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Loop diuretic in incontinence — DGM MCQ

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ModeratePolypharmacyLoop diuretic in incontinenceDGM

An 84-year-old woman has worsening urgency and nocturia after a medication change. She has no dysuria and urine dipstick is negative. Symptoms are worst two hours after her morning tablets. Current medicines include furosemide, amlodipine and metformin. Which medication should be reviewed?

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Correct answer: E — Furosemide timing and indication

Loop diuretics can worsen urinary frequency and nocturia, so timing, dose and indication should be reviewed. Metformin, amlodipine, atorvastatin and colecalciferol are not the most plausible drivers of timed diuresis. Medication timing can be as important as medicine choice in older people.

Reference: STOPP/START criteria v3; NICE NG56; BNF