Fact 5. Impact of Medication on Dementia and Incontinence
The relationship between dementia, incontinence, and medication is intricate and multi-dimensional. Many individuals with dementia are prescribed medications for various associated symptoms or other health conditions, and these medications can sometimes contribute to incontinence.
For example, medications used to manage agitation in dementia, such as antipsychotics or sedatives, can lead to increased confusion, resulting in incontinence. These medications can also interfere with a person’s ability to reach a bathroom in time due to their sedative effect.
Similarly, drugs used to treat depression or anxiety in dementia patients, including selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines, can increase the risk of incontinence. These medications can relax the muscles of the bladder, leading to overflow incontinence.
On the other hand, some medications can also alleviate incontinence symptoms. Anticholinergic medications can relax the bladder muscles, reducing overactive bladder symptoms and the frequency of urge incontinence episodes. However, these medications should be used with caution in people with dementia, as they can potentially worsen cognitive impairment. (5)
