This new guideline on urinary incontinence in women updates advice on which medications to use.
Drugs used in managing incontinence
Oxybutynin (immediate release – IR), Tolterodine IR and Darifenacin (once daily) should be used first-line.
When trying a new medication, warn the patient that it can take 4/52 to be effective. Pick the lowest cost alternative to try next. If oral drugs can’t be tolerated, patches can be tried. They advise to avoid Oxybutynin IR in frail elderly women.