Anticholinergics for Urinary Incontinence in Men

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Anticholinergics for Urinary Incontinence in Men

Examples

Brand NameGeneric Name
Enablexdarifenacin
Toviazfesoterodine
Ditropan, Gelnique, Oxytroloxybutynin
Vesicaresolifenacin
Detrol tolterodine
Sanctura trospium

How It Works

These medicines calm the nerves that control bladder muscles. They may prevent uncontrollable bladder contractions that force urine out of the bladder.

Why It Is Used

Antispasmodics and anticholinergics are used to control the symptoms of urge incontinence. These medicines may also be used to treat stress incontinence, especially if you have both stress and urge incontinence.

How Well It Works

Many men taking these medicines have fewer symptoms of urge incontinence and overactive bladder. Some men stop having symptoms completely. These medicines can decrease the chance of leakage and the number of times you feel the need to urinate.1

Adding these medicines to behavioral therapies like bladder training can help symptoms of urge incontinence and overactive bladder more than behavioral treatment alone.2

Side Effects

All medicines have side effects. But many people don't feel the side effects, or they are able to deal with them. Ask your pharmacist about the side effects of each medicine you take. Side effects are also listed in the information that comes with your medicine.

Here are some important things to think about:

  • Usually the benefits of the medicine are more important than any minor side effects.
  • Side effects may go away after you take the medicine for a while.
  • If side effects still bother you and you wonder if you should keep taking the medicine, call your doctor. He or she may be able to lower your dose or change your medicine. Do not suddenly quit taking your medicine unless your doctor tells you to.

Call 911 or other emergency services right away if you have:

  • Trouble breathing.
  • Hives.
  • Swelling of your face, lips, tongue, or throat.

Call your doctor if you have:

  • Vision problems.
  • Bloody or cloudy urine.
  • Pain or burning when you urinate.
  • Problems with urination, including:
    • Difficulty starting to urinate.
    • A urine stream that stops and starts.
    • A weak urine stream.
    • A need to strain while urinating.
    • A sense that the bladder is not empty after urination.
  • A dry mouth for more than 2 weeks.

Common side effects of this medicine include:

  • Dry mouth, nose, throat, and eyes.
  • Dizziness.
  • Drowsiness.
  • Belly pain, upset stomach, or nausea.
  • Constipation.

See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)

By: Healthwise Staff
Medical Review: E. Gregory Thompson, MD - Internal Medicine
Avery L. Seifert, MD - Urology
Last Revised: July 8, 2010

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This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.
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