Urinary frequency/ urgency/ incontinence

Question 1

Which SNRI is licensed for moderate to severe stress urinary incontinence?

Answer 1

Duloxetine

Question 2

What are darifenacin and solifenacin?

Answer 2

some of the newer antimuscarinic drugs licensed for urinary frequency, urgency and incontinence

Question 3

What is oxybutinin?

Answer 3

antimuscarinic drug that also has a relaxant effect on smooth muscle. Has many antimuscarinic side effects that limit use and consequently newer ones are taking over

Question 4

A lot of the drugs used for urinary problems are antimuscarinic. what are the antimuscarinic side effects?

Answer 4

Constipation
dry mouth
skin dryness
urinary retention
skin flushing 
pupil dilation

Question 5

What is tolerodine?

Answer 5

Another antimuscarinic used in this condition

Question 6

What are Flavoxate and Trospium

Answer 6

More antimuscarinics- some of the newer ones

Question 7

Is there any bloody drugs in this condition that aren’t antimuscarinic?!

Answer 7

Mirabegron!

A selective beta 3 agonist

Question 8

What is first line treatment for nocturnal eneuresis (bed wetting) in children?

Answer 8

An enuresis alarm- an alarm that goes off as soon as the child wets the bed as it detects moisture- the child gradually learns to wake before the alarm and gets to toilet on time.

Desmopressin is used if the alarm fails for child over 5 years!!

Question 9

what is Fesoteradine

Answer 9

another antimuscarinic used in this for frequency/ urgency/ incontinence

Question 10

What do we need to warn drivers taking Tamsulosin?

Answer 10

may effect driving and performance of skilled tasks- extra warning label