A class of drugs called antimuscarinics (which include trospium, darifenacin, and oxybutynin, available for women as an over-the-counter patch) can help relax an overactive bladder. But the drugs have been linked to serious side effects, including dementia, and they’re no longer a wise first choice for treatment.
“The older you are, the higher the risk of experiencing central nervous system side effects that can be as severe as hallucinations,” Manakas says. Another class of drugs, beta-3 agonists (such as mirabegron), can have similar results without those risks. Depending on the cause of bladder leaks, some medical procedures may help with severe cases.
A mesh bladder sling can help support your urethra, and Botox injections or bulking agents can help reduce leaks, too. But as with drugs, procedures can cause significant side effects. Your doctor can help you weigh the pros and cons.
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