Treatment of nocturnal enuresis – Psychiatry MCQ

Drug used for treatment of nocturnal enuresis is?

A. Trazodone
B. Imipramine
C. Chlorpromazine
D. Sertraline

Correct answer : B. Imipramine

Treatment of nocturnal enuresis

• Enuresis alarm systems are the preferred treatment for children with nocturnal enuresis.
  • These detect the moisture of urine when there is nocturnal enuresis.
  • An alarm is triggered which wakes up the child.
  • These systems are of 3 types – wearable alarms, wireless alarms and pad type alarms.
  • Alarm systems are also have the least relapse rate among the various modalities of treatment.
• Motivational therapy
  • The child is rewarded for keeping dry at night. But punishment for bedwetting is discouraged.
  • There is limited evidence to support the efficacy of this approach.
• Drug therapy
  • Pharmacological treatment for nocturnal enuresis is reserved for cases which do not respond to treatment with enuresis alarms.
  • Desmopressin in the preferred drug. It is given at night to reduce urine production during sleep.
  • Tricyclic antidepressants like imipramine can also be used. But use is limited due to side effects.