So let’s talk about drugs.
Any clinician will tell you that all drugs have side effects
If you take disprin or aspirin it will have a side effect
If you take stronger drugs they too will have a generally stronger side effect.
There has been a lot of controversy about different drugs and drugs companies making billions of dollars a year distributing them to doctors and hospitals and medical centres.
In Australia alone for the year 2011 the Pharmaceutical Benefits Scheme (PBS) cost $8.0 Billion dollars up from $6.5Bill. in 2006-07.
188 million prescriptions were paid through PBS for 2011 which averages out at 8 prescriptions per person per year or approximately $347.00 per person per year.
Are there vested interests here –absolutely!
The trick is to determine if the drugs you are taking, be they purchased through PBS or any other scheme in any other country or purchased independently from one’s own funds are really helping or hindering the patient.
Of course most people are afraid to question the effectiveness of the medicines their GP prescribes because doing so may jeopardise one’s health and even the possibility of one’s life.
In other words – don’t question the prescription and completely entrust the benefit of them and the integrity of the doctor prescribing them generally out of fear, because what does one individual know about the drugs he/she is taking?
It’s a little bit like the dark ages with the bible which was banned by the Church of being translated into another language other than Latin because keeping it in Latin meant complete control of the masses by the churches who controlled the common people’s lives.
Most people lived in fear of the religious hierarchies because they could neither read nor understand Latin and consequently had no other choice but to trust the churches. And we know where that got them!
Is this not a perfect environment for vested interests what is?
Well it’s the same today in many respects with medicine. The one difference we have is the power to obtain the information we all should have about the drugs we are prescribed.
It is a perfectly understandable fear and many medicines do in fact keep many people alive, and most doctors have the best of intentions for each of their patients.
The problem it stops many of us from investigating into the effectiveness of other say less dangerous drugs to our own system. And the drugs companies play on this and in fact will deter others from inquiring about alternatives and in some instances declaring an all-out war on competition on the horizon.
Admittedly it is a difficult choice and in some instances a leap of faith, but in the real world a huge level of disenchantment prevails with corporate drug companies and the people who use the drugs.
Therefore if we can study and understand how these prescribed drugs are impacting our lives at least we are not just accepting what someone else tells us is good for us and may on occasion find something that replaces them that actually works.
Incontinencehas a range of drugs when prescribed can mitigate the problems of incontinence.
A study published in Modern Medicine Magazine maintains drugs for urinary incontinence (UI) were said to have relatively little benefit, as side effects kept compliance low, and long-term safety was still questionable.
In some instances certain types of drugs maybenefit incontinence sufferers, but the problem is the long term reliance on them and not to seek any further remedy because of the drugs taken.
In the U.S., there are several drugs approved to treat urge-type incontinence some more controversial than others
Anticholinergic drugs act to quieten the bladder and may decrease uncontrolled bladder contractions for incontinence.
They fall into two categories:
Type 1. Those that affect muscarinic receptors which are in the heart. If you used antimuscarinic drugs you would be affecting the heart tissue. Anti muscarinic treatments block the muscarinic acetylcholine receptor
Type 2. And nicotinic acetylcholine receptors which affect skeletal muscle and nerve cells. Stimulation of these receptors causes muscular contraction.
In short both are a signaling mechanisms which block or reduce the activity of the detrusor muscle which is the muscle surrounding the bladder that contracts to empty the bladder.
Tolterodine (Detrol), (Detrusitol) This medication is a newer medication more specific to the bladder receptors and as such has less effect on other organs. The result is less side effects occurring less frequently (Anti –muscarinic)
According to a British study it halved the numbers of times when women with moderate to severe urinary incontinence urgently needed the lavatory, or ended up having a little accident. It also cut the number of times they needed the bathroom by a quarter.
Researchers reached their conclusions after analysing results from 240 women, 122 of whom had the Botox injection and 118 a salt water placebo.
They found a third of women who received the Botox jab still had significantly improved urinary incontinence six months later.
However for those who had the Botox treatment almost 30% of them developed a urinary tract infection later, compared to 10% in those receiving the placebo.
As mentioned at the beginning all drugs have side effects.
Some of the related side effects with the drugs above can include:
Dry mouth and throat, eye pain, blurred vision, restlessness, dizziness, arrhythmia, flushing, and faintness. Glaucoma,drowsiness,pulpitations,headache,confusion,depression
An overdose may cause headache, nausea, vomiting, disorientation, hallucinations, euphoria, sexual arousal, memory loss, and possible coma in extreme cases.
Researchers also found that for every 1,000 women treated with the drugs, only about 85 to 120 saw their incontinence disappear. That equates to less than 13%.