About Dr. Tara Kompare, Pharm.D. Expertise I can answer a broad range of questions related to community pharmacy practice. My particular
interests include childrens` health and safe medication use for seniors. As the mother of two small children, I am quite knowledgable on many parenting issues from how to handle
a baby with colic to how to get kids to take their medicine. With regards to medication use in seniors, I can answer questions about adverse effects, drugs to generally avoid
in that population, and disease management issues.
Experience I entered the world of pharmacy as a technician for approximately six years. I then went on to receive my Doctor of Pharmacy degree and now work for the Federal Government as an outpatient pharmacist.
Publications Drug Topics Feb.2006 edition ("Why a Kiddie Corner Makes Sense"),
I also recently submitted an article to Pharmacy Times entitled "How to Help Parents Cope With Colic" which is scheduled for publication in the near future.
Education/Credentials B.S. Biology (Old Dominion University 1997)
Pharm.D.(Virginia Commonwealth University 2002)
Question Hello,
My nephew is 5 months old. He was born with Spina Bifida of the L4L5 area. He is having bladder control issues and the urologist is worried about the pressure in his bladder being to high. One treatment option is to take Ditropan (anticholinergic) for life to decrease this pressure. I'm wondering what the long term side effects of taking this type of medication would be and if there is a safer medication alternative? Another consideration is that he does have trouble with intermittent constipation as is common for Spina Bifida kids.
Thank you for your help!
Answer Dear Chenoa,
As far as I know, there are no other alternatives that are superior to Ditropan. And, unfortunately, one of the side effects of Ditropan, and any anticholinergic drug, is constipation. If you are concerned, I would seek a second opinion from a doctor who specializes in treating babies with spina bifida. It never hurts to get a second opinion.
When starting medications like Ditropan in babies, the doctor only prescribes such drugs when the benefit clearly outweighs the risk. With proper dosing and monitoring, hopefully Ditropan will help your nephew rather than hurt.
I wish your nephew and your family the best. Take care and good luck!
