Some Oral Medications Used for Urinary Incontinence in Children*

Some Oral Medications Used for Urinary Incontinence in Children*

Medication

Some Adverse Effects

Voiding dysfunction in daytime incontinence (bladder overactivity)

OxybutyninOxybutynin

Confusion, dizziness, increased temperature, flushing, constipation, dry mouth

Tolterodine Tolterodine

Constipation, flushing, dry mouth

SolifenacinSolifenacin

Constipation, dry mouth, gastrointestinal effects, blurred vision

DarifenacinDarifenacin

Constipation, dry mouth, gastrointestinal effects, blurred vision

MirabegronMirabegron

Headache, gastrointestinal effects, nasopharyngitis, hypertension

Enuresis

Desmopressin (DDAVP, Desmopressin (DDAVP,arginine vasopressin)

Intranasal DDAVP is not recommended because of the risk of dilutional hyponatremia.

ImipramineImipramine

Possible nervousness, personality change, disordered sleep, cardiac arrhythmias†

Should be used only for therapy-resistant cases given risk–benefit profile

Rarely, death‡

* These medications are mostly used as second-line therapy. Treatment of the underlying disorder and behavioral therapy should be used first.

† ECG should be done to identify prolongation of the QT interval and/or the corrected QT (QTc) interval, which contraindicate use of imipramine.

‡ Sudden death of unclear etiology has been reported. This medication is now rarely used.

* These medications are mostly used as second-line therapy. Treatment of the underlying disorder and behavioral therapy should be used first.

† ECG should be done to identify prolongation of the QT interval and/or the corrected QT (QTc) interval, which contraindicate use of imipramine.

‡ Sudden death of unclear etiology has been reported. This medication is now rarely used.