48 yo female presents to you with complains for 3 months of urinary symptoms including daily UUI episodes

48 yo female presents to you with complains for 3 months of urinary symptoms including daily UUI episodes often occurring when she bends, is working out, or laughs and does endorse 1 or 2 episodes of nocturia over the past two weeks. She is embarrassed by these episodes and often wears pads to avoid leaking. Patient is willing and motivated to try anything to help with these symptoms. What is this patient’s most likely diagnosis? What are some nonpharmacologic recommendations you can make for this patient? What drug class would be the first line therapy for this patient? What are some important side effects associated with this drug class?

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