medication choices

Posted , 11 users are following.

Hi all,

I'd like some consensus from any of you who are on or were on any of the BPH daily medications.

What is the best one?

What's the safest one for long term?

And which one is the most cost efficient?


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7 Replies

  • Posted

    Was on Tamsulosin for many years but hated the side effects. Just switched to Cialis but only 4 days in so early days, but already feeling that it may not be as effective as Tamsulosin, although apparently can take one to two weeks to work.

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  • Posted

    Understand that Derek, but if you are not ready for surgery then you need to be on the best medication that suits you.

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    • Posted

      If you have BPH interfering with your life and sleep you are ready for surgery.

      When I was first diagnosed in 1995 There was really only TURP on offer although for a while I did consider TUMP. I did not take the drugs for long due to side effects and relied on Saw Palmetto that helped in some respects but did not stop it from growing.

      I waited for nine years for the first laser procedure GL/PVP o come along to the UK and immediately applied to get on the trial at the Freeman in Newcastle in 2004 and life was back to normal.

      When it regrew I had no hesitation in having another laser procedure Thulium/Holmium ( RevoLix ) in 2013.

      In my opinion it grows more quickly as you age, From 1995 to 2004 mine grew from 35 to 75 grms. From then until 2013 it went to 135 grms. I was fortunate that my median lobe was not a problem and each time the different surgeons were able to do a bladder neck sparing procedure.

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  • Posted

    From what I have read on this forum from others sharing their experiences about the side effects of ANY so-called BPH medication, I am glad I never had to take any and went straight to surgery for my BPH problem.

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  • Posted

    There is no "best medication" because everyone reacts differently. The obvious place to start is an alpha blocker but you may have to try several to find the one with the fewest side-effects. tamulosin (Flomax) gave me retro almost immediately but it went away as soon as I stopped. I ended up on doxazosin (Cardura) and at 2mg that worked ok. When I upped the dose to 4mg, retro reappeared but it didn't bother me. I recently had a TURP so I am off BPH meds now.

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