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Parkinson's disease - Management
How do I manage urinary dysfunction in people with Parkinson's disease?
- If the person presents with an abrupt change in voiding pattern, exclude urinary tract infection.
- If frequency or polyuria are present, consider testing for diabetes.
- Consider discussing the use of an antimuscarinic drug (such oxybutynin or tolterodine) with the person's Parkinson's disease specialist team:
- Such treatment can induce a toxic confusional state and may worsen symptoms of dementia.
- Drugs that do not cross the blood–brain barrier (such as trospium chloride) may be less likely to induce confusion.
- Consider referral to a urological specialist if there are refractory or persistent bladder problems.
In depth
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