Brief Answer:
Treatment for BPH detailed below

Detailed Answer:
Hello,
Thank You for trusting HealthcareMagic for your queries,

Since you continue to experience symptoms of Prostate enlargement while on 0.4 mg of Tamsulosin, increasing the dose to 0.8 mg can be tried.
But Tamsulosin can also cause problems with erection and lack of sexual urge/libido.

Treatment with Finasteride, which decreases the size of Prostate is another option. But Finasteride also causes sexual side effects.

If side effects of medication are bothersome, there are also other treatment options available including less invasive procedures like Transurethral Needle Ablation or surgery (Transurethral resection of the prostate).

PSA of 2.0 is not worrisome, and not indicative of anything serious, so please do not worry.

Drink fluids in small amounts throughout the day and avoid drinking too many fluids in evening, can help decrease frequent urination at night.

While peeing, try to relax and void as completely as possible.

Please follow up with a urologist to see, which treatment option is right for you.

Hope I was able to help you
Please feel free to address further questions here

Regards,
Dr.Lekshmi

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Brief Answer:
Cialis for treatment of BPH

Detailed Answer:
Hello,
Thank you for following up

FDA has approved the use of Cialis for treatment of Prostate enlargement and erectile dysfunction.
Cialis improve erectile dysfunction by dilating blood vessels and improving blood flow to penis, helping with erection.
Cialis also relaxes muscles of urethra and prostate, improving yrine flow in Benign Prostatic hypertrophy (BPH).

However, Cialis should not be taken with tamsulosin as it can dangerously lower blood pressure. Tamsulosin should be discontinued before starting Cialis.
Taking cialis along with blood pressure medications and nitrate can also lower blood pressure.

There is no data available proving the efficacy of Prosvent in treatment of BPH.
Prosvent also contains saw palmetto and beta sitasterol which is linked to causing erectile dysfunction and reduced sexual urge.

Hope I was able to answer your question
Please feel free to address any more concerns
Regards,
Dr.Lekshmi

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Brief Answer:
Cialis would be a good option for you

Detailed Answer:
Hello,
Thank You for following up

As I had mentioned earlier, there is no clinical/ research data available regarding the efficacy and safety of prostate supplements.
Most of these supplements contain sterols like beta sitasterol, which causes sexual side effects. This would make these supplements not the ideal choice for you.

I would recommend trying Cialis, since you have stopped Tamsulosin.
Cialis treats both erectile dysfunction and BPH symptoms.
Do not start cialis without consulting a doctor first, as it has interactions with other medications and not indicated for use in certain cardiac conditions.

If cialis do not give symptom relief, other options are less invasive procedures like Transurethral needle ablation (TUNA), laser therapy or surgery (transurethral resection of prostate)
Less invasive procedures have fewer side effects and faster recovery than surgery. However, surgery is more effective.

Choice of treatment depends on the severity of symptoms, complications and your choice/ expectations.
Discuss with a Urologist to see which treatment is right for you.

Hope I was able to help you
Please address further questions here
Regards,
Dr.Lekshmi

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Brief Answer:
Losartan can be taken along with Cialis

Detailed Answer:
Hello,
Thank You for following up

There is no absolute contraindication for taking Losartan along with Cialis. However, the two medication when taken together can cause added effect and decrease blood pressure.

Follow-up with your treating physician regularly for close monitoring of blood pressure and dose adjustment accordingly as needed.

Hope I was able to answer your question
Please address further queries here

If you do not need further clarification, please rate and close this discussion
Wishing you good health
Dr.Lekshmi

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