Treatment of recurrent bedwetting after previous successful treatment

Following successful treatment with an alarm:

• in people who have started regularly bedwetting - consider alarm treatment once again
  
  
• in people who have more than one recurrence of bedwetting - offer combination treatment with an alarm and desmopressin

Following response to previous desmopressin treatment courses:

• in people who experience repeated recurrences - consider using repeated courses of desmopressin
  
  
• withdraw desmopressin gradually rather than stopping it suddenly
  
  
• if an alarm is now considered appropriate and desirable - consider alarm treatment as an alternative to restarting desmopressin

Perform regular medication reviews for repeated courses of drug treatment in bed wetting (1)

Reference:

• 1. National Clinical Guideline Centre 2010. Nocturnal enuresis: The management of bedwetting in children and young people