Instructions:

Do not scold or punish the child.

Avoid excess fluids after 6 pm.

Empty the bladder before going to sleep.

Wake up the child at midnight to empty the bladder and again in early morning if necessary.

During day time the child should hold urine as long as possible.

Check the Genitalia and urine for infection.

Drug treatment

If not controlled by above simple measures and if bedwetting is almost every day.

Tab. Dasponil 25 mg 1-2 tabs at bed time x 2 months. (Imparamin = anti depressant) or

Tab. AMITONE 25mg 1 HS (AMitriptylin)

Tab. TROPAN 2.5 -5 mg 1 bd x 1-2 months

D-void Nasal spray: 1spray in each nostril at bedtime (Desmopressin nasal solution- Sunpharma)

Tab NOCTURIN 5mg bd (Oxybutyrin chloride)

Nocturnal enuresis is physiological upto the age of 3 years. Even later, proper toilet training should be tried for several weeks before giving drugs. Drugs alone wont help.

Neglect occasional bed-wetting.

Tab. Dasponil

D-void Nasal spray