The Pharmacist September/October 2018 - Page 45

KEY LEARNING POINTS • There are several types of urinary incontinence, with different causes a conversation with a healthcare provider about their symptoms. Since urinary incontinence is a very common problem, pharmacists and their teams have many opportunities to support and help their customers including: • In a medicines use review (MUR), new medicines service (NMS) or equivalent consultation where a medicine or medicines are more likely to worsen or cause incontinence. • When a woman is pregnant or has recently given birth. • When patients have a known condition that can cause incontinence such a s multiple sclerosis, stroke, spinal cord injury, Parkinson’s disease and obesity. • When men have benign prostatic hyperplasia (BPH). • When women are experiencing and coming out of the menopause. • If a person complains they are not sleeping well. • When a person is purchasing products to protect clothes • Running a health promotion campaign in pharmacy to raise awareness. Deborah Evans is managing director of Pharmacy Complete, a training and consultancy company • There are many causes of urinary incontinence, ranging from medical conditions, birth defects or the after- effects of childbirth • Urinary incontinence can be exacerbated by the over- consumption of caffeine or alcohol Resources 1 Irwin D, Milsom I et al. Impact of overactive bladder symptoms on employment, social interactions and emotional wellbeing in six European countries. British Journal of Urology International 2005;97: 96-100 2 Hunskaar S, Lose G et al. Prevalence of Stress Urinary Incontinence in Women in Four European Countries. ICS 2002. 3 Tsakiris P, Oelke M, Michel M. Drug-induced urinary incontinence. Drugs & Aging 2008;25:541-9 4 Irwin D, Milsom I, Kopp Z et al. Symptom bother and healthcare-seeking behaviour among individuals with overactive bladder. European Urology 2008;53:1029-37 MORE ONLINE For the full article, including tips on how to advise patients with urinary incontinence, see