Urinary frequency, enuresis and incontinence Flashcards

1
Q

First line treatment for men with overactive bladder?

A

Oxybutynin (immediate release), tolterodine (immediate release), or darifenacin (once daily preparation) can be used first line.

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2
Q

If the first-line drug treatment is not effective or tolerated in treating overactive bladder in men, what would be alternative ?

A

mirabegron

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3
Q

How often should The need for continuing therapy for urinary incontinence be reviewed ?

A

every 4–6 weeks until symptoms stabilise, and then every 6–12 months.

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4
Q

Which drug can be prescribed for stress incontinence ?

A

duloxetine: in women only for moderate to severe stress incontinence, avoid abrupt withdrawal

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5
Q

Patient comes into your pharmacy asking why her child was advised to use enuresis alarm instead of medication and for how long they should use it for ?

A

enuresis alarm is a first line treatment

should continue until 2 weeks of uninterrupted dry nights

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6
Q

Child is 6 years of age, parents tried enuresis alarm but it did not work, what would be second line treatment ?

A

demsporessin which is suitable for 5+

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7
Q

child has been prescribed desmopressin, however parent is asking you wether it can be given as intranasal formulation, what would you say ?

A

use as sublingual or oral tablet, since it should not be given intranasally for nocturnal enuresis due to increased s/e

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8
Q

How should you counselling patients treated with desmopressin for primary nocturnal enuresis ?

A
  • avoid fluid overload ( including during swimming), restrict fluid intake 1 hour before and until 8 hours after desmopressin
  • stop desmopressin in vomitting/diarrohea until normal fluid balance. Avoid concomitant drugs that increase vasopressin production : TCA
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9
Q

What are side effects of desmopressin ?

A

serious side effect: hyponatraemic convulsions

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10
Q

Patient is on oxybutinin IR tablets but is experiencing unpleasant side effects, what can be done ?

A

MR if effective and has fewer side effects

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