, Volume 65, Issue 1, pp 99–107 | Cite as


In Adults with Nocturia
Adis Drug Profile


▴ Desmopressin, a synthetic antidiuretic hormone analogue, is the only drug currently approved for the treatment of nocturia associated with nocturnal polyuria or multiple sclerosis (MS). Compared with vasopressin, desmopressin has a longer lasting and more potent antidiuretic effect and is devoid of vasopressor and uterotonic effects.

▴ In two large, randomised, double-blind phase III trials in adults with nocturia associated with nocturnal polyuria, 3 weeks of oral desmopressin therapy was significantly more effective than placebo in reducing the mean number of nocturnal voids and in normalising the rate of nocturnal urine production.

▴ Beneficial effects of desmopressin on nocturia were maintained and increased in patients completing 10 or 12 months of further treatment in a nonblind extension of short-term trials.

▴ In randomised, double-blind trials in MS patients with nocturia, nasal desmopressin reduced the mean number of nocturnal voiding episodes by 31–54%.

▴ In both patient populations, desmopressin increased the initial sleep period or mean maximum period of uninterrupted sleep by ≈2 hours, an outcome significantly greater than that achieved with placebo.

▴ In trials of ≤6 weeks duration in adults with nocturia, desmopressin was generally well tolerated. Most desmopressin-related adverse events were transient and mild or moderate in severity. Clinically significant hyponatraemia was reported in ≈5% and required withdrawal from studies in š3% of patients.


Desmopressin Secondary Efficacy Endpoint Nocturnal Polyuria Antidiuretic Effect Primary Nocturnal Enuresis 
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© Adis Data Information BV 2005

Authors and Affiliations

  1. 1.Adis International Limited, AucklandMairangi Bay, AucklandNew Zealand

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