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Re: Drugs for incontinence - I've read the post but am confused....

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My experience with Detrol and my husband was not good.

It blocked him entirely from urinating and the urologist had to catheterize

him

to drain the urine out. It pooled up in his bladder. This is when he had

frequent urinating. 

Flomax worked for him when he had trouble urinating frequently enough.

He went from urinating constantly to nearly any.

________________________________

To: LBDcaregivers

Sent: Tue, December 21, 2010 11:27:08 AM

Subject: Drugs for incontinence - I've read the post but am

confused....

 

Which ones are the ones that are less harmful to LBD patients?

The drugs listed *between* the ----- lines are drugs for bladder or

bowel control that work by blocking the message of acetylcholine, aka

anticholinergics. I have provided the generic name and the US

marketing name. I have attempted to make this list as complete as

possible, but may be missing something.

Between the +++++ lines, are a list of drugs that are not

anticholinergic; I'm not saying they're safe and useful, but they

don't work on a pathway that is known to affect DLB.

So, here we go. . .

- - - - - - -

Anticholinergic Bladder & Bowel Drugs

Darifenacin - Enablex

Dicyclomine - Bentyl

Flavoxate - Urispas

Hyoscyamine - Levbid, Levsinex, NuLev

Oxybutynin - Ditropan, Ditropan XL, Oxytrol

Solifenacin - Vesicare

Tolterodine - Detrol, Detrol LA

Trospium - Sanctura

- - - - - - -

+ + + + + + +

Drugs Used In Bladder Conditions Not Believed To Be Anticholinergic:

Alfuzosin - Uroxatral

Desmopressin - DDAVP, Stimate

Doxazosin - Cardura

Dutasteride - Avodart

Finasteride - Proscar

Tamsulosin - Flomax

Terazosin - Hytrin

+ + + + + + +

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ditropan and dirivities.

 

i hated ditropan, it dried me out, my mouth, my sinuses, everywhere there was

normal mucus fluid, dried me out that my nose would bleed if i accidnetly hit it

like putting on a hat or somthing ,  it was awful.  also drying out 'down

there' caused me to have tenderness.  teh ability to control my urine flow was

not worth the side efferects that i felt,  at taht tiem i was 28 adn didnt have

lbd so i dont know what it owuld do to me know as well.  

 

hugs. sharon m

Subject: Drugs for incontinence - I've read the post but am

confused....

To: LBDcaregivers

Date: Tuesday, December 21, 2010, 1:27 PM

 

Which ones are the ones that are less harmful to LBD patients?

The drugs listed *between* the ----- lines are drugs for bladder or

bowel control that work by blocking the message of acetylcholine, aka

anticholinergics. I have provided the generic name and the US

marketing name. I have attempted to make this list as complete as

possible, but may be missing something.

Between the +++++ lines, are a list of drugs that are not

anticholinergic; I'm not saying they're safe and useful, but they

don't work on a pathway that is known to affect DLB.

So, here we go. . .

- - - - - - -

Anticholinergic Bladder & Bowel Drugs

Darifenacin - Enablex

Dicyclomine - Bentyl

Flavoxate - Urispas

Hyoscyamine - Levbid, Levsinex, NuLev

Oxybutynin - Ditropan, Ditropan XL, Oxytrol

Solifenacin - Vesicare

Tolterodine - Detrol, Detrol LA

Trospium - Sanctura

- - - - - - -

+ + + + + + +

Drugs Used In Bladder Conditions Not Believed To Be Anticholinergic:

Alfuzosin - Uroxatral

Desmopressin - DDAVP, Stimate

Doxazosin - Cardura

Dutasteride - Avodart

Finasteride - Proscar

Tamsulosin - Flomax

Terazosin - Hytrin

+ + + + + + +

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see below

Subject: Re: Drugs for incontinence - I've read the post but am confused....

To: LBDcaregivers-owner

Date: Tuesday, December 21, 2010, 6:39 PM

Hi Jane,

I'm unclear if you are asking the question -- Which ones are the ones that are

less harmful to LBD patients? -- or if you are just presenting the question and

answer.

In case you are asking the question....any anticholinergic drug is to be avoided

in those with dementia.  There's already a shortage of choline in LBD; why make

it worse by taking a drug fighting against the choline?

Of the non-anticholinergic drugs you listed, I've heard the most about

Desmopressin.  It's sometimes used to deal with nocturnal polyuria.  I think in

the UK it comes in an inhaler form; there may be a risk of dehydration.

Some of the other non-anticholinergic drugs you listed may only be for men.

And, Terazosin can have a side effect of lowering one's BP, which is not good in

those LBDers do have orthostatic hypotension (low BP on standing).

Did you get these lists online, or create them yourself?

Robin

>

> Which ones are the ones that are less harmful to LBD patients?

>

> The drugs listed *between* the ----- lines are drugs for bladder or

> bowel control that work by blocking the message of acetylcholine, aka

> anticholinergics. I have provided the generic name and the US

> marketing name. I have attempted to make this list as complete as

> possible, but may be missing something.

>

> Between the +++++ lines, are a list of drugs that are not

> anticholinergic; I'm not saying they're safe and useful, but they

> don't work on a pathway that is known to affect DLB.

>

> So, here we go. . .

>

> - - - - - - -

> Anticholinergic Bladder & Bowel Drugs

>

> Darifenacin - Enablex

> Dicyclomine - Bentyl

> Flavoxate - Urispas

> Hyoscyamine - Levbid, Levsinex, NuLev

> Oxybutynin - Ditropan, Ditropan XL, Oxytrol

> Solifenacin - Vesicare

> Tolterodine - Detrol, Detrol LA

> Trospium - Sanctura

>

> - - - - - - -

>

> + + + + + + +

> Drugs Used In Bladder Conditions Not Believed To Be Anticholinergic:

>

> Alfuzosin - Uroxatral

> Desmopressin - DDAVP, Stimate

> Doxazosin - Cardura

> Dutasteride - Avodart

> Finasteride - Proscar

> Tamsulosin - Flomax

> Terazosin - Hytrin

> + + + + + + +

>

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the second list of meds ... these meds are less harmful ...

> + + + + + + +

> Drugs Used In Bladder Conditions Not Believed To Be Anticholinergic:

>

> Alfuzosin - Uroxatral

> Desmopressin - DDAVP, Stimate

> Doxazosin - Cardura

> Dutasteride - Avodart

> Finasteride - Proscar

> Tamsulosin - Flomax

> Terazosin - Hytrin

> + + + + + + +

>

>

> Which ones are the ones that are less harmful to LBD patients?

>

> The drugs listed *between* the ----- lines are drugs for bladder or

> bowel control that work by blocking the message of acetylcholine, aka

> anticholinergics. I have provided the generic name and the US

> marketing name. I have attempted to make this list as complete as

> possible, but may be missing something.

>

> Between the +++++ lines, are a list of drugs that are not

> anticholinergic; I'm not saying they're safe and useful, but they

> don't work on a pathway that is known to affect DLB.

>

> So, here we go. . .

>

> - - - - - - -

> Anticholinergic Bladder & Bowel Drugs

>

> Darifenacin - Enablex

> Dicyclomine - Bentyl

> Flavoxate - Urispas

> Hyoscyamine - Levbid, Levsinex, NuLev

> Oxybutynin - Ditropan, Ditropan XL, Oxytrol

> Solifenacin - Vesicare

> Tolterodine - Detrol, Detrol LA

> Trospium - Sanctura

>

> - - - - - - -

>

> + + + + + + +

> Drugs Used In Bladder Conditions Not Believed To Be Anticholinergic:

>

> Alfuzosin - Uroxatral

> Desmopressin - DDAVP, Stimate

> Doxazosin - Cardura

> Dutasteride - Avodart

> Finasteride - Proscar

> Tamsulosin - Flomax

> Terazosin - Hytrin

> + + + + + + +

>

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Jane,

I realized that SEA, who wrote the two lists*, left one pharmacological

treatment off the +++ (good) list: botox. Some urologists in the US are using

botox injections to treat overactive bladder.

Robin

* the list is also here:

http://community.lbda.org/forum/viewtopic.php?f=4 & t=382 & p=23104

>

>

>

>

> Subject: Re: Drugs for incontinence - I've read the post but am confused....

> To: LBDcaregivers-owner

> Date: Tuesday, December 21, 2010, 6:39 PM

>

>

> Hi Jane,

>

> I'm unclear if you are asking the question -- Which ones are the ones that are

less harmful to LBD patients? -- or if you are just presenting the question and

answer.

>

> In case you are asking the question....any anticholinergic drug is to be

avoided in those with dementia.  There's already a shortage of choline in LBD;

why make it worse by taking a drug fighting against the choline?

>

> Of the non-anticholinergic drugs you listed, I've heard the most about

Desmopressin.  It's sometimes used to deal with nocturnal polyuria.  I think in

the UK it comes in an inhaler form; there may be a risk of dehydration.

>

> Some of the other non-anticholinergic drugs you listed may only be for men.

>

> And, Terazosin can have a side effect of lowering one's BP, which is not good

in those LBDers do have orthostatic hypotension (low BP on standing).

>

> Did you get these lists online, or create them yourself?

>

> Robin

>

>

>

>

> >....

> + + + + + + +

> > Drugs Used In Bladder Conditions Not Believed To Be Anticholinergic:

> >

> > Alfuzosin - Uroxatral

> > Desmopressin - DDAVP, Stimate

> > Doxazosin - Cardura

> > Dutasteride - Avodart

> > Finasteride - Proscar

> > Tamsulosin - Flomax

> > Terazosin - Hytrin

> > + + + + + + +

> >

>

> =

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