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Medical Forum / Diseases and Disorders / Prostate BPH / January 2007

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Over active Bladder medications and the FAA (muscarinic receptor antagonists)

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Chockman - 19 Jan 2007 21:42 GMT
Having had TUMT and PVP over the last couple of years, I have been still
having some problems with urgency and frequency.  URO diagnosed "over
active bladder."  Earlier, I did not want to try medications to help the
disorder since they were not approved by the FAA and could jeopardize my
Third Class medical certificate.  A recent review of the AOPA  online
regarding FAA medications shows some changes pilots with bph and over
active bladder should be aware.  Detrol, Enablex, and Vesicare are
approved with these notes:  Detrol and Enablex require "status report
and no adverse side effects."  Vesicare has a "30 day wait after
starting drug with a detailed status report from the treating
physician."  I have been on Detrol LA  for about 2 weeks and find that
it does seem to lengthen the time period between urges and make the
frequency issues are less noticable.  Others with the disorder might
want to talk to their UROs and AMEs regarding a trial of one of these
medications.
newsgroups - 20 Jan 2007 23:11 GMT
hello overactive
i am overactive too and was prescibed vesicare
hmmm been on it 4 weeks not sure that the side effects are worth the redress
hugh
> Having had TUMT and PVP over the last couple of years, I have been still
> having some problems with urgency and frequency.  URO diagnosed "over
[quoted text clipped - 10 lines]
> noticable.  Others with the disorder might want to talk to their UROs and
> AMEs regarding a trial of one of these medications.
Chockman - 20 Jan 2007 23:21 GMT
Just curious Hugh...what side effects are you having?  The Detrol LA
seems to be working.  I haven't noticed any side effects after being on
it about 3 weeks...It appears to be helping the urgency and frequency
issues.

> hello overactive
> i am overactive too and was prescibed vesicare
[quoted text clipped - 15 lines]
>>noticable.  Others with the disorder might want to talk to their UROs and
>>AMEs regarding a trial of one of these medications.
stan - 21 Jan 2007 09:16 GMT
> Having had TUMT and PVP over the last couple of years, I have been still
> having some problems with urgency and frequency.  URO diagnosed "over
[quoted text clipped - 11 lines]
> want to talk to their UROs and AMEs regarding a trial of one of these
> medications.

Many urologists in the UK have found that prescribing a short course of
a low dose tricyclic antidepressant each night eg.Amitryptiline or
Imipramine, can effectively and permanently relieve the symptoms of an
overactive bladder with few side effects.
 
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