Frequent Urination Issues Despite Medication - #49048

Mirabegron (25 mg) usually: Takes 3–6 weeks to show benefit 25 mg is the starting dose, not always sufficient Works mainly for overactive bladder, NOT for: Diabetes Urinary infection Prostate problems (in men) Interstitial cystitis Excess urine production (polyuria) So 1 week is too early to judge failure. - Provisional Ayurvedic Diagnosis: Mutravaha Srotodushti Apana Vata prakopa ± Pitta involvement Suspected functional bladder disorder - ℞ Medicines 1)Gokshura Guggulu Dose: 2 tablets Frequency: Twice daily Anupana: Warm water Timing: After meals 2)Chandana ava Dose: 20 ml Frequency: Twice daily Anupana: Equal quantity of water Timing: After meals 3)Varanasi Kashayam Dose: 15 ml Frequency: Twice daily Anupana: Equal warm water Timing: Before meals 4)Punarnava Mandur Dose: 1 tablet Frequency: Twice daily Timing: After meals ⏳ Duration 4 weeks initially Review after 30 days 🥗 Pathya (Do’s) Warm water only Light, easily digestible food Rice, moong dal, bottle gourd, ash gourd Regular meal timings 🚫 Apathya (Don’ts) Tea, coffee, alcohol Spicy, sour, fermented food Excess salt Cold drinks Late-night fluid intake Suppressing or forcefully holding urine 🧘 Advised Bladder training Stress reduction Adequate sleep Avoid day sleep 🔬 Investigations Advised (Important) Urine routine & culture Fasting blood sugar / HbA1c Ultrasound abdomen

Don’t worry Avoid fluid intake after 8pm Avoid tea, coffee, alcohol… Regular exercise. Tab.Neo 2-0-2 Tab Chandraprabha vati 2-0-2 Follow up after 2 weeks.