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If those measures don’t helpthen it might be time to consider a medicationOur Best Buy Drug recommendations include tolterodineDetrol or genericor the extended-release versionDetrol LAThose have lower rates of side effects than other medications in their classincluding Oxytrol tabletbut you still have to watch out for dry mouthconstipationblurred visionand dizziness.

After you apply an oxybutynin patchyou should wear it all the time until you are ready to remove it and put on a fresh patchIf the patch loosens or falls off before it is time to replace ittry to press it back in place with your fingersIf the patch cannot be pressed back ondiscard it and apply a fresh patch to a different areaReplace the fresh patch on your next scheduled patch change day.

Botox has downsidestooWhile clinical trials showed that Botox injections reduce incontinence and the need to urinatethe injections can also cause painful urinationincomplete emptying of the bladderwhich could require the insertion of a catheterand urinary tract infectionsThe risk of infections is so highin factthat the FDA says you should take an antibiotic along with the shotMoreoverBotox is only approved for use in people who can’t take or haven’t gotten relief from other overactive bladder medicationsand it can be expensiveA single treatment can cost more than800.

OABcharacterized by symptoms of urgencyfrequencyand incontinence with no obvious causeoccurs mainly in older women.1 Behavioral modificationincluding fluid schedulestimed voidingpelvic exercisesand urge suppressionis usually tried first.

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