KCC Referral
Management System
Shared Care
Guidelines
Care Home
Resources
Local Resource
Packs
Chronic Pain
in Cornwall
Diabetes Resources
Respiratory Resources
Flu Resource Pack
Patient Group Direction (PGD)
Palliative Care Resources
Search   
        Click to View ALL BNF
 >>  >> 
   (Click to View Drug List)


Cost
Packs
Items
Other - Cost: £652,109,405.62 Empagliflozin (Jardiance) - Cost: £7,788,101.39 Edoxaban (Lixiana) - Cost: £8,056,980.75 Influenza vaccine (Fluad) - Cost: £13,930,057.90 Beclometasone / Formoterol MDI (Fostair) - Cost: £17,160,087.08 Rivaroxaban (Xarelto) - Cost: £20,491,468.20 Apixaban (Eliquis) - Cost: £33,811,997.20
Formulary Notes (BNF Sub Paragraph)
NICE Guidance (2)
Other Links (1)
Important Local Documents (2)
Notes for: Drugs/Urin'y Frequ'cy Enuresis & Incont
Last edited [19/04/2013 09:51:04]

1. Refer to the management of urinary incontinence in women Appendix 1.

2. Accurate assessment and diagnosis of the cause of incontinence is vital for treatment success. Non-drug treatments have an important role in management. First-line treatment for urge or mixed urinary incontinence should be bladder training lasting for at least 6 weeks. If symptoms remain troublesome, consider adding an antimuscarinic drug.

3. Oxybutynin is the first choice drug therapy. Patients may experience anticholinergic side effects. Therefore the minimum effective dose should be used. However, many patients referred to secondary care on low doses respond well to higher doses so GPs should consider increasing the dose of oxybutynin to 5 mg TDS and trying a second antimuscarinic if not effective before referral.

4. Trospium XL is an appropriate second line antimuscarinic treatment after oxybutynin immediate release or tolterodine immediate release for urge incontinence and/or increased urinary frequency and urgency. A face to face or telephone review four weeks after the start of each new antimuscarinic drug treatment is advised to ascertain degree of improvement and whether any intolerable side effects have occurred. Women who remain on long-term drug treatment for urge incontinence or overactive bladder should be reviewed annually in primary care (or every 6 months for women over 75).

5. Desmopressin (refer to section 6.5.2) is licensed for nocturnal enuresis.

 

Cornwall Joint Formulary Recommended Choices     (...Top)
Displaying 15 Drugs

Key:
First Line Drugs First Line Drugs
Second Line Drugs Second Line Drugs
Specialist Initiated Drugs Specialist Initiated Drugs
Hospital Only Drugs Hospital Only Drugs
Discouraged Discouraged
No comment available No comment available
Antibiotics Antibiotics

NameTariffBNF Sub Paragraph
Solifenacin
10 mg tablets Pack of 30
£1.33PCT FORMULARY STATUS: First Line Drugs Drugs/Urin'y Frequ'cy Enuresis & IncontView BNF Article on 'Solifenacin'View SPC on 'Solifenacin'View PIL on 'Solifenacin'
Solifenacin
5 mg tablets Pack of 30
£1.41PCT FORMULARY STATUS: First Line Drugs Drugs/Urin'y Frequ'cy Enuresis & IncontView BNF Article on 'Solifenacin'View SPC on 'Solifenacin'View PIL on 'Solifenacin'
Oxybutynin
2.5 mg tab Pack of 56
£1.51PCT FORMULARY STATUS: First Line Drugs Drugs/Urin'y Frequ'cy Enuresis & IncontView BNF Article on 'Oxybutynin'View SPC on 'Oxybutynin'View PIL on 'Oxybutynin'
Oxybutynin
5 mg tab Pack of 56
£1.58PCT FORMULARY STATUS: First Line Drugs Drugs/Urin'y Frequ'cy Enuresis & IncontView BNF Article on 'Oxybutynin'View SPC on 'Oxybutynin'View PIL on 'Oxybutynin'
Tolterodine
2 mg tab Pack of 56
£2.87PCT FORMULARY STATUS: First Line Drugs Drugs/Urin'y Frequ'cy Enuresis & IncontView BNF Article on 'Tolterodine'View SPC on 'Tolterodine'View PIL on 'Tolterodine'
Tolterodine
1 mg tab Pack of 56
£3.00PCT FORMULARY STATUS: First Line Drugs Drugs/Urin'y Frequ'cy Enuresis & IncontView BNF Article on 'Tolterodine'View SPC on 'Tolterodine'View PIL on 'Tolterodine'
Tolterodine (Blerone XL)
4 mg capsules Pack of 28
£9.59PCT FORMULARY STATUS: Second Line Drugs Drugs/Urin'y Frequ'cy Enuresis & IncontView BNF Article on 'Tolterodine'View SPC on 'Tolterodine'View PIL on 'Tolterodine'
Tolterodine (Neditol XL)
2 mg MR caps Pack of 28
£11.60PCT FORMULARY STATUS: Second Line Drugs Drugs/Urin'y Frequ'cy Enuresis & IncontView BNF Article on 'Tolterodine'View SPC on 'Tolterodine'View PIL on 'Tolterodine'
Oxybutynin SR (Lyrinel XL)
5 mg SR tab Pack of 30
£13.77PCT FORMULARY STATUS: Second Line Drugs Drugs/Urin'y Frequ'cy Enuresis & IncontView BNF Article on 'Oxybutynin SR'View SPC on 'Oxybutynin SR'View PIL on 'Oxybutynin SR'
Trospium (Regurin XL)
60 mg tab Pack of 28
£23.05PCT FORMULARY STATUS: Second Line Drugs Drugs/Urin'y Frequ'cy Enuresis & IncontView BNF Article on 'Trospium'View SPC on 'Trospium'View PIL on 'Trospium'
Fesoterodine Fumarate (Toviaz)
4 mg MR tab Pack of 28
£25.78PCT FORMULARY STATUS: Second Line Drugs Drugs/Urin'y Frequ'cy Enuresis & IncontView BNF Article on 'Fesoterodine Fumarate'View SPC on 'Fesoterodine Fumarate'View PIL on 'Fesoterodine Fumarate'
Fesoterodine Fumarate (Toviaz)
8 mg MR tab Pack of 28
£25.78PCT FORMULARY STATUS: Second Line Drugs Drugs/Urin'y Frequ'cy Enuresis & IncontView BNF Article on 'Fesoterodine Fumarate'View SPC on 'Fesoterodine Fumarate'View PIL on 'Fesoterodine Fumarate'
Oxybutynin SR (Lyrinel XL)
10 mg SR tab Pack of 30
£27.54PCT FORMULARY STATUS: Second Line Drugs Drugs/Urin'y Frequ'cy Enuresis & IncontView BNF Article on 'Oxybutynin SR'View SPC on 'Oxybutynin SR'View PIL on 'Oxybutynin SR'
Mirabegron (Betmiga)
25 mg Pack of 30
£29.00PCT FORMULARY STATUS: Second Line Drugs Drugs/Urin'y Frequ'cy Enuresis & IncontView BNF Article on 'Mirabegron'View SPC on 'Mirabegron'View PIL on 'Mirabegron'
Mirabegron (Betmiga)
50 mg Pack of 30
£29.00PCT FORMULARY STATUS: Second Line Drugs Drugs/Urin'y Frequ'cy Enuresis & IncontView BNF Article on 'Mirabegron'View SPC on 'Mirabegron'View PIL on 'Mirabegron'

 
© Kernow Clinical Commissioning Group 2021 - All Rights Reserved
The Sedgemoor Centre, Priory Road, St Austell, Cornwall, PL25 5AS