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Bed Wetting - Everything you need to know about bedwetting & how to approach it.
Wetting the Bed - Incontinence Bed Pads from 15p. Wash & disposable. Trade & Public.While there is no known drug to stop Bed Wetting completely, there are some available to help in taking the first steps towards recovery. There are three types of drugs commonly prescribed to assist in alleviating the symptoms of bed wetting – desmopressin acetate, imipramine and anticholinergics.
Desmopressin acetate (DDAVP) is the most commonly prescribed drug to help children stop bed wetting. Basically, DDAVP is a synthetic copy of the hormone that controls the body’s production of urine. Taken in either a nasal spray or tablet form, (with the tablet being more effective), this drug is ideal for older children.
Side effects of DDAVP include nasal discomfort, nosebleeds, headaches or stomach pains. There is also a risk of water intoxication leading to seizures, so water intake should be limited during the evening where the drug is to be used.
Imipramine is used to help children older than 6 or 7, and although it is not known exactly how the drug (which is an antidepressant) works, its success rate of complete dryness has been reported by the National Kidney Institute in 10-50% of users.
The drug is thought to work by either: changing the child’s sleep pattern; alter the time a child can hold urine in their bladder; or cutting down the amount of urine the child produces. Children prescribed this drug need to be closely monitored by their GP, with side effects including insomnia, appetite reduction, drowsiness, irritability and personality changes.
Anticholinergic drugs are useful for people that also have daytime wetting problems. These work by reducing bladder contractions and increasing its capacity. While this type of drug usually only works in day time wetters, mixing with DDAVP (in cases where DDAVP has previously been unsuccessful) has been known to work in some instances. Side effects of anticholinergic drugs include flushing of the face and a dry mouth.
For people over the age of 12, the newest anticholinergic on the market, tolterodine (Detrol) is said to be highly effective with few side effects.
All the drugs designed for Bed Wetting use are only available on prescription from your doctor, and use should be closely monitored by the physician. Discuss with them the extent of the problem, and they will be able to put in a plan of attack for you – whether it be the use of drugs alone, or in combination with other techniques.
The use of drugs to help stop Bed Wetting should be a last resort effort, as it is only known to temporarily ease symptoms rather than cure the problem itself.
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