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Zeitschrift für Gerontologie und Geriatrie

, Volume 45, Issue 6, pp 464–467 | Cite as

Polypharmacy and incontinence

  • H. TalaszEmail author
  • M. Lechleitner
Beiträge zum Themenschwerpunkt

Abstract

Polypharmacy as well as urinary incontinence are common geriatric problems. Possible adverse drug effects remain a matter of concern in geriatric medicine and must be considered in urinary incontinence. The occurrence or aggravation of lower urinary tract symptoms might be caused by medication, especially when the symptom is newly diagnosed. On the other hand geriatric patients are at an increased risk for adverse effects of medications, commonly used for treatment of urinary incontinence. Especially antimuscarinic drugs reveal several complex anticholinergic adverse effects. Therefore, knowledge of inappropriate medication and of possible adverse drug effects is important in the diagnostic evaluation and therapeutic considerations to prevent a cascade of symptom-related medications.

Keywords

Adverse effects Anticholinergics Geriatrics Incontinence Polyuria 

Polypharmazie und Inkontinenz

Zusammenfassung

Polypharmazie wie auch Inkontinenzleiden stellen häufige geriatrische Probleme dar. Nicht selten können sich beide Konditionen gegenseitig beeinflussen und verstärken. Harninkontinenz kann in manchen Fällen ein Hinweis für eine Medikamentennebenwirkung sein. Andererseits können Medikamente, in erster Linie Anticholinergika, die in der Therapie von Inkontinenzleiden eingesetzt werden, bei geriatrischen Patienten schwere unerwünschte Medikamentennebenwirkungen und -interaktionen verursachen. Grund dafür sind veränderte pharmakokinetische und pharmakodynamische Eigenschaften. Daher muss bei diesen Patienten sowohl bei der Evaluierung als auch in der Therapie von Inkontinenzsymptomen ein besonderes Augenmerk auf mögliche Medikamentennebenwirkungen und -interaktionen gelegt werden.

Schlüsselwörter

Nebenwirkungen Anticholinergika Geriatrie Inkontinenz Polyurie 

Notes

Conflict of interest

On behalf of all authors, the corresponding author states that there are no conflicts of interest.

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  1. 1.Department of Internal and Geriatric MedicineHochzirl HospitalZirlAustria

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