Bedwetting alarm or Minirin ©? Which is the best treatment?

Should bedwetting be treated? And at what age should we consider it? Questions we hear every day about the support of the Store. It's perfectly normal as a parent to ask yourself these questions. Although in most cases bedwetting is not caused by upbringing or psychological disorders, it can, in the long run, disturb the child. Feeling different from others, not being able to participate in certain activities (going to camp with school, sleeping over at a friend's house, etc.), can cause your child to lose self-confidence. This can lead to a downward spiral of demotivation and spill over into other areas of their life. Bedwetting, if left untreated, can therefore lead to psychological problems. It is advisable to consult your doctor if your child is still regularly wetting the bed after the age of 5. He or she will be able to identify the causes of your child's bedwetting and advise you on treatment. Help with bedwetting Source: Dr. Jean-Pierre Guignard, Honorary Professor of Pediatric Nephrology, University of Lausanne There are two treatments used today for the treatment of bedwetting (enuresis) Behavioral therapy with an alarm system (Pee-Stop) With the alarm system (Pee-Stop warning device), the continence system is trained naturally. The child acquires the reflex to hold their pee, bladder capacity increases and urine becomes concentrated. T Drug therapy with the active substance Minirin® (desmopressin) It is administered in tablet form. It is an antidiuretic hormone (ADH) that can decrease urine production during sleep. The benefits of therapy with the alarm system Efficiency Many pediatricians attest that the alarm system is by far the most effective means for treating enuresis and also the one with the fewest relapses after its use. To treat bedwetting, the current trend among doctors is to propose a method based on learning rather than resorting to medication. The French ANAES study, conducted in 2003, evaluated the efficacy, safety and economic consequences of using alarm systems in the treatment of nocturnal enuresis in comparison with treatment with antidiuretic hormone (desmopressin). This study (ANAES, p. 37) showed that although desmopressin has some effectiveness during treatment, its effects fade quickly after treatment and that in the long term, the alarm proves to be more effective: 50% of patients treated with desmopressin relapsed after treatment compared to only 5% of patients treated with the alarm system. According to the Cochrane study, a relapse is 9 times less likely with the warning device than with antidiuretic hormone. Security The alarm system does not cause any side effects. With antidiuretic hormone, side effects were observed in about 7% of treated children, including: headaches nausea abdominal pain skin rashes... In very rare cases, there has been water intoxication. Antidiuretic hormone nasal sprays, already withdrawn in many European countries, are no longer available in France for the treatment of bedwetting due to significant side effects. The opinion of the Store: We naturally favor treating bedwetting with a Bedwetting Alarm System. Our experience in this area reinforces this choice every day. Many families contact us after treatment with Minirin® failed. Aside from the clinical results that speak for themselves, we have strong reservations about Minirin© which, in addition to not providing significant and curative results, requires very careful monitoring of the child during treatment. The side effects are not trivial and even dangerous. We believe that Minirin© is a good "one-off and very limited in time" alternative if your child has to go on a school trip. Outside of this field of action, we strongly advise against its use. If the child is not yet ready for treatment with an alarm, there is a pajama solution more suitable for our dear little ones.