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Drugs That Treat Enlarged Prostate

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How Should This Medicine Be Used

A breakthrough treatment for men with enlarged prostates

Tamsulosin comes as a capsule to take by mouth. It is usually taken once a day. Take tamsulosin 30 minutes after the same meal each day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take tamsulosin exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Swallow tamsulosin capsules whole do not split, chew, crush, or open them.

Your doctor will probably start you on a low dose of tamsulosin and may increase your dose after 2 to 4 weeks.

Tamsulosin may help control your condition, but it will not cure it. Continue to take tamsulosin even if you feel well. Do not stop taking tamsulosin without talking to your doctor.

Jun 2, 2021 | Prostate Treatment

We have selected the most effective and natural products forprostate treatment available without prescription in 2021. Below, find out what symptoms you should not ignore in prostate treatment, and how to identify and where to buy quality natural medicine for prostate treatment.

Choosing the best prostate treatment without consulting your doctor or pharmacist it is not always easy and you may often find yourself spending a lot of money on different therapies that in the end may not have been effective enough.

Content:

THE MOST COMMONSYMPTOMS THAT MAY REQUIRE PROSTATE TREATMENT

BEST OPTIONS FOR PROSTATE TREATMENT

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What Is The Urolift Procedure

The UroLift procedure takes less than an hour and is performed in a urologists office under local anesthesia.

At the start of the procedure, the urologist inserts a special device into the patients urethra. When the device reaches the prostate, it releases multiple small implants. Each implant is made of a nickel-titanium capsular tab and a stainless steel urethral tab that are held together by a polyester suture.

These implants lift or push away prostate tissue that is blocking the urethra. As a result, the urethra is widened, allowing urine to pass easily out of the body.

A unique advantage of the UroLift procedure is that, unlike medications and other surgeries used to treat BPH, it does not cause sexual side effects such as erectile or ejaculatory problems.

A disadvantage of the UroLift procedure is that while the implants are intended to be permanent, some patients develop recurrent symptoms, requiring a repeat procedure or another type of prostate surgery.

Besides a UroLift procedure, other minimally invasive procedures used to treat the symptoms of BPH include:

  • Water vapor thermal therapy : Uses energy stored in steam to remove prostate tissue
  • Transurethral microwave thermotherapy: Uses heat to destroy prostate tissue

Talking To Your Doctor

Above all, if you have prostate gland enlargement, you need to be careful about the medications you use.

Avoid medicating yourself based on the information you find on forums and other similar platforms. The best thing to do is to talk to your doctor about medications you need to take.

Your healthcare provider will inform you about the most suitable prostate medicine you need to take. Or those less safe that you should avoid that may be bad for your prostate.

For some medications, its necessary to adjust the dosage. This is something only your doctor can .

If you feel like youre not getting better, express your concerns to a healthcare provider, and they may prescribe the most suitable medications for your condition.

Feel free to ask your doctor or dietitian for tips about the diet that is the best for you, the best foods to eat or drink to help you to feel better, and what to avoid.

Above all, regular checkups at the doctors office are important. The doctor may order a PSA test to evaluate for the presence of various problems ranging from prostate cancer to acute bacterial prostatitis.

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Your Quality Of Life With An Enlarged Prostate

If your enlarged prostate symptoms are mild and not bothersome, there’s likely no need for treatment. One-third of men with mild BPH find that their symptoms clear up without treatment. They may just watch and wait.

However, when enlarged prostate symptoms are bothersome or are affecting your quality of life or overall health, it’s time to talk to your doctor about the treatment options. Together you will determine if you would benefit most from medication, a minimally invasive procedure, or surgery.

It’s important to talk with a doctor when you begin noticing changes in urinary function. You need to find out what’s going on so you can be treated for enlarged prostate if necessary. For many men, especially those who are young when the prostate starts growing, getting early treatment can head off complications later on.

When Is Bph Treatment Necessary

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The course of BPH in any individual is not predictable. Symptoms, as well as objective measurements of urethral obstruction, can remain stable for many years and may even improve over time for as many as one-third of men, according to some studies. In a study from the Mayo Clinic, urinary symptoms did not worsen over a 3.5-year period in 73% of men with mild BPH. A progressive decrease in the size and force of the urinary stream and the feeling of incomplete bladder emptying are the symptoms most correlated with the eventual need for treatment. Although nocturia is one of the most annoying BPH symptoms, it does not predict the need for future intervention.

If worsening urethral obstruction is left untreated, possible complications are a thickened, irritable bladder with reduced capacity for urine infected residual urine or bladder stones and a backup of pressure that damages the kidneys.

  • Inadequate bladder emptying resulting in damage to the kidneys
  • Complete inability to urinate after acute urinary retention
  • Incontinence due to overfilling or increased sensitivity of the bladder
  • Recurrent severe hematuria
  • Symptoms that trouble the patient enough to diminish his quality of life

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Hormone Therapy Can Cause Side Effects

Because hormone therapy blocks your bodys ability to produce hormones or interferes with how hormones behave, it can cause unwanted side effects. The side effects you have will depend on the type of hormone therapy you receive and how your body responds to it. People respond differently to the same treatment, so not everyone gets the same side effects. Some side effects also differ if you are a man or a woman.

Some common side effects for men who receive hormone therapy for prostate cancer include:

Table 3 Lifestyle Changes That May Relieve Mild Symptoms Of Prostate Enlargement

These measures can be helpful:

Urinate when you first feel the urge don’t wait.

Do not rush urination. Take your time and relax before, during, and after to give your bladder extra time to empty if the stream is slow or intermittent.

Practice “double-voiding”: Urinate as much as possible, relax for a moment, and then go again.

Urinate before car trips, meetings, or movies.

Spread fluid intake throughout the day and reduce it before bedtime, especially coffee, tea, or caffeinated beverages. Do not avoid fluid intake to reduce the need to urinate. That can cause dehydration.

Drink alcohol and caffeine in moderation.

Avoid antihistamines and decongestants when possible.

If you take a diuretic , ask your doctor if you can take a lower dose or a different drug.

If you have diabetes, controlling blood sugar can reduce frequent urination.

There’s no clear evidence these work:

Exercise.

Kegel exercises.

Herbal supplements such as saw palmetto, Pygeum africanum, rye-pollen grass, and beta-sitosterol.

If you’re taking diuretic drugs, you should ask your doctor whether the dose can be reduced or if you can take a different medication, since doing either could potentially improve your symptoms. Men with diabetes should work with their doctor to make sure their blood sugar levels are kept in control because if they aren’t, it can lead to increased urination.

Other treatments

Surgery and other procedures

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Current Therapies For Bph

At present, the primary goals of BPH treatment are to ameliorate LUTS, improve QOL, inhibit disease progression, and reduce complications. The treatment of BPH involves three different stages: watchful waiting, drug therapy, and surgical treatment . Watchful waiting is recommended by the AUA for patients in whom QOL has not been influenced by mild LUTS this strategy includes the implementation of dietary changes, exercise, education, and regular review . However, for patients with severe LUTS, watchful waiting is often ineffective and may delay optimal treatment such patients need to be administered appropriate medication. A range of drugs are currently available for the treatment of BPH, including 1-blockers, 5-ARIs, MRAs, PDE5Is, 3-adrenoceptor agonists, and plant extracts. Of these, the most commonly used drugs are 1-blockers, 5-ARIs, and a combination treatment featuring both 1-blockers and 5-ARIs .

When Should You Call A Doctor For Bph

Aquablation: Surgical Robot Treats Enlarged Prostate | NBC4 Washington

Urinary symptoms related to enlarging prostate initially affect the quality of life, and if no complications exist, as mentioned above , the decision to treat is optional and is left to the patient. This means that if you dont feel bothered enough to take a medicine or undergo a procedure for it, youll need to follow up with your doctor to ensure the symptoms are stable, and the bladder empties well. This can be assessed by prostate symptom questionnaires and a measure of the strength of the urinary stream and residual urine in the bladder. If complications develop, however, or if the bladder starts holding increasing amounts of residual urine after urination, treatment should be started.

If you experience bladder pain or burning with urination, blood in the urine associated with fever/chills or nausea/vomiting, or if the prostate enlargement condition worsens and symptoms such as blood in the urine or lower back pain are present, consult a doctor immediately. If you cannot reach your doctor when these symptoms are present, seek evaluation at a hospitals emergency department.

For acute symptoms such as acute urinary retention , you should immediately go to the closest emergency medical facility for bladder drainage, usually with a catheter, which is a tube inserted into the bladder.

Men over 50 years of age should have their prostate checked annually by their physician even if they have no symptoms.

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Paracrine And Autocrine Signaling

Newer treatments for prostate disease have been based on regulating paracrine signaling within the tissue itself.

Paracrine signaling and mesenchymalepithelial cell interactions are an essential component of androgenic control of the prostate gland and AAT can also be effectively realized by targeting local androgen metabolism and signaling. Testicular testosterone is normally converted to the more potent androgen dihydrotestosterone by the 5-reductase type 2 enzyme that is located in the prostatic stroma. DHT then acts in a paracrine manner to subsequently activate the epithelial androgen receptor to maintain secretory function. Treatment with 5R inhibitors rapidly reduces DHT levels within the prostate, while AR antagonists effectively prevent any androgenic effects by blocking the androgen signaling pathway.

In a manner analogous, yet different, to androgens, estrogens also exert local effects in the prostate via paracrine mechanisms. An important difference is that estrogens are both adversely and beneficially implicated in the genesis and progression of PCa. This alters the application and complicates the use of estrogen-based therapies in the treatment of prostate disease.

Combination Therapy: Risk And Benefits

The benefits of combination therapy are clear however, side effects may be more likely. The potential interactions of both BPH medications with other health issues and medications are more complicated with combination therapy. Common side effects of combination therapy may include any of the issues from each drug class. These include, but are not limited to:

  • Reduced sexual desire

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How Much Hormone Therapy Costs

The cost of hormone therapy depends on

  • the types of hormone therapy you receive
  • how long and how often you receive hormone therapy
  • the part of the country where you live

Talk with your health insurance company about what services it will pay for. Most insurance plans pay for hormone therapy for their members. To learn more, talk with the business office where you go for treatment. You can also go to the National Cancer Institute database, Organizations that Offer Support Services and search financial assistance. Or call toll-free 1-800-4-CANCER to ask for help.

Table 4 Common Dosages Of Bph Drugs

Can Flomax Shrink an Enlarged Prostate?
Generic Name
2 mg to 8 mg daily
Doxazosin extended-release 4 mg to 8 mg daily
Prazosin 2 mg to 10 mg daily
Silodosin 4 mg to 8 mg daily 4 mg to 8 mg daily
Tamsulosin 0.4 mg or 0.8 mg daily
Terazosin 2 mg to 10 mg daily
Finasteride
0.5 mg daily 0.5 mg daily

Also, little research has been done on whether race or age makes a difference in how men respond to the BPH drugs. Some major studies have included very elderly men and black men, but so far there is no definitive evidence that the effectiveness or side effects of treatment differ between black and white men or older men.

Silodosin is the newest alpha-blocker. The FDA approved this medicine in late 2008. In two studies involving a total of 923 men, those receiving Rapaflo showed an improvement in their symptoms and urinary-flow rate compared with those who took a placebo pill over 12 weeks. But since the drug does not have the long track record of use of some of the other alpha-blockers, its safety profile is not yet firmly established. In addition, it’s more expensive. At $159-$163 per month, depending on dose, it is one of the most expensive alpha-blockers, and costs significantly more than generic doxazosin, which runs $8 or less per month. For those reasons, we’d advise it not be used as initial treatment at this time.

How the drugs work

Studies don’t indicate any difference in the effectiveness or safety of finasteride and dutasteride, and, at the current time, neither is known to have any advantages over the other.

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Combination Therapy And Another Option

Some men see the best results by taking both an alpha-blocker and a 5-alpha reductase inhibitor. Taking both medications may work better to ease your symptoms, but you may also have a higher risk of side effects from one or both drugs.

You shouldnt take tadalafil or any other PDE-5 inhibitor in combination with alpha-blockers.

What Is Medical Therapy For Bph

Medical therapy includes the use of drugs to relieve symptoms caused by hyperplasia, as well as the adoption of measures to keep urinary issues under control.

Medication is important in cases where symptoms are extreme and restrictive and impact significantly on patients quality of life. When this treatment does not have the effects expected, the alternative is surgery.

In less serious cases, however, patients may be able to manage their symptoms effectively through changes in habits and behaviour

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Minimally Invasive Procedures For Bph

When BPH symptoms range from moderate to severe and medications arenât effective, minimally invasive procedures may provide relief. Some surgeries of this nature involve removal of the outer part of the prostate and cuts within this gland, while others use microwaves and radio waves to remove tissues.

New Vitality Super Beta Prostate

How is BPH treated?

Super Beta Prostate uses a two-pronged approach to shrinking your prostate and improving urinary function. The first is making sure you dont have any deficiencies in trace minerals like molybdenum, copper, or manganese.

The second is using a high dosage of phytosterols, including their active ingredient, beta sitosterol, a proven supplement for prostate health.

It doesnt have the wide range of herbal extracts youll find in VitaBalance Prostate Plus , but for many men, trace minerals and beta sitosterol are enough to improve their prostate function and health.

Thanks to its high-quality ingredients and strong reviews, its a smart choice.

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Are Alpha Blockers For Me

Depending on the severity of your prostate symptoms and your overall health, Alpha Blockers may be an appropriate treatment option. Men who are considering cataract surgery would be at risk from this class of BPH medications. In addition, men who take beta blockers or medication for erectile dysfunction must be evaluated before starting this treatment.

Treating Benign Prostate Enlargement

Treatment for an enlarged prostate is determined by the severity of your symptoms.

If you have mild to moderate symptoms, you won’t receive any immediate medical treatment, but you’ll have regular check-ups to carefully monitor your prostate.

You’ll probably also be advised to make lifestyle changes, such as limiting your caffeine and alcohol intake, and exercising regularly, to see if they improve your symptoms.

As well as lifestyle changes, medication is usually recommended to treat moderate to severe symptoms of benign prostate enlargement. Finasteride and dutasteride are medications that are commonly used. They block the effects of a hormone called dihydrotestosterone on the prostate gland, which can reduce the size of the prostate and improve associated symptoms.

Alpha blockers may also be prescribed. They help to relax your bladder muscles, making it easier to pass urine. Tamsulosin and alfuzosin are two alpha blockers commonly used to treat benign prostate enlargement.

Surgery is usually only recommended for moderate to severe symptoms of benign prostate enlargement that have failed to respond to medication.

Read more about treating benign prostate enlargement

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What Is The Latest Treatment For Enlarged Prostate

The prostate is a gland that sits at the bottom of the bladder and wraps around the urethra. The urethra is like a tube, where urine exits through from the bladder to the outside of the body. An enlarged prostate occurs primarily as function of genetics and time. As the prostate gets larger it may obstruct or block the flow of urine, resulting in a variety of problems or symptoms related to urination.

Urologists have long been treating urinary symptoms secondary to prostate enlargement for more than 50 years, combining both medical and surgical treatment strategies to address this common problem.

In the 1960âs, alpha blocker medications, which were initially developed and employed for the purpose relaxing muscles in the prostate gland, have gradually become more accessible and specific for the prostate tissue. Additional medications have also been developed and improved, but one of the newest is a daily dose of tadalafil. Tadalafil can be used to treat both mild symptoms of erectile dysfunction and urinary symptoms from prostate enlargement. In addition to this, other medications for urinary symptoms, such as mirabegron, can also be used to improve bladder storage and relaxation and alleviate the urinary symptoms of urgency and frequency that can sometimes co-exist or be a result of prostate enlargement.

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