Hi Emma,

I had stress incontinence and was prescribed low-dose amitriptyline. This may be worth considering.

In high doses amitriptyline is an anti depressant (!!) this is at doses of 100 to 200 mg. When I was prescribed it for incontinence I was having 10 mg, so significantly less.

Checking on the internet the jury is out on it's effects on breastfeeding - so this is one where you will definitely need to be led by your OB or GP.

I mention it as another option to consider, particularly once you have stopped breastfeeding. I used it in conjunction with physio and it really helped, particularly with sleeping through the night (it is also given to children with chronic bedwetting problems).