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Complete this simple checklist if you have frequent bladder urges and worry about bladder leakage. Check all the statements that apply to you.

It seems like I'm always going to the bathroom.

The need to go comes on really fast, and sometimes I worry I won't make it in time.

I'm careful about when I drink liquids so I don't have to go to the bathroom at the wrong time.

I don't like to go places where I'm not sure there will be a convenient bathroom.

I don't have accidents, but sometimes I worry I might leak.

Having to use the bathroom so much can feel like a hassle.

From time to time, I notice that I leak a little.

Because of my bladder symptoms, sometimes I just don't feel fresh and clean.
Print Your Results


You may want to share your results with your doctor to discuss your bladder symptoms and any treatment options that may be right for you. Only your doctor can give you a diagnosis.

Click here to download the Fresh Approach Kit from VESIcare to bring to your doctor, which includes our Bladder Checklist, Bladder Tracker, and Questions to Ask.



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Important Safety Information
VESIcare is for urgency, frequency, and leakage (overactive bladder). VESIcare is not for everyone. If you have certain types of stomach, urinary, or glaucoma problems, do not take VESIcare. While taking VESIcare, if you experience a serious allergic reaction, severe abdominal pain, or become constipated for three or more days, tell your doctor right away. In studies, common side effects were dry mouth, constipation, blurred vision, and indigestion.
Complete Prescribing Information for VESIcare

You are encouraged to report negative side effects of prescription drugs to the FDA.
Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

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