Suggest you consult with a Urologist who specializes
in Neurological problems.There are drugs that can help
such as Detrol/Detrusitol(See files below).
Consider using protective pads,diapers,and other aids.
Gil Lieberman,CG for Aliza,75,dx PD 2/95,dx PD+ 10/98
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From: [log in to unmask]
Date: Tue, 7 Jul 1998 23:36:56 -0400
To: Gil Lieberman <[log in to unmask]>
Subject: Re[4]: Bladder control
Hi Gil,
The product, Detrol, is a potent anti-muscarinic drug that works to
stabilize the bladder. Unlike other anticholinergics, such as
oxybutanin, tolterodine is what urologist call the "laser beam" rather
than the "shot gun" approach to treating overactive bladder.
Overactive bladder could be a miriad of symptoms. Those can be
urinary frequency (more than 8 micturitions in a 24 hr period,
including getting up more than once at night. Urgency, feeling like
you have to go all the time, not to be confused with urinary tract
infection, but similar in symptoms. Urge Incontinence, uncontrolable
voiding necessitating the need for diapers. Detrol is not indicated
for Stress Incontinence, such as urinating while sneezing, coughing or
laughing (and I hope you can still laugh!), but can help with mixed
etiologies.
Detrol is taken 2mg, twice a day and the side effects are virtually
nothing when compared to what is available right now. Another added
benefit is it can be taken with any other medication without side
effects or interactions with your currents meds. Overactive bladder
is very easy to diagnos with a good patient history and ruling out UTI
and BPH which can mask symptoms. Although there is no cure, this is
the next best thing.
Hope this helps!
Thom Pleimann
__________________
Date: Fri, 14 Aug 1998 09:27:34 -0400
From: Camilla Flintermann <[log in to unmask]>
Subject: Detrol experience
Friends-- with the reminder that every drug hits us differently, I want to
share Peter's recent experience with Detrol (tolterodine tartrate) which
his neuro suggested he try for a week to relieve an overactive bladder.
This is a new drug,so the package insert tells only about the side effects
experienced in the trials, and there was nothing there that seemed bad.
However, as Peter too two pills a day for a week it was clear he was
worse--more OFF times, little On--unsteady, even fall once (landed on my
lap!) and was mentally slow and confused. He even began to have early stage
hallucinations,e.g. the "sense" of a "presence" --his father or brother
standing behind his chair...I reached the neuro when there was one pill
left, and he said stop!
He added that as the drug was so new there was no real clinical experience
to go by, and it seemed likely that the Detrol had caused Peter's downward
slide...watch for a week without it, and call him.
Well, three days later, there is definite improvement! WHEW!!! No more
"presences", back to where he was before with mobility and feeling so much
more like himself.
This is a "cautionary tale", I guess, about new drugs and unknown
interactions, and how a med that works well for some of us may be
disastrous for others---just be aware and take care!
> Camilla Flintermann, CG for Peter, 80/9 <[log in to unmask]>
