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New NICE incontinence guidance specifies first-choice antimuscarinics

NICE has recommended three antimuscarinics as first-line options for female urinary incontinence in its updated guidance.

Oxybutynin, tolterodine and darifenacin are recommended first-line in their immediate-release formulations, although darifenacin is once daily.

Only if the first choice is not effective or well tolerated can alternative antimuscarinics be used - including extended release formulations - and the choice should be based on acquisition cost.

Transdermal oxybutynin is reserved for women unable to tolerate oral medication.

Today Pulse Learning launched Guideline debrief: female urinary incontinence, a CPD module which uses three typical primary care case histories to get you up-to-speed with all the new guideline recommendations most relevant to GPs.