I need to take medicine for 3 months for hyperactive bladder

Active bladder needs to be treated according to a course of treatment, and drug treatment usually needs to last for more than 3 months to achieve the effect of controlling symptoms. Commonly used drugs include anticholinergic drugs, β3 adrenergic receptor agonists and autonomic nerve modulators, which may be used in combination depending on individual conditions. Adjustments to diet and lifestyle can also help relieve symptoms.

1. Treatment and usage of hyperactive bladder

The main symptoms of hyperactive bladder are urinary urgency, frequent urination and nocturia, and drug treatment is currently the most commonly used method in clinical practice.

(1) Anticholinergic drugs: such as tolterodine, oxybutynin and solifenacin. These drugs relieve symptoms by inhibiting the abnormal contraction of the bladder detrusor muscle. Side effects such as dry mouth and constipation may occur at first, but usually people will gradually adapt to them after 1-2 weeks. The medication should be taken according to the doctor's advice.

(2) β3 adrenergic receptor agonists: such as mirabegron, which can enhance the bladder's ability to store urine and are suitable for people who have poor tolerance or poor effect on anticholinergic drugs. This drug has fewer adverse reactions, but please note that patients with hypertension need to monitor their blood pressure regularly.

(3) Autonomic nerve modulators: Berberine or α receptor inhibitors can be used according to individual needs to help relieve overactive bladder caused by some autonomic nerves. The course of treatment is generally 3 to 6 months. After the symptoms are relieved, the dosage can be reduced or the medication can be stopped according to the doctor's advice.

2. Importance of diet and habit adjustment

Patients with hyperactive bladder should also pay attention to adjusting their daily habits, and combining it with drug treatment can achieve more effective results with half the effort.

(1) Reduce irritating foods: Alcohol, caffeine, and spicy foods can irritate the bladder and should be avoided as much as possible. At the same time, increasing the intake of fruits, vegetables, and high-fiber foods can help reduce the adverse effects of constipation on bladder function.

(2) Control the amount of water you drink: Avoid drinking too much water. It is recommended to drink water in small sips multiple times. Reduce water intake before going to bed at night to reduce the number of nocturia.

3. Physical therapy and exercise assistance

For patients with mild to moderate hyperactive bladder, methods such as exercising the pelvic floor muscles are effective, especially for female patients.

(1) Kegel exercises: Contract and relax the pelvic floor muscles (such as the muscles you use when holding urine) 15-20 times a day, holding each set of exercises for 3-5 seconds. This can gradually enhance bladder control.

(2) Electrical stimulation therapy: Low-frequency electrical stimulation is used to promote the balance of signal transmission between the bladder and nerves. It has a certain auxiliary effect on some patients who are not responsive to drug treatment.

Hyperactive bladder requires standardized drug treatment, combined with lifestyle adjustments and exercise training, and multi-faceted interventions from the inside out. It is recommended to strictly follow the treatment plan formulated by the doctor and avoid stopping the medication without permission, so as to improve the treatment effect and reduce the risk of recurrence. If the symptoms continue to worsen or the tolerance to treatment is poor, a follow-up visit should be made in time to adjust the plan.