phenolpropanalime/urinary incontinence

Question
I just read your response to Harold & Patricia about Jed, who developed urinary incontinence.
I wondered why you are not aware of the use of Phynolpropanalamine as a treatment for problem incontinence, IE: spay incontinence,& for incontinence in older dogs.
Yes it is indeed a decongestant. This medication works on the smooth muscles of the blood vessels & also the sphincter muscles, which are similar, by way of constricting them. Thus, this helps in the constriction of the sphincter in the bladder/urethra, etc.
PPA is a well documented treatment for this condition. Hormones work also, but carry a greater risk of side effects and cancer.
PPA is not a cure, it only helps to alleviate symptoms. Unfortunately there is no cure for the condition.
My 18 mo spayed Boxer bitch just developed this problem. She was spayed at 9 mo, before her first heat. I have had many bitches in my day, all spayed, for one reason or another AFTER the 1st heat. I do not know if that is significant in the big picture, I just throw it out there for consideration.

Generally, a very interesting web site. Some of the stories are heart rending.  

We have had Boxers for some time, love the breed. We are dog lovers period. Currently owned by a Lab, a Dachshund and a cat, in addition to our Boxer girl. They all take patience, consistency, time, energy, & definitely  money.
In my opinion, if someone is missing any one of these "virtues", one should re-think stewardship of these loyal, silly, clever, funny, playful, adoring creatures. Again, just my opinion.

Sincerely & thanks,
CMT  

Answer
Thank you for your information, CMT, however, I generally never recommend medications because of liability issues and also because some dogs can be allergic.

I refer all questioners to see their vet for medications and treatments and diagnose, unless it is simple to answer or a behavioral problem.

I leave the medications to the vets.

What works for some dogs, doesn't necessarily work for others- and what some vets recommend knowing the animal's medical history might not be such a "generalization" for others to interfere in.

I'd much rather people take their Boxers to their own vet for an accurate diagnose and treatment.