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RESEARCH PRODUCT

Solifenacin in the Elderly: Results of an Observational Study Measuring Efficacy, Tolerability and Cognitive Effects.

Dietmar BetzChristian HampelMaximilian BurgerMonika VogelChristoph Nowak

subject

Malemedicine.medical_specialtyUrinary urgencyUrology030232 urology & nephrologyUrologyMuscarinic Antagonistsurologic and male genital diseases03 medical and health sciences0302 clinical medicineCognitionQuality of lifeInternal medicineGermanyMedicineHumansAdverse effectAgedAged 80 and overMini–Mental State ExaminationSolifenacinmedicine.diagnostic_testbusiness.industryUrinary Bladder OveractiveSolifenacin SuccinateMiddle Agedmedicine.diseasefemale genital diseases and pregnancy complicationsTreatment OutcomeOveractive bladderTolerability030220 oncology & carcinogenesisQuality of LifeObservational studyFemalemedicine.symptombusinessCognition Disordersmedicine.drug

description

<b><i>Introduction:</i></b> The study aimed to evaluate the efficacy and safety of solifenacin in older patients with overactive bladder (OAB). <b><i>Materials and Methods:</i></b> Observational data on patients aged ≥70 years and the prescribed flexible dose of solifenacin for OAB were collected at 294 offices of German general practitioners. Baseline and week 12 data included type and severity of OAB symptoms, adverse events, quality of life, and change in cognitive function per Mini Mental State Examination (MMSE). <b><i>Results:</i></b> Mean age of 774 patients was 78 ± 6 years. A decrease was observed in all OAB symptoms including a reduction of urinary urgency and micturition, each by 4 episodes per 24 h. No change in mean MMSE scores was apparent at week 12. Adverse events and treatment discontinuations were low at 5.8 and 0.5%, respectively. <b><i>Conclusion:</i></b> Solifenacin was well-tolerated while OAB symptoms declined at week 12. No relevant effect of solifenacin on cognitive function was observed in this elderly population.

10.1159/000455257https://pubmed.ncbi.nlm.nih.gov/28147376