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Does Cyclobezaprine Lead To Urinary Incontinence?

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Posted on Wed, 26 Feb 2014
Question: I am taking cyclobezaprine 10mg at night before sleep. I have increased the dosage to 15mg total. It helps my migraines and aids with sleep. I have been taking clonazepan for 10 years 2 mg daily. One at 4ish and one at bedtime with the cyclobenzaprine dose of 15mg. i wake up after one hour or two and get hungry. I've also got an excersize regiment that is using all body weight focused on my core. I especially do stringent ab work and use inversion techniques. The ISSUE. I can't urinate normally. I need to go after a sip, and have to right away. Sometimes it's every 15 minutes. I have pain in my sides front area, not back. I have lower pain in my belly but variable all around sharp stomach pains. Like I'm PMSing. That area. I do have the very strange dreams. Can the muscle relaxer be preventing me from holding it so to speak when I have to pee. Also the ab work I do is no joke. Very intense. The prelude to all of the meds is anxiety, sleeplessness (my entire life) as in I can NOT sleep. My ideas flow, I'm thinking all the time, stress, nervousness. The onset of the migraines two years ago I tried Pamelor for. Stopped that 3 months ago. Then we started the cyclobenziprine to possibly reduce th migraines, help me sleep and lower the clonazepan dose over time. i had increased it to two at night after going off the pamelor. I am female 40 year about 105lbs. Im 5'1. I am most worried about a possible infection spread causing some problems. Sorry this is another thing. I had what we thought was a UTI and treated it. Symtoms went away then came back a few eeks later. Took more antibiotics. Symtoms went away shortly again then stomach pains and super cloudy urine appeared. Doctor did a urine test and the paper turned the color of the rainbow, I took a broad spectrum antibiotic, and the symptoms went away but took the whole dose to get relief. Yesterday massive stomach pains and an anxiety attack caused me to go to Urgent Care and see the on duty doctor. She tested my urine for bacteria and said looked good. I want to know why the pain and peeing is happening all the time. Am I overdosing on muscle relaxers mixed with clonazepan and working out and causing limp muscles causing the inability to hold my bladder. is this dangerous? Could an infection have spreader and I should go to the ER?
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Answered by Dr. Abhishek Kapoor (1 hour later)
Brief Answer: Better to decrease cyclobezaprine Detailed Answer: Hi Thanks for trusting on healthcare magic in such a difficult situation. I, Dr Abhishek Kapoor, would try to resolve your problem. You have been taking cyclobezaprine 15mg. It is a high dose and it could lead to urinary problem due to its muscle relaxant effect. You are also taking clonazepam twice in a day. Both cyclobezaprine and clonazepam would lead to bladder muscle supression due to their synergistic effect on urinary tract function, which would lead to urinary difficulty. In that case, first try to decrease the dose of cyclobezaprine. Other side effects like stomach ache etc you are getting is also due to cyclobezaprine. For migrine, you can take tricyclic antidepressant with beta blocker rather than cyclobezaprine. Consult to a psychiatrist for further treatment. These drugs would help to control the frequency of headache and improve the side effects caused by cyclobezaprine. It would also decrease the chances of urinary tract infection. Urinary infection could spread to kidney from bladder due to backward reflux. That would be better, if you sleep the dose of cyclobezaprine. For sleep, you can add another sleeping pills or increase the dose of clonazepam. I think, with that i could solve your query. You can connect me, whenever you need my service. Regards Dr. Abhishek Kapoor Psychiatrist
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Above answer was peer-reviewed by : Dr. Shanthi.E
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Dr. Abhishek Kapoor

Psychiatrist

Practicing since :2007

Answered : 2496 Questions

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Does Cyclobezaprine Lead To Urinary Incontinence?

Brief Answer: Better to decrease cyclobezaprine Detailed Answer: Hi Thanks for trusting on healthcare magic in such a difficult situation. I, Dr Abhishek Kapoor, would try to resolve your problem. You have been taking cyclobezaprine 15mg. It is a high dose and it could lead to urinary problem due to its muscle relaxant effect. You are also taking clonazepam twice in a day. Both cyclobezaprine and clonazepam would lead to bladder muscle supression due to their synergistic effect on urinary tract function, which would lead to urinary difficulty. In that case, first try to decrease the dose of cyclobezaprine. Other side effects like stomach ache etc you are getting is also due to cyclobezaprine. For migrine, you can take tricyclic antidepressant with beta blocker rather than cyclobezaprine. Consult to a psychiatrist for further treatment. These drugs would help to control the frequency of headache and improve the side effects caused by cyclobezaprine. It would also decrease the chances of urinary tract infection. Urinary infection could spread to kidney from bladder due to backward reflux. That would be better, if you sleep the dose of cyclobezaprine. For sleep, you can add another sleeping pills or increase the dose of clonazepam. I think, with that i could solve your query. You can connect me, whenever you need my service. Regards Dr. Abhishek Kapoor Psychiatrist