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Medical Forum / Diseases and Disorders / Prostate BPH / December 2006

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vesicare

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newsgroups - 19 Dec 2006 16:25 GMT
hello friends
I have been prescribed vesicare
I would be most grateful for your comments
reason blockage after 3 munce from green laser prostate
had catheter for a week had it out today
hugh
stan - 20 Dec 2006 08:36 GMT
> hello friends
> I have been prescribed vesicare
> I would be most grateful for your comments
> reason blockage after 3 munce from green laser prostate
> had catheter for a week had it out today
> hugh

A relatively new treatment for relief of the symptoms of over-active
bladder-with fewer side-effects than earlier anti-cholinergic drugs.i.e
drowsiness, dry mouth etc.
I would also be interested to know if it is effective against
irritative symptoms like urgency and night-time frequency (nocturia) .
Thanks for any info.
Mason C - 21 Dec 2006 06:29 GMT
>> hello friends
>> I have been prescribed vesicare
[quoted text clipped - 9 lines]
>irritative symptoms like urgency and night-time frequency (nocturia) .
>Thanks for any info.

My urologist gave me Detrol.  I gave it back to him along with a
bit of acid tongue.  ( I had an infection which was cured by my
dentist's antibiotic after a tooth extraction.)  

These drugs cure nothing.  They are only claimed to lengthen the
interval from 1.97 hours to 2.18 hours*.   Whoopy Doo.

Surely the purpose of this long-term "therapy" is $profit
from what amounts to a virtual addiction.   If you think it
works (or if it does) how do you stop?

Recommendation:  switch urologists.

            Mason C

* taken from one of their sheets
Larry - 21 Dec 2006 13:04 GMT
I've been on Vesicare for about 6 months. I probably have similar
results on it that I had on other drugs that my urologist has had me try
(Detrol, Flomax, Ditropan, etc.). With Vesicare, I sleep about 2 hours
before waking to go to the bathroom; without any medication, the time is
about 1 hour. I don't have any side effects from it.

I did notice that the first few days that I tried Vesicare after
stopping Ditropan, I seemed to go about 4 hours between bathroom trips.
Since that result only lasted for a few days, I assume that it was due
to both drugs being in my system. Recently, I asked my urologist about
it, and he said that you could be on both drugs at the same time, but
you wouldn't want to do it for a long time.

Vesicare is widely promoted; the manufacturer sends me a $25 coupon for
it almost every month. It isn't widely used in my area. My local
Walgreens pharmacy can't even fill a 30 day prescription, without me
coming back in a few days for the remainder of the prescription. They
tell me that I am the only one of their customers who is on Vesicare and
that their local warehouse doesn't stock it.

I am scheduled to have a PVP on Jan. 5. Hugh, I hope that I have better
results than you had.

Larry

>>>hello friends
>>>I have been prescribed vesicare
[quoted text clipped - 26 lines]
>
> * taken from one of their sheets
Chockman - 21 Dec 2006 19:42 GMT
After my PVP and less than spectacular results as far as the night
visits to the bathroom, my URO put me on a trial of Detrol LA for
"overactive bladder."  I tried it for a month without any significant
change.  He wanted me to try Vesicare and another one called Enablex.
After doing some research, I found all these meds to be anticholinergic
types of meds which are unacceptable to the FAA for people with pilot
privileges.    So I am back to no meds with a bathroom frequency at
night every 3-5 hrs.  That is acceptable to me.

> hello friends
> I have been prescribed vesicare
> I would be most grateful for your comments
> reason blockage after 3 munce from green laser prostate
> had catheter for a week had it out today
> hugh
Unknown@InvalidISP.gov - 21 Dec 2006 21:45 GMT
>After my PVP and less than spectacular results as far as the night
>visits to the bathroom, my URO put me on a trial of Detrol LA for
[quoted text clipped - 4 lines]
>privileges.    So I am back to no meds with a bathroom frequency at
>night every 3-5 hrs.  That is acceptable to me.

I'm not sure that it makes any difference to the FAA but the drugs you
mention above are anti-muscarinics not anti-cholinergics. There are
anti-cholinergics such as imipramine which have a similar effect but a
different mechanism of action and a different side effect profile.

Persons contemplating using anti-muscarinics should read up on the
latest studies comparing them. All except Enablex are associated with
some cognitive dysfunction, i.e., they turn you stupid. Urologists
should of course know this but they probably just get their
information from the medical visitor who's not likely to mention the
detrimental qualities, except the Enablex rep.

Personally Enablex works almost too well. It practically eliminates
the urge to pee altogether. If it doesn't do anything for you, you
could try increasing the dose.
Chockman - 21 Dec 2006 23:48 GMT
According to my "The Essential Guide to Prescription Drugs 2006" Page
1075, Detrol LA  "Acts as an anticholinergic agent (competitive
muscarinic receptor antagonist) with some selective action on the
bladder. This effect increases volume of residual urine and decreases
maximum detrusor pressure.  This makes it more difficult to urinate,
easing overactive bladder symptoms and helping urge incontinence."
Technically you are right, but notice that it does have
"anticholinergic" effects some of whom include blurred vision and
dizziness,  etc.  The use of this drug "may be a disqualification for
piloting."

>>After my PVP and less than spectacular results as far as the night
>>visits to the bathroom, my URO put me on a trial of Detrol LA for
[quoted text clipped - 20 lines]
> the urge to pee altogether. If it doesn't do anything for you, you
> could try increasing the dose.
 
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