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Wondered if anyone else's Dr. wanted them to use Dual therapy,, what it is, is using a combination of 2 bladder meds. They had me on 10mg of Oxybutynin & 50mg Myrobetriq. I felt it was to much to deal with, they started Lexapro and Ativan to relax me and I think for me to accept the new meds. I ask to stop the Myrobetriq as it gave the Botox effect in some respects. (yes I have had botox too, and they want me to have it again) So currently I'm on Oxybutynin and she upped it too 15mg. and told me I will be on that longterm, to settle down bladder, and painful spasms