Overactive bladder (OAB) is a common condition characterized by a sudden, frequent urge to urinate. While prescription medications are the most common treatment, many individuals are exploring complementary and alternative approaches, including herbal remedies. However, it’s crucial to understand that the Food and Drug Administration (FDA) regulates herbs as dietary supplements, not as medications approved to treat specific medical conditions. Consulting a healthcare provider before starting any herbal treatment is essential.
Herbal Remedies: What the Research Shows
Several herbs have been investigated for their potential to alleviate OAB symptoms. The evidence supporting their use varies, and more research is often needed.
Bladderwrack
Bladderwrack, a type of seaweed, is recognized for its high iodine content and is traditionally used to treat underactive thyroid (hypothyroidism). It has also been explored as a potential treatment for OAB. However, current evidence is insufficient to definitively deem it an effective treatment. Individuals taking synthetic or natural hormones for hypothyroidism, those with an overactive thyroid (hyperthyroidism), those using other forms of iodine, or those who are pregnant or breastfeeding should avoid bladderwrack.
Gosha-jinki-gan
Gosha-jinki-gan shows more promise, backed by some scientific study. A study examined the effects of this herb over six weeks on bladder activity in elderly men experiencing OAB symptoms alongside benign prostatic obstruction. The study observed significant improvements in OAB symptoms, leading researchers to conclude that Gosha-jinki-gan may represent a new potential therapy for OAB in this specific population.
Horsetail
Horsetail is an herb used to address a range of ailments, including some symptoms associated with OAB, such as urinary leaks (incontinence), bladder stones, and urinary tract infections. We see also sometimes used for “general disturbances” related to the bladder. However, as with bladderwrack, there isn’t currently enough evidence to definitively prove its effectiveness in treating OAB.
Other Over-the-Counter Options
Beyond specific herbs, several over-the-counter products aim to provide bladder support. These include supplements, teas, and patches. Ingredients like pumpkin seed extract, soy germ, and oxybutynin are commonly found in these products and may offer benefits with fewer side effects than prescription medications. Herbal teas containing ingredients like corn silk or chamomile may also help soothe the bladder when used in conjunction with other strategies.
Pumpkin Seed and Soy Extracts
Products containing pumpkin seed or soy extracts are designed to calm the bladder. These hormone-free formulas are often considered suitable for long-term use, particularly for women. Clinically tested products with proven efficacy or medical endorsements are generally preferred.
Oxybutynin Patch
Oxytrol for Women is an FDA-approved transdermal patch that delivers bladder-relaxing medication through the skin. It is best suited for women experiencing moderate urgency and frequency.
AZO Bladder Control with Go-Less®
AZO Bladder Control with Go-Less® is a natural supplement combining pumpkin seed and soy germ extract. It is intended for adults with mild urgency or nighttime frequency who prefer a natural approach.
UriVarx
UriVarx is a clinically formulated blend of botanicals designed to support pelvic floor and bladder tone.
Important Considerations
While over-the-counter options can be helpful for mild cases of OAB, it’s crucial to recognize their limitations. Persistent, worsening, or disruptive symptoms should prompt a visit to a healthcare provider to rule out more serious underlying conditions and explore appropriate treatment options, which may include prescription medications or other interventions.
It’s also important to choose products with FDA-approved ingredients and a low risk of side effects. Prioritizing gentle, well-tolerated ingredients is key, especially for long-term use. Individuals should always discuss any new supplements or herbal remedies with their doctor to ensure they are safe and appropriate for their individual health needs.
The search for effective OAB treatments continues, and ongoing research may reveal new insights into the potential benefits of herbal remedies and other complementary therapies. However, at present, a cautious and informed approach, guided by a healthcare professional, is the most responsible way to manage this common condition.
