my husband suffered a spinal cord injury 2 years ago, and was in hospital with a catheter fitted for 9 months, anyway since being discharged and having the catheter removed has suffered with an over active bladder eg going for a wee every 15 min we eventually went to the doctor who prescribed mirabegron (betmiga) anyway he has been taking 25mg per day to no avail so off we went back to the doc who told him to take 50 mg he has been doing so now for 2 weeks but i think the tablets are stimulating his bladder and making it worse as he can hardly control his bladder at all now going every 2 mins we are at our wits end now dont know what else to do i feel like telling him to stop taking them but not being a doctor i dont know what to do
You have little to lose by cutting the mirabegron back to 25 mg. Did you call the doctor? Had your husband tried any other medication before this? And has he had a recent culture and sensitivity test of his urine? Infection is the most common reason for sudden changes in bladder function and it is at least possible that infection set in about the time he upped the dosage. Meanwhile, I suggest he investigate condom catheters. In many ways it is your least intrusive option.
As an alternative to medication, has your husband's urologist suggested bladder botox? I had my first injection almost a year ago, and have been able to sleep through the night since, and don't worry at all about frequency. It's a great alternative for an overactive bladder. It's literally changed my life.
It is a simple, outpatient procedure, and involves about 10 injections into the bladder, using only a local anaesthetic injection first. It paralyzes the bladder, which becomes nice and quiet. Emptying is via cathing, as before the injections. The treatment is repeated every 4-6 months.
I used to take two 5mg oxybutiline tablets to control an over active bladder and intermit cath every 4 hours. Since i lecture full time as a teacher dry mouth and throat were a problem. I now take botox injections every 6-8 months. so far so good I am due again next October.