What happens if initial treatment does not work?

If you think that care for the child or young person does not match what is described in this information, please talk to a member of your healthcare team in the first instance.

Following alarm treatment

If alarm treatment is not successful, desmopressin should be offered (see box 2 in desmopressin treatment) to take as well as using the alarm. Alternatively, if the child or young person or you no longer want to use an alarm, desmopressin should be offered alone.

If the combination of an alarm with desmopressin has been only partially successful, the healthcare team should advise that alarm treatment is stopped and offer desmopressin alone.

Following desmopressin treatment

If desmopressin treatment is not successful, the healthcare team may offer an anticholinergic drug to take with desmopressin (see anticholinergics combined with desmopressin).

Following alarm and/or desmopressin treatment

If courses of treatment with an alarm and/or desmopressin are not successful, the child or young person should be referred for further review and assessment.

See also options for difficult-to-treat bedwetting.

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