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It definitely helps with "urgency" - I can now hang on for a while (up to an hour), whereas before I had to go immediately. My main concern with it is a feeling of vagueness and slight difficulty focusing mentally, starting around an hour after I take it and lasting 2-3 hours. It seems to be increasing. I am concerned enough about this that I am considering stopping Ditropan. Another side effect is a dry mouth. I need to have frequent sips of water, and the dryness wakes me up 2-3 times a night.