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Re: Retention after Pereyra procedure From: Gerald P. Rodriguez (geraldpr@cybermesa.com) Fri Feb 28 12:50:13 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: hina: "use of metfprmine in treatment of pco and infirtility" Previous message: Mario Colombo, MD: "Re: Retention after Pereyra procedure" Maybe in reply to: Mario Colombo, MD: "Retention after Pereyra procedure" Next in thread: Mario Colombo, MD: "Re: Retention after Pereyra procedure" First, it is best if given on an empty stomach. Have the patient take the first dose within a hour or so after self-catheterization, since does not work as well if the bladder is very full. Start with 10-20 mg p.o. and repeat in every one hour until voiding occurs or for a total of 50-60mg. Repeat this up to 4 times a day. Subcutaneous injections are 2.5 mg to 5 mg every 15 to 30 minutes for a max of 4 doses unless significant side- effects occur. You are obviously not dealing with either a neurogenic bladder nor with outflow obstruction, so I think it is worth a try. Gerald P. Rodríguez, M.D., FACOG Santa Fe > ----- Original Message ----- From: Mario Colombo, MD To: Multiple recipients of list OB-GYN-L Sent: Friday, February 28, 2003 12:16 PM Subject: Re: Retention after Pereyra procedure Ok. Which dose would you use in this woman? Thank you. Mario Colombo, MD Monza Italy From: Gerald P. Rodriguez Yes, I think they work. Bethanecol is short acting, and the drug works best if you "push" the dose to tolerance, both in frequency and dosage. Gerald P. Rodríguez, M.D., FACOG Santa Fe From: Mario Colombo, MD From: Gerald P. Rodriguez Have you tried a parasympathomimetic, such as bethanecol chloride? Gerald, We have often used in the past Bethanecol, but its results were constantly nearly zero. We have abandoned its use around 10 years ago. We have the same impressions for alpha-litics. Do you have a different experience? Thanks a lot. Mario Colombo Monza Italy Next message: hina: "use of metfprmine in treatment of pco and infirtility" Previous message: Mario Colombo, MD: "Re: Retention after Pereyra procedure" Maybe in reply to: Mario Colombo, MD: "Retention after Pereyra procedure" Next in thread: Mario Colombo, MD: "Re: Retention after Pereyra procedure"

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