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Question for Dr. Mathews

Thank you for all of your help. I'm wondering if my doctor could prescribe something to help with my overactive bladder so I could keep taking the Lexapro or if I should just take something else instead. Lexapro is good in ways because it produces fewer side effects than any other SSRI med that I've tried and I've tried many of them. What do you think?
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Avatar universal
I realise this is an old post but can Lamotrigine cause overactive bladder? I'm trying to work out what caused mine, because it just gradually started over a few months for no reason and I've now had it for over a year and getting desperate! I noticed that one of the side effects of Lamotrigine is detrusor instability and urinary incontinence but I'm not sure if this would be a bit of a tenuous link?

I take 150mg of Lamotrigine a day for bipolar disorder.

Thanks
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Avatar universal
MEDICAL PROFESSIONAL
Hi,

Lamotrigine, sodium valproate, carbamazepine, and lithium are some mood satbilisers used in bipolar disorder. These are considered the basic drugs in the treatment of this condition.

Switching to any one of these, even for a short while, would give a chance to settle the bladder as well as evaluate the progression of your condition.

Detrol or urotel as well as other antimuscarinic agents can treat the bladder irritation, but these should not be used as an option for long-term management of your symptoms.

Usually, any drug causing  severe or significant side effects is discontinued and another substitute drug will be used. Hence, it would be helpful to get your prescribing doctor to prescribe an alternative to lexapro.

Regards
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