WHAT TO TRY FIRST
The American Urologic Association recommends the treatment for people who are bothered by their overactive bladder symptoms. They recommend behavioral treatments as the first-choice approach: bladder training, bladder control strategies, pelvic floor muscle training and strategies for timing of drinking fluids.
WHAT ELSE TO TRY
The American Urologic Association recommends anti-muscarinic drugs (such as oxybutynin), oxybutynin skin patch or gel (now available over-the-counter to women 18 and older) or beta3-adrenoreceptor agonists pills (mirabegron) as second-line treatment.
If a drug comes in an immediate and extended release form, they recommend the extended release (ER) form because it causes less dry mouth.
People on anti-muscarinic drugs also need to watch out for constipation.
American Urologic Association/Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU Guideline. Published May 2014.