Overactive Bladder in the Elderly
Clinical Overview
Reversible Incontinence
| Disease Conditions | Medications | Selected References |
|---|
Medications
Several medications, diseases, or other conditions can impact continence status and lead to incontinent episodes. These factors are considered to be reversible incontinence because removing or abating the factor often restores continence. General categories of medications that may contribute to incontinence include:
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Table 1 lists specific medications that can contribute to UI and the rationale for the mechanism by which they cause UI. Dietary and social habits may cause bladder irritation due to ingestion of caffeinated, carbonated, or alcoholic beverages, resulting in UI.
Table 1: Medications that may contribute to UI (rationale based on type of UI)
Medication |
Rationale |
|---|---|
Diuretics, especially rapid-acting |
Increase frequency, urgency |
Anticholinergics, narcotics, Calcium channel blockers, Alpha-adrenergic agonists |
Urinary retention; depress detrusor activity |
Psychotropic drugs |
Sedation, immobility, unsteady gait |
Beta-blockers |
Increase detrusor activity |
Alpha-blockers |
Decrease urethral resistance |
Alpha-adrenergic agonists |
Increase urethral resistance |
Cholinesterase inhibitors |
Theoretically increase detrusor overactivity by increasing acetylcholine |