MSA - Carol & Rob
2007-09-30 23:32:20Jim,
Rob has had problems with bladder control too. Fortunately, Detrol
works fairly well for him. He currently takes 2 2mg tablets a day -
one upon rising (about 8AM) and the other at about 5PM. He has had a
few accidents in the past, but none recently. He takes both florinef
(3 .1mg tablets at bedtime) and proamatine (2 5mg tablets 3 times a
day - upon rising, at noon and at 5pm). He also takes Thermotabs
(450mg buffered salt tablets) 4 times a day. It's true that the
detrol works at cross purposes with the bp medication, but we've been
able to find a happy medium in Rob's case, at least for the moment.
One of Rob's first symptoms was REM behavior disorder, along with
sleep apnea. He's actually had obstructive sleep apnea for most of
his life. I think both his sons have it also, although they refuse
to be evaluated. I suspect his brother and possibly his sister have
it also, but they have not been evaluated either.
Have you tried raising the head of the bed at night to reduce your
night time urination? That helps keep the blood pressure from rising
so much at night, which in turn keeps the kidneys from working to
eliminate excess water to reduce bp. If that doesn't work, you might
consider a condom catheter. It goes on like a condom, and has a tube
that leads to a bag, which can be attached to the side of the bed.
Might beat sleeping in a puddle, or getting up every hour to hit the
bathroom!
We don't take Rob's bp very often - only if he's not feeling well.
He knows (as I'm sure you do) when it's falling, and compensates by
sitting down or squatting if he's out and can't find a chair. We do
know, however, from taking it upon occasion, that if falls at least
30 points going from sitting to standing.
Well, now I'm guilty of sending a long e-mail! Hang in there. This
disease stinks, but at least we have this wonderful forum to share
information.
Carol & Rob (Lexington, MA)