Pelvic Floor Rehabilitation of the Elderly


Indication/action

Drug name

Dosage

Side effects & precautions

Level of evidencea

Grade of recommendationa

OAB/UUI/MUI

To modulate/reduce and/or suppress bladder overactivity and prevent UI

Oxybutynin IR

2.5–5 mg tds

Dry mouth, blurred vision, nausea constipation, tachycardia

1

A

Oxybutynin ER

5–30 mg od

1

A

Oxybutynin TDS

3.9 mg od

1

A

Oxybutynin IV

5 mg od/tds

1

A

Propantheline

15–30 mg tds/qds

2

B

Tolterodine

2 mg bd

1

A

Tolterodine ER

4 mg

1

A

Trospium

20 mg bd/tds

1

A

Solifenacin

5–10 mg od

1

A

Darifenacin

7.5–15 mg od

1

A

Imipramine

10–25 mg bd/tds

Tachycardia

Hypotension

3

C

Mirabegron

25–50 mg od

1

A

OAB (nocturia)

Desmopressin

0.1–0.2 mg od
 
1

A

Desmopressin IN

20 μg od
 
1

A

Bladder outflow overactivity

To decrease bladder outflow resistance

Phenoxybenzamine

10–20 mg od

Orthostatic hypotension, dizziness, fatigue, nasal congestion, retrograde ejaculation

2a

B

Prazosin

1 mg od/bd

2a

B

Doxazosin

1–2 mg od/bd

2a

B

Alfuzosin ER

10 mg od
  
Terazosin

5–10 mg od

Tamsulosin

0.4 mg od

Mar 29, 2020 | Posted by in GERIATRICS | Comments Off on Pelvic Floor Rehabilitation of the Elderly

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