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Antimuscarinic therapy — DRCOG MCQ

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ModerateUrogynaecologyAntimuscarinic therapyDRCOG

A 69-year-old woman has urgency incontinence despite 8 weeks of bladder training. Urinalysis is normal. She has narrow-angle glaucoma noted in her ophthalmology record. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Seek specialist or prescribing advice before antimuscarinic treatment

Antimuscarinics can help overactive bladder but require consideration of contraindications, anticholinergic burden and comorbidities such as narrow-angle glaucoma. Starting without checking safety is poor practice. Antibiotics are not indicated with normal urinalysis and urgency symptoms. Other options remain, including beta-3 agonists and specialist referral when appropriate.

Reference: NICE NG123; BNF