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Medications affect people differently, so one person with incontinence may not notice worsening symptoms, while another person does.
If you suspect medications may be worsening or the cause of your urinary incontinence, describe your incontinence symptoms to your doctor and let him or her know about all the medicines you take, both prescription and over-the-counter. That way, your doctor can help determine whether these medicines should be adjusted or stopped, or if a treatment should be modified.
In women, alpha blockers can relax the bladder. "So, if they cough or sneeze, they might lose urine," says Rodney Appell, MD, director of the Baylor Continence Center at the Baylor College of Medicine, Houston.
If you are a woman on an alpha blocker and you are experiencing urinary incontinence, Appell has this advice: "Go back to the internist who prescribed the alpha blocker and ask if there is something else you can be treated with."
Antidepressants can impair the contractility of the bladder, and that can worsen symptoms of overflow incontinence, in which the bladder can't empty completely. Other antidepressants may decrease your awareness of the need to void.
If you think your antidepressant is worsening your incontinence, talk to your doctor about switching to another medication.