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Tamsulosin now available OTC | GPonlineIs there any alternative to Flomax? For most, benign prostatic hyperplasia is a mild discomfort that can be treated with a medication called Flomax. But Flomax doesn't work well for everyone. Some alternatives can help men with this condition to relieve their symptoms and feel better. Benign prostatic hyperplasia (BPH) or extended prostate may cause painful and frequent urination, and incontinence. , almost 1 in 5 men between 55 and 74 experience this condition. Flomax, the brand version of the tamsulosin medication, is often prescribed to relieve the symptoms of BPH. Flomax is one of a group of drugs called alpha-1 blockers that can help flow the urine more easily., these drugs change the behavior of adrenaline and noradrenaline hormones. This can relax muscles in the urinary tract, facilitating urine. Flomax is considered a selective alpha block, which means it is directed specifically to the urinary tract and has less effect on other muscles. In men with a moderately expanded prostate who have no serious health problems, Flomax often works well. But for some, it causes unpleasant side effects. Common side effects of Flomax include: However, for some men, the cost is also an important concern. Flomax can cost more than $200 per month and may not be completely covered by the insurance. that other alfa-blockers, but the manufacturing company spends more than $100 million commercialization to consumers, so it is often the only BPH medication that many people know. Other alpha blockers work the same way as Flomax. Doxazosin can cost as little as $10 a month. Hytrin, another generic medication, also works well. Both drugs are non-selective alpha-1 blockers, which means they can lower a person's blood pressure. Selective alphablockers, such as Flomax, can also lower blood pressure but not as much as non-selective alphablockers. Some selective alpha-blockers alternative to Flomax include: Alpha blockers are not the only choice for BPH treatment. Several other medicines can help: 5-alpha-reductase inhibitors can reverse the expansion of the prostate. They do this by preventing the body from becoming dihydrotestosterone (). DHT can grow the prostate, press the urethra and make urine flow difficult. The medications of this group include Avodart (dutasterida) and Proscar (finasterida). These medicines can lower the libido, cause ejaculation problems, or lead to (ED). Rarely, they can cause gynecomastia, a condition in which a man develops breasts. Phosphodiesterase-5 inhibitors Phosphodiesterase-5 inhibitors are medications for erectile dysfunction (ED). They, particularly in men who also have ED. Sometimes phosphodiesterase-5 inhibitors are used along with other BPH medications to combat erectile side effects. Drugs in this group include: These medicines can cause headaches, nausea and drops of blood pressure. Rarely, they can cause a painful erection that does not go away. Drug Combinations Combining certain medicines can help when a medication does not work. For example, alphablockers combined with medications for a hyperactive bladder can be more effective. Occasionally, doctors use other unlabeled drugs to treat HB. It is crucial for a person to discuss the risks and benefits of BPH medications with your doctor. When drug treatment fails or when there are other problems with prostate, such as frequent prostate infections, a doctor may recommend prostatectomy. Prostatectomy is a procedure in which the surgeon removes all or part of the prostate. In some people, this can relieve symptoms with few or no side effects. However, prostatectomy can cause, sexual dysfunction and other health concerns. People should carefully weigh the benefits and risks of prostatectomy, and talk to their doctors about what form of prostatectomy is likely to be the most effective. A prostate heats the prostate, often with a laser, and can slow the growth of the prostate. This procedure may require general anesthesia. Less often, a doctor may recommend the temporary or permanent use of a catheter. A catheter is a tube that passes through the urethra to help empty the bladder. It can help people whose prostates are very large and swollen. A catheter can also be used as a temporary remedy when the prostate has been swollen due to surgery or other medical procedure. Some may help with some BPH symptoms. These include: It is essential to talk to a doctor before using any supplement. A person should also be aware that the United States Food and Drug Administration (FDA) does not monitor the effectiveness, quality or safety of supplements. Some lifestyle changes may improve symptoms, but do not reverse BPH. These remedies include:Men should see a doctor if they suspect they have BPH, as some other disorders, including, could cause symptoms similar to BPH. A person should see a doctor if he or she experiences difficulty urinating, or urination or frequent urination. A person with BPH whose symptoms suddenly get worse should also see a doctor. BPH is a manageable but untreated condition can be uncomfortable and even dangerous. Not everyone responds to Flomax, so people who continue to experience strong urination impulses or other urinary symptoms should discuss this with their doctors. Another medication, a combination of multiple medications, or proper lifestyle changes could improve symptoms. Last medical review on November 6, 2017Most recent newsRelated coverage

What else can I use to treat BPH? Alternatives to Tamsulosin (Flomax) General informationTamsulosin (Flomax) belongs to a class of medications called alpha blockers. These drugs treat benign prostatic hyperplasia (BPH), also known as prostate enlargement, in men. The prostate wraps around a man's urethra. The urethra is the tube that the urine flows to get out of the bladder and get out of the body. As the prostate grows, it tightens in the urethra, making it harder to urinate. Flomax relaxes muscles in the prostate and bladder to help flow urine more easily. Flomax can help with BPH symptoms, but it's not for everyone. Certain men couldn't take this drug. Continue reading to learn more about alternative treatments for BPH, more who it is and is not a good candidate for Flomax. Flomax is not the only alpha blocker available to treat BPH. Some men may be able to take another alpha blocker. Doctors also prescribe four other medicines in this class to treat symptoms of lung disease: These alpha blockers can interact with many of the same medications that Flomax does. These medicines include high blood pressure and erectile dysfunction medications. These medicines also have side effects and risks. Some of the side effects common to alpha blockers include: Each of these medications also has unique side effects, so if you take one and find the annoying side effects, talk to your doctor about trying another type of alpha blocker. Alpha blockers are not suitable for all, however. If you have a history of liver or kidney disease, or low blood pressure, you may need to try a different type of medication to administer your HB. If you can't take alpha blockers, you can have other options. In addition to other prescription drugs, such as 5 alpha reductase inhibitors, some complementary and herbal remedies are also used to treat HB symptoms. However, it is not clear how well these alternative treatments work. Pygeum africanumDoctors in France have been prescribing this herbal remedy for BPH for decades. More needs to be done on how the African pigeum works. Pygeum africanum improves urine flow and slows the expansion of prostate. They include headache and gastrointestinal (GI) problems. Saw palmetto This herb helps relax the muscles of the bladder and prostate to relieve urinary symptoms. It can be like the finasteride (Proscar) medication to treat BPH. Finasteride is a type of 5-alpha reductase inhibitor. There is anti-inflammatory action that reduces inflammation and increases blood flow. has many medicinal constituents, such as many herbs, so the effects are . Saw palmette has less side effects than finasteride, and most are mild, such as headache, GI problems, and less interest in sex. Dry Brain This extract occurs when bacteria digest the plant pollen. It seems to relax muscles in the bladder and urethra. In , the dried cereal relieved the nocturnal urgency in men with BPH, but did not reduce the size of the prostate or increased urine flow. Side effects include allergic and skin reactions, and GI symptoms. Along with taking medications, making these changes in your daily routine can help relieve BPH symptoms: Check with your doctor before trying any herbal remedies or supplements. Some of these products may cause side effects, and may interact with other medicines you take. Here are a few questions about BPH to ask your doctor: Your symptoms should improve with treatment. Ask your doctor how long you need to stay in your medication. You may need to continue taking it in the long term to manage HB symptoms. Or, you may need to change to a new treatment if the first medication you try doesn't help, or stop working. Continue to see your urologist or primary care provider for regular checkups. You will need a digital rectal exam (DRE) once a year, or more often, so your doctor can look for any new prostate growth. Flomax may not be suitable for you if:Flomax can also interact with certain medications. Your doctor may suggest you take a different BPH medication if you use one of these medications: Last medical review on April 6, 2017Read this below

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