What if flomax doesnt work
Learn more: Side effects of Flomax ». Flomax can also interact with certain medicines. Your doctor might suggest that you take a different BPH medicine if you use one of these drugs:. If you have benign prostatic hyperplasia BPH , certain substances may make your condition worse.
Learn more here about BPH and medications to avoid…. Learn about the symptoms of BPH and how to ease them, complications from long-term BPH, and medical and surgical treatment options.
There are many medications available to relieve urinary symptoms. Learn more about how Cialis and Flomax work, as well as what their side effects are. See what our experts have to say about the Theragun and how it can help you recover from your next workout. See what our experts have to say about the ProForm Treadmills and how they stack up to similar products.
Painful urination may be a sign of a urinary tract infection UTI , sexually transmitted infection STI , or other cause. Learn more about relieving…. Looking for a Hydrow Review? Here's the scoop according to Healthline's editorial team. Health Conditions Discover Plan Connect. Drugs in this group include Avodart dutasteride and Proscar finasteride. These drugs may lower libido, cause problems with ejaculation, or lead to erectile dysfunction ED.
Rarely, they can cause gynecomastia, a condition in which a man develops breasts. Phosphodiesterase-5 inhibitors are drugs for erectile dysfunction ED. Sometimes phosphodiesterase-5 inhibitors are used alongside other BPH drugs to combat erectile side effects.
Drugs in this group include:. These drugs can cause headaches, nausea, and drops in blood pressure. Rarely, they may cause a painful erection that does not go away. Combining certain medications may help when a single drug does not work. For example, alpha-blockers combined with drugs for an overactive bladder may be more effective. Occasionally, doctors use other drugs on an off-label basis to treat BPH.
It is crucial for a person to discuss the risks and benefits of BPH medications with their doctor. When drug treatment fails or when there are other problems with the prostate, such as frequent prostate infections, a doctor might recommend a prostatectomy. A prostatectomy is a procedure in which the surgeon removes all or a portion of the prostate. In some people, this can alleviate symptoms with few or no side effects.
However, a prostatectomy may cause incontinence , sexual dysfunction, and other health concerns. People should carefully weigh the benefits and risks of a prostatectomy, and talk to their doctors about which form of prostatectomy is likely to be the most effective.
A less invasive treatment heats the prostate, often with a laser, and can slow prostate growth. This procedure may require general anesthesia. No ejaculate at all but no loss of libido. I am 54 years old and was taking flomax and found it gave me an erection lasting 4 hours uncomfortable.
Can I take flow max on an as needed basis. I am 64 and taking Duodart. I have noticed decreased libido, impotence, Gynecomastia and runny nose. Sounds like Viaga can work for the occasions it is necessary and this dose can vary, as required. I am a 73 old male with diagnosed IC and OAB For the last 3 years i have received a Botox intraversical operation each year in my detrusor muscles to eleviate the problem of excessive wetting accidents Just recently my urologist also suggested i needed to take Duodart for the in between very limited urine flow.
Has anyone here used or know of Trospium Chloride? Trospium Chloride tablets USP are a muscarinic antagonist indicated for the treatment of overactive bladder OAB with symptoms of urge urinary incontinence, urgency, and urinary frequency. I have had BPH for several years now and have taken several medications mentioned in this article, all to no avail. Currently, my urologist put me on oxybutynin chloride 5mg, twice a day.
I have had no results from that either. This medication is not mentioned in this article. Why not? This article has been one of the better articles I have read but noticed, as one poster above stated, that there are no answers to questions from knowledgeable doctors. My last post was 26 July Stopped the Cather process and am still on those pills, and NOT real happy with the pill consequence. Really want to get off of these pill requirements, so I am going with the rotor router process, which my doctor noted from experience will relieve the prostrate restriction to flow problem for a good years; where after that time estimate the process will be required again.
While waiting for the rotor rooter appointment and still on both pills I started to have to get up at night times this is after 4 months on the pills , so I started to use the Cather again but only just before bedtime on average releasing about ML and thus being able to sleep through the night.
Very useful article. I am 86 and have BPH since I was Now I take tamsulosin. I am happy with the result except I do have to Pee three times each night every 2.
I am on this regimen for the last two years. My concern is will i develop aggressive prostate cancer? I read in this article that this was a possibility. So, should I drop Finasteride?
What can happen if I do so. Please help. Went to China for 20 days half way through the trip developed this sharp pain in my lowere left back.
Everyone on the trip including the chinees doctor on the riverboat noted it sounded like a kidney stone symptom and that I should drink lots of water — ——After 2 days of pain a trip to the emergency room identified a full bladder and a Cather was installed 1, ML of liquid came out within a 5 minute period.
A new Urologist back home removed the fixed cath installed in China and put me on daily self caturizations 3 X a day and prescribed. After one month she added 5 MG Finasteride shrink prostrate noting there would be side effects of Lowering my Libido.
She noted to try and stop the once a day cath after one additional month. That month is now over and I am into day 2 with no cath. Urination is like all this was before all this started X daily with low volumes of around — ML and a once or two time night trip urinate. Draw back is low to no volume in sex ejaculations and a reduced libido.
Doctor at last visit did note Calais is another option to talk about before a surgical approach and I have found our insurance will cover Calais for BPH. Will Cialis help and can it get me off the other medication that appears to be dampening my life enjoyment of sex? I am very apprehensive of taking the approach of the surgery direction of enlarging sapping out the inside of the urethra! Very clear explanation of the overall subject. Post radiation moderate ED issues are being addressed with trials of mg Viagra or 20mg Cialis to some satisfaction.
I suggested an 8 week trial of 5mg Cialis daily and no Proscar followed by PSA and Testosterone tests which was agreed upon. Things could be looking up for wife and I. Thanks for the enlightenment! Needed it badly. Considering another PSA test shortly. Results will provide progression clue! And the way forward. Stanislav Tamsulosin is not an anticholinergic drug like atropine, oxybutynin… , tamsulosin does not block the muscarinic receptor.
Tamsulosin specific blocks the prostate alfa-adrenereceptors with Kd 0. I have read your many reviews, my husband has been on Tamslosin for about 3 yr. This was a good article. For example, Avodart IS now available in generic, and the cost is reasonable. Keep it up. The size or volume of the prostate gland is measured by the ultrasonographing apparatus in cubic centimeters and not in grams.
Question: when a drug shrinks the outer dimensions of the prostate the only thing seen on ultrasonography display , who knows what happens to the unseen internal diameter of the gland?
Does it shrink too which worsens the urine flow or it is being enlarged? In other words, which is the three- dimensional displacement of the shrinking gland cells? Each time it involved alcohol use. I also have retrograde ejaculation during nearly every orgasm. I would like to begin taking a daily multivitamin or supplement pack. Any thoughts on whether adding this would have any effect on my prostate issues?
I just read Norms post about coming off of Tamsulosin and ending up in ER unable to void his bladder. I have just started taking this medicine so I have been surfing the web looking for information about it. My symptoms have all cleared up but I have developed retrograde ejaculation. Is this bladder retention common when coming off this drug and am I going to be stuck on it for life? Kevin, I hope you decided to stay on Tamsulosin.
The day I was prescribed it a few years ago, I went to dinner and drank several glasses of water thinking that taking the Tamsulosin before I went to bed would cause no urinary issues.
How wrong I was! The pain was unbearable! If I had a gun I probably would have used it on myself. The ER Doctor inserted a cathader and the problem was solved.
A fact of life for a lot of us guys. Good luck and accept fate. Maurice H. If you have breathing problems, i dont know if it is because of the tamsulosin. What i do know is that i went off tamsulosin thinking i was ok. Well, i gradually was not fine. Eventually, no drops came out. So had to go to emergency and install a catheter for relief. After having the indwelling catheter for 1 month, i reverted to a temporary catheter and used tamsulosin and finasteride.
And improvement has risen where i can void , albeit slowly gradually, but that was an improvement from 0 drops 1. I made the mistake of getting off tamsulosin for 2 months and suffered for it, having to go to emergency.
Recently, I was diagnosed with BPH of. My PSA is okay at1. But after two days of Tamsulosin I started having breathing problems and went off the tamsulosin. I also do not want to have retrograde ejaculation, as I am sexually active with my lady. I am going to wait and see how much urine flow is obstructed. I am getting a pretty good stream now, but that may because of the two days I took the tamsulosin.
There is pain though in the penis and rectum when I urinate, and it seems to stay there indefinitely. I am wondering if going off the Tamsulosin will have an adverse effect. Just over two years ago, my gradually but steadily worsening BPH symptoms suddenly spiked to the point where I ended up in the hospital with acute urinary retention.
This led to being on a full time indwelling catheter while I started taking tamsulosin to if it could improve my condition enough to atop needing a catheter and start planning for green laser or other surgery. The medication ended up giving effectivly ZERO relief, and it was clear that I needed the laser procedure sooner rather than later. Being an uninsured self pay patient at the time, I struggled to be financially able to afford the cost of this treatment plan.
Over these now two plus yers, I always tried to go as long as possible between old catheter removals and swapping in a new one.
After removal I could typically have some poor degree of bladder control and flow, but within hours I would revert to the acute retention status.
My observations of what happens with the progression of BPH to the severe level over time, and what doctors never clearly explain, is that as the prostate steadily pinches tighter around the urethra, the minimum level of bladder PRESSURE needed to initiate flow gets steadily higher, and the bladder muscles start having difficulty producing this level of flow starting pressure by themselves.
The result is that the bladder gets stretched further, and this extra stretching raises the PRESSURE inside the bladder to the level where the combination of BOTH the bladder muscles AND the stretching induced extra pressure, together allow for reaching a high enough pressure level to overcome urethra pinching and initiate flow. This vicious cycle of weak and partial urination only gets worse with time unless treated.
This summarizes my view of what happens at the more severe stages of the BPH condition. Been taking Alfuzosin for the past 5 years… Starting to wonder if the extreme fatigue I am feeling is from this med??? At 87 and having never taken these drugs before and not having ED, I started on tamsulosin 10 days before a hernia repair operation. Reason is to offset the shock to the bladder because of the operation and it might otherwise shut down.
Prior to this I regularly take zinc, magnesium and L-argenine. The L-argnine produces the nitric oxide that viagra would produce and much cheaper. Have had reduced urine flow and frequent night trips to bathroom.
With 2 doses of the tamsulosin 0. Doc says I may want to continue it after the operation. It appears that a half dose probably will be plenty. Or am I interpreting this all wrong?! I choose not to deal with side effects. It works for me and my urologist admits it works for other patients of his? Great article. I am 64 yo. After taking Avodart daily for several years I experienced ED.
I got off the Avodart and erection returned. I now only take Avodart as needed, approx one pill every 10 days. When I have to urinate more than once a night it is time for a pill. This strategy was approved by my doctor.
Your comments please. Many thanks for such an informative easy-to-read article. I was concerned about taking Viagra in combination with the BPH meds but after reading your article I am clear about the precautions to take. Thank you again. I was given Tamsulosin 0.
He said that the Tamsulosin will relax the ureters and bladder to help the stones pass better. I noticed on everything I have seen including the information sheet that comes with the prescription regarding side effects that one possible side effect is that you could get an erection that lasts longer than 4 hours. I have not seen this side effect mentioned in your article.
Is the lengthy erection a possible side effect? Also can I take Tamsulosin if I have a heart murmur? Nice and highly educative article on BPH. I am 72 years old and on Tamsulosin. At times I have difficulty in passing the urine and I feel pain and tenderness in my Hypogastrium.
My urine exam reports show pus cells. This is all great information but my question is: I am 68 yrs old and have been taking Flomac and Finisteride daily, I would like to switch to more of an herbal remedy such as Zinc, Pommagranite juice, Saw Palmetto etc. My PSA is 12 and has been consistant for over a yr. I have been on Flomac and Finisteride for a year also.
Thanks very much for this article. My Urologist started me on Tamsulosin about a year ago. I had some side effects such as ED. He swithced me to Uroxatral which I have been taking for several months. Last week he had me start taking Cialis with the Uroxitral. In you opinion is the combination safe and should I be taking them both at the same time? Thank you for your help. A very well written, easily understood article — thank you.
I am a 63 yr old male taking both Tamsulosin and Avodart for the past years. This has helped my urinary symptoms considerably. A new insurance plan is no longer covering the Avodart so I am contemplating asking my urologist about switching to Finasteride which is a covered drug.
This article has helped that decision process. I have been taking 0. About a year ago I experience a pulled muscle in my lower back from lifting a heavy object. Highlights of Prescribing Information. Revised January Meta-analysis of the efficacy and safety of combination of tamsulosin plus dutasteride compared with tamsulosin monotherapy in treating benign prostatic hyperplasia.
BMC Urol. GSK for you. Pharmacy Technician Certification Board. Washington, D. Roehrborn, C. Eur Urology. Food and Drug Administration. Highlights of Prescribing Information: Flomax tamsulosin hydrochloride Capsules, 0. Silver Spring, Maryland; updated Your Privacy Rights. To change or withdraw your consent choices for VerywellHealth. At any time, you can update your settings through the "EU Privacy" link at the bottom of any page. These choices will be signaled globally to our partners and will not affect browsing data.
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