I am 56, soon 57 (send money, not cards) and ten months post RRP. For
months I was going through 4-5 pads per day, and then it slowed to 1-2 per
day. At the time I wondered about the possible relationship between the
Prozac that my family doctor put me on, at the wife's prompting (the dog is
also on doggie Prozac - don't ask) and the improvement in the incontinence.
I asked the internist, and he said there was no relationship there. Just
coincidence. I went on the Prozac in January this year, and the
incontinence noticeable improved in February.
Well, guess what? In my next visit to the urologist, in April, he told
me that in fact they prescribe a drug that is "in the family of drugs" that
Prozac is in for incontinence for RRP patients. Hmmm. They also keep
giving me prescriptions for thing like Ditropan, Oxytrol Patch, and most
recently Detrol LA. All of these, I think, are for bladder problems and
have not helped the incontinence that I can tell.
At one point in March I was down to one pad, and what I was throwing
away was soiled, but very light, so there was not much there. Almost home
free, or so I thought at the time. When I quit taking the Prozac, the world
did not change, things that sucked before still sucked, etc., sure enough
the leakage started to get worse. Now, I am still down to 1-2 pads a day,
so it is certainly not as bad as the first seven months, but I am throwing
away pads that are full.
Yesterday I started taking the Prozac again, actually the generic brand,
so I will report what happens. For those of you with persistent
incontinence post RRP, you may want to talk to your doctor about the
medication that is "in the family of drugs" as Prozac, to see if that helps
you. If I can find out what the actual name is I will report that here.
Good luck.
Thank you.
David S.
C. Paul Williams, MD - 06 Jun 2004 23:04 GMT
The generic name of Prozac if fluoxetine.
The genitourinary side effects are listed below:
Frequent: Painful menstruation, sexual dysfunction, urinary tract
infection, frequent micturition.
Infrequent: Abnormal ejaculation, impotence, menopause, amenorrhea,
menorrhagia, ovarian disorder, vaginitis, leukorrhea, fibrocystic
breast, breast pain, cystitis, dysuria, urinary urgency, urinary
incontinence.
Rare: Breast enlargement, galactorrhea, abortion, dyspareunia, uterine
spasm, vaginal hemorrhage, metrorrhagia, hematuria, albuminuria,
polyuria, pyuria, epididymitis, orchitis, pyelonephritis, salpingitis,
urethritis, kidney calculus, urethral pain, urolithiasis.
As you can see, the problems caused by Prozac include frequent
micturation (peeing a lot), and incontinence, rather than the other
way around. Prozac is a SSRI, or, selective serotonin reuptake
inhibitor.
Not sure if this helps or not....
CPW
ButtercupsDad@dog.net - 07 Jun 2004 12:28 GMT
Dr. Williams:
I guess "confused" is the word. Contradictions like this
shake the foundation of confidence in one's doctor. I see one of the
frequent side effects is sexual dysfunction, so being on the fluxetine
could be working against my recovery in that department too!
For whatever it is worth, I finally got a response on the
other drug, and it is "amitriptyline". The dose prescribed is 25 mg
once per day. They warned me that this one required a controlled
weaning if I go off the medication. Unlike the fluxetine I cannot
abruptly stop taking the drug.
At this point I guess I will do some more research before
taking either medication.
Thank you for the response.
David S.
>The generic name of Prozac if fluoxetine.
>The genitourinary side effects are listed below:
[quoted text clipped - 17 lines]
>Not sure if this helps or not....
>CPW