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Incontinence medication — DGM MCQ

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ModerateContinenceIncontinence medicationDGM

An 84-year-old woman has worsening urinary frequency and falls after starting treatment for ankle swelling. She has no dysuria and urine microscopy is negative. Symptoms occur mainly during the morning. Current medicines include furosemide, amlodipine and atorvastatin. Which medication should be reviewed?

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Correct answer: AFurosemide

Furosemide can worsen frequency, urgency and functional incontinence, especially if timed poorly. Atorvastatin, amlodipine, paracetamol and colecalciferol are less likely to cause a predictable diuresis pattern. Diuretic timing should be reviewed before adding bladder medicines.

Reference: BNF; NICE NG123