Overactive Bladder

TABLE OF CONTENTS

Overactive Bladder

Treatments

Non-drug

Prescription Drugs

Over-the-counter Drugs

What Leading Medical Organizations Recommend When Treating Overactive Bladder

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. 

SOURCE

American Urologic Association/Society of Urodynamics, Female Pelvic Medicine & Urogenital ReconstructionDiagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU Guideline. Published May 2014.