The Medical Letter on Drugs and Therapeutics
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ISSUE
1749
Addendum: Urinary Incontinence with Second-Generation Antipsychotic Drugs
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Med Lett Drugs Ther. 2026 Mar 2;68(1749):40   doi:10.58347/tml.2026.1749c
Disclosures
Objective(s)

Our recent article entitled Lumateperone (Caplyta) for Adjunctive Treatment of Depression1 should have included urinary incontinence among the adverse effects associated with use of second-generation antipsychotic drugs. Urinary incontinence has been reported with both first- and second-generation antipsychotics. Possible causes include the anti-alpha-adrenergic, antidopaminergic, and anticholinergic effects of these drugs, as well as sedation. In an observational study in 200 women 20-40 years old, urinary incontinence was reported by 29% of those taking antipsychotic drugs and by 13% of age-matched controls.2

  1. Med Lett Drugs Ther 2026; 68:20.
  2. L Yosef et al. Antipsychotic treatment influence on urinary incontinence in young women-types, severity and life quality. Eur J Obstet Gynecol Reprod Biol 2025; 309:214. doi:10.1016/j.ejogrb.2025.03.020
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