Sleep Deprivation and Elective Surgery

Abstract

To the Editor: In the case review of a 62-year-old woman with idiopathic urgency urinary incontinence, Nygaard (Sept. 16 issue)(1) suggests treatment with an anticholinergic medication after a trial of lifestyle and behavioral therapies. She further recommends that since the various anticholinergic medications have similar efficacies, therapy should be initiated with the least expensive option. Oxybutynin, the only medication for overactive bladder that is available as a generic, was priced on Drugstore.com on September 23, 2010, at $23.32 for 100 tablets of the immediate-release formulation. The five nongeneric drugs for overactive bladder (Detrol, Toviaz, Vesicare, Sanctura, and Enablex) were all . . .