Incotinence or urinary incontinence in women: treatment with tablets that reduce bladder activity. Urinary incontinence pills for older women

Urinary incontinence in women negatively affects almost all aspects of life, significantly complicating professional activities, limiting social contacts and bringing disharmony to family relationships.

This problem is considered by several branches of medicine - urology, gynecology and neurology. This is due to the fact that urinary incontinence is not an independent disease, but only a manifestation of various pathologies in a woman's body.

It is a mistake to assume that urinary incontinence affects, if not the elderly part of the fair sex, then women after 50 years. The disease can manifest itself at any age. Especially if the lady has crossed the mark of thirty years or has given birth to 2-3 babies. The problem does not pose a danger to the female body, however, it suppresses morally, greatly reduces the quality of life of the patient.

In this article, we will look at why urinary incontinence occurs in women, including those after 50 years. What reasons contribute to this phenomenon, and what to do with it at home.

Classification

There are several types of urinary incontinence in women, namely:

imperative. Female urinary incontinence can be the result of malfunctioning of the central and peripheral nervous systems, as well as a violation of the innervation of the bladder itself. In this case, the woman is disturbed by an extremely strong urge to urinate, sometimes it is impossible to keep urine by willpower. In addition, the patient may suffer from frequent urination during the day (more often than 8 times) and at night (more often than 1 time). This type of violation is called imperative and is observed in overactive bladder syndrome.
stress urinary incontinence in women, it is associated with sudden increases in intra-abdominal pressure resulting from lifting heavy objects, bouts of coughing or laughing. Most often, physicians have to deal with stress urinary incontinence in women. Muscle weakening and prolapse of the pelvic organs are also associated with the amount of collagen content that is observed in women in menopause. According to medical statistics, 40% of women have experienced stress urinary incontinence at least once in their lives.
Mixed form - in some cases, women may have a combination of imperative and stress incontinence. This phenomenon is most often observed after childbirth, when traumatic injuries to the muscles and tissues of the pelvic organs lead to involuntary urination. This form of urinary incontinence is characterized by a combination of an irresistible desire to urinate with uncontrolled leakage of fluid during exertion. This urination disorder in women requires a two-pronged approach to treatment.
- the form is characterized by involuntary excretion of urine at any time of the day. When there is nocturnal urinary incontinence in women, then we are talking about nocturnal enuresis.
Urgent urinary incontinence also characterized by involuntary urination, which, however, is preceded by a sudden and irresistible urge to urinate. When such an urge is felt, the woman is not able to stop urination, she does not even have time to reach the toilet.
Permanent incontinence- associated with the pathology of the urinary tract, an anomaly in the structure of the ureter, incompetence of the sphincter, etc.
Undermining - immediately after the act of urination, there is a slight instillation of urine, which remains and accumulates in the urethra.

The most common are stress and urge incontinence, all other forms are rare.

Causes of urinary incontinence in women

In the female part of the population, including those after 50 years, the causes of urinary incontinence can be very diverse. However, this pathology is most often observed in those women who have given birth. In this case, a large percentage of cases were seen among those who had prolonged or rapid labor, if they were accompanied by ruptures of the pelvic floor or other birth injuries.

In general, urinary incontinence occurs due to weakening of the muscles of the pelvic floor and/or small pelvis, disorders in the work of the urethral sphincter. These problems may be caused by the following diseases and conditions and:

childbearing and childbirth;
overweight, obesity;
advanced age (after 70 years);
bladder stones;
abnormal structure of the genitourinary system;
chronic infections in the bladder;
chronic cough;
Alzheimer's disease, Parkinson's disease;
sclerosis;
cancer of the bladder;
pelvic organ prolapse;
chronic cough.

Also, the manifestations of urinary incontinence at any age are aggravated by certain drugs, as well as food: smoking, alcoholic beverages, soda, tea, coffee, drugs that relax the bladder (antidepressants and anticholinergics) or increase urine production (diuretics).

Diagnostics

To figure out how to treat urinary incontinence in women, you need to not only diagnose the symptom, but also determine the cause of its development. Especially when it comes to women after 50 or 70 years.

Therefore, for the correct choice of treatment tactics (and in order to avoid errors), it is imperative to follow the following special examination protocol:

filling out specific questionnaires (the best option is ICIQ-SF, UDI-6),
writing a diary of urination,
daily or hourly test with pads (Pad-test),
vaginal examination with cough test,
Ultrasound of the pelvic organs and kidneys,
complex urodynamic study (CUDI).

Treatment of urinary incontinence in women

The most effective treatment depends on the cause of the woman's urinary incontinence, and even your personal preference. Therapy is different for every woman and depends on the type of incontinence and how it affects life. Once a doctor diagnoses the cause, treatment may include exercise, bladder control training, medications, or a combination of these. Some women may need surgery.

caffeine-free diet (no coffee, strong tea, cola, energy drinks, chocolate);
control of body weight, fight against obesity;
quitting smoking, alcoholic beverages;
bladder emptying by the hour.

Conservative methods of treatment are indicated mainly for young women with mild symptoms of urinary incontinence that occurred after childbirth, as well as in patients with an increased risk of surgical treatment, in elderly patients who have previously been operated on without a positive effect. Urgent urinary incontinence is treated only conservatively. Conservative therapy usually begins with special exercises aimed at strengthening the muscles of the pelvic floor. They also have a stimulating effect on the abdominal muscles and pelvic organs.

Depending on the cause of enuresis in women, various drugs are prescribed, tablets:

Sympathomimetics- Ephedrine - helps to reduce the muscles involved in urination. The result - enuresis stops.
Anticholinergics- Oxybutin, Driptan, Tolteradine. They make it possible to relax the bladder, as well as increase its volume. These drugs for urinary incontinence in women are prescribed to restore urge control.
Desmopressin - reduces the amount of urine produced - is prescribed for temporary incontinence.
Antidepressants- Duloxitine, Imipramine - prescribed if the cause of incontinence is stress.
Estrogens - drugs in the form of the female hormones progestin or estrogen - are prescribed if incontinence occurs due to a lack of female hormones. This happens during the menopause.

Urinary incontinence in women can be managed with medication. But in many cases, treatment is based on changing behavioral factors and therefore Kegel exercises are often prescribed. These treatments, combined with medications, can help many women with urinary incontinence.

Kegel exercises

Kegel exercises can help with any type of urinary incontinence in women. These exercises help strengthen the muscles of the abdomen and pelvis. When performing exercises, patients should tense the pelvic muscles three times a day for three seconds. The effectiveness of the use of pessaries, special intravaginal rubber devices largely depends on the type of incontinence and the individual characteristics of the anatomical structure of the body.

Squeeze the muscles of the perineum and hold the contraction for 3 seconds, then relax them for the same time. Gradually increase the duration of contractions-relaxations up to 20 seconds. At the same time, relax gradually. Also use rapid contractions and activation of the muscles used in stool and childbirth.

Operation

If devices and drugs for urinary incontinence in women do not help, then there is a need for surgical treatment. There are several types of surgical intervention that help to eliminate this problem:

Sling operations (TVT and TVT-O). These interventions are minimally invasive, last about 30 minutes, and are performed under local anesthesia. The essence of the operation is extremely simple: the introduction of a special synthetic mesh in the form of a loop under the neck of the bladder or urethra. This loop holds the urethra in a physiological position, preventing urine from flowing out when intra-abdominal pressure rises.
Burch laparoscopic colposuspension. The operation is performed under general anesthesia, often laparoscopically. The tissues located around the urethra are, as it were, suspended from the inguinal ligaments. These ligaments are very strong, so the long-term results of the operation are very convincing.
Injections of bulk-forming drugs. During the procedure, under the control of a cystoscope, a special substance is injected into the submucosa of the urethra. Most often it is a synthetic material that does not cause allergies. As a result, the missing soft tissues are compensated and the urethra is fixed in the desired position.

Any operation for urinary incontinence is aimed at restoring the correct position of the organs of the urinary system. Urinary incontinence surgery results in much less leakage of urine when coughing, laughing, and sneezing. The decision to perform surgery for urinary incontinence in women should be based on a correct diagnosis, since the absence of this aspect can lead to serious problems.

Alternative treatment of urinary incontinence in women

Opponents of traditional methods of treatment are probably interested in the question of how to treat urinary incontinence with folk remedies. In this aspect, several recipes can be given:

Dill seeds will help a lot. 1 tablespoon of seeds is poured with a glass of boiling water and left for 2-3 hours, well wrapped. Then the resulting infusion is filtered. The entire glass of the product should be drunk at a time. And do this every day until you get the result. Folk healers claim that this method can cure urinary incontinence in people of any age. There are cases of complete recovery.
Infusion of sage herb: one glass should be consumed three times a day.
Steamed yarrow herb infusion you need to drink at least half a glass 3 times a day.
Yarrow is a herb that is found almost everywhere - a real storehouse for folk healers. If you need to get rid of involuntary urination, then take 10 grams of yarrow with flowers in 1 glass of water. Boil for 10 minutes on low heat. Then leave to insist for 1 hour, not forgetting to wrap your broth. Take half a glass 3 times a day.

When treating folk remedies, it is important not to start the process of urinary incontinence and to prevent the development of more serious diseases, the causes of which may be involuntary urination (for example, cystitis, pyelonephritis).

Uncontrolled urination is one of the urological pathologies that is well known to women. Incontinence affects men and women of all ages. But Urinary incontinence is most common in women over 50 years of age.

With the onset of menopause, the urethral muscles relax, and the pelvic muscles lose their elasticity and weaken. Such age-related changes lead to uncontrolled urination. Modern medicine has found many ways to provide comfort to women at any age.

There are a lot of reasons that can cause a pathological condition in older women, but hormonal changes in the female body are considered the main one. 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;
Bladder hypertonicity;
Diseases of the central nervous system;
Infectious diseases of the genitourinary system;
Atrophy of the pelvic muscles, etc.

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

Types of urinary incontinence

Urinary incontinence manifests itself in different volumes from a few drops to complete emptying of the bladder. There are three degrees of incontinence:

Mild incontinence may occur during coughing or laughing. The sphincter of the bladder does not hold a few drops of urine.
The average degree of incontinence is characterized by uncontrolled release of fluid during small loads.
In severe cases, patients excrete a large amount of urine when taking a vertical position or in a dream.

Depending on the causes that caused urinary incontinence, and the symptoms, there is the following classification:

stress incontinence;
imperative incontinence;
mixed form.

Any degree and form of incontinence causes the patient a feeling of discomfort. But, despite this, not everyone is in a hurry to seek help from a specialist.

Treatment Methods

Involuntary urination is a pathology that does not lead to death and most often does not cause pain. But women who are faced with this disease constantly feel discomfort and internal tension. They lead to social isolation and significantly worsen the quality of life. Modern medicine has a large arsenal of tools that will help get rid of urinary incontinence and permanently consolidate the result of treatment.

Attention! The treatment is prescribed by the doctor after collecting tests and finding out the causes of incontinence, taking into account the individual characteristics of the individual patient. Self-administration of medications can exacerbate the problem.

There are three main methods of getting rid of incontinence:

Physiotherapy
Medical treatment
surgical method.

Urinary incontinence pills for older women

Medical therapy is usually prescribed to a patient with urge incontinence. In the treatment of incontinence, several groups of drugs are used:

Antidepressants are recommended for patients with stress incontinence. They relieve signs of stress and relax, due to which the number of visits to the toilet is noticeably reduced.
Antispasmodics (Driptan, Spasmex) relieve inflammation and increase the time between emptying the bladder.
Hormonal drugs (Desmopressin and its analogues) are aimed at combating atrophic changes in the bladder.
Anticholinergic drugs (Driptan).
Vitamin complexes (groups B, A and C, folic acid).

Folk remedies

Traditional healers will always have effective recipes for the treatment of any ailment, including urinary incontinence. Before treating incontinence with pills, you can use herbal medicine. Unfortunately, folk remedies are only effective in treating mild incontinence.

Among homeopaths, plantain is especially valued, known for its medicinal properties. Its components have a beneficial effect on the human genitourinary system, so its use for incontinence will be equivalent to a medicine. You can use the leaves and juice of a fresh plant. Boil a tablespoon of fresh leaves in a glass of boiling water and insist for an hour. Distribute the reception of a glass of infusion for the whole day, take on an empty stomach.
If you find yourself experiencing symptoms of incontinence, you can start taking strengthening fees. St. John's wort and centaury in equal proportions (1 teaspoon each) brew in a glass of boiling water. Leave for 30 minutes and take throughout the day.
Two tablespoons of St. John's wort and lingonberries (1: 1) pour 500 ml. water, boil in a water bath for 5-10 minutes. Drink half a glass before bed.
Incontinence recipes often mention marshmallow, a perennial herb with medicinal properties. Pour a teaspoon of dry crushed marshmallow root with two cups of boiling water, leave for half a day. Drink throughout the day.
Elecampane root is often used in the treatment of diseases of the genitourinary system. Pour a tablespoon of roots with two glasses of hot water, boil in a water bath for 10-15 minutes, insist in a warm place for 3-4 hours. Take three times a day on an empty stomach.
Pour a teaspoon of dill seeds with a glass of boiling water, leave for 4-5 hours. Drink in one go.

Medical Solutions

Nobody wants to go under the surgeon's knife, but sometimes it is a forced and the only possible option for getting rid of urinary incontinence in older women. Most operations (at the moment there are more than 250 types) are simple. The day after surgery, the woman can go home.

The most common are:

Urethrocervicopexy;
Proximal fascial slings, tissues to support the urethra are removed from the patient's body;
Maintenance of the urethra;
loop operations.

Important! The operation is necessary only in cases where all methods of conservative treatment have not given positive results.

Devices that make life easier

Unfortunately, urinary incontinence is a disease that has been known to women and doctors for years. Therefore, especially for people suffering from incontinence, many devices have been invented that make their lives much easier.

Urological pads for women and men are perhaps the most common means of protection against involuntary urination.

They differ in terms of absorbency. For severe incontinence or for bedridden patients, adult diapers are suitable, which also vary in size. Protective underwear with a waterproof coating effectively retains urine. Diapers and special clothes are sold in pharmacies and specialized stores. In addition to them, the problem will help get rid of:

Urocondoms for men with severe incontinence;
Urological liners;
Sanitary pants for fixing pads;
Urethral inserts that prevent uncontrolled urine output;
Pessaries (vaginal ring) that keep the urethra closed
vaginal cones;
Disposable sheets.

The advisability of using incontinence devices should be consulted with a specialist. The doctor is engaged in the primary establishment of some of them, for example, a pessary.

In women after 40 years of age, age-related changes can be observed, the consequence of which may be urinary incontinence. You can protect yourself from this unpleasant phenomenon if you adhere to the following rules:

Limit your intake of caffeinated drinks, including alcohol. They have a diuretic effect.
Quit smoking. Cigarette smoke irritates the mucous membranes of the body, undermines the immune system and generally adversely affects the general physical condition.
Do not limit fluid intake. The lack of water in the body will not relieve the problem.
Do regular Kegel exercises that work your pelvic floor muscles. Train your bladder by holding the stream while urinating for 5-6 seconds.
Get rid of stress and tension.

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

Urinary incontinence is a significant problem that occurs not only in children and adolescents, but also in adults. Approximately 40% of women suffer from incontinence.

What is the danger of urinary incontinence in women

Often, due to the delicacy of the situation, the fair sex delays going to the doctor. Therein lies the danger! The longer you do not contact a specialist, the more serious the consequences become.

The infection tends to spread and affect nearby organs and tissues, which in turn can lead to septic shock which requires complex and lengthy treatment. Severe cases of sepsis can be fatal.

Medicines that can cure urinary incontinence in women are selected individually, depending on the cause of the disease and the degree of deterioration of the patient's condition. Treatment is prescribed only by a specialist in the field of medicine (urologist or gynecologist).

For the treatment of female urinary incontinence, the following groups of drugs are used:

Psychotropic.
Suppressive muscle spasm.
Adrenomimetics of indirect action.
hormone analogues.

The most effective pills

M-holinoblokator in the composition, which includes the active substance tolterodine hydrotartrate. Antispasmodic that reduces the tone of the muscle fibers of the bladder.

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

An indication for the appointment of tolterodine is an increased tone of the muscles of the bladder.

Detrusitol is contraindicated:

With acute urinary retention.
With allergic reactions to the components of the drug.
Children.
Patients with angle-closure glaucoma.
With severe forms of ulcerative colitis.
With myasthenia.
With constipation.
With malformations of the colon.

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

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

The active ingredient in this medicine is tropsia chloride. It has an antispasmodic effect and to some extent a ganglion blocker.

Indications for appointment:

Mixed type of urinary incontinence.
Spasms of the bladder due to trauma and disorders of the central nervous system.
Excitability of the bladder, which is accompanied by instability of urination.
Simultaneous contraction of the valve of the urethra and the muscular membrane.
Incontinence during sleep and wakefulness.
Inflammatory process in the bladder.
Increased frequency of urge to urinate.

Obstacles to the use of Spasmex:

Violations in the work of the heart.
Dialysis for kidney failure.
Age up to 12 years.
Intolerance to the substances that make up the drug.
Inhibited emptying of the stomach.

During gestation, Spasmex should be taken with caution.

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

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

Indications for use are:

Dysfunction of the brain in old age or due to injuries and infections.
Enuresis.
Overactive bladder.
Unstable urination.
Atherosclerosis of cerebral vessels.
Chronic neurological diseases.

Reception of pantogam is contraindicated:

With non-standard reactions of the body to the components of the drug.
With acute violations of kidney function.
Pregnancy and the period of breastfeeding.
Children up to three years (in the form of tablets)

In case of violation of the urinary system, adults are prescribed - 2-4 tablets 2-3 times a day; for children older than three years, a single dose is 1-2 tablets. The course of treatment is from two to twelve weeks. The drug is taken after a meal after 20 minutes.

Active substance - salifenacin succinate. Vesicar has an antispasmodic effect. It is prescribed for patients with uncontrolled urination of varying degrees.

Tablets must be taken parenterally (by mouth), regardless of food intake. The standard daily dose is 5 mg, but may be increased according to indications.

Persons suffering from renal insufficiency, severe diseases of the gastrointestinal tract, angle-closure glaucoma, this drug is contraindicated. Vesikar is also not prescribed to children and pregnant women due to the lack of research results.

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

Oxybutynin is prescribed for the treatment of bedwetting in children (at least 5 years old) and frequent uncontrolled urge to empty the bladder 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 the elderly should take the drug 2-3 times a day, 2.5-3 mg. At the discretion of the physician, the daily dose may be gradually increased to 5 mg.

An effective drug for the treatment of depressive conditions in mental and neurological diseases. This antidepressant is able to 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 work of the urinary tract.

Imipramine is forbidden to take:

During the period of gestation and lactation.
Patients with allergic reactions to the components of the drug.
Children under 6 years of age.
With cardiovascular diseases.
Patients with epilepsy.
With infectious diseases.
With 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 increase to 150-250 mg per day. With positive dynamics 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.

The composition of the drug includes the active substance mirabegron. Tablets that relax the muscles of the bladder.

This drug is indicated for patients with overactive bladder and uncontrolled urination. It is dangerous to take for people with allergic reactions to the components of the drug, with severe renal and hepatic insufficiency, underage, pregnant and lactating women.

The medicine should be taken with water (without chewing) 1 time per day - 50 mg.

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

Desmopressin is contraindicated:

With unquenchable thirst.
Anuric patients.
With a low concentration of sodium in the blood.
With fluid retention in the body.
With heart failure.
If you are allergic to the drug.

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

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

Enablex

Long-acting tablets, in the composition - darifenacin. The drug is prescribed for increased activity of the bladder.

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

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

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

It is used to treat acute incontinence. Start taking 4 mg 1 time per day, then, if necessary, increase the dose by 2 times.

In case of allergic reactions to fesoterodine, delayed gastric motility, angle-closure glaucoma, as well as ischuria, Toviaz should be discontinued.

Regardless of what triggered the onset of urinary incontinence, at the first sign a woman should seek help from a urologist or gynecologist. Only timely and properly selected treatment will help to completely get rid of problems with urination.

Urinary incontinence is a common urological problem that manifests itself most often in elderly patients. With the symptoms of the disease, a properly selected drug will help to cope. The tactics of treatment will depend on the cause that caused the development of the pathological phenomenon. Consider the most effective means for the treatment of the disease and the features of their use.

How to choose a medicine?

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:

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

What medicines are used for treatment?

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

To relieve inflammation in the organs of the genitourinary system, antispasmodics are prescribed: Spasmex, Driptan, Enablex, Vezikar, Oxybutynin. This group of drugs allows you to control nerve impulses passing in the walls of the bladder, and increases the time interval between urges.

Anticholinergic drugs can affect the contractile activity of muscles in old age, this ailment is very common. For effective treatment as part of complex therapy, it is recommended to take hormonal and sedative medications. Among antidepressants, drugs such as Imipramine, Duloxetine should be noted.

Means "Driptan"

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

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

Side effects and contraindications

According to reviews, the pills really effectively deal with the problem. 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, increased bleeding tendency.

Urinary incontinence drug "Vesikar"

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

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

Urinary incontinence is a symptom that accompanies a variety of ailments. Such a problem cannot go unnoticed, since it interferes with both work activity and the usual routine of life. Urination that is difficult to control can be triggered by channel atrophy, hormonal imbalance, obesity, overactive bladder, infection, or overuse of diuretics and other pharmaceuticals. Drugs for urinary incontinence can reduce the frequency of urges and improve the functioning of the genitourinary system as a whole

Varieties of pathological urinary incontinence

Before prescribing tablets from, it is necessary to establish the cause of the pathology that has arisen. Each individual case requires an individual therapy that will bring the best results. There are such varieties of frequent uncontrolled urination:

If the problem was provoked by the presence of inflammatory processes or other pathologies, the doctor should prescribe to the patient an individual complex drug therapy, which involves taking antidepressants and other medicines.

Incontinence, provoked by ailments of the genitourinary system, the cause of which is diabetes mellitus or various injuries of the spinal column.
Urgent type incontinence. Diagnosed in 15 of all patients. It occurs due to too high pressure in the bladder and low pressure in the urethra. A distinctive feature of the pathology is a sharp, difficult-to-control urge to urinate, most often ending in spontaneous excretion of urine.
Approximately half of patients suffer from involuntary stress urination, which occurs at the time of coughing, sneezing, laughing or strenuous exercise. Such disorders are most often associated with an insufficient amount of collagen in the ligaments located in the pelvic area.

In 30% of patients who are prescribed drugs for urinary incontinence, a mixed pathology is diagnosed. Treatment involves training the bladder to block the urge to urinate and following a specific diet that excludes caffeine, alcohol, spicy foods, citrus fruits, and various sugar substitutes. In drug therapy, the following groups of drugs are mainly used today.

Anticholinergics

With an overactive bladder, the patient experiences the urge to urinate even if it is empty. Drugs of the anticholinergic group act directly on acetylcholine, which acts as a chemical transmitter of neural impulses that cause bladder contraction. By blocking the work of acetylcholine, anticholinergics save from enuresis and teenage urinary incontinence. Similar drugs are often prescribed for older people. The most popular anticholinergic pharmaceuticals include:

"Ditropan" ("Oxybutynin"). It has an antispasmodic effect and relaxes the smooth muscles of the bladder. The standard dose of the drug has an effect for several hours, so the patient needs 2 to 3 tablets per day. Causes severe dryness of the mouth and may provoke an allergic reaction.
"Detrol" (the main active ingredient is tolterodine). It is used in cases of overactive bladder and high frequency of urge to urinate. Urinary incontinence in older women often involves treatment with Detrol tablets, as they save from urgent incontinence.
"Spasmex" is prescribed for dysuria, enuresis and various muscular dysfunctions of the urinary canals. Enlarges the bubble in volume and significantly reduces the frequency of urges.

Among other pharmaceutical drugs of the anticholinergic group, Oxytrope, Detruzitol and Levzin are most often used. Most drugs have side effects such as decreased visual acuity and pain in the abdomen. In folk medicine, instead of anticholinergics, belladonna and some plants containing the poisonous atropine are traditionally used.

Antidepressants

Urinary incontinence in women and men is often treated with tablets that have a metabolic effect (antidepressants). Such drugs are used mainly in cases where the loss of control over urine output was provoked by a stressful situation. Their regular intake has a beneficial effect on local and general metabolism, and also accelerates the synthesis of important proteins in the body and protects tissues from various toxins. The most popular antidepressants used to treat incontinence are:

"Amizol", taken separately, is not able to cope with the problem of urinary incontinence. However, the drug has the properties of an M-anticholinergic and balances the state of the serotonergic and adrenergic systems. It has a pronounced analgesic effect. Side effects include: hallucinations, confusion, increased anxiety, nausea, and difficulty concentrating.

Tablets for urinary incontinence are not prescribed for older women in cases where the ligaments and muscle tissue surrounding the bladder have not completely lost their tone or their integrity does not have serious violations.

Alpha-adrenergic agonists

Drugs in this group have a stimulating effect directly on alpha-adrenergic receptors. Thus, the muscles of the urethra contract, which allows the sphincter to effectively cope with the task of holding urine within the bladder. The most famous substances from the group of alpha-blockers are pseudoephedrine and ephedrine.

Most often they are used in the treatment of bronchitis, to suppress appetite, alleviate the condition of patients with bronchial asthma, and also to get rid of cough. However, they have found their application in the fight against frequent urination.

Among the side effects of ephedrine-containing drugs are a feeling of dry mouth, increased nervous irritability, insomnia and headaches. Contraindicated in diabetes.

Estrogen based products

Doctors often prescribe pills with a synthetic analogue of estrogen and other hormones. Due to the presence of estrogen, it is possible to reduce atrophic age-related changes affecting the mucous membranes of the bladder. It accelerates the regeneration of nerve tissues and improves blood circulation.

When menopause ends, the woman's body experiences an acute hormone deficiency, which leads to a loss of elasticity in the muscles surrounding the bladder.

In order to smooth out the symptoms of menopause, drugs containing estrogen are used in the form of ointments, suppositories, tablets and solutions. The most popular are the following tools:

"Demopressin". It is a synthetic analogue of estrogen. Reduces the production of urine by the body. Children and adolescents suffering from are most often deficient in this hormone, which is replenished by regularly taking Demopressin. Available in pill and nasal spray form factor.
Older women are usually prescribed suppositories like Ovestin, which should be consumed no more than once a week. When suppositories are prescribed, the dosage of other incontinence drugs taken by the course should be reduced.

The effectiveness of the use of such drugs is not scientifically substantiated, however, many patients respond very positively to therapy with estrogen-based drugs. The best results can be achieved by combining medication with physiotherapy and other therapeutic methods.

It is worth knowing that drugs containing estrogen have a number of side effects and increase the likelihood of cardiovascular disease. At the moment, women are prescribed the hormone mainly in the form of vaginal suppositories.

New treatments for urinary incontinence

The attending physician should prescribe modern drugs for urinary incontinence with the utmost care, since many of them are currently at the stage of active clinical trials, and the mechanism of action has not been fully studied.

The Chinese urological patch contains frankincense, licorice, lemongrass extract and a number of other components. Many patients suffering from prostatitis note a significant improvement in their general condition and the disappearance of various disorders associated with uncontrolled urination.

Despite the fact that such patches are homeopathic remedies, they are able to reduce the activity of inflammatory processes, accelerate the regeneration of damaged tissues and increase the tone of the muscles surrounding the bladder.

Hyaluronic acid is injected into the urethra by injection into the anterior wall of the vagina to artificially increase the volume of tissues. Thus, it is possible to increase the level of pressure in the urethra and significantly reduce the frequency of day and night visits to the toilet. Hyaluronic acid is part of various pharmaceutical and cosmetic products, such as Urodex.

In addition to medications, it is recommended to use medicinal plants, herbs and honey. Elecampane, calamus root, dill seeds, centaury, St. John's wort and other natural products, if used systematically, can increase the body's defenses and save a person from pathological incontinence.