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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Overactive Bladder

My mother, who was 87 years old during later part of the year 2009, was adviced to take Soliten tablets by a well known Urologist DR Anand. She had the problem of overactive bladder, due to which she had to frequently pass urine. initially, the tablet was prescribed for 1 month (5mg one time a day) and later she continued taking the tablet for almost an year. then it was stopped. Does it have any side effects, as the tablet was taken for a longer period? if so, what are the side effects?
Fri, 29 Apr 2016
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General & Family Physician,  's  Response
Hello dear
Understand your concern.
Your history reveals you are suffering from overactive bladder.
Soliten contain solifenacin which is competitive anticholinergic receptor M3 blocker.
It reduce the smooth muscle tone of bladder and hold large amount of urine in bladder.
Following are the common side effects occur on long time use.
But it varies from person to person.
Dry mouth/eye
Constipation
Blurred vision
Decreased sweating
fatigue/malaise

All this side effects due to anticholinergic effects.
You can also take other advice to diagnose the exact problem
1. Urine analysis
2. Blood sugars
3. Blood urea, creatinine
4. Clinical examination and measurement of blood pressor and heart rate
5. Cystoscopy
6. Cystogram
7. CBC, ESR

Following are the other advice
1. Bladder training exercise
2. Double voiding
3. Scheduled toilet every 3-4 hours
4. Reduce fluid intake and take more solid fluid
5. Avoid alcohol and caffeine
6. Pelvic floor exercise to strengthening

C. Medical device
You can put urethral insert if not response to drugs and behavior technique.

D. Last option is surgery is problem is severe
1. Bladder neck obstruction
2. Artificial urinary sphincter

Hope this may help you.

Best regards
Dr. sagar




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Suggest Treatment For Overactive Bladder

Hello dear Understand your concern. Your history reveals you are suffering from overactive bladder. Soliten contain solifenacin which is competitive anticholinergic receptor M3 blocker. It reduce the smooth muscle tone of bladder and hold large amount of urine in bladder. Following are the common side effects occur on long time use. But it varies from person to person. Dry mouth/eye Constipation Blurred vision Decreased sweating fatigue/malaise All this side effects due to anticholinergic effects. You can also take other advice to diagnose the exact problem 1. Urine analysis 2. Blood sugars 3. Blood urea, creatinine 4. Clinical examination and measurement of blood pressor and heart rate 5. Cystoscopy 6. Cystogram 7. CBC, ESR Following are the other advice 1. Bladder training exercise 2. Double voiding 3. Scheduled toilet every 3-4 hours 4. Reduce fluid intake and take more solid fluid 5. Avoid alcohol and caffeine 6. Pelvic floor exercise to strengthening C. Medical device You can put urethral insert if not response to drugs and behavior technique. D. Last option is surgery is problem is severe 1. Bladder neck obstruction 2. Artificial urinary sphincter Hope this may help you. Best regards Dr. sagar