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Further to my comments of 19 Sept (see above): I now split the contents of the capsule into thirds. This means that I take 0.133 mg a day (in the morning). It is very effective and now I have normal bladder control. The side effects are minimal at this lower dosage - only a bit of a stiff neck which goes away after awhile or with exercise. Taking the full dosage of 0.4 mg caused very unpleasant side effects and I would not have continued with the medication.

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