It is given as a nasal spray although a new oral form may become available in the next several months. It works by decreasing the amount of urine he makes at night therefore decreasing the chance of an accident. However in the majority of patients this medicine will decrease the number of wet nights but not completely eliminate the problem. In addition, this is not a cure . The wetting will recur if the medicaiotn is not used.
Behavioral modification works well depending on the motivation of the child.
If he really wants to be dry, it most likely will work. A kit is available at most children s stores like Toys R Us. An alrm is attached to a probe that the child wears in his undergarment. At the firs hint of wetness, the alarm sounds to awaken the child. He then gets up to go to the bathroom.