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  2. NICE recommends the following medications for overactive bladder:
    1. Solifenacin (5mg once daily, titrating up to 10mg daily after 4-6 weeks).
    2. Oxybutynin immediate release (IR) as an alternative first-line option if solifenacin is not effective or tolerated.
    3. Other drugs that relax the bladder include fesoterodine, mirabegron, and tolterodine12.
    Learn more:
    NICE recommends the most cost-effective agent is used- solifenacin 5mg once daily titrating up to 10mg daily after 4-6 weeks. Review patient for side effects. If the first medicine is not effective or tolerated, offer alternative first line oxybutynin immediate release (IR).
    www.derbyshiremedicinesmanagement.nhs.uk/ass…
    Medicines that relax the bladder can help relieve symptoms of overactive bladder and reduce episodes of urge incontinence. These drugs include: Fesoterodine (Toviaz). Mirabegron (Myrbetriq). Oxybutynin, which can be taken as a pill (Ditropan XL) or used as a skin patch (Oxytrol) or gel (Gelnique). Solifenacin (Vesicare). Tolterodine (Detrol).
    www.mayoclinic.org/diseases-conditions/overactiv…
     
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