Overactive Bladder: Regaining Control
|
|
- Charity Brown
- 7 years ago
- Views:
Transcription
1 Page 1 Dr. Melissa Kagarise, PA-C PharmCon is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education This program has been brought to you by PharmCon Legal Disclaimer: The material presented here does not necessarily reflect the views of Pharmaceutical Education Consultants (PharmCon) or the companies that support educational programming. A qualified healthcare professional should always be consulted before using any therapeutic product discussed. Participants should verify all information and data before treating patients or employing any therapies described in this educational activity. Accreditation: Pharmacists L01-P Technicians L01-T Target Audience: Pharmacists & Technicians CE Credits: 1.0 Credit hour or 0.1 CEU for pharmacists/technicians Expiration Date: 05/18/2012 Program Overview: Overactive Bladder is a bothersome medical condition that affects more than 17 million men and women of all ages. This program will assist pharmacists identify, counsel and treat patients who seek control of their overactive bladders, as well as enhance their knowledge of currently available treatment options (along with their probable results and possible side effects), and offers counseling points for patients and their families in overcoming their embarrassment and seeking treatment. Objectives: Review the epidemiology and etiology of overactive bladder. Identify the pharmacological bladder control options for patients suffering from urinary incontinence, to include their mechanisms of action, efficacy, dosing, safety, and tolerability profiles. Review other available treatment options (such as behavioral and life style) that can mitigate overactive bladder. Describe the proactive role that pharmacists can play in identifying, counseling, and treating patients seeking relief from overactive bladder. This program has been brought to you by PharmCon Speaker: Dr. Melissa Kagarise is a primary care physician assistant who practices at a free medical clinic in Altoona, PA. She is an assistant professor at Saint Francis University and Program Director for the SFU/CERMUSA Physician Assistant program. She obtained her physician assistant degree through SFU and completed her doctoral studies in health sciences through Nova Southeastern University. Speaker Disclosure: Dr. Kagarise has no actual or potential conflicts of interest in relation to this program This program has been brought to you by PharmCon Educational Objectives 1. Review the epidemiology and etiology of overactive bladder. 2. Review non-pharmacological treatment options. 3. Identify the pharmacological bladder control options, including mechanism of action, efficacy, dosing, safety and tolerability profiles. 4. Describe the proactive role of pharmacists in identifying, counseling and treating patients. PharmCon is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education Legal Disclaimer: The material presented here does not necessarily reflect the views of Pharmaceutical Education Consultants (PharmCon) or the companies that support educational programming. A qualified healthcare professional should always be consulted before using any therapeutic product discussed. Participants should verify all information and data before treating patients or employing any therapies described in this educational activity.
2 Page 2 Overactive Bladder Urinary urgency Urge incontinence Urinary frequency Nocturia Prevalence Estimated 34 million men and women Prevalence 2002, 9-16% Women>Men 15-50% of women 1.5-5% of men Costs $19.5 billion/year managing incontinence $12.6 billion/year managing overactive bladder Physiology Process of Urination Combination of automatic and conscious muscle actions Emptying phase Filling/storage phase Automatic cholinergic and adrenergic neurotransmitters serotonin and noradrenaline Conscious voluntarily contraction of external sphincter muscles
3 Page 3 Pathophysiology Neurogenic Myogenic Clinical Assessment History Symptoms Medications Diuretics Antidepressants Alpha-agonists Alpha antagonists Beta antagonists Sedatives Anticholinergics Analgesics Clinical Assessment Physical Examination Testing Urinary Track Infections Benign Prostatic Hypertrophy, Diabetes, Mellitus Neurological conditions (Multiple Sclerosis, Stroke, Alzheimer's disease, Spinal Cord Injury or Stenosis) Effects of OAB Emotional Depression Loneliness, shame, helplessness, introversion, lack of confidence Disruption of Daily living Advance planning Loss of independence Stop exercising
4 Page 4 Goals in Treatment Diminish Symptoms Prevent Complications Improve Quality of Life Treatment Approach Behavioral Pharmacological Surgical Behavioral Modifications Abrams et al 2005
5 Page 5 Dietary Considerations Weight control Fluid Control Food restrictions Caffeinated beverages Alcoholic beverages Citrus fruits and juices, tomatoes/products Chocolate Sugars, artificial sweeteners Pelvic Floor Muscle Training Kegel Exercises Contraction and relaxation of pelvic floor muscles Pharmacologic Treatment Antimuscarinics/Anticholinergic Alpha-Adrenergic Agonists Estrogen Tricyclic antidepressants/ Serotonin-Norepinephrine Reuptake Inhibitors Capsaicin and analogs Botulinum toxin type A
6 Page 6 Antimuscarinic/Anticholinergic Block the cholinergic muscarinic receptors (M2 and M3) M2, smooth muscle, hindbrain, cardiac M3, smooth muscle, salivary gland, eye Inhibit involuntary contractions of the bladder Increase bladder capacity Delay initial urge to void Anticholinergic Side Effects Side Effects a result of peripheral and central anticholinergic action Dry as a Bone Blind as a Bat Red as a Beet Hot as Hades Mad as a Hatter Generic name Brand Name Initial Dose Maximum Dose Side Effect/Dry Mouth Darifenacin Enablex Oxybutynin* Ditropan Oxybutynin LA* Ditropan LA Oxybutynin patch Oxytrol Solifenacin Vesicare Tolterodine* Detrol Tolterodine LA* Detrol LA Trospium Sanctura 7.5 mg qd 15 mg qd in 20.2% and 35.3% 5 mg bid or tid 5 mg qid Common 5 mg qd 30 Mg qd 60.8% 3.9 mg/day patch twice weekly 3.9 mg/day patch twice weekly 12% 5 mg qd 10 mg qd 10% and 27.6% 1-2 mg bid 2 mg bid 35% 2-4 mg qd 4 mg qd 23% 20 mg bid 20 mg bid 20.1% Solifenacin (Vesicare) Mechanism of Action Inhibits primarily M3 muscarinic receptors Dosage 5 mg once daily to 10mg once daily; taken with liquid and swallowed whole, with or without food Altered pharmacokinetics with Ketoconazole maximum dose 5 mg
7 Page 7 Vesicare Contraindications Urinary Retention Gastric Retention Un-controlled narrow angle glaucoma Allergy Precautions Impaired Renal or reduced hepatic function Do not exceed 5 mg/day dosing Darifenacin (Enablex) Mechanism of Action Selective muscarinic M3 reactor antagonist Dosage 7.5 mg once daily, can be increased to 15 mg once daily after 2 weeks Extended release tablets to be taken whole with liquid Enablex Side Effects Dry mouth Constipation Dyspepsia, abdominal pain, nausea, diarrhea, dizziness Drug interactions Ketoconazole and Itraconazole Do not exceed 7.5mg of Enablex Contraindications Urinary retention, gastric retention, uncontrolled narrow angle glaucoma Alpha-adrenergic agonists Mimic norepinephrine to stimulate alpha-adrenergic receptors Contraction of urethral smooth muscle to tighten the urinary sphincter and valve Ephedrine and Pseudoephedrine Side effects Agitation, insomnia, anxiety, dry mouth, headache Precaution Use Glaucoma, diabetes, hyperthyroidism, hypertension
8 Page 8 Estrogen Helps maintain the strength and flexibility of bladder and urethral tissues Improve blood flow, enhance nerve function and correct tissue deterioration Prescribed as cream Increase risk of heart disease, stroke and breast cancer Tricyclic Antidepressants Imipramine (Tofranil) Anticholinergic effects Alpha-adrenergic effects Bladder relaxation while causing bladder neck smooth muscles to contract Side Effects Drowsiness, irregular heartbeat, dizziness, orthostatic hypotension, dry mouth, blurred vision, constipation Capsaicin Extract from hot chili peppers Thought to numb the hypersensitive bladder Administered through catheter Stimulates sensory nerves of bladder Produces long term resistance to sensory activation Side Effects Temporary- discomfort and burning Botulinum toxin type A Blocks the actions of acetylcholine and relaxes the bladder muscle Investigational
9 Page 9 Notes Notes Notes
April 12, 2013 Mandy C. Leonard, Pharm.D., BCPS Department of Pharmacy
April 12, 2013 Mandy C. Leonard, Pharm.D., BCPS Department of Pharmacy Describe when medications are used for urinary incontinence (UI) Review medications used in UI including mechanism of action, key
More informationURINARY INCONTINENCE
URINARY INCONTINENCE What is urinary incontinence? Urinary incontinence is the uncontrollable loss of urine. The amount of urine leaked can vary from only a few drops when you cough or sneeze to entirely
More informationNon-surgical Treatments for Urinary Incontinence. A Review of the Research for Women
Non-surgical Treatments for Urinary Incontinence A Review of the Research for Women Is This Information Right for Me? Yes, if: You are a woman who is older than 18. You are having trouble holding your
More informationOAB (Overactive Bladder)
OAB (Overactive Bladder) PharmCon is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This webcast has been supported by an educational grant
More informationUrinary Incontinence FAQ Sheet
Urinary Incontinence FAQ Sheet Are you reluctant to talk to your doctor about your bladder control problem? Don t be. There is help. Loss of bladder control is called urinary incontinence. It can happen
More informationI ve Got a Secret Identifying and Treating Urinary Incontinence in the Elderly
Page 1 I ve Got a Secret Identifying and Treating Urinary Incontinence in the Elderly Identifying and Treating Urinary Incontinence in the Elderly Wanda C. Hancock, MHSA, PA-C Supported by an educational
More information1/07/2014 HOW COMMON? FEMALE URINARY INCONTINENCE: OVERACTIVE BLADDER NORMAL BLADDER FUNCTION CAUSES OF URINARY INCONTINENCE HISTORY RISK FACTORS
HOW COMMON? FEMALE URINARY INCONTINENCE: OVERACTIVE BLADDER Judith Goh AO MBBS(Qld) FRANZCOG CU PhD Urogynaecologist Griffith University Greenslopes Private Hospital, Brisbane Pindara Private Hospital,
More informationPrimary Care management of Overactive Bladder (OAB)
DERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC) Primary Care management of Overactive Bladder (OAB) Prescribing Tips All medicines for OAB have similar dose-related efficacy. More than one agent (up
More informationIncontinence. What is incontinence?
Incontinence What is incontinence? Broadly speaking, the medical term incontinence refers to any involuntary release of bodily fluids, but many people associate it strongly with the inability to control
More informationUrinary Incontinence in Women. Susan Hingle, M.D. Department of Medicine
Urinary Incontinence in Women Susan Hingle, M.D. Department of Medicine Background Estimated 13 million Americans with urinary incontinence Women are affected twice as frequently as men Only 25% will seek
More informationOveractive Bladder (OAB) Content of the lecture
Overactive bladder (OAB) : Introduction and Medical Management R.J. Opsomer Cliniques St Luc, labo d urodynamique, UCL - Bruxelles Overactive Bladder (OAB) Content of the lecture The syndrome of Overactive
More informationSuffolk PCT Drug & Therapeutics Committee New Medicine Report
Suffolk PCT Drug & Therapeutics Committee New Medicine Report This drug has been reviewed because it is a product that may be prescribed in primary care. Medicine Fesoterodine (Toviaz, Pfizer) Document
More informationBladder Health Promotion
Bladder Health Promotion Community Awareness Presentation Content contributions provided by the Society of Urologic Nurses (SUNA) National Association for Continence (NAFC) Simon Foundation for Continence
More informationOveractive bladder syndrome (OAB)
Overactive bladder syndrome (OAB) Exceptional healthcare, personally delivered What is OAB? An overactive bladder or OAB is where a person regularly gets a sudden and compelling need or desire to pass
More informationOveractive Bladder (OAB)
Overactive Bladder (OAB) Overactive bladder is a problem with bladder storage function that causes a sudden urge to urinate. The urge may be difficult to suppress, and overactive bladder can lead to the
More informationFemale Urinary Incontinence
Focus on CME at the University of British Columbia Approach to Female Urinary Incontinence Although the majority of incontinence patients can be diagnosed and treated effectively by family doctors, there
More informationBowel and Bladder Dysfunction in MS. Tracy Walker, WOCN, MSCN, FNP C Nurse Practitioner MS Institute at Shepherd Center. Bladder Dysfunction
Bowel and Bladder Dysfunction in MS Tracy Walker, WOCN, MSCN, FNP C Nurse Practitioner MS Institute at Shepherd Center Bladder Dysfunction Approximately 75% of people with MS experience bladder problems
More informationURINARY INCONTINENCE IN WOMEN
URINARY INCONTINENCE IN WOMEN Definition Urinary incontinence (UI) is defined as involuntary loss of urine that is a social or hygienic problem (International Continence Society, 1973) Magnitude of the
More informationUrinary Incontinence (Involuntary Loss of Urine) A Patient Guide
Urinary Incontinence (Involuntary Loss of Urine) A Patient Guide Urinary Incontinence (Urine Loss) This booklet is intended to give you some facts on urinary incontinence - what it is, and is not, and
More informationFaculty Disclosure. Objectives. Spectrum of Voiding Dysfunction. Types of Incontinence/Etiology. Urinary Incontinence Symptom Definitions
Faculty Disclosure Strategies to Improve Adherence and Clinical Management of Overactive Bladder: Prevalence of OAB and Impact on Quality of Life Dr. Saffel has no actual or potential conflicts of interest
More informationUrinary Incontinence in Men National Kidney and Urologic Diseases Information Clearinghouse
Urinary Incontinence in Men National Kidney and Urologic Diseases Information Clearinghouse National Institute of Diabetes and Digestive and Kidney Diseases NATIONAL INSTITUTES OF HEALTH Urinary incontinence
More informationThe Bathroom has been central in our lives through the ages. Bladder Control Problems. Bladder Control Problems. A Common Problem:
When You Gotta Go. Understanding and Conquering Urinary Incontinence and the Overactive Bladder Syndrome Richard T. Kershen M.D. Assistant Professor UVM Department of Surgery, Division of Urology Director,
More informationLifestyle changes. Pelvic floor muscle training
Incontinence, urinary - Treatment Treating urinary incontinence The treatment you receive for urinary incontinence will depend on the type of incontinence you have and the severity of your symptoms. If
More informationPharmacological management of overactive bladder syndrome
Pharmacological management of overactive bladder syndrome Bardsley, A. Postprint deposited in Curve January 2016 Original citation: Bardsley, A. (2014) Pharmacological management of overactive bladder
More informationBladder Control Does Matter
Bladder Control Does Matter Y0028_2726_0 File&Use 04092012 If you suffer from urinary incontinence, you re not alone Don t be afraid to raise your hand if you ve been struggling with the embarrassment
More informationBladder Health Promotion
Bladder Health Promotion Community Awareness Presentation endorsed by the Society of Urologic Nurses (SUNA) National Association for Continence( NAFC) Simon Foundation for Continence This presentation
More informationWomen suffer in silence
Women suffer in silence Stress urinary incontinence is the involuntary loss of urine resulting from increased intra-abdominal pressure. In people who suffer with this condition, forms of exertion such
More informationChapter 13. Sympathetic Nervous System. Basic Functions of the Nervous System. Divisions of the Peripheral Nervous System
Chapter 13 Drugs Affecting the Autonomic Basic Functions of the Recognizing changes in Internal environment External environment Processing and integrating changes Reacting to changes Upper Saddle River,
More informationTreatments for Urinary Incontinence in Women
Treatments for Urinary Incontinence in Women National Kidney and Urologic Diseases Information Clearinghouse National Institute of Diabetes and Digestive and Kidney Diseases NATIONAL INSTITUTES OF HEALTH
More informationUrinary Incontinence. Michelle S. Eslami, MD Clinical Professor of Medicine Division of Geriatrics David Geffen School of Medicine at UCLA
Urinary Incontinence Michelle S. Eslami, MD Clinical Professor of Medicine Division of Geriatrics David Geffen School of Medicine at UCLA Prevalence of Urinary Incontinence (UI) Involuntary loss of urine
More informationOveractive bladder and urgency incontinence
Overactive bladder and urgency incontinence As a health care provider you can make a significant difference to the quality of life of patients like these by addressing urinary incontinence, introducing
More informationUrinary Incontinence. Causes of Incontinence. What s Happening?
National Institute on Aging AgePage Urinary Incontinence Sarah loves to spend time with her friends talking about her grandchildren and going to exercise classes with neighbors. But she s started to have
More informationManagement of Neurogenic Bladder Disorders
Management of Neurogenic Bladder Disorders Andrea Staack, MD, PhD Pelvic Reconstructive Surgery, Urinary Incontinence & Female Urology Department of Urology Loma Linda University, CA What will you learn
More informationTreatments for Overactive Bladder
Treatments for Overactive Bladder Patient Information Author ID: SA Leaflet Number: Gyn 051 Name of Leaflet: Treatments for overactive bladder Date Produced: October 2014 Review Date: October 2016 Treatment
More informationIt usually presents with a sudden urge to urinate that is very difficult to delay and may be associated with leakage. Other features include:
visited on Page 1 of 5 View this article online at http://patient.info/doctor/overactive-bladder Overactive Bladder This PatientPlus article is written for healthcare professionals so the language may
More informationFemale Urinary Disorders and Pelvic Organ Prolapse
Female Urinary Disorders and Pelvic Organ Prolapse Richard S. Bercik, M.D. Director, Division of Urogynecology & Reconstruction Pelvic Surgery Department of Obstetrics, Gynecology & Reproductive Sciences
More informationWomen s Continence and Pelvic Health Center
Women s Continence and Pelvic Health Center Committed to Caring 580-590 Court Street Keene, New Hampshire 03431 (603) 354-5454 Ext. 6643 URINARY INCONTINENCE QUESTIONNAIRE The purpose of this questionnaire
More informationAmitriptyline. Drug information Amitriptyline
Drug information Amitriptyline Amitriptyline This leaflet provides information on amitriptyline and will answer any questions you have about the treatment. Arthritis Research UK produce and print our booklets
More informationPrescribing Pathway for Drug Treatment for Overactive Bladder.
East Surrey CCG, Guildford & Waverley CCG, North West Surrey CCG, Surrey Downs CCG, Surrey Heath CCG, North East Hampshire & Farnham CCG, Crawley CCG, Horsham & Mid-Sussex CCG - Prescribing Clinical Network
More informationUrinary Incontinence: Pathophysiology, Assessment and Treatment Options. Urinary Incontinence 10/19/2015
: Pathophysiology, Assessment and Treatment Options Satellite Conference and Live Webcast Wednesday, October 21, 2015 2:00 4:00 p.m. Central Time Produced by the Alabama Department of Public Health Video
More informationOVERACTIVE BLADDER DIAGNOSIS AND TREATMENT OF OVERACTIVE BLADDER IN ADULTS:
2014 OVERACTIVE BLADDER DIAGNOSIS AND TREATMENT OF OVERACTIVE BLADDER IN ADULTS: AUA/SUFU Guideline (2012); Amended (2014) For Primary Care Providers OVERACTIVE BLADDER Diagnosis and Treatment of Overactive
More informationBladder and Bowel Control
Bladder and Bowel Control Dr Sue Woodward Lecturer, Florence Nightingale School of Nursing and Midwifery 2 Why do we need to understand anatomy? Normal physiology Normal adult bladder capacity = 450-500mls
More informationMedications for chronic pain
Medications for chronic pain When it comes to treating chronic pain with medications, there are many to choose from. Different types of pain medications are used for different pain conditions. You may
More informationsymptoms of Incontinence
Types, causes and symptoms of Urinary Incontinence Aims and Objectives Aim: To have an understanding of the types and causes of urinary incontinence. Objectives: To be aware of the incidence and prevalence
More informationOverview of Urinary Incontinence in the Long Term Care Setting
Overview of Urinary Incontinence in the Long Term Care Setting Management Strategies for the Nursing Assistant Ann M. Spenard RN, C, MSN Courtney Lyder ND, GNP Learning Objectives Describe common types
More informationHealth Information Sheet
Health Information Sheet What is depression? Depression -- How Medicine Can Help Depression is a medical illness like diabetes or high blood pressure. It affects about 17% of people at some time in their
More informationLOSS OF BLADDER CONTROL IS TREATABLE TAKE CONTROL AND RESTORE YOUR LIFESTYLE
LOSS OF BLADDER CONTROL IS TREATABLE TAKE CONTROL AND RESTORE YOUR LIFESTYLE TALKING ABOUT STRESS INCONTINENCE (SUI) Millions of women suffer from stress incontinence (SUI). This condition results in accidental
More informationUrinary Incontinence: an overview!! Neil Harris Consultant Urological Surgeon, Leeds
Urinary Incontinence: an overview!! Neil Harris Consultant Urological Surgeon, Leeds Content 1. Epidemiology of pelvic floor dysfunction Urinary incontinence Bowel dysfunction Sexual dysfunction 2. Treatment
More information1 ST JAMAICAN PAEDIATRIC NEPHROLOGY CONFERENCE
in association with 1 ST JAMAICAN PAEDIATRIC NEPHROLOGY CONFERENCE Jamaica Conference Centre Kingston, Jamaica October 4 th 2014 VOIDING DISORDERS IN CHILDREN Dr. Colin Abel Paediatric Urologist Bustamante
More informationDrugs affecting the autonomic nervous system. Objectives. Autonomic Nervous System (ANS) 12/23/2014
Drugs affecting the autonomic nervous system N231 Nursing Pharmacology Objectives Analyze the implementation of the nursing process in the promotion and maintenance of system stability for individuals
More informationSaint Mary s Hospital. Gynaecology Service Warrell Unit. Overactive Bladder. Information for Patients
Saint Mary s Hospital Gynaecology Service Warrell Unit Overactive Bladder Information for Patients What is Overactive Bladder (OAB)? OAB is a condition that causes you to need to pass urine more often
More informationUrinary Incontinence. Michelle S. Eslami, MD Clinical Professor of Medicine Division of Geriatrics David Geffen School of Medicine at UCLA
Urinary Incontinence Michelle S. Eslami, MD Clinical Professor of Medicine Division of Geriatrics David Geffen School of Medicine at UCLA Prevalence of Urinary Incontinence (UI) Involuntary loss of urine
More informationFEMALE INCONTINENCE REVIEW
200 S. Wenona Suite 298 Steven L. Jensen, M.D. 5400 Mackinaw, Suite 4302 Bay City, MI 48706 Frank H. Kim, M.D. Saginaw, MI 48604 Telephone (989) 895-2634 Adult & Pediatric Urologists (989) 791-4020 Fax
More informationBladder and Bowel Assessment Ann Yates Director of Continence Services. 18/07/2008 Cardiff and Vale NHS Trust
Bladder and Bowel Assessment Ann Yates Director of Continence Services Types of continence problems Bladder Stress incontinence Urgency and urge Incontinence Mixed incontinence Obstructive incontinence
More informationKey Points. Autonomic Nervous System Drugs. Autonomic effects Sympathetic. Drugs can modify ANS activity by: Autonomic Nervous System
Key Points Autonomic Nervous System Drugs Autonomic drugs work at the synapses, Drugs either suppress or magnify the sympathetic or parasympathetic effect, Drugs don t work on a single target organ so
More informationManagement of Urinary Incontinence. Sheri J. Ross, BSc, DVM, PhD, Dipl. ACVIM (Internal Medicine)
Management of Urinary Incontinence Sheri J. Ross, BSc, DVM, PhD, Dipl. ACVIM (Internal Medicine) Managing Urinary Incontinence Urinary incontinence is very prevalent among older animals. In this group
More informationDr Eva Fong. Urologist Auckland
Dr Eva Fong Urologist Auckland Urinary incontinence: Treatment options GPCME 2013 Eva Fong Urologist Urinary incontinence Is not normal part of aging or childbearing We can make it better Urinary incontinence:
More informationUrinary Incontinence. Types
Urinary Incontinence Leakage of urine is called urinary incontinence. It is a common problem in women. Some women occasionally leak small amounts of urine. At other times, leakage of urine is frequent
More informationManagement of refractory OAB conditions
Management of refractory OAB conditions Neurotoxins and Neuromodulation Gary E. Lemack, M.D. Professor of Urology and Neurology Program Director in Urology UT-Southwestern Medical Center Overactive bladder
More informationUrinary Tract Infections
1 Infections in the urinary tract are relatively common. These infections are often referred to as bladder infections. They are also known as UTI s or urinary tract infections. When an infection is confined
More informationOVERACTIVE BLADDER SYNDROME (OAB)
OVERACTIVE BLADDER SYNDROME (OAB) BLADDER ANATOMY AND FUNCTION The bladder is hollow balloon-shaped muscle that acts as a storage organ, holding urine from your kidneys until a convenient time for you
More informationYour Comprehensive Guide to Overactive Bladder
Your Comprehensive Guide to Overactive Bladder Learn more about OAB in the Powder Room www.powderroom.ca Table of Contents Learning about overactive bladder (OAB) 1 What is overactive bladder (OAB)? 2
More informationMale urinary incontinence (leakage of urine) you are not alone
Male urinary incontinence (leakage of urine) you are not alone Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationOveractive Bladder: A Focus on Women
Overactive Bladder: A Focus on Women ACTIVITY DESCRIPTION With oxybutynin now available OTC, many women may attempt to self manage their overactive bladder (OAB) symptoms. This program will help pharmacists
More informationRecovery After Stroke: Bladder & Bowel Function. Treatments
Recovery After Stroke: Bladder & Bowel Function Problems with bladder and bowel function are common but distressing for stroke survivors. Going to the bathroom after suffering a stroke may be complicated
More informationSpinal Cord and Bladder Management Male: Intermittent Catheter
Spinal Cord and Bladder Management Male: Intermittent Catheter The 5 parts of the urinary system work together to get rid of waste and make urine. Urine is made in your kidneys and travels down 2 thin
More informationWhy are antidepressants used to treat IBS? Some medicines can have more than one action (benefit) in treating medical problems.
The Use of Antidepressants in the Treatment of Irritable Bowel Syndrome and Other Functional GI Disorders Christine B. Dalton, PA-C Douglas A. Drossman, MD What are functional GI disorders? There are more
More informationUBISTESIN 1:200,000 and UBISTESIN FORTE 1:100,000
UBISTESIN 1:200,000 and UBISTESIN FORTE 1:100,000 Articaine hydrochloride and adrenaline hydrochloride Consumer Medicine Information WHAT IS IN THIS LEAFLET Please read this leaflet carefully before you
More informationPATIENT HISTORY FORM
PATIENT HISTORY FORM If you are new to the office, have not been seen in over one (1) year, or are returning for a new problem, please complete this form in full. If there have been any changes since your
More informationDallas Neurosurgical and Spine Associates, P.A Patient Health History
Dallas Neurosurgical and Spine Associates, P.A Patient Health History DOB: Date: Reason for your visit (Chief complaint): Past Medical History Please check corresponding box if you have ever had any of
More informationMedication for Overactive Bladder
Saint Mary s Hospital Gynaecology Service Warrell Unit Medication for Overactive Bladder Information for Patients What medication is available for overactive bladder? There are two types of medication
More informationA review of antimuscarinic prescribing for urinary incontinence in primary care
A review of antimuscarinic prescribing for urinary incontinence in primary care Seema Gadhia On behalf of NHS Buckinghamshire Medicines Management Team In Collaboration with Introduction Urinary incontinence
More informationUrinary Incontinence Control using External Urethral Compression Devices (Clamps)
A Patient s Guide Urinary Incontinence Control using External Urethral Compression Devices (Clamps) by Ralph Alterowitz, MEA Carol Partington, DVM Copyright 2005 TABLE OF CONTENTS Introduction... 1 Definition...
More information**Form 1: - Consultant Copy** Telephone Number: Fax Number: Email: Author: Dr Bernard Udeze Pharmacist: Claire Ault Date of issue July 2011
Effective Shared Care Agreement for the treatment of Dementia in Alzheimer s Disease Donepezil tablets / orodispersible tablets (Aricept / Aricept Evess ) These forms (1 and 2) are to be completed by both
More informationOveractive bladder is a common condition thought to. women, and is a serious condition that can lead to. significant lifestyle changes.
Overactive bladder is a common condition thought to FADE UP TO WIDE SHOT OF FEMALE MODEL WITH TRANSPARENT SKIN. URINARY BLADDER VISIBLE IN PELVIC REGION affect over 16 percent of adults. It affects men
More informationes of Urinary Incontinence:
Reversible Cause Urinary incontinence is a loss of control over the passing of urine. Urine loss can occur in very small amounts (enough only to dampen underwear) to very large amounts (requiring a change
More informationWOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Hormone Therapy
Hormone Therapy WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 At menopause, a woman's body makes less estrogen and she stops having menstrual periods. This is a natural stage in a woman's
More informationDaily Habits and Urinary Incontinence
Effects of Daily Habits on the Bladder Many aspects of our daily life influence bladder and bowel function. Sometimes our daily habits may not be in the best interest of the bladder. A number of surprisingly
More informationLas Vegas Urogynecology
Las Vegas Urogynecology 7500 Smoke Ranch Road - #200 Las Vegas, NV 89128 Telephone: (702) 233-0727 Fax: (702) 233-4799 Urinary Incontinence in Women Urinary incontinence is an inability to hold your urine
More informationGwen Griffith Clinical Nurse Specialist Bolton NHS foundation Trust
Gwen Griffith Clinical Nurse Specialist Bolton NHS foundation Trust Overview Setting the Scene Beginning of the journey & specialist nurse role Why people with MS experience bladder problems MS and the
More informationUrinary Continence. Second edition FAST FACTS. by Julian Shah and Gary Leach. Anatomy and physiology 7. Investigations and diagnosis 11
FAST FACTS Urinary Continence Second edition Indispensable Guides to by Julian Shah and Gary Leach Clinical Practice Anatomy and physiology 7 Investigations and diagnosis 11 Detrusor instability 28 Primary
More informationThe overactive bladder and bladder retraining
Oxford University Hospitals NHS Trust The overactive bladder and bladder retraining Information for patients Normal bladder function Your bladder normally stores urine produced by your kidneys. The kidneys
More informationNew Patient Evaluation
What area hurts you the most? (Please choose one) When did this pain start? Neck Other: Back How did this pain start? How often do you experience this pain? Describe what this pain feels like. What makes
More informationLifestyle and Behavioral Changes Improving Urinary Urgency, Frequency and Urge Incontinence
Lifestyle and Behavioral Changes Improving Urinary Urgency, Frequency and Urge Incontinence Manage your Fluid Intake: There is no scientific evidence that states we need eight 8 oz. glasses (64 oz.) of
More informationDisclosure. Recent Advances in the Management of Overactive Bladder (OAB) Overactive Bladder: Definition. Learning Objectives. Overactive Bladder
Disclosure Recent Advances in the Management of Overactive Bladder (OAB) Astellas Regional Advisory Board Honorarium for talk Dharm Singh, MD, FACS Chief of Urology Campbellton Regional Hospital, New Brunswick
More informationSuzette E. Sutherland, MD, MS, FPMRS Director, UW Medicine Pelvic Health Center Director, Female Urology Associate Professor.
Female Urinary Incontinence: Diagnosis and Treatment Suzette E. Sutherland, MD, MS, FPMRS Director, UW Medicine Pelvic Health Center Director, Female Urology Associate Professor. Dept of Urology University
More informationCare Manager Resources: Common Questions & Answers about Treatments for Depression
Care Manager Resources: Common Questions & Answers about Treatments for Depression Questions about Medications 1. How do antidepressants work? Antidepressants help restore the correct balance of certain
More informationVictoria Sharp, MD, MBA, FAAFP
Victoria Sharp, MD, MBA, FAAFP Clinical Professor of Urology and Family Medicine Victoria Sharp, MD, MBA, FAAFP Market Chief Medial Officer AmeriHealth Caritas Family of Companies Office phone: (515) 330-3740
More informationMODULE 9: URINARY INCONTINENCE
MODULE 9: URINARY INCONTINENCE Learning Objectives At the end of this clerkship, the medical student will be able to 1. Identify and name the major anatomic and histologic features of the bladder and urethra
More informationUnderstanding and Preventing Bladder Infections in Women
Understanding and Preventing Bladder Infections in Women Understanding and Preventing Bladder Infections in Women Recurrent bladder or urinary tract infections (UTI s) are a very common diagnosis. In fact,
More informationDrinking fluids and how they affect your bladder
Drinking fluids and how they affect your bladder Contact us Patient Advice and Liaison Service (PALS) To make comments or raise concerns about the Trust s services, please contact PALS. Ask a member of
More informationPharmacology 260 Online Course Schedule Spring 2012
Pharmacology 260 Online Course Spring 2012 The topics listed below do not necessarily correspond to a 1 - hour lecture period. You should cover the topics for each week at some time during that week. Readings
More informationLondon New Drugs Group APC/DTC Briefing Document Mirabegron (Betmiga TM ) for overactive bladder March 2013
London New Drugs Group APC/DTC Briefing Document Mirabegron (Betmiga TM ) for overactive bladder March 2013 Summary Mirabegron is first of a new class of drug, beta-3-adrenoceptor agonists, for the treatment
More informationFrustrated with your Overactive Bladder (OAB) medication not working? Can t handle the side effects?
Frustrated with your Overactive Bladder (OAB) medication not working? Can t handle the side effects? BOTOX treats adults with the OAB symptoms of leaking, going too often, and the strong sudden need to
More informationInformation for patients. Sex and Incontinence. Royal Hallamshire Hospital
Information for patients Sex and Incontinence Royal Hallamshire Hospital Why is sex important? We may choose to be sexual, regardless of our age, physical status or stage of life. Those with health problems
More informationURINARY INCONTINENCE CASE PRESENTATION #1. Urinary Incontinence - History 2014/10/07. Structure of the Female Lower Urinary Tract
Bladder pressure 2014/10/07 Structure of the Female Lower Urinary Tract Ureter URINARY INCONTINENCE Clinical Clerkship Lecture Series Outer peritoneal coat Detrusor smooth muscle Mucosa Trigone Proximal
More informationAdrenergic, Adrenergic Blockers, Cholinergic and Cholinergic Blockers
Adrenergic, Adrenergic Blockers, Cholinergic and Cholinergic Blockers Objective 1: Explain the difference between the sympathetic and parasympathetic nervous systems Autonomic Nervous System Sympathetic
More informationNormal bladder function requires a coordinated effort between the brain, spinal cord, and the bladder.
.. Urinary Incontinence Urinary incontinence is not an inevitable part of aging, and it is not a disease. The loss of bladder control - called urinary incontinence - affects between 13 and 17 million adult
More informationOveractive Bladder New Antimuscarinics for Treatment
Urology Overactive Bladder New Antimuscarinics for Treatment a report by Karl-Erik Andersson, MD, PhD Professor and Chairman, Department of Clinical Pharmacology, University of Lund, Sweden Summary Antimuscarinics
More informationUrinary Incontinence
Urinary Incontinence Q: What is urinary incontinence (UI)? A: UI is also known as loss of bladder control or urinary leakage. UI is when urine leaks out before you can get to a bathroom. If you have UI,
More information