INDICATIONS  
     
Nocturnal enuresis, bladder weakness.
  
MODE OF ACTION OF MAIN INGREDIENTS:  
     
The remedies contained in this preparation bring about an improvement in nervous and debilitated constitutions. They also have an affinity to the motor nerves controlling the bladder functions.

Calcium phosphoricum: Constitutionally indicated in the asthenic patient.

Pulsatilla: Incontinence of urine, particularly in girls.

Ferrum phosphoricum: Incontinence of urine, also during the day.

Kalium phosphoricum: Nervous constitutions. General debility and weakness.

Sepia: Specific affinity to the bladder sphincter (insufficiency of). Nocturnal enuresis during first sleep. Close relationship to sexual sphere.
  
     
DOSAGE  
     
- Nocturnal enuresis in small children: 8-10 drops in some water 3 times daily
 
- Reduce dosage after 2-3 weeks to twice daily
 
- The same regimen applies to older children, however increase the dosage to 10-15 drops
 
- Adults should be given 10-15 drops 3 times a day over a longer period of time
  
     
REMARKS  
     
- Many causes may precipitate nocturnal enuresis or bladder complaints and it is advisable therefore to elicit the deeper Iying causes to those complaints
 
- 'Spina bifida occulta' must be thought of
 
- Inflammatory processes in the urogenital tract: compare R18 to be given in addition to or in alternation with R74.

- Involvement of the prostrate gland: R25