What Medications Treat BPH?
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Alpha-Blockers
This works by relaxing the muscles in the bladder and the prostate gland, making it easier to urinate. They do not change the size of your prostate, but they do help with the flow of urine, waking up at night to urinate, and other symptoms. And you will not have to wait long to see the results; they usually work quickly. If you have high blood pressure and BPH, alpha-blockers may be a good option for you because they treat both conditions. If you are planning to do cataract surgery, it is best to avoid it. They can lead to problems during the process. Side effects: As alpha-blockers affect your blood pressure, they can make you feel very tired and cause the following:- Dizziness
- Fainting
- A headache
- Bright head
- Low blood pressure
- alpha-blockers for prostatitis
- Alfuzosin (Uroxatral)
- Doxazosin (Cardura)
- Prazosin (Minipress)
- Silodosin (Rapaflo)
- Tamsulosin (Flomax)
- Terazosin (Hytrin)
5-Alpha Reductase Inhibitors
This prevents your body from making one of the hormones that make your prostate bigger. They inhibit growth and in some cases even shrink. This can improve your urine flow and relieve other symptoms of BPH. They seem to be very useful in men with very large prostates. These drugs have two other benefits as well. They may:- Reduce the risk of BPH leading to other complications, damage to the bladder
- Make it less likely that you will need surgery
- Erectile dysfunction
- Low sexual pressure
- Retrograde ejaculation
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- Finasteride (Propecia, Proscar)
- Dutasteride (Avodart)
Phosphodiesterase-5 Inhibitors
These are the same drugs used to treat erectile dysfunction. They lubricate the muscles in the bladder and prostate, which can help alleviate the symptoms of BPH. There are several types of phosphodiesterase-5 inhibitors, but the Food and Drug Administration has only approved Tadalafil (Cialis) to treat BPH. It is not used as often as other drugs, but if you have ED and BPH, it is another option. Side effects: If you take Cialis, you may get:- Back and muscle pain
- A headache
- Redness and warmth or heat on the face, neck, and upper body
- Nose nose
- Stomach upset after eating
- Vision problems
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Drug Composition
If one medication does not help with the symptoms, your doctor may prescribe two. Common combinations include:- Finasteride and doxazosin
- Dutasteride and tamsulosin – this comes in one pill (Jalyn)
- Alpha-blockers and antimuscarinics (drugs used to treat overactive bladder)
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