Nocturia: Management and Treatment

Is nocturia treatable?

If you think you might have nocturia, see your healthcare provider. He or she may refer you to a urologist to treat the condition.

Treatment usually is targeted toward the underlying cause. If sleep apnea is considered, you may be referred to a sleep specialist or pulmonologist. If prostate enlargement is the cause, medications or surgery may be needed.

Treatment options for nocturia, regardless of cause, may include:

Interventions:

• Restrict fluids in the evening (especially coffee, caffeinated beverages, and alcohol).
• Time intake of diuretics (take them mid- to late afternoon, six hours before bedtime).
• Take afternoon naps.
• Elevate the legs (this helps prevent fluid accumulation).
• Wear compression stockings (this also helps prevent fluid accumulation).

Medications:

• Anticholinergic medications (these can reduce symptoms of an overactive bladder).
• Bumetanide (Bumex®), Furosemide (Lasix®) (diuretics that assist in regulating urine production).
• Desmopressin (DDAVP®) (helps the kidneys produce less urine).