Hi Barry, Doctors will often start with a low does and work up from there depending on your son’s response. Keep in mind however it is only effective approximately 50-70% of the time. So while you may experience success with an increased dose, there is also a possibility that you will need to look to alternative treatments. Unfortunately Minirin does not work with all children; this is generally viewed as a form of management rather than treatment as children commonly return to wetting once they stop taking the medication. The best approach to treatment is the conditioning alarms. It is not unusual for the alarm not to work at first and may take up to 6 months of constant use. Children may experience one or two relapses, when this occurs you need to reintroduce and repeat the process. It may be helpful to get your son to practice setting the alarm off during the day (with a drop of water) so that way he will become familiar to the sound of the alarm. Some alarms have different settings that allow you to vary the sound – sometimes a louder alarm will raise a particularly deep sleeper. Others include a vibration option, which your son may respond to more easily. In the meantime, keep reminding him that the bedwetting is not his fault and even though it may not seem like it at the moment, it is something he will out grow.

Regards,
Dr Cathrine

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