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Pharmacotherapy for Interstitial Cystitis/Bladder Pain Syndrome

  • Alyssa Greiman
  • Lindsey CoxEmail author
Pharmacotherapies and Drug Development/Agents (ES Rovner, Section Editor)
  • 6 Downloads
Part of the following topical collections:
  1. Topical Collection on Pharmacotherapies and Drug Development/Agents

Abstract

Purpose of Review

Current literature regarding pharmacotherapy treatment strategies available for the management of interstitial cystitis/bladder pain syndrome (IC/BPS) will be addressed including oral, transdermal, and intravesical therapies. Pharmacotherapies with emerging data will be addressed, but the focus is on those treatments described by the AUA guidelines for IC/BPS.

Recent Findings

While multiple pharmacotherapy options for the management of IC/BPS exist, the evidence for most medical therapies is not strong and frequently yields mixed results. It has been over two decades since a new medication has gained FDA approval for the treatment of IC/BPS. This has prompted clinicians to reassess the approach to evaluating patients with IC/BPS, leading to the advent of phenotype-directed multimodal therapy.

Summary

Though national and international guidelines recommend a step-wise treatment algorithm beginning with the most conservative treatment options, the evidence for most therapies is mixed. Furthermore, recent randomized controlled trials of promising treatment options have yielded negative results, highlighting the importance of phenotype-directed classification to aid in the current management of IC/BPS and to allow for better research trial designs.

Keywords

Interstitial cystitis Bladder pain syndrome Pentosan polysulfate Pharmacotherapy 

Notes

Compliance with Ethical Standards

Conflict of Interest

Lindsey Cox declares that she has no conflict of interest.

Alyssa Greiman declares that she has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of UrologyMedical University of South CarolinaCharlestonUSA

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