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Excessive urination at night

Also known as Nocturia and Waking multiple times at night to pee

Nocturia (derived from Latin nox, night, and Greek ούρα, urine), also called nycturia (Greek νυκτουρία), is the need to get up in the night to urinate, thus interrupting sleep. Its occurrence is more frequent in pregnant women and in the elderly. Nocturia could result simply from too much liquid intake before going to bed (usually the case in the young), or it could be a symptom of a larger problem, such as sleep apnea, hyperparathyroidism,chronic renal failure, urinary incontinence, bladder infection, interstitial cystitis, diabetes, congestive heart failure, benign prostatic hyperplasia, ureteral pelvic junction obstruction, uterine fibroids, eating disorders, diabetes insipidus or prostate cancer.

Source: Wikipedia

What causes it?

The most common causes of excessive urination at night are benign prostatic hyperplasia (bph), urinary tract infection, and high blood pressure. Other possible causes, such as hyperlipidemia, are more rare.


What might my doctor prescribe?

Common Tests and Procedures

Patients with excessive urination at night often receive urinalysis, hematologic tests, prostate specific antigen measurement, rectal examination, ultrasonography, lipid panel, other diagnostic procedures (interview; evaluation; consultation) and hemoglobin a1c measurement .

Common Medications

The most commonly prescribed drugs for patients with excessive urination at night include tamsulosin (flomax), dutasteride (avodart), tolterodine (detrol), oxybutynin, doxazosin, finasteride (propecia), alfuzosin (uroxatral), terazosin, solifenacin (vesicare), leuprolide (lupron), silodosin (rapaflo), darifenacin (enablex) and psyllium .

Tamsulosin (Flomax)
$65
(28 days)
Dutasteride (Avodart)
$97
(28 days)
Tolterodine (Detrol)
$121
(28 days)
Oxybutynin
$37
(28 days)
Doxazosin
$8
(28 days)
Finasteride (Propecia)
$37
(28 days)
Alfuzosin (Uroxatral)
$98
(28 days)
Terazosin
$8
(28 days)
Solifenacin (Vesicare)
$129
(28 days)
Leuprolide (Lupron)
$961
(28 days)
Silodosin (Rapaflo)
$99
(28 days)
Darifenacin (Enablex)
$125
(28 days)
Psyllium
$11
(28 days)

Who is at risk?

Groups of people at highest risk for excessive urination at night include race/ethnicity = other, age 75+ years, sex == male and age 60-74 years. On the other hand, age < 1 years almost never get excessive urination at night.

Age

< 1 years
0.0x
1-4 years
0.1x
5-14 years
0.4x
15-29 years
0.3x
30-44 years
0.3x
45-59 years
0.9x
60-74 years
2.2x
75+ years
3.6x

Sex

Male
1.6x
Female
0.5x

Race/Ethnicity

Black
0.6x
Hispanic
0.8x
White
1.1x
Other
1.5x
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