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Bladder botox pros/cons/necessity?

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    #16
    Originally posted by faji_tama View Post
    I came across some references to a couple major studies while reading up on anticholinergics that had linked long term usage of them to increased risk of dementia, especially among older people, and I'm curious how big a concern this is among the SCI community?
    There is some concern about this, although the studies were not with people with SCI/D nor with people who started taking Ditropan when younger. Some people are recommending use of a similar drug called mirabegron which is not technically an anticholergic, but may help with bladder tone and spasticity; it is new, so the jury is still out on both effectiveness and long-term use side effects.

    Originally posted by faji_tama View Post
    Oh, isn't Ditropan a common antispasmotic used for bladder management though? Or does it technically fall under a different class?
    Ditropan is an anticholenergic, and as above, a specific anti-spasmotic for smooth muscle like the bladder and gut, which are innervated by the parasympathic nervous system. Other drugs in this class include Vesicare, Detrol, Enablex, and Santura.

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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