Brief Answer:
Gels , extended releases and skin patches will help.

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. Management of overactive bladder often begins with behavioral strategies, such as fluid schedules, timed voiding and bladder-holding techniques using your pelvic floor, double voiding, scheduled toilet trips, intermittent catheterization , absorbent pads and bladder delay training, avoiding caffeine and alcohol. If these initial efforts don't help enough with your overactive bladder symptoms, second line and third line treatments are then opted for.

Medications that are used for over active bladder are most either antimuscarinics and they all cause two things in some case almost 1 out of 10. Dry mouth and constipation. Both can be avoided with slight modifications like increased fiber and fluid intake so i think all of these antimuscarinics can be used with slight adjustments to oral intake and measures for constipation.

However this Mirabegron is notorious for increasing blood pressure if you are already hypertensive and should be avoided.

Here is a list
Tolterodine (Detrol)
(Ditropan XL)
Oxybutynin as a skin patch (Oxytrol)
Oxybutynin gel (Gelnique)
Trospium (Sanctura)
Solifenacin (Vesicare)
Darifenacin (Enablex)
Mirabegron (Myrbetriq)
Fesoterodine (Toviaz)

Also if you go for extended release forms or skin patches then this constipation and dry mouth effect can be spared so go for it.

Consider botox injections for your bladder too if you can not tolerate the side effects of the medication. Nerve stimulation is also a possibility.

I hope it helps. Take good care of yourself and don't forget to close the discussion please.

Regards
Khan

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