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For those who have moderate or severe symptoms, medical treatments include alpha-1-selective adrenergic receptor (a-1-AR) antagonists, 5-alpha-reductase inhibitors (5-aRIs), or a combination therapy with one drug from each of these classes.
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Urinary Tract Infection Facts; Uses for L-Tyrosine; Tamsulosin is a prescription drug used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH).
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Tamsulosin, a sulfamoylphenethylamine-derivative alpha-adrenoceptor blocker with enhanced specificity for the alpha-adrenoceptors of the prostate, is commonly used to treat benign prostatic hyperplasia (BPH).
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The AUA published updated guidelines for the management of benign prostatic hyperplasia in 2010, and the European Association of Urology published its updated guidelines in 2004.
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Practical considerations: Compared with α1-blockers or 5-ARI monotherapy, combination therapy results in a greater improvement in LUTS and increase in Q max, and is superior in prevention of disease progression.
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However, in some people, taking the maximum daily dose for extended periods can seriously damage the liver.
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This patient information leaflet summarizes the most important information about Tamsulosin hydrochloride.
See Guideline Statement and text in section on alpha-adrenergic antagonists.
Biochemical work-up is similar for all stone patients.
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The primary measure was the International Prostate Symptom Score (IPSS), a questionnaire evaluating lower urinary tract symptoms (LUTS) occurring during the preceding month where lower scores indicate less severe LUTS.
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Unfortunately a huge number of these patients were put on antibiotics (91% in the irrigation and 73% in the no irrigation group), which we know are unnecessary in most abscesses, but contaminate the results here.
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Because the disease often occurs where testing may be harder to obtain and resources are more limited, are likely diagnosed.
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You may need a dose adjustment.
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The initial visit (week 2) included the collection of baseline information, such as demographics, medical history, physical examination, measurement of blood pressure and pulse rate, assessment of the Q max and urine volume, PSA test and prostate ultrasound examination.
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Your blood pressure and prostate will need to be checked often.
Doctors tend to resist checklists.
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Now that my urologist says my is reduced to normal size and no longer interferes with urine flow, is there any reason why I can not stop using finasteride?
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Next time I got an attack I took one and was amazed that the stone passed within about an hour!
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Recommendation: As prazosin and the nonselective alpha-blocker phenoxybenzamine were not reviewed in the course of this Guideline revision, the 2003 Guideline statement indicating that the data were insufficient to support a recommendation for the use of these two agents as treatment alternatives for LUTS secondary to BPH has been maintained.
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Bell C, Hatch W, Fischer H et al: Association between tamsulosin and serious ophthalmic adverse events in older men following cataract surgery.
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It will be necessary to evaluate this group of men more closely in further trials to determine what they stand to gain from changing medications, and relate this to drug costs before drawing a final conclusion as to the role of tamsulosin OCAS in contemporary urological practice.
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