Guest guest Posted December 21, 2010 Report Share Posted December 21, 2010 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 + + + + + + + Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2010 Report Share Posted December 21, 2010 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 + + + + + + + Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2010 Report Share Posted December 22, 2010 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 > + + + + + + + > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2010 Report Share Posted December 22, 2010 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 > + + + + + + + > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2010 Report Share Posted December 22, 2010 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 > > + + + + + + + > > > > = Quote Link to comment Share on other sites More sharing options...
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