How is Nocturia Treated?

Lifestyle changes:

  • Restrict fluid intake at night.
    Drink plenty of fluids during the day (especially water), but limit fluids 2-4 hours before you go to sleep. Be sure to limit alcohol and caffeine (soda, tea and coffee).
  • Manage your use of diuretics.
    If you have to take a diuretic, then do so at least 6 hours before you go to sleep. This will help reduce the number of times you urinate during the night.
  • Elevate your legs or use compression socks.
    Some people experience fluid build-up in their legs. When you elevate your legs, it helps to redistribute fluids back into the bloodstream, reducing the need to urinate. Elastic compression stockings help by putting pressure on your legs to prevent fluid build-up.
  • Enjoy afternoon naps.
    When you sleep poorly, a nap can be help you feel better during the day. Naps can also allow liquids to be absorbed into the bloodstream. However, be careful not to nap too long or too often. You don't want to disrupt nighttime sleep patterns with naps.

Management:

If you experience bed-wetting, there are several products to help keep you and your bed dry. For example, waterproof mattress covers, absorbent briefs and skincare products.
Visit our incontinence website article to learn more about managing leaks with products and devices.

Medicine:

If lifestyle changes alone don't help with your nocturia, some medicines may. Some people try one type, then another, until they find what works best for them. Not everyone benefits from prescription drug options, but it helps to know about them.

  • Medicines to help the kidneys produce less urine. For example, Desmopressin (DDAVP®).
  • Anticholinergic medicines to treat bladder muscle problems. They relax the bladder if it spasms. These are used to correct overactive bladder. For example, Darifenacin (Enablex®), Oxybutynin (Ditropan®), Tolterodine (Detrol®), Trospium Chloride (Sanctura®), or Solifenacin (VESIcare®).
  • Diuretic medicines to regulate urine production and high blood pressure. For example, Bumetanide (Bumex®), Furosemide (Lasix®).

If an underlying illness leads to nocturia, then treating that illness will surely help. It's important to treat diabetes, high blood pressure, congestive heart failure, obstructive sleep apnea, and/or enlarged prostate (BPH). Changing the timing and dose of prescribed medicine may also help.