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Benign Prostatic Hyperplasia

Benign prostatic hyperplasia (BPH) is age-related, non-cancerous enlargement of the prostate that may narrow the urinary outlet and affect bladder emptying.

Cialis

Tadalafil

10 · 20 · 40 · 60 · 80mg

Tadalafil film-coated tablets from 10mg to 80mg, used in the management of erectile dysfunction and benign prostatic hyperplasia. A PDE5 inhibitor.

From$0.91/ tabletView

Tadarise

Tadalafil

20 · 40mg

Tadarise is tadalafil at 20mg and 40mg for erectile dysfunction and benign prostatic hyperplasia, blocking the enzyme that breaks cGMP down.

From$0.68/ tabletView

Avodart

Dutasteride

0.5mg

Dutasteride 0.5mg soft capsules, used in the management of benign prostatic hyperplasia and androgenetic alopecia. A 5-alpha reductase inhibitor.

From$0.92/ tabletView

Flomax

Tamsulosin

0.2 · 0.4mg

Tamsulosin 0.2mg and 0.4mg modified-release capsules, used in the management of benign prostatic hyperplasia. A selective alpha-1 blocker.

From$0.74/ tabletView

Dutas

Dutasteride

0.5mg

Dutas is dutasteride 0.5mg soft capsules for benign prostatic hyperplasia, blocking both type 1 and type 2 5-alpha-reductase isoenzymes.

From$3.15/ tabletView

Hytrin

Terazosin

1 · 2 · 5mg

Terazosin 1mg, 2mg and 5mg tablets, used in the management of benign prostatic hyperplasia and hypertension. An alpha-1 blocker taken by mouth.

From$0.98/ tabletView

Uroxatral

Alfuzosin

10mg

Alfuzosin 10mg prolonged-release tablets, used in the management of benign prostatic hyperplasia. A selective alpha1 antagonist in the prostate.

From$1.39/ tabletView

Jalyn

Dutasteride, Tamsulosin

0.4/0.5mg

Dutasteride with tamsulosin as a hard capsule, used in the management of benign prostatic hyperplasia. One shrinks the prostate, the other relaxes its muscle.

From$3.23/ tabletView

Key points

  • Symptom severity and impact matter more than prostate size alone when deciding whether treatment is needed.
  • Blood in urine, recurrent infection, retention or kidney effects require investigation rather than routine symptom treatment.
  • Alpha blockers act relatively quickly on outlet resistance, while 5-alpha-reductase inhibitors work slowly and suit enlarged prostates.

The listings below do not establish BPH or exclude prostate cancer; blood pressure, sexual effects and other medicines affect selection.

Assessing urinary symptoms

Clinicians ask about weak stream, hesitancy, urgency, frequency, night urination and incomplete emptying. Examination, urine testing and sometimes PSA, kidney function, flow measurement or bladder scan help exclude infection and assess complications. Some cold and allergy medicines can worsen obstruction.

Treatment options

Mild symptoms may be managed with fluid timing and medicine review. Alpha blockers can cause dizziness and ejaculation changes. Finasteride or dutasteride can shrink an enlarged prostate over months and affect PSA interpretation. Persistent obstruction or complications may need a procedure.

When to seek urgent care

Seek urgent care for complete inability to urinate, fever with urinary symptoms, severe lower abdominal pain, heavy blood or clots in urine, confusion or new weakness and numbness.

Further reading