Incontinence, or incontinence of urine is its involuntary outflow, which is not controlled by volitional effort. This pathology is widespread among women, especially after forty years.
Urinary incontinence significantly worsens the quality of life, leads to the development of psycho-emotional disorders, social, professional, domestic and family maladaptation. This pathological phenomenon is not an independent disease, but only a manifestation of other diseases of various origins.
Types of incontinence
Medicines are used in the treatment of all types of this disease. The greatest effect of the treatment is observed in patients with urge incontinence that occurs with an imperative urge to urinate. At the same time, the woman feels the need to urinate immediately and cannot postpone urination even for a short time. Medications for urinary incontinence in women are prescribed to increasefunctional capacity of the bladder and reduce its contractile activity. Overflow incontinence is also known, which develops in older people suffering from diseases of the genitourinary organs, and is caused by overdistension of the bladder due to long-standing obstructions to the outflow of urine. With mixed incontinence, there is a combination of signs of stress and urgent forms of urinary incontinence. Stress incontinence occurs in conditions that are accompanied by an increase in intra-abdominal pressure. In some cases, the pathology develops under the influence of external factors (acute cystitis, constipation, alcohol intoxication) and disappears after their elimination. This type of incontinence is called temporary incontinence.
What medications are prescribed?
In case of urinary incontinence in women, antidepressants and antispasmodics are the drugs of choice. One of the most effective urinary incontinence drugs is Oxybutin, which interrupts annoying, irregular impulses from the nervous system and relaxes the detrusor.
Urinary incontinence with vaginal atrophy, physical exertion without weakening the pelvic muscles is treated with a variety of drugs that have a decongestant and decongestant effect. Many experts believe that medications help get rid of this problem once and for all.
The list of the most well-known and commonly prescribed drugs for urinary incontinence in women includes:
- Detrusitol;
- Spasmex;
- Urotol;
- "Driptal";
- Pantogam.
Let's look at them in more detail later.
Detrusitol
Instructions for use, price and reviews are of interest to many patients with incontinence. This medication belongs to the group of competitive blockers of M-cholinergic receptors. It reduces the tone of the smooth muscles of the urinary tract.
The active substance of this drug is tolterodine, a competitive antagonist of muscarinic cholinergic receptors, which shows the greatest selectivity for bladder nerve endings. In addition, the 5-hydroxymethyl derivative of the main component also has a high specificity for muscarinic receptors and does not give a significant effect on other receptors. Due to treatment with tolterodine, the contractile activity of the detrusor decreases. The use of the drug in high doses can lead to an increase in the amount of residual urine and cause incomplete emptying of the bladder. According to reviews, the greatest effect of therapy is observed after 4 weeks from the start of admission.
This medicine should be taken orally, without regard to food intake. The daily dosage of the drug is 4 mg. The drug is produced in capsules of prolonged action and in tablets. Depending on tolerance, the daily dose may be reduced to 2 mg. This is confirmed by the instructions for use for Detruzitol.
According to reviews, the price of this drug is quite acceptable. True, buy your medicine nowimpossible, because it is temporarily out of production, so the cost of the drug is currently unknown. The pharmacy chain offers analogues of this remedy: "Urotol" and "Roliten". The first drug can be purchased for 520-670 rubles, the second - for 380-400 rubles.
Spasmex
This is a drug for urinary incontinence in women with an antispasmodic effect, which helps to weaken the tone of the smooth muscles of the bladder. The active component of this agent, trospium chloride, is an M-anticholinergic blocker, an ammonium base, a competitive antagonist of acetylcholine at the ends of postsynaptic smooth muscle membranes. It has an affinity for M1- and M3-cholinergic receptors, is able to reduce the high activity of the bladder detrusor. In addition, this medical product has a slight ganglioblocking and antispasmodic effect.
The instructions for use for Spasmex for urinary incontinence in women say that the medicine is taken orally 3 times a day, before meals, washed down with water. It is usually prescribed at 30–45 mg per day.
The average price of a drug (30 tablets per pack) depends on the dosage:
- 5 mg - RUB 360;
- 15 mg - RUB 440;
- 30 mg - RUB 680
Below, we will also consider instructions for use, price and reviews for the Urotol preparation.
Urotol medication
This medication belongs to the group of competitive blockers of M-cholinergic receptors. It reduces the tone of the smooth muscles of the urinary tract.
The active substance of this remedy is tolterodine. The drug improves urodynamics. The active substance is a muscarinic receptor blocker and acts specifically on the muscles of the bladder. Under the action of the drug, the average volume of urine decreases, urinary incontinence is eliminated and the frequency of the urge to urinate decreases. Reviews of "Urotol" indicate a good tolerance of this drug.
Instructions for admission
Urotol tablets are taken orally, 2 mg twice a day. Based on the tolerability of the drug, a single dosage may be reduced to 1 mg. At the same dose, the drug is prescribed for violations of renal and hepatic functions, as well as against the background of combined use with ketoconazole or other CYP3A4 inhibitors.
The approximate cost of the drug (56 pieces per pack) is 520-670 rubles.
Driptal
This is a drug for urinary incontinence in women, which has a direct antispasmodic, myotropic and M-anticholinergic effect, helps to relax the detrusor and reduces the frequency of its contractions, increasing the capacity of the bladder and curbing the urge to urinate.
The main substance of this drug is oxybutynin, a component that has an antispasmodic effect on smooth muscle structures and has anticholinergic properties, due to the ability to suppress the effect of acetylcholine on M-cholinergic receptors. Whenthe instability of the functioning of the bladder, the drug increases its volume and reduces the frequency of sudden contractions of the detrusor.
"Driptan" from urinary incontinence is often prescribed. It comes in tablet form and is taken orally. Adults are prescribed 1 tablet 2-3 times a day. In childhood and old age - 0.5 tablets with the same frequency of administration.
The price of the drug is approximately 650 rubles. for a pack of 30 tablets.
Pantogam
The drug "Pantogam" with urinary incontinence in women has an anticonvulsant and nootropic effect. The spectrum of activity that it exhibits is due to the presence of gamma-aminobutyric acid in its composition. The mechanism of influence on the body is due to the ability of this substance to have a direct effect on the GABA-receptor complex. The drug has a nootropic and anticonvulsant effect, increases the resistance of the brain to oxygen deficiency and the negative effects of toxic substances. In addition, this drug stimulates anabolic processes occurring in neurons, reduces motor excitability, enhances mental and physical performance, demonstrates a combination of a mild stimulating effect with a sedative effect, and is widely used for urinary incontinence. The drug normalizes GABA metabolism in chronic intoxication, inhibits pathologically high detrusor tone and bladder reflex.
How to take?
Medication "Pantogam" should be taken orally 15-30 minutes after eating,given its nootropic effects - in the daytime or in the morning. In the form of tablets, the drug is prescribed for adults and children after three years.
The instructions for this drug indicate that the average dose for adults is 1.5-3 grams per day.
The price of the drug (50 tablets per pack) is approximately 450 rubles.
Reviews
The reviews contain a lot of information about effective pills for urinary incontinence in women. Such funds are also suitable for men, however, this pathology is most often diagnosed in the fair sex, due to anatomical features.
Most of the good reviews left about the drug "Urotol". Patients note that this medicine quickly eliminates the above problem, does not contribute to the development of adverse reactions and is well tolerated.
Driptal is also a popular drug, which, according to patients, successfully fights urinary incontinence, increases the time interval between urination and does not have a negative effect on the body.
Regarding the other considered drugs, there are both positive and negative reviews, especially for the drug "Detruzitol". Many patients are outraged that today this remedy is not on the shelves of pharmacies, although in the past the drug was often prescribed to eliminate urinary incontinence and was considered quite effective.
