DOI: 10.12890/2025_005846

Sertraline-induced urinary incontinence

Authors

  • Abdulaziz Muflih Abudasser Department of Medicine, College of Medicine, King Khalid University, Abha, Saudi Arabia 0000-0002-8265-757X

amabdulaziz@kku.edu.sa

Keywords

Sertraline, SSRI, urine incontinence

Abstract

Introduction: Sertraline is a widely prescribed selective serotonin reuptake inhibitor (SSRI) with a favourable safety profile, though rare adverse effects may occur.
Case description: We report the case of a 73-year-old woman with generalised anxiety disorder and panic disorder who developed new-onset urinary incontinence after initiation of sertraline. Symptoms improved with dose reduction but recurred at higher doses, suggesting a causal relationship. Management with clomipramine and solifenacin successfully resolved the urinary incontinence while maintaining psychiatric remission.
Discussion: Our case contributes to the limited literature by documenting an elderly female patient who developed urinary incontinence secondary to sertraline, confirmed through a temporal association, dose-–response relationship, and symptom resolution with targeted interventions.
Conclusion: This case highlights the importance of recognising uncommon SSRI side effects and tailoring management to balance efficacy and tolerability.

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References

  1. Cipriani A, La Ferla T, Furukawa TA, Signoretti A, Nakagawa A, Churchill R, et al. Sertraline versus other antidepressive agents for depression. Cochrane Database Syst Rev 2009;15:CD006117. doi: 10.1002/14651858.CD006117.pub2. Update in: Cochrane Database Syst Rev 2010;(1):CD006117. doi: 10.1002/14651858.CD006117
  2. Pease E, Singh B, Ziegelmann M, Betcher H. Dose-dependent urinary incontinence with sertraline use in obsessive-compulsive disorder. Psychopharmacol Bull 2021;51:117–121.
  3. Phiphopthatsanee N. Sertraline-induced urinary incontinence in adolescent: a case report. BJPsych Open 2023;9:S127. doi: 10.1192/bjo.2023.356
  4. Özdemir PG, Aydin A, Güleç M, Akyüz Çim EF. Switching to fluoxetine in a case of sertraline-induced urinary incontinence: a case report. Dusunen Adam J Psychiatr Neurol Sci 2013;26:117–118. doi: 10.5350/DAJPN2013260116
  5. Gormus ZIS, Vidin T, Koca RO, Solak H, Uslu EF. The effects of agomelatine, fluoxetine, and sertraline on rat bladder contraction in vitro. Dusunen Adam J Psychiatr Neurol Sci 2023;36:148–156. doi: 10.14744/DAJPNS.2023.00218
  6. Uno J, Obara K, Suzuki H, Miyatani S, Chino D, Yoshio T, et al. Inhibitory effects of antidepressants on acetylcholine-induced contractions in isolated Guinea pig urinary bladder smooth muscle. Pharmacology 2017;99:89–98. doi: 10.1159/000452221
  7. Hunsballe JM, Djurhuus JC. Clinical options for imipramine in the management of urinary incontinence. Urol res 2001;29:118–125. doi: 10.1007/s002400100175

Published

2025-10-22

How to Cite

1.
Abudasser AM. Sertraline-induced urinary incontinence. EJCRIM [Internet]. 2025 Oct. 22 [cited 2026 Nov. 3];12(11). Available from: https://ejcrim.com/index.php/ejcrim/article/view/5846