Pharmaceutical treatment with drugs like Desmopressin and Imipramine can provide symptomatic relief. Medication can be useful for short-term, occasional use. There’s no medication that cures bedwetting, and bedwetting will usually return when the drug is stopped.
Bedwetting alarm treatement has been used for decades. It is a behavioural treatment that teaches the child to wake up before wetting occurs. While it takes considerably more effort than medication, it is safe, affordable, and very effective in permanently curing bedwetting. Clinical trials show that bedwetting alarms can cure bedwetting in up to 90% of cases.
|Bedwetting Alarm||Desmopressin (drug)||Imipramine (drug)|
|How does it work?||Conditions the child to wake up and/or produce less urine||Reduces urine production at night||Not clearly understood|
|Cures the condition?||Yes-very effective if used correctly||No||No|
|Recommendation in treatment guidelines||The specialist recommended first- line treatment||Potential role in short-term use||Not recommended due to safety concerns|
|Requires a prescription||No||Yes||Yes|
|Cost||Low-a one-time expense of $ 89 (CAD)||High, usually ~$ 3.40 US ($ 4.50 CAD)/day||Low, ~$ 0.25 US ($ 0.33 CAD)/ day|
|Is it safe?||Very safe||Yes, but do not drink too much fluid with the medication||Major concerns|
|Does it work fast?||No||Yes, but only a small number of children get completely dry on medication||Yes, but only a small number of children get completely dry on medication|