The Truth About Overactive Bladder Medications: Benefits, Risks, and Alternatives

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The Truth About Overactive Bladder Medications: Benefits, Risks, and Alternatives
Jun 23, 2025 Season 3 Episode 12
Sarah Boyles

If you've ever been prescribed medication for overactive bladder, you might wonder what it's actually doing and what the risks are. In this episode, I break down the two main types of medications used to treat OAB: anticholinergics and beta-3 agonists. We'll talk about how they work, the side effects (including memory concerns), and how to weigh the benefits and risks. I also explore alternative options like Botox and nerve stimulation, and why shared decision-making with your provider matters more than ever. If bladder urgency or leaking has been part of your life, this episode will help you make informed, confident choices about your treatment path.

For more information on this topic: 

https://journals.lww.com/fpmrs/abstract/2017/05000/augs_consensus_statement__association_of.4.aspx#:~:text=Given%20the%20available%20evidence%2C%20which,medications%20in%20patients%20at%20risk.

https://pubmed.ncbi.nlm.nih.gov/34213600/


Timeline

00:30 Introduction to Overactive Bladder 

00:48 Behavioral Treatments for Overactive Bladder 

00:57 Medications for Overactive Bladder 

01:18 Anticholinergic Medications and Memory Concerns 

01:37 Types of Medications for Overactive Bladder 

03:55 Studies on Anticholinergics and Cognitive Impairment 

03:23 Clinical Guidelines and Recommendations 

04:26 Prevalence and Types of Overactive Bladder 

05:00 Side Effects and Risk Factors 

05:38 Research Findings on Anticholinergics 

08:32 Considerations for Prescribing Medications 

10:38 Alternative Treatments and Final Thoughts