Published in:
01-01-2008 | Editorial
Duloxetine as a treatment for stress incontinence—where are we now?
Author:
Jonathan Duckett
Published in:
International Urogynecology Journal
|
Issue 1/2008
Login to get access
Excerpt
Duloxetine was introduced with a series of publications, expert reviews and marketing activity in 2004. It was the first licensed drug for the treatment of stress incontinence. A series of placebo randomised controlled trials were conducted in markets all over the world [
1‐
4]. Pooled results showed that duloxetine was more effective than placebo in treating stress incontinence [
5]. A Cochrane review came to the conclusion that duloxetine reduced the frequency of incontinence episodes and improved quality of life scores [
6]. Tolerability rates and success seemed good. Surgeons felt slightly threatened that their services would be no longer required. Duloxetine was initially widely approved and licensed in over 30 countries [
7]. Duloxetine was incorporated into the treatment algorithm for stress incontinence adopted by the International Continence Society (ICS) [
8]. Has duloxetine lived up to our expectations? …