Anyone have experience with treatments for urge incontinence?

Posted by notmoff @notmoff, Oct 10, 2023

Does anyone have experience using Mirabegron for urinary urge incontinence? I'm considering it for a long-term issue, but only if it doesn't cause or worsen cognitive issues.

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Profile picture for kandypatel @kandypatel

I tried it and gave me headaches.
I am on a new drug Gemtesa
It is expensive
Just started about March 4
2026. No side effects takes 2-3 weeks to work supposedly. Very expensive too.
I am going less but I have
NMIBC.

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@kandypatel I’ve been on Gemtessa for about 2 years, one every other day. I still leak during the day and have an occasional gush when I stand up if I wait too long when I get an urge. I. wear Poise overnight pads during the day but nights are very little problem. Only get up about once during the night. Gemtessa is also expensive. Poise really sucks it up. 🥹. Sheila

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Profile picture for sheceegold @sheceegold

@kandypatel I’ve been on Gemtessa for about 2 years, one every other day. I still leak during the day and have an occasional gush when I stand up if I wait too long when I get an urge. I. wear Poise overnight pads during the day but nights are very little problem. Only get up about once during the night. Gemtessa is also expensive. Poise really sucks it up. 🥹. Sheila

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@sheceegold No side effects.

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Profile picture for sheceegold @sheceegold

@kandypatel I’ve been on Gemtessa for about 2 years, one every other day. I still leak during the day and have an occasional gush when I stand up if I wait too long when I get an urge. I. wear Poise overnight pads during the day but nights are very little problem. Only get up about once during the night. Gemtessa is also expensive. Poise really sucks it up. 🥹. Sheila

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Thanks

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I recently found the Mayo Clinic bladder friendly diet on their website. They have a list of foods which irritate the bladder causing frequent and urgent runs to the bathroom. I've been on the diet for two almost three months now. The diet has helped me tremendously. I only consume food which are bladder friendly. I didn't want to take a pill for my condition. The bladder friendly diet is working for me...Thanks to Mayo Clinic.

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Profile picture for gimma @gimma

I recently found the Mayo Clinic bladder friendly diet on their website. They have a list of foods which irritate the bladder causing frequent and urgent runs to the bathroom. I've been on the diet for two almost three months now. The diet has helped me tremendously. I only consume food which are bladder friendly. I didn't want to take a pill for my condition. The bladder friendly diet is working for me...Thanks to Mayo Clinic.

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@gimma
Thank you for this advise.
Could you share the Mayo diet please.
Barbara

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Hello. I hope this information will help. First of all my Urology specialist and my family physician know I'm on a bladder friendly diet. I get regular blood work by my physician and take Ester-C 500 mg daily.
When my Urology specialist suggested I take a medication for my OAB condition I immediately went to the Mayo Clinic website for more information. I found there is a link between food and bladder systems. With the Mayo Clinic list of foods which irritate the bladder I started eliminating the foods with acid.
All the foods I love are on the list however I've substitute with foods with no acid.
It's been almost three months since I started the OAB diet. I'm not wearing a thick pad day and night. I go shopping without looking for a public bathroom, and don't have dribbles soiling my clothes, and all the other aggravating things which go along with OAB.
You can google Mayo Clinic OAB diet plan to get the information.
This diet may not be for everyone, but its making my life much better and happier. 🌷

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Profile picture for queenie2030 @queenie2030

I was told oxybutin causes dementia or worsens it if you already have it. My urologist would not consider any drug except Myrbetric for that reason. It has helped my incontinence just not a complete control. Guess it makes a difference the cause of your incontinence.

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@queenie2030
This is 3 years too late. I’m currently taking Gemtessa. Oxybutenin caused severe cognitive issues. I was also told to avoid all caffeine (hard, but often I manage to avoid), and try to stick to mainly water for beverage. It’s worked great for over a year, but not I’m having occasional urge incontinence again. :(. The urologist had recommended pelvic nerve stimulation via the ankle, but then months later, the entire group closed their offices as all but one retired.

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I have been taking Trospium which I think can cause cognitive issues and I am noticing them. How do I know which of the meds I take is causing it? I had dementia testing and they said I was normal. I don’t feel normal compared to my mind a few years ago. I see my urologist in July I will ask her about Gemtessa. Thanks for sharing your experience. The ankle nerve stimulation sounds interesting….hope you find a good new doctor.

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Profile picture for queenie2030 @queenie2030

I have been taking Trospium which I think can cause cognitive issues and I am noticing them. How do I know which of the meds I take is causing it? I had dementia testing and they said I was normal. I don’t feel normal compared to my mind a few years ago. I see my urologist in July I will ask her about Gemtessa. Thanks for sharing your experience. The ankle nerve stimulation sounds interesting….hope you find a good new doctor.

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@queenie2030 Hi,I have been taking trospium for about 4 months and am all of a sudden,very constipated. Do you notice the same thing? I was on oxybutinin for about 25 years and switched because of the warning about dementia. Trospium is supposed to not cause any of that.
Good luck at your next appointment.

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I have not noticed constipation but I take other meds that may cause it. I take Miralaxx about once a week to avoid any problems in that regard. My Dr says Miralaxx is very safe to take as much as is needed when needed.

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