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Monday, May 4, 2015
1) How is the new medication that is out different from Ditropan and Detrol? I have mixed incontinence and have found Ditropan XL, which I currently use, much better than Detrol. Up to a couple yrs ago I was under the care of a urogynocologist, under whose guidance I have tried most treatments. Each have helped some significantly, but the problems still exists and for which I wear pads. I have had a urodynamic study, physical therapy with biofeedback and electrical stimulation, collegen injections, and am not a candidate for surgery because of the mixed causes. 2) Would Lexapro (escitalopram oxalate), a selective serotonin reuptake inhihibitor (SSRI) help. I saw on your website that tricyclic antidepressents sometimes help.
Many of these medications work in a similar manner and they differ in degree of side effects. I have noticed that some work better then another but am not sure why. A trial with Lexapro is reasonable and worth trying for there has been some success with these types of agents.
I hope these thoughts are helpful to you.
Martin I Resnick, MD
Formerly, Professor of Urology
School of Medicine
Case Western Reserve University