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What Is The Best OTC Drug For BPH?
Brief Answer:
There is no best medicine, but some option that you can try.
Detailed Answer:
Hello,
Thank you for using Healthcaremagic to post your health query.
I read carefully your question and I understand your concern.
There is not best medicine for BPH. There are some option that seem to work differently in different people.
The first options are alpha-1 blockers which include alfuzosin 10 mg, doxazosin 2-8 mg, tamsulosin 0.4-0.8 mg, terazosin 2-10 mg, and silodosin 8mg. You seem to be trying this option. You will need at least 3 weeks to access if it will work or not.
If these do not give the desired relief from the symptoms, then the next option are 5-alpha reductase inhibitors (5-ARIs) especially if estimated prostate size > 30 g or PSA level > 1.4 ng/mL. These include dutasteride 0.5 mg and finasteride 5 mg orally once daily. It needs ≥ 3 months to assess treatment response.
If these do not help as well, then the next option it is a combination of both these classes of medicines.
Yes, prostatic urethral lift (UroLift) is one of the options of treatment (not a medicine, but a procedure) which improves lower urinary tract symptoms without increasing risk of erectile dysfunction.
Hope this is helpful.
Let me know if you need more clarifications.
Regards,
Dr. Papaqako
There is no best medicine, but some option that you can try.
Detailed Answer:
Hello,
Thank you for using Healthcaremagic to post your health query.
I read carefully your question and I understand your concern.
There is not best medicine for BPH. There are some option that seem to work differently in different people.
The first options are alpha-1 blockers which include alfuzosin 10 mg, doxazosin 2-8 mg, tamsulosin 0.4-0.8 mg, terazosin 2-10 mg, and silodosin 8mg. You seem to be trying this option. You will need at least 3 weeks to access if it will work or not.
If these do not give the desired relief from the symptoms, then the next option are 5-alpha reductase inhibitors (5-ARIs) especially if estimated prostate size > 30 g or PSA level > 1.4 ng/mL. These include dutasteride 0.5 mg and finasteride 5 mg orally once daily. It needs ≥ 3 months to assess treatment response.
If these do not help as well, then the next option it is a combination of both these classes of medicines.
Yes, prostatic urethral lift (UroLift) is one of the options of treatment (not a medicine, but a procedure) which improves lower urinary tract symptoms without increasing risk of erectile dysfunction.
Hope this is helpful.
Let me know if you need more clarifications.
Regards,
Dr. Papaqako
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Prasad
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