NICE scraps age limit for treatment of bedwetting

Children under the age of seven should now be considered for treatment for bedwetting, according to NICE guidance.

Children under seven can now be offered treatment for bedwetting (Photograph: SPL)

However, in separate advice, the institute rejected the asthma drug omalizumab (Xolair) for children under the age of 12 in the NHS in England.

In its guidance, NICE said more than a fifth of children aged four and five regularly wet the bed, but practices have traditionally only offered treatment from the age of seven. This latest guidance, the first to address nocturnal enuresis, removes the minimum age for management of the condition.

NICE deputy chairman Dr Gillian Leng said: 'Our clinical guideline does not specify a minimum age limit. This means that for the first time advice or treatments will be available to children under seven years, who may have previously been excluded from these services.'

NICE said GPs and practice nurses should inform children and parents that positive rewards for agreed behaviour, like going to the toilet before bed, rather than dry nights, should be used either alone or in conjunction with other treatments for bedwetting.

The use of an alarm is suggested as a first-line treatment, unless an alarm is considered undesirable to the child or parents, or if the child has infrequent bedwetting.

NICE has said the asthma drug omalizumab should be used for some over-12s, but that evidence for use in younger children suggested it offered limited benefits over other treatments. But the guidance states that children currently receiving omalizumab should be able to continue with it until it is considered appropriate to stop.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Just published

BMA Scotland GP committee chair Dr Andrew Buist

'Disappointing' uplift falls short of 6% pay rise promised to GPs in Scotland

A 'disappointing' uplift to contract funding worth £60.4m in 2023/24 will not deliver...

Person selecting medicine in a dispensary

Dispensing GPs demand funding overhaul to ensure services remain viable

Dispensing doctors have demanded improved representation in GP contract negotiations,...

GP consultation room

GPs seeing cases of malnutrition and rickets as cost-of-living crisis hits patient health

Three quarters of GPs are seeing a rise in patients with problems linked to the cost-of-living...

Female GP listening to a patient

What GPs need to know about changes to Good Medical Practice

Dr Udvitha Nandasoma, the MDU’s head of advisory services, explains what GPs need...

Dr Caroline Fryar

Viewpoint: Doctors should be given protected time to digest Good Medical Practice

There's a lot for doctors to digest in the GMC's Good Medical Practice update before...

MIMS Learning Clinical Update podcast

MIMS Learning Clinical Update podcast explores the ‘defining issue of our age’

The latest episode of the MIMS Learning Clinical Update podcast features an interview...