurological diseases;
• mental disorders.

Tablets for urinary incontinence are chosen depending on the type of illness. In medical practice, imperative and stress types are most often encountered. In the first case, incontinence occurs due to increased bladder activity. Even with a slight filling, an unbearable urge to urinate occurs. Stress incontinence is associated with dysfunction of the muscle (weakness) responsible for the urethra, the sphincter.

To relieve inflammatory processes in the organs of the genitourinary system, antispasmodics are prescribed: Spazmex, Driptan, Enablex, Vesicare, Oxybutynin. This group of medications allows you to control nerve impulses passing through the walls of the bladder and increases the time interval between urges.

Anticholinergic medications for urinary incontinence can affect muscle contractility. In older women, this disease is very common. For effective treatment, it is recommended to take hormonal and sedative medications as part of complex therapy. Among antidepressants, medications such as Imipramine and Duloxetine should be noted.

The French drug for urinary incontinence contains oxybutynin (the active ingredient), anhydrous lactose, microcrystalline cellulose and calcium stearate. The medicine has a pronounced antispasmodic effect, reduces the frequency of the urge to urinate. Tablets can be used to treat incontinence caused by neurogenic disorders, as well as idiopathic detrusor dysfunction. According to the instructions, the drug will be effective in the treatment of enuresis in children over 5 years of age.

The recommended daily dose of the drug is 10-15 mg (2-3 tablets). For urinary incontinence in the elderly, Driptan is usually used in combination with other medications. In this case, dosage adjustment will also be necessary.

According to reviews, the tablets really effectively combat the problem of involuntary urination. However, in many patients the drug causes allergic reactions, diarrhea, dizziness, insomnia, and nausea.

Contraindications include pathological conditions such as ulcerative colitis, myasthenia gravis, angle-closure glaucoma, intestinal atony, gastrointestinal obstruction, obstructive uropathy, and increased tendency to bleeding.

The medicine is available in the form of tablets containing 5 or 10 mg of the active substance solifenacin succinate. This is a specific inhibitor of membrane proteins that are responsible for the transmission of nerve impulses.

If you have frequent urination or an overactive bladder, you can take this drug. For urinary incontinence, tablets are taken once a day (5 mg). In some cases, the dose is increased to 10 mg. The medicine based on it has anticholinergic and antispasmodic effects.

In urological practice, drugs for urinary incontinence are often used to treat patients. In older men and women, treatment regimens for the disease are practically the same. If you follow the recommendations of a specialist, it is possible to achieve positive results from therapy quite quickly. Patients note that improvement can be felt within 10-14 days.

Enuresis in women is a rather unpleasant disease in which involuntary incontinence of the contents of the bladder occurs. Usually this phenomenon occurs when a person is sleeping. In addition to urination at night, there is also another type of this process - incontinence.

Experts have found a couple of reasons why the disease begins to progress in women; they are divided into the following classifications:

1. Reasons related to neurology. Urination may occur as a result of a person's rehabilitation after suffering a stroke, head injury, or vertebral injury.
2. The reasons that are associated with the bladder, in turn, are usually divided into the following types: urgent incontinence, with this type of disease the organ empties immediately, incontinence caused by a stressful situation for the body, for example, during sneezing or during coughing attacks, incontinence that protrudes due to the fact that the bladder is full.

In addition to the described reasons for the manifestation of the presented disease, involuntary urination can also occur during menopause in a woman, when the body is being rebuilt and some hormonal disruptions occur in the body. Also, people who suffer from epilepsy often suffer from enuresis. And the main cause of the disease is disruptions in the functioning of the hormonal system, that is, disturbances in their metabolism.

In the above characteristics, we have already discussed some of the causes of enuresis in women and the types of the disease. There is the most popular group of varieties of this disease, including the following types:

1. Urinary incontinence of the imperative type. This type is characterized by the fact that a person is not able to control urination when the body requires emptying. This process occurs because the muscle tissue of the bladder is overloaded. Urgent incontinence can also occur due to the development of certain diseases in the brain, in the back, against the background of severe emotional disorders, or due to a malfunction in the hormonal system.
2. Incontinence caused by any stressful situation. When pressure rises, the human body immediately undergoes the process of emptying the contents of the bladder. Stress can be caused by the following reasons: strong laughter, performing exercises with heavy weights, coughing attacks, sneezing and others. Among other things, under such circumstances, the functionality of contraction is significantly reduced in the sphincters, which are capable of retaining the contents of the urethra. In women, the manifestation of this disease is most often due to difficult labor. The age of the patient plays a big role.
3. Unconscious urinary incontinence. This type of disease is characterized by a disruption in the supply of impulses to the bladder from the brain. As a result, a person does not even realize the need to empty himself, even with a full bladder.
4. Leakage of urine for a long time. Leakage of bladder contents can occur for two reasons: disruption of the nervous system and the inability of the sphincters to continue their activity.
5. Urinary incontinence at night. In medical terms, a disease such as enuresis is characterized by the fact that it manifests itself only at night, during sound sleep. The patient is diagnosed with enuresis only if night urination is observed in a person who is over five years old. The disease can form and progress both from the birth of the child and throughout life.
6. When urine leaks after the process of emptying the bladder is completed. This phenomenon occurs due to the fact that the muscles responsible for releasing urine are incapacitated. With this process, some fluid remains in the bladder even after urination has finished. The functioning of the muscle walls is disrupted, which causes delays and failures.

There are several medications available for stress urinary incontinence. This type of disease is typical for most women. During this process, a person begins to cough, sneeze, laugh or engage in physical activity, as a result of which the functioning of the genitourinary system is disrupted and involuntary urination begins due to stress in the body.

For stress urination, it is necessary to use medications that are designed to reduce the increased tone of the sphincter and bladder.

The most popular means:

• Sertine and norepinephrine inhibitors - the drug can also act as an antidepressant. Its analogues are Duloxetine Canon (from 839.00 to 1,979.00 rubles), which is produced in Russia, Cymbalta (from 1,749.00 to 3,374.00 rubles), the drug is imported from Swiss enterprises. The first medicine is sold in the form of capsules and tablets, and the second only in capsule form. The effect of the presented drugs is observed already two hours after use. The drugs activate the nervous system, which connects to the bladder. It should be noted that Dulocestine can cause the following side effects: poor sleep, constant drowsiness, deteriorating vision, frequent headaches, even fainting is possible, hands may shake, rapid fatigue and decreased energy capacity, dehydration of the oral cavity, diarrhea. Due to too high a dosage, epilepsy attacks may be caused. Also, this medicine should not be stopped abruptly, otherwise this may also negatively affect the patient’s health.

Duloxetine Canon

• Of all modern medicines, the most harmless drugs can be identified; they have the least side effects: Toviaz, Vesicare - from 761.00 to 1,208.00 rubles, Enablex.
• Recently, new products in their field appeared on the shelves of pharmacies - Begming (483 rubles) and Mirabegron. The drugs have a low percentage of side effects and are approved for use by older people. British specialists are improving the composition of medicines every day. An analogue of the described medications is Mirbetrik. It improves bladder function and restores it.

The average duration of treatment for this disease in women is about three months. For a complete cure, you must adhere to a special diet, exercise and lead a healthy lifestyle.

You can also learn about urinary incontinence in women from this video.

Enuresis is a disease characterized by urinary incontinence. The disease can affect anyone, so it is important to know which incontinence pills to take. With enuresis, bowel movements occur so suddenly that the person either does not have time to feel the urge to urinate, or does not have time to take any action even when he is in close proximity to the toilet. The disease is caused by various factors, and there are many drugs to cure it, so it is important not to self-medicate, but to consult a specialist if symptoms occur, so that he can prescribe the correct treatment with tablets and their dosage.

"Spazmex"

The action of the medicine is based on relaxing the muscles and increasing the tone of the sphincter, the main task of which is to control the excretion of urine from the body. Available in the form of film-coated medicinal tablets. The content of the active component (trospium chloride) in the drug is 5 mg. Spazmex is used 2-3 tablets 3 times a day before meals. Treatment with tablets lasts approximately 3 months.

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Affects the muscles of the urinary system, making them more susceptible. It is produced in the form of white tablets with a division in the middle, in which the active ingredient is oxybutynin hydrochloride (5 mg). A medicine for enuresis is prescribed, 1 tablet 2 or 3 times a day. The last tablet should be taken immediately before bedtime.

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Scientists agree that incontinence in adults can cause psychological disorders and nervous problems. The nervous system often has a detrimental effect on the functioning of the urinary tract, resulting in urinary incontinence. The main reasons for the development of enuresis from nerves are:

• frequent stress and nervous experiences;
• prolonged experience of negative emotions;
• depression.

For urinary incontinence due to nerves, treatment involves complex therapy, which should include psychotherapeutic and drug therapy. It is important for the patient to seek help from a neurologist in order to understand the cause of the disease and eliminate it. Experts recommend that patients first of all deal with their emotional experiences and not keep emotions inside themselves, splashing them out. Patients are then prescribed drug therapy to treat enuresis, which most often includes the following drugs.

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The effect of the drug is based on the fact that it increases the volume of the bladder, helps relax the muscles of the organ and treat urinary incontinence. In addition, the medication has a beneficial effect on the patient’s sleep, helping to fall asleep quickly and soundly, and also relieves muscle spasms. Experts prescribe the use of the medicine, 1 tablet per day, half an hour before bedtime.

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The medication is used to improve brain function and to reduce muscle tension in the bladder, which helps cure urinary incontinence in older women and older men. The patient taking the drug will wake up with the urge to urinate, which will reduce the risk of involuntary urine loss. Drink Pantogam 3 tablets a day half an hour after meals. The duration of treatment is 3 months.

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The main effect of the drug is aimed at improving brain metabolism. In addition, “Glycine” helps relieve depression, which is often caused by involuntary urination. The drug can improve mood and have a beneficial effect on the patient's sleep. You should take the medication 2-3 tablets per day. The duration of therapy depends on the individual characteristics of the patient and lasts from 2 weeks to a month.

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The drug is used for anxiety and obsessive states, psychopathy and enuresis. It has a beneficial effect on brain function and also helps eliminate worries before bedtime, which are associated with possible urinary incontinence at night during sleep. Experts prescribe the medication, 1 tablet per day, half an hour before going to bed. Phenibut will cure the patient in 7-10 days.

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The action of the medicine is aimed at increasing the volume of the bladder. In addition, Melipramin helps to make sleep less sound than before, which promotes awakening if the urge to urinate occurs. Take 1 tablet 3 times a day, regardless of meals. The duration of treatment is most often several weeks.

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Experts prescribe medications for enuresis based on what caused the development of the disease. In cases where involuntary urination is caused by a lack of female hormones, medications containing estrogen are prescribed. The most popular remedies are Estradiol, Microfollin and Presomen. Estradiol is prescribed 2 mg per day. The course of therapy is 21 days, after which you should take a break and then continue treatment if necessary. The dosage of Microfollin is determined individually and ranges from 20 to 100 mg per day. "Presomen" is consumed at 0.625-1.25 mg per day. The duration of treatment is 21 days, followed by a week break. Then you can continue medication therapy.

In cases of urinary incontinence in men due to an overactive bladder, anticholinergic medications are used. These include Tolteradine and Oxybutin. Tolteradine should be taken 2 mg 2 times a day. The course of treatment depends on the specific case and can last from 3 to 6 months. Oxybutynin is used for urinary incontinence in older people. It should be taken before meals, most often 5 mg 2-3 times a day. The exact dosage and duration of treatment is prescribed by the attending physician.

If enuresis is temporary, doctors prescribe Desmopressin, which can be used either as part of a complex treatment or used individually. The dosage is prescribed by a specialist based on the individual characteristics of the patient; however, the daily dose should be divided into several doses and do not allow more than 40 mcg per day.

Drugs for depressive and urge incontinence

If the problem is caused by constant stress and depression, the main medications are antidepressants:

1. Imipramine (can be sold under the name Tofranil) is prescribed for stress urinary incontinence and in cases where the disease is of an urgent nature. Designed for the treatment of nocturnal incontinence. It affects the nerve endings of the bladder, controlling the process of urination. The drug is prescribed together with anticholinergic drugs.
2. Duloxetine prevents spontaneous contraction of the bladder walls and reduces the incidence of urine leakage. Possible side effects and the effect of the drug on the genitourinary system have not been fully studied. The maximum effect is achieved when taking Duloxetine simultaneously with special therapeutic exercises.

Treatment of urinary incontinence caused by urgent pathologies - infections and inflammatory processes in the genitourinary system - includes a comprehensive approach. Anticholinergic drugs (Ditropan, Ditrol, Oskitrol) are prescribed without fail. These medications have a long-lasting effect and quickly relieve the unpleasant symptom. A significant disadvantage of taking them is a number of side effects: constipation, dry mouth, blurred vision, delayed urine output.

Urgent urinary incontinence is treated with antispasmodics: Driptan, Oxybutynin, Spazmex, Tolterodine. Driptan is the most effective remedy that affects the smooth muscles of the bladder, preventing the passage of impulses that cause the process of urination. Spazmex is prescribed in most cases, since its side effects are minor and occur quite rarely. The drug has a cumulative effect, acting on receptors located in the submucosal and mucous membranes.

Causes and risk factors

At the age of 40-50, women experience muscle weakening. The bladder is characterized by loss of muscle elasticity. This is why he cannot hold enough urine. Elderly women are at risk. This is explained by the fact that against the background of hormonal changes, atrophic changes occur in women. The main causes of senile urinary incontinence:

1. The emergence of a pathological condition against the background of infectious processes. This is explained by the fact that when the bladder becomes inflamed, it becomes excessively irritable, which leads to spasmodic contractions.
2. Eating foods that irritate the bladder - sweeteners, alcoholic drinks, spicy foods.
3. For vascular disorders and Parkinson's disease. In women, the disease is most often diagnosed during menopause.
4. Age-related and hormonal changes.
5. After surgical interventions in the pelvic area. People who are overweight are at risk.
6. With excessive physical exertion.
7. After suffering a stroke.

There are many causes of urinary incontinence in old age. That is why the patient must do everything possible to eliminate them.

How to prevent illness and prevent complications from developing

In order to avoid the progression of a pathological condition, it is necessary to carry out its prevention in a timely manner, which consists of following certain rules:

1. People who are at risk are advised to empty their bladder promptly and completely.
2. It is recommended to avoid products that contain large amounts of sugar. Patients are not recommended to consume citrus milk and tomatoes.
3. Excessive physical labor, as well as heavy lifting, is strictly prohibited for patients.
4. Limiting fluid intake is strictly prohibited. If there is insufficient amount of it, excessive concentration of urine will be observed, as well as increased irritation of the bladder. If symptoms of the disease are observed during sleep, then patients are advised to reduce the amount of food consumed in the evening.
5. It is recommended to avoid heavily scented and colored hygiene products.
6. If a person is overweight, then it is necessary to combat it with the help of diet therapy and exercise.

Senile urinary incontinence is a fairly serious pathological process that requires complex treatment. It should only be developed by a doctor after conducting appropriate examinations.

Urinary incontinence is a problem that almost every woman faces after 50 years of age. And this gift of nature cannot be called pleasant at all. Urinary incontinence (incontinence) entails not only hygienic problems, but also causes emotional discomfort, leads to limited social contacts, and reduces a person’s quality of life.

What drink?

Only the attending physician can answer this question. The fact is that for different types of disease, the range of drugs used may not coincide at all. Self-medication for incontinence is dangerous and can lead to worsening of the condition. And some medications simply will not be given to the patient at the pharmacy without a prescription.

Types of medications used to treat incontinence:

• Antidepressants,
• Nootropics,
• Sedatives,
• Antispasmodics,
• M-anticholinergics,
• Estrogens,
• Adrenomimetics,
• Vasopressin analogues.

Mixed incontinence is also often observed, in which signs of urgent and stress forms are observed.

Most often, medications are effective for urgent and mixed forms of incontinence, enuresis, and less often for stress.

M-anticholinergics

Substances of this type act on the M-cholinergic receptors of the bladder. Anticholinergics help reduce tone and relax the muscles of the bladder, increasing its available volume. Effective for urgent forms of incontinence. Taking anticholinergic drugs reduces the frequency and severity of the urge to urinate. The bladder becomes less likely to overflow, and therefore the frequency of urges decreases.

Popular anticholinergic drugs based on tolterodine: Detrusitol, Urotol, Uroflex, Roliten. The course of treatment with medications of this series is at least a month. The drugs Vesicare and Enablex use other substances - solifenacin, darifenacin. The effect of these drugs can be noticeable after just a week. Contraindications for anticholinergic drugs are pregnancy, narrowing of the ureters, and stones in the bladder.

Antispasmodics

Antispasmodics have a similar scope of application to anticholinergics. They fight bladder muscle spasms and increased excitability. Reduce urinary instability and the number of urges. Indicated for mixed and urgent forms of incontinence. From this group of drugs we can note Spazmex (trospium chloride), Betmiga (mirabegron). Also popular are drugs based on oxybutynin (Driptan).

Antidepressants, nootropics and sedatives

The mechanism of urination is regulated by the brain and spinal cord. Therefore, neurological and mental disorders can disrupt this mechanism. Some antidepressants, sedatives and nootropics can help with incontinence of a neurogenic and psychogenic nature.

Very often, among antidepressants for incontinence, doctors prescribe Imipramine, Duloxetine, Melipramine. Nootropics, such as Pantocalcin, Pantogam, Phenibut, Picamilon, have an auxiliary effect, strengthening the nervous system. Sedatives and tranquilizers relieve nervous tension and normalize sleep.

Antidepressants should not be taken if you have hypertension, pregnancy, liver disease, or glaucoma. Also, antidepressants often cause side effects, such as seizures, and can negatively affect the condition of the heart, liver, and blood.

Hormonal drugs

The doctor may prescribe analogues of female hormones if incontinence is caused, among other reasons, by a lack of these hormones in the body. This is due to age-related changes in women during menopause. Lack of estrogen leads to weakness of the pelvic muscles, which support the urethra and bladder neck in the desired position.

When treating incontinence (most often stress-type incontinence), estriol-based drugs are used, such as Ovestin, Microfollin, Presomen. They can be used both in the form of tablets and in the form of vaginal suppositories. Many urologists, however, question the effectiveness of hormones for incontinence in women.

Drugs used

There are many groups of medications. Drug treatment can be carried out with the following medications:

• tranquilizers or antidepressants - if the cause of childhood incontinence is hyperactivity or other disorders of the child’s psycho-emotional state;
• antibiotics – in the presence of pathogenic microorganisms in the urine;
• nootropic drugs - affecting the nervous system;
• antispasmodics – to normalize bladder regulation (decreased tone);
• hormonal drugs are effective for enuresis caused by a shrinkage of the bladder.

Antidiuretic hormone

Synthetic analogs of antidiuretic hormone are most effective for urinary incontinence. Drugs in this group eliminate hormonal imbalances that lead to enuresis. They contain an analogue of the hormone vasopressin, which is responsible for nighttime urine production.

When treated with hormonal drugs, the volume of urine at night and the number of urinations decrease. Tablets for enuresis of this group:

• Minirin. It is the best remedy for children against nocturnal enuresis. The tablets have a pronounced antidiuretic effect. They are prescribed for polyuria, primary nocturnal enuresis, neurogenic bladder and other pathologies. The drug is contraindicated in anuria, edema syndrome, polydipsia, taking diuretics, renal failure, fibrosis of the bladder, predisposition to blood clots, during pregnancy and children under 1 year. Side effects of this drug in the form of nausea, dizziness and headache occur in case of heavy fluid intake. The course of treatment can last up to 3 months.
• Adiuretin SD. Available in the form of drops and tablets. Indications, contraindications and side effects are similar to those of Minirin.
• Desmopressin. Available in the form of nasal drops and spray. The indications and side effects are the same.

The active ingredient of all products is desmopressin.

Anticholinergic substances

These are drugs that have an antispasmodic effect, normalize bladder contractions and increase its volume by reducing receptor sensitivity. Medicines in this group are effective for neurogenic bladder.

List of popular remedies for enuresis in children:

• Atropine. Available in the form of an injection solution. Contraindicated in case of individual intolerance. It should be used with caution in case of reflux esophagitis, intestinal atony, cerebral palsy and Down's disease. Can be used by children from 3 months. Adverse reactions - tachycardia, dry mouth, urinary retention, dizziness.
• Driptan. Reviews about the drug are positive. It helps with nocturnal enuresis and urinary incontinence caused by bladder dysfunction. Driptan tablets have antispasmodic and myotropic effects. They should not be taken for ulcerative colitis, intestinal atony, bleeding, obstructive uropathy and for children under 5 years of age.
• Spasmex. The tablets control the excretion of urine from the body. Contraindicated in renal failure, heart disease, urinary retention, galactose intolerance and children under 14 years of age. You need to drink 1/2 tablet up to 3 times a day. The course of treatment is from 3 to 6 months.
• Detrusitol. These are tablets from the group of m-anticholinergics. Indicated for overactive bladder and bedwetting. The drug should be used with caution in children under 18 years of age. Side effects include dry mouth, tachycardia, weakness, blurred vision, headache and dizziness.

Metabolic drugs and nootropics

For secondary enuresis, nootropic drugs that improve metabolic and bioenergetic processes in nerve cells are effective.

Enuresis is treated with the following medications:

• Pantogam. Improves brain function, reduces muscle tension in the bladder. You need to take 3 tablets per day. The course of treatment is 20-40 days.
• Picamilon. This is an effective remedy for bedwetting. Suitable for children aged 3 years and older. It has the following side effects: headache, itching, allergies, tachycardia, excitability, irritation.
• Pantocalcin. The tablets are effective for urinary disorders such as enuresis, pollakiuria, daytime urinary incontinence and urgency. Contraindicated in acute renal failure.
• Cortexin. This is an injection solution that is used for newborns from the first days of life. It has no adverse reactions or contraindications.

Improve metabolic processes in the nervous system and accelerate the transmission of nerve impulses Glycine, Piracetamine, Taufon and folic acid. Also, these drugs stimulate blood circulation and have a calming effect. They cause the child to wake up at night with the urge to urinate rather than wet the bed.

For psychogenic nocturnal enuresis, the drug Phenibut is also effective. It normalizes mental state. The course of treatment is 7-10 days.

Additional medications

For bladder infections, antibiotics such as Fosfomycin or Cefixime are prescribed to treat enuresis in children.

Antidepressants affect the biochemical processes of the brain. They reduce the excitability of the bladder, activate nerve impulses transmitted by the central nervous system and have an antidiuretic effect. These tablets include Imipramine and Amitriptyline.

"Pantogam"

The drug "Pantogam" for urinary incontinence in women has anticonvulsant and nootropic effects. The range of activity that it exhibits is due to the presence of gamma-aminobutyric acid in its composition. The mechanism of influence on the body is due to the ability of this substance to have a direct effect on the GABA receptor complex. The medicine has a nootropic and anticonvulsant effect, helps to increase the brain's resistance to oxygen deficiency and the negative effects of toxic substances. In addition, this drug stimulates anabolic processes occurring in neurons, reduces motor excitability, enhances mental and physical performance, demonstrates a combination of a mild stimulating effect with a sedative effect, and is widely used for urinary incontinence. The medication normalizes GABA metabolism during chronic intoxication, inhibits pathologically high detrusor tone and the vesicular reflex.

Why does the symptom occur?

Certain dietary and drinking habits can lead to the development of this phenomenon. In this case, the passage of urine does not cause any discomfort, and the person’s health status does not change. Concern should be caused by the addition of additional symptoms: burning during urination, pain in the abdomen or lower back, general deterioration of well-being. In this case, you should consult a doctor.

The urge to urinate normally occurs when the bladder sphincter is irritated by accumulated fluid. Inflammation in the organs of this area, changes in the composition of urine are additional provocateurs of the process.

This happens with the following diseases:

1. Cystitis is inflammation of the bladder. It is rare in men. The disease can become chronic and cause kidney infection, so do not delay treatment.
2. Prostatitis is inflammation of the prostate gland. It forms a ring around the urethra under the bladder. The disease is characterized by an increase in the size of the prostate. This leads to difficulty passing urine, incomplete emptying, pain, and a decrease in the volume of fluid released.
3. Inflammatory processes in the kidneys - glomerulonephritis and pyelonephritis.
4. Prostate adenoma is a benign degeneration and proliferation of gland tissue. Develops more often in old age.
5. Stones in the urinary system. An increased concentration of salts in urine leads to irritation of the walls of the bladder and canal, and increased urge.
6. Diabetes. The disease may not manifest itself for a long time. Due to the increase in blood sugar, a person is tormented by extreme thirst, as a result of which the volume of urine excreted and the number of trips to the toilet increase.
7. Sexually transmitted diseases – cause inflammation of the urethra, which is accompanied by urination problems.

Discomfort, the appearance of pain in different locations, deterioration of health due to frequent urination should be a reason to consult a doctor.

Principles of treating enuresis with medications

Enuresis must be treated if the patient is over 5 years old. Children under five years of age may normally experience bedwetting.

Medicines for enuresis are prescribed by the attending physician. It is impossible to choose an effective drug on your own, since the causes of incontinence can be varied.

During treatment you should adhere to the following recommendations:

• treat the child with medications in combination with psychotherapeutic techniques;
• Under no circumstances should you scold him for a wet bed, but, on the contrary, support the baby and say that he will soon recover;
• improve family relationships and eliminate quarrels;
• talk with the child, find out why he does not get up to go to the potty at night, maybe he is afraid to wake up his parents.

Drug therapy helps to get rid of the unpleasant manifestations of enuresis if other methods have failed. In 30% of cases, the problem disappears forever within 2-3 months; the remaining patients require a little more time to recover.

Conservative treatment

In most cases, treatment of urinary incontinence in older women is carried out using conservative methods. To speed up the process of treating pathology, patients are prescribed diet therapy. The choice of certain drugs is carried out in accordance with the individual characteristics of the patients and the severity of the disease.

Drug therapy

If a woman experiences the development of a pathological process during menopause, then she is prescribed drug therapy. By restoring the amount of estrogen in the blood, vaginal tissue improves.

If there are contraindications to taking hormonal pills, women are recommended to use a special cream that is developed on the basis of estrogen. It is characterized by a local effect and is not able to penetrate the bloodstream.

For the treatment of urinary incontinence, it is recommended to use medications that strengthen the sphincter and bladder muscles:

• Duloxetine;
• Imipramine;
• Midodrine;
• Methoxamine;
• Ephedrine;
• Clenbuterol.

In some cases, doctors prescribe medications that reduce the amount of urine produced.

If the disease occurs while taking antihistamines, diuretics, sedatives, and stimulants, then they should be discontinued.

Bladder training and exercises

To treat the pathological process, it is recommended to use special gymnastic exercises that will help strengthen the bladder muscles. They are carried out using a special technique. During the first few days of classes, it is recommended to visit the toilet on a schedule. It is recommended to empty your bladder every hour, even if there is no urge.

After a few days of doing the gymnastics, the intervals between urination can be increased. This schedule should be maintained throughout the week. To strengthen the pelvic muscles, Kegel exercises are recommended:

The use of training will enable the bladder to hold urine for 4 hours.

Laser therapy

If drug treatment does not bring the desired results, then the use of laser therapy is recommended. Treatment of senile urinary incontinence in women is carried out using an erbium laser.

It is characterized by an effect on the anterior wall of the vagina, which leads to increased growth of collagen fibers. By reducing the mobility of the bladder, it can hold urine for a longer period.

Laser treatment is a painless procedure and therefore does not require anesthesia. Before the procedure, the need for a special preparatory period is eliminated. The duration of the manipulation is 20-60 minutes. To obtain the highest possible effect, the patient is recommended to undergo two treatment sessions.

Surgical treatment

In severe cases, patients are recommended to undergo surgery. Most often in this case it is recommended to use the gel technique. It consists of introducing a biopolymer gel into the submucosal layer of the urethra.

With its help, the lumen of the urethra is narrowed, which will eliminate the possibility of urine leakage after urination. For surgery, it is recommended to use local anesthesia.

During surgery, a cystoscope is used to monitor its progress.

To combat the pathological process, a surgical intervention called a synthetic loop is recommended. It involves introducing a polymer loop under the urethral layer. With its help, additional support for the bladder is created.

Herbal treatment

Traditional medicine is highly effective in urinary incontinence. In most cases, herbs that are as safe as possible for the human body are used to combat the pathological process.

Traditional medicines are recommended to be used simultaneously when using traditional medicines, as well as physiotherapeutic procedures, which will ensure maximum effectiveness of treatment.

To eliminate the pathological condition, it is recommended to take a decoction prepared from plants such as St. John's wort and lingonberry:

1. It is necessary to take lingonberry leaves and berries, as well as the above-ground part of St. John's wort in equal quantities. All components are crushed.
2. Two tablespoons of the resulting raw material are poured into a glass of boiling water. Next, the medicine must be simmered over low heat for 10 minutes. After cooling, the broth must be filtered and taken orally three times a day.