What Are the Best Medications to Treat Urinary Incontinence In the Elderly?

Edited by Marlee Septak, Copywriter at Aeroflow Urology.

Along with the many other physical changes that occur with age, many of us will most likely experience a loss of bladder control as we grow older.

Referred to as urinary incontinence, this condition affects a countless number of elderly individuals nationwide. It presents unique challenges and discomforts for caregivers and seniors alike, but it doesn’t have to affect quality of life.

Medical science has made strides in developing medications to address the symptoms of urinary incontinence, and in this article, we’ll tell you which drugs will work best to help your loved one manage and lessen symptoms.

Many older adults avoid social activities because of their UI symptoms. Medications can help get your loved one back out to the activities they enjoy, creating a more supportive mental health environment. When lifestyle changes (see below) are still not improving urinary symptoms by at least 50%, or if your loved one’s quality of life is diminished, consider using medications as a treatment for UI.

It’s important to remember that each person will react differently to each drug, so speak with your loved one’s healthcare provider before trying new treatments.

Anticholinergic drugs block the signals that trigger bladder contractions (associated with urge incontinence or OAB). Types of anticholinergics that may work for UI include:

Caution should be advised for those with dementia, Parkinson’s disease, constipation, ulcerative colitis, glaucoma, alcohol use, and GERD.

Beta-adrenergics work by promoting relaxation of the detrusor muscle (bladder muscle). These types of medications may be more tolerated in elderly patients. It is also recommended that seniors taking beta-adrenergics monitor their blood pressure due to increased blood pressure. Types of beta-adrenergics include:

Uncontrolled hypertension and renal impairment are contraindications.

Note: All urge incontinence / OAB medications are not recommended if someone has a bladder outlet obstruction or urinary retention.

Gemtesa is the newest medication on the market and has been known to have a lower side effect profile, especially for older adults. 

4. Limit foods and beverages that cause bladder irritation (citrus, spicy, caffeine, etc).

5. Don’t smoke tobacco.

6. Practice timed voiding or bladder training.

7. Decrease fluids 2 hours before bedtime.

8. Try pelvic floor physical therapy or pelvic floor muscle exercises (Kegel exercises).

Disclaimer

Information provided on the Aeroflow Urology website is not intended as a substitute to medical advice or care from a healthcare professional. Aeroflow recommends consulting your healthcare provider if you are experiencing medical issues relating to incontinence.