Document Detail


Update on the pharmacologic management of overactive bladder: the present and the future.
MedLine Citation:
PMID:  20359143     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Overactive bladder (OAB) is a common condition, affecting approximately 17% of females and males 40 years of age and older. Historically, oxybutynin was the only medication approved for use in the management of OAB. Over the past decade, several new antimuscarinics have been approved for the treatment of OAB. Although all are deemed to be effective in improving the bothersome symptoms of OAB, they differ in their molecular properties, metabolism, and tolerability/side effect profile. A greater understanding of the pathophysiology of OAB has led to approved and investigative therapies to treat refractory OAB, such as neuromodulation and intravesical injection of Botulinum toxin, respectively. A variety of pharmacologic agents are in clinical trials for OAB that target different components of bladder function, such as the urothelium, the afferent sensory nerve pathways, and the central nervous system. It is the intent of this article to highlight these aspects of OAB management.
Authors:
Pamela Ellsworth; Eileen Kirshenbaum
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Urologic nursing     Volume:  30     ISSN:  1053-816X     ISO Abbreviation:  Urol Nurs     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-04-02     Completed Date:  2010-05-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8812256     Medline TA:  Urol Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  29-38, 53     Citation Subset:  N    
Affiliation:
The Warren Alpert Medical School, Brown University Providence, RI, USA.
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MeSH Terms
Descriptor/Qualifier:
Behavior Therapy
Causality
Cost of Illness
Drug Approval
Female
Forecasting
Humans
Male
Medication Adherence
Muscarinic Antagonists / adverse effects,  metabolism,  pharmacology,  therapeutic use
Prevalence
Quality of Life
United States / epidemiology
Urinary Bladder, Overactive / diagnosis,  drug therapy*,  epidemiology
World Health
Chemical
Reg. No./Substance:
0/Muscarinic Antagonists

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