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Anticholinergics and antispasmodics for urinary incontinence in men

Examples

Generic Name Brand Name
darifenacin hydrobromide Enablex
oxybutynin chloride Ditropan, Ditropan XL, Oxytrol
solifenacin succinate Vesicare
tolterodine tartrate Detrol, Unidet
trospium chloride Sanctura

How It Works

These medicines calm the nerves that control bladder muscles. They may prevent uncontrollable bladder contractions that force urine out of the bladder.

Why It Is Used

Antispasmodics and anticholinergics are used to control the symptoms of urge incontinence. These medicines may also be used to treat stress incontinence, especially if you have both stress and urge incontinence.

How Well It Works

Many people taking these medicines have fewer problems with urinary incontinence.1

Side Effects

Side effects vary with some of these medicines and include:

  • Dry mouth.
  • Headache.
  • Decreased sweating, skin rash.
  • Nausea, constipation.
  • Eye problems.
  • Rapid heartbeat.
  • Skin rash.
  • Drowsiness, confusion.
  • Nervousness.
  • Urinary retention.

See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)

What To Think About

Some of these medicines may cause you to sweat less. In hot weather, this could lead to heat exhaustion. Ask your health professional whether you should be careful about being physically active in hot conditions.

Complete the new medication information form (PDF)(What is a PDF document?) to help you understand this medication.

Citations

  1. Payne CK (2002). Urinary incontinence: Nonsurgical management. In PC Walsh et al., eds., Campbell's Urology, 8th ed., vol. 2, pp. 1069–1091. Philadelphia: W.B. Saunders.

WebMD Medical Reference from Healthwise

Last Updated: August 10, 2006
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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