BPH

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I am having BPH for which Urologists keep prescribing Flomax or similar other capsules. I do try these for a day or two and then leave them as they further reduce my already low BP of 120/60. Recently a Doc prescribed Xatral LP 10 mg (Alfuzosin). It happened the same with this medicine also hence left it after using it once. Such medicines can have adverse effect on IOP also.

Is there any medicine for BPH which does not lower the BP and also have no bad effect on IOP also. I have early Glaucoma since Oct, 2015 which has not deteriorated since then but I do remain careful about it.

 

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  • Posted

    to avoid usual problem with BP I take medication  after dinner, so most of the symptoms of low BP are avoided  during the night. Additionally it helps reduce the number of trips to the bathroom during the night.
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  • Posted

    I am in the final part of an eleven-day medically supervised water-only fast, a requirement of my new lyfe-style nurse before she would marry me. She has fasted with me. My usual routine used to be to get up to pee five times per night every night because of my BPH. They have us drink at least 72 ounes of water every day and change our diet rather dramatically. I have, over the last eleven days gone from having to pee five times a night to only two and I am drinking a lot more water thank I used to. I am so happy with my new freedom. This program also opens up the capillaries of the entire body so that blood flow is maximized. I have been a vegan for several years and discovered that my early normal-tension glaucoma doesn't need medication any more. Yes, my IOP has gone down, also my blood pressure, from about 140/94, but the basic problem in glaucoma is reduced blood flow to the retina. I am an optometrist who has treated glaucoma for my patients for many years, and myself for twelve years. My blood pressure when measured at home is 107/66 but my IOP has remained the same (17). I do regular fields tests and no progression of field loss has occured over the last five years. This one change in lifestyle seems to have done it all for me and I couldn't be happier. I have also dropped all medications for glaucoma. When we get healthy it is amazing how many problems it solves. By the way, I am 71 years old, love to jog, and take care of my 40 acres with an orchard, greenhouse, large garden, and am very active. Life doesn't get much better! I am finishing up my medically supervised fast at True North in Santa Rosa, CA. I do not work for them, nor does my wife, and we get absolutely no benefit from recommending them.

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    • Posted

      Many Thanks to you and all others who have been nice to give their views and I will try these gradually. As for water- only fast, I have not been able to fully comprehend it. Do you mean you totally stopped taking water for a few days as you mentioned. If so, it can possibly have various other adverse problems especially for the people like us at advanced ages.  To reduce night visits to bathroom, I had been advised to stop taking water after sun set. Accordingly I take about 6 glasses of water before noon and then 3 glasses till sunset. With this, my night visits to bath room are 3 to 4. I have got used to it thus can avoid taking medications which lower my already low BP.

      Once again many thanks to all of you for your valuable suggestions. Good luck to you.

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    • Posted

      I think the water-only fast is the opposite of what  you seem to have understood from bill02607 's posting - ie little or no food but plenty of water being drunk!

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    • Posted

      Thank you Pepasan. I was on a water-only fast. My fast is now over and I have returned to the land of eating good vegan food. I did, however, report my nightime urination as twice a night but coming out of the fast that has increased to nearly the original 5 times a night. I don't think this is a cure for night-time frequent urination! I am disappointed. Hope I didn't lead anyone astray. As for the normal tension glaucoma, I am still convinced that my new lifestyle has cured me of needing medication as I have been testing my fields regularly. This gets rid of hypertension, heart disease, drastically reduces the chance of a stroke or heart attack, an improves circulation throughout the body. It is worth it for that alone. I was hoping for too much for the night-time urination problem to be solved and it seemed like it did. 

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  • Posted

    I was on Tamsulosin and experienced postural hypotension. I take two anti hypertension tablets. Indapamide morning and Candesartan evening. I asked my GP of I should come off one or both of the latter while on the Tamsulosin. Answer was 'No'. When I reported back to my urologist he changed my Tamsulosin recommendation to Finasteride (with the warning that it might reduce my sexual energy and ability). So far so good, the Finasteride seems to suit me better, but I understand its effect is cumulative and may take some months to act fully.

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  • Posted

    Another alternative would be daily Cialis. It "can slightly lower blood pressure", so it may not work for you, but probably worth looking into. It is relatively expensive, but there has been news at times about it going generic or even OTC at some point.

    Rich

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  • Posted

    I had a severe low BP reaction to Flowmax.  After taking the first one at bedtime on a Saturday night, I went to church the next morning where I sang with the choir.  Going forward for communion, i passed out and could not be revived.  I was taken by the rescue squad to the hospital.  When they arrived at church and took my BP, it was 65/35.  Needless to say, I never tried Flomax again.
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  • Posted

    Cialis is probably your best shot a drug that could work without lowering your blood pressure. I don't recommend Finisteride, as there are lots of potential side effects and sometimes they don't go away when you stop taking the drug.

    IF Cilais either doesn't work or lowers you BP, you'll have to live with things or try something mechanical (everything from self cathing to a procedure to a surgery). If you end up there, find a uro that does most or all of the procedures so you don't end up doing something because its what he does, rather than what would be best for you.

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  • Posted

    Tamsulosin dropped my BP to 106/65. It didn't bother so I kept taking it. I switched to 5mg daily cialis and BP is back up to 120/80

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  • Posted

    OK, just checked the web on cialis:

    When will generic Cialis be available?

    After a patent dispute was resolved in the summer of 2017, Cialis is expected to be available as generic tadalafil as early as September of 2018. Previously, Cialis was expected to remain brand-only until 2020.

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    • Posted

      My doctor wrote me a prescription las month for Taladafil to a compounding pharmacy here in NC.  You have to pay them, and they will send you a receipt that you can file with your insurance company.  I paid $3.00 per 6 mg capsule of Taladafil, when I purchased 60.  My doctor had a form that he filled out and faxed to the compounding pharmacy.   The pharmacy called me a couple of hours later, and I gave them a credit card number for payment.  The shipment arrived two days later.
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  • Posted

    (This is off-topic but responsive to the OP's question.)  Has your eye doctor told you about the SLT procedure for high IOP? I was on eye drops for several years but last summer had the SLT procedure (a 3 minute laser procedure).  My IOP now runs 14-16 without eye drops.  The effects of the procedure can last from 1-5 years and once it loses its effectiveness, it can be repeated.  FWIW, I have not experienced any noticeable blood pressure drop from doxazosin.  I take just before going to bed.

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    • Posted

      Thanks for your response. Actually my IOP remains OK varying between 16 to 18 both eyes with eye drops I am using. However, no SLT or other procedure has ever been advised by my Ophthalmologist. Though the Dr feels that my Glaucoma is not too serious but still I do remain careful and avoid medications which can increase ones IOP.
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    • Posted

      If you don't mind the inconvenience or cost of the drops (mine cost $50 out of pocket for about a 6 week supply) then stick with them.  I was on drops for about 3 years.  During that time, there were advances in the SLT (Selective Laser Trabeculoplasty) procedure (which is considered surgery and can only be done by an opthomologist) and it became the initial recommendation rather than a last resort.  Although the procedure was billed to Medicare at $1400, my co-pay was only $20.

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