Drugs That Can Cause or Aggravate Bladder Problems Drugs can sometimes have effects on other parts of our bodies that were not intended. As such, many drugs can cause or worsen bladder problems. The following is a summary of the most common drug classes that can cause bladder problems, including examples and a brief explanation of how they do so. If you have any further questions or concerns, do not hesitate to contact your doctor, pharmacist, nurse or other health care professional. Medication Class ACE Inhibitors Alcohol Example (s) Possible Effect Enalapril maleate – Vasotec ® Ramipril – Altace ® Benazepril Hydrochloride – Lotensin ® Lisinopril – Zestril ® Fosinopril – Monopril ® Captopril – Capoten ® Beer, Liquor and Wine Can produce a persistent cough, leading to increased abdominal pressure, and causing loss of bladder control. Alpha-agonists Pseudoephedrine Hydrochloride Sudafed ® Any cough and cold product with the above mentioned decongestant AlphaPrazosin – Minipress ® antagonists Terazosin – Hytrin ® Doxazosin maleate – Cardura ® Anti-cholinergics Propantheline bromide – Probanthine ® Anti-histamines Diphenhydramine Hydrochloride (1st Generation) Benadryl® Chlorpheniramine Maleate – Chlor-Tripolon ® Anti-psychotics Loxapine – Loxapac ® Haloperidol – Haldol ® Dell Pharmacy 4057 New Street (at Walker's Line) Burlington L7L 1S8 (905) 637-2880 Fax (905) 637-4119 Increase urine production causing an increase in frequency of urination and an urge to urinate. Also slows your ability to get to the bathroom. Urinary retention. Relax the urethral muscles, resulting in the leakage of urine. Relax bladder, causing urinary retention See anti-cholinergics (see above). Possess anticholinergic actions (see above) and can cause sedation (decreased perception of the need to urinate). Beta-agonists Caffeine Calcium Channel Blockers Diuretics Muscle Relaxants Isoproterenol Hydrochloride – Isuprel ® Coffee Cola Tea Chocolate Nifedipine – Adalat ® Amlodipine – Norvasc ® Verapamil – Verelan ® Hydrochlorothiazide – HydroDiuril ® Furosemide – Lasix ® Amiloride Hydrochloride – Midamor ® Triamterene – Dyrenium ® Baclofen – Lioresal ® Cyclobenzaprine Hydrochloride – Flexeril ® Orphenadrine Citrate – Norflex ® Narcotic Analgesics Sedatives / Anti-stress Agents Any Codeine containing products – Tylenol #1 and #3 ®, 222’s ® Diazepam – Valium ® Alprazolam – Xanax ® Sympatholytics Alpha-methyldopa – Aldomet ® Tri-cyclic Antidepressants Amitriptyline – Elavil ® Desipramine – Norpramin ® Nortriptyline – Aventyl ® Dell Pharmacy 4057 New Street (at Walker's Line) Burlington L7L 1S8 (905) 637-2880 Fax (905) 637-4119 Urinary retention. Increase urine production causing an increase in frequency of urination and an urge to urinate. Urinary retention. Increase urine production causing an increase in frequency of urination and an urge to urinate. Possess anticholinergic actions (see above). Relax the urethral muscles, resulting in the leakage of urine. May cause sedation (decreased perception of the need to urinate). Urinary retention. Urinary retention and sedation (decreased perception of the need to urinate) Relax the urethral muscles, resulting in the leakage of urine. Possess anticholinergic actions (see above) and can cause sedation (decreased perception of the need to urinate).