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Published in: International Urogynecology Journal 1/2008

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

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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 [14]. 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? …
Literature
1.
go back to reference Dmochowski RR, Miklos JR, Norton PA, Zinner NR, Yalcin I, Bump RC (2003) Duloxetine vs placebo for the treatment of North American women with stress urinary incontinence. J Urol 170:1259–1263PubMedCrossRef Dmochowski RR, Miklos JR, Norton PA, Zinner NR, Yalcin I, Bump RC (2003) Duloxetine vs placebo for the treatment of North American women with stress urinary incontinence. J Urol 170:1259–1263PubMedCrossRef
2.
go back to reference Millard RJ, Moore K, Rencken R, Yalcin I, Bump RC (2004) duloxetine vs placebo in the treatment of stress urinary incontinence: a four continent randomised controlled clinical trial. BJU Int 93:311–318PubMedCrossRef Millard RJ, Moore K, Rencken R, Yalcin I, Bump RC (2004) duloxetine vs placebo in the treatment of stress urinary incontinence: a four continent randomised controlled clinical trial. BJU Int 93:311–318PubMedCrossRef
3.
go back to reference Norton PA, Zinner NR, Yalcin I, Bump RC (2002) Duloxetine vs placebo in the treatment of stress urinary incontinence. Am J Obstet Gynecol 187:40–48PubMedCrossRef Norton PA, Zinner NR, Yalcin I, Bump RC (2002) Duloxetine vs placebo in the treatment of stress urinary incontinence. Am J Obstet Gynecol 187:40–48PubMedCrossRef
4.
go back to reference Van Kerrebroek P, Abrams P, Lange R et al (2004) Duloxetine vs placebo in the treatment of European and Canadian women with stress urinary incontinence. BJOG 111:249–257CrossRef Van Kerrebroek P, Abrams P, Lange R et al (2004) Duloxetine vs placebo in the treatment of European and Canadian women with stress urinary incontinence. BJOG 111:249–257CrossRef
7.
go back to reference Cardozo L (2006) Duloxetine in the context of current needs and issues in treatment of women with stress urinary incontinence. BJOG 113(1):1–4 Cardozo L (2006) Duloxetine in the context of current needs and issues in treatment of women with stress urinary incontinence. BJOG 113(1):1–4
8.
go back to reference Andersson KE, Appell R, Cardozo L, Chapple C (2005) Pharmacological treatment of urinary incontinence. In: Abrams P, Cardozo L, Khoury S, Wein A (eds) Incontinence, 3rd edn. Health Publication, Paris, France, pp 809–854 Andersson KE, Appell R, Cardozo L, Chapple C (2005) Pharmacological treatment of urinary incontinence. In: Abrams P, Cardozo L, Khoury S, Wein A (eds) Incontinence, 3rd edn. Health Publication, Paris, France, pp 809–854
9.
go back to reference National Collaborating Centre for Women’s and Children’s Health (2006) NICE Clinical Guideline Number 40: the management of urinary incontinence in women. National Institute for Health and Clinical Excellence, London National Collaborating Centre for Women’s and Children’s Health (2006) NICE Clinical Guideline Number 40: the management of urinary incontinence in women. National Institute for Health and Clinical Excellence, London
10.
go back to reference Ward K, Hilton P (2002) Prospective multicentre randomised trial of tension-free vaginal tape and colposuspension as primary treatment for stress incontinence. BMJ 325:67–70PubMedCrossRef Ward K, Hilton P (2002) Prospective multicentre randomised trial of tension-free vaginal tape and colposuspension as primary treatment for stress incontinence. BMJ 325:67–70PubMedCrossRef
11.
go back to reference Vella MV, Duckett JRA (2007) Duloxetine one year on: are women prepared to take duloxetine on a long term basis? Int Urogynaecol J 18(1):S1–S24CrossRef Vella MV, Duckett JRA (2007) Duloxetine one year on: are women prepared to take duloxetine on a long term basis? Int Urogynaecol J 18(1):S1–S24CrossRef
12.
go back to reference Yalcin I, Bump RC (2004) The effect of previous treatment experience and incontinence severity on the placebo response of stress urinary incontinence. Am J Obstet Gynecol 191:194–197PubMedCrossRef Yalcin I, Bump RC (2004) The effect of previous treatment experience and incontinence severity on the placebo response of stress urinary incontinence. Am J Obstet Gynecol 191:194–197PubMedCrossRef
13.
go back to reference Duckett J, Vella M, Kavalakuntla G, Basu M (2007) Tolerability and efficacy of duloxetine in a non-trial situation. BJOG 114:543–547PubMedCrossRef Duckett J, Vella M, Kavalakuntla G, Basu M (2007) Tolerability and efficacy of duloxetine in a non-trial situation. BJOG 114:543–547PubMedCrossRef
14.
go back to reference Bump R, Yalcin I, Voss S (2005) The effect of duloxetine dose escalating and tapering on the incidence of adverse events in women with stress urinary incontinence. Neurourol Urodyn 24:582 (Abstract 116) Bump R, Yalcin I, Voss S (2005) The effect of duloxetine dose escalating and tapering on the incidence of adverse events in women with stress urinary incontinence. Neurourol Urodyn 24:582 (Abstract 116)
15.
go back to reference Bump RC, Norton PA, Zinner NR, Yalcin I (2003) Mixed urinary incontinence symptoms: urodynamic findings incontinence severity, and treatment response. Obstet Gynecol 102:76–83PubMedCrossRef Bump RC, Norton PA, Zinner NR, Yalcin I (2003) Mixed urinary incontinence symptoms: urodynamic findings incontinence severity, and treatment response. Obstet Gynecol 102:76–83PubMedCrossRef
16.
go back to reference Khullar V, Chapple C, Gabriel Z, Dooley J (2005) An assessment of adverse events: duloxetine compared with antimuscarinics for the treatment of urinary incontinence. Int Urogynecol J 16(2):S42 Khullar V, Chapple C, Gabriel Z, Dooley J (2005) An assessment of adverse events: duloxetine compared with antimuscarinics for the treatment of urinary incontinence. Int Urogynecol J 16(2):S42
17.
go back to reference Vella MV, Duckett JRA (2007) Can duloxetine be used in combination with an anticholinergic? Int Urogynaecol J 18(1):S1–S24CrossRef Vella MV, Duckett JRA (2007) Can duloxetine be used in combination with an anticholinergic? Int Urogynaecol J 18(1):S1–S24CrossRef
18.
go back to reference Thor KB, Katofiasc MA (1995) Effects of duloxetine, a combined serotonin and norepinephrine reuptake inhibitor, on central neural control of lower urinary tract function in the chloralose-anaesthetized female cat. J Pharmacol Exp Ther 274:1014–1024PubMed Thor KB, Katofiasc MA (1995) Effects of duloxetine, a combined serotonin and norepinephrine reuptake inhibitor, on central neural control of lower urinary tract function in the chloralose-anaesthetized female cat. J Pharmacol Exp Ther 274:1014–1024PubMed
19.
go back to reference Duckett J, Patil A, Aggarwal I (2006) The effect of duloxetine on urethral sphincter morphology. Int Urogynecol J 17:306–310CrossRef Duckett J, Patil A, Aggarwal I (2006) The effect of duloxetine on urethral sphincter morphology. Int Urogynecol J 17:306–310CrossRef
20.
go back to reference Vella Mv, Duckett JRA (2007) Duloxetine for mixed incontinence; does it work? Can urodynamics predict outcome? Int Urogynaecol J 18(1):S1–S24CrossRef Vella Mv, Duckett JRA (2007) Duloxetine for mixed incontinence; does it work? Can urodynamics predict outcome? Int Urogynaecol J 18(1):S1–S24CrossRef
21.
go back to reference Morrison J, Steers WD, Brading A, Blok B, Fry C, De Groat WC, Kakizaki H, Levin R, Thor K (2002) Neurophysiology and neuropharmacology. In: Abrahams P, Cardozo L, Khoury S, Wein A (eds) Incontinence. Plymouth, Plymbridge, pp 83–164 Morrison J, Steers WD, Brading A, Blok B, Fry C, De Groat WC, Kakizaki H, Levin R, Thor K (2002) Neurophysiology and neuropharmacology. In: Abrahams P, Cardozo L, Khoury S, Wein A (eds) Incontinence. Plymouth, Plymbridge, pp 83–164
22.
go back to reference Awad SA (1984) Experimental evidence for a central nervous system site of action in the effect of alpha-adrenergic blockers on the external urinary sphincter. J Urol 132:403–409PubMed Awad SA (1984) Experimental evidence for a central nervous system site of action in the effect of alpha-adrenergic blockers on the external urinary sphincter. J Urol 132:403–409PubMed
Metadata
Title
Duloxetine as a treatment for stress incontinence—where are we now?
Author
Jonathan Duckett
Publication date
01-01-2008
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 1/2008
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-007-0463-0

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