Urogynae Flashcards
OAB drugs
1st line treatments:
1. Oxybutynin (immediate release)*
2. Tolterodine (immediate release)
3. Darifenacin (once daily preparation)
*Do not offer Oxybutynin to frail elderly patients
DO NOT offer any of the 3 drugs below:
1. Flavoxate
2. Propantheline
3. Imipramine
2nd line treatment
Consider transdermal anticholinergic (antimuscarinic)
Mirabegron
Adjuvant Treatments
Desmopressin can be considered for those with nocturia
Duloxetine may be considered for those who don’t want/unsiutable for surgical treatment
Intravaginal oestrogen can be offered to postmenopausal women with OAB
OAB stepwise management
Bladder training
Consider treating vaginal atrophy and nocturia with topical oestrogen and desmopressin respectively before commencing treatments below.
Consider catheterisation if chronic retention
