Nocdurna⁚ A Guide to Understanding This Nocturia Medication
**Nocdurna** is a brand-name medication containing the active ingredient **desmopressin acetate**. It belongs to the class of drugs known as antidiuretics and is specifically designed to treat **nocturia** in adults. Nocturia is the need to wake up frequently during the night to urinate.
Who should take Nocdurna?
Nocdurna is prescribed for adults who experience nocturia due to nocturnal polyuria, a condition where your kidneys produce too much urine at night. If you wake up at least twice per night to urinate, Nocdurna may be a suitable treatment option for you.
How does Nocdurna work?
Desmopressin acetate, the active ingredient in Nocdurna, works by mimicking the action of a natural hormone called vasopressin. This hormone helps your kidneys regulate the amount of water reabsorbed into your body. By increasing water reabsorption, Nocdurna reduces the amount of urine your body produces at night, thereby decreasing the need to urinate frequently.
How is Nocdurna taken?
Nocdurna comes as a sublingual tablet, meaning it dissolves under your tongue. The typical dosage is one tablet per day, taken one hour before bedtime without water. It’s important to urinate right before bed after taking the medication. The recommended dose for men is 55;3 mcg and for women is 27.7 mcg.
What are the potential side effects of Nocdurna?
Like any medication, Nocdurna can cause side effects. These can range from mild to serious.
Mild side effects may include⁚
- Headache
- Nasal congestion
- Dry mouth
- Back pain
- Dizziness
Serious side effects are less common but can include⁚
* Hyponatremia (low blood sodium levels)⁚ This is a potentially life-threatening condition that requires immediate medical attention. Symptoms may include headache, confusion, nausea, vomiting, and seizures.
* Allergic reactions⁚ Although rare, allergic reactions can occur with symptoms such as rash, itching, swelling, and difficulty breathing.
It’s important to discuss any potential side effects with your doctor before starting Nocdurna.
Precautions and warnings⁚
* Boxed Warning for Hyponatremia⁚ Nocdurna carries a boxed warning for the risk of hyponatremia, which can be serious or even fatal. It’s important to monitor your sodium levels regularly while taking this medication.
* Fluid restriction⁚ While taking Nocdurna, it’s crucial to restrict your fluid intake, especially in the evening, to further reduce the risk of hyponatremia.
* Underlying medical conditions⁚ Inform your doctor of any existing medical conditions, especially kidney problems or heart failure, as these may affect your suitability for taking Nocdurna.
Alternatives to Nocdurna⁚
Several other medications can treat nocturia, including⁚
* Anticholinergic drugs (e.g., oxybutynin)
* Diuretics (e.g., furosemide)
* Alpha-blockers (e.g., tamsulosin)
It’s essential to discuss the best treatment option for your individual needs with your doctor.
Cost and availability⁚
Nocdurna is available only as a brand-name medication and may require prior authorization from your insurance company. Copay cards and patient assistance programs may be available to help with the cost of the medication.
Conclusion⁚
Nocdurna can be an effective treatment for nocturia due to nocturnal polyuria. However, it’s essential to be aware of the potential side effects and take precautions to minimize risks. Discuss your individual needs and medical history with your doctor to determine if Nocdurna is the right medication for you.