Kegel8 Glossary - Medical terms without the jargon
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Anticholinergic medicines block nerves that control bladder muscle contractions and allow for the relaxation of the smooth muscle of the bladder, this type of medicine is also used to treat depression and nerve disorders.


Anticholinergic Drugs for Incontinence

Anticholinergics can be used to treat urge incontinence and over-active bladder. Theys are not often prescribed to older people because they are more sensitive to the effects and these medicines have been known to cause confusion, worsening of mental function and memory loss. The drug designed to treat over-active bladder called oxybutynin was cited in a NY Times article as one of the anticholinergic medicines with the most side effects.

Dr. Chris Fox, senior lecturer at Norwich Medical School at the University of East Anglia in England cautions people with an over-active bladder. He suggested, “try scheduled toileting or bladder exercises (Kegel exercises) before jumping to medicine”.

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Anticholinergic Effects

Pelvic Floor Therapist and author Mary O'Dwyer says 'The first line of treatment for urge incontinence is often medication, however many women cease taking these drugs within the first year, resulting in ineffective treatment. Investigators have found high discontinuation rates of anticholinergic therapy for urge incontinence or other lower urinary tract symptoms among women. The reasons are not given but may include side effects or perceived lack of effectiveness in treating their problem. They advise that health care providers "must be vigilant" in offering alternative forms of treatment, such as bladder training and pelvic floor rehabilitation.'

Can Kegel8 Help?

Yes! If you are unable to continue taking the medication - or don't want to take it in the first instance, a 12 week course of Kegel8 Pelvic Floor Exercises will make a big improvement. Please remember that the deterioration to your pelvic floor has taken many years, and getting control back again won't come overnight. Twelve weeks will see a great improvement and there are lots of other things you can do to help your over-active bladder and 'laughter' leaks.

By using Your Kegel8 Ultra 20 and treating your overactive bladder with Tibial Nerve Stimulation you don't even have to use a vaginal probe. By using electrode pads attached to the skin near your ankles, the nerves can be stimulated that will induce relaxation of your bladder - calming and naturally supressing the urges that can make your life a misery.

Types of Anticholinergic Medicines

Also known as antimuscarinic medicines the brand names currently available on prescription in the UK are:.

* 'Ditropan' (Oxybutynin Chloride).

* Darifenacin (Emselex)

* Flavoxate (Urispas)

* Oxybutynin (Cystrin, Ditropan, Kentera patches, Lyrinel XL)

* Propiverine (Detrunorm)

* Propantheline (Pro-Banthine)

* Solifenacin (Vesicare)

* Tolterodine (Detrusitol, Detrusitol XL)

* Trospium (Regurin).

These medications must be prescribed by a doctor. Side effects can include dry mouth, nausea and dizziness and they treat the symptoms rather than the causes of incontinence. This means that they do not solve the underlying problem of a weak pelvic floor. We should all perform regular pelvic floor exercise and daily kegels to keep our pelvic floor strong and to prevent prolapse and bladder problems. Other techniques to treat incontinence naturally include urine suppression techniques and scheduled voiding.

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