Prostate Medications

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Prescribed Tamsulosin and Finasteride 9 months ago and Vesicare 2 months ago. Have now got enlarged puffy nipples that are very sensitive and have developed developed man boobs that are now measuring 44c . Has anyone else had this problem? Will it all go back to normal if I stop taking the meds once I have had my surgery?

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  • Posted

    Yes finasteride causes it. It goes over time when you stop taking it. I stopped taking it as soon as that symptom started.

    Tamsulosin has even worse side effects. Have either actually improved your symptoms or your life?

    What surgery are you going to have? Hopefully one of the newer prodeures rather than the old fashioned, 'Gold Standard' TURP.

     

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    • Posted

      Rogcal says it all on side effects. I am thin and still had breast enlargement. Another side effect is floppy iris syndrome that makes any cataract surgery more difficult. One of the similar drugs Alfuzosin does not have that side effect

      You could ask for one a day Cialis instead of Tamsulosin as it is very effective in helping your flow.

      I once asked the nurse at my GP surgery if Bisoprolol was her most complained about drug, She said, No Tamsulosin is.

      I said, by Men. She said No, by their wives.. You can ask (insist) to be referred to another Health Authority for the procedure you want.

      I was only offered TURP when I lived in Scotland and asked to go to an English hospital that had just started doing GL PVP laser surgery.  It was a fight but they eventually conceded.

      The preferred treatment now in the new NICE guidelines is GL XPS, how can they refuse you? 

      The other good alternatives are HoLep laser and the non-surgical PAE done by a radiologist that shrinks the prostate after arteries to it are blocked off and Urolift where the obstructing tissue is tied up to the side out of the way.

      TURP now is rather a wide ranging term as there are several different versions of it.

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  • Posted

    Peter, 

    same happened to me when Finesteride as added. I used it for only 5 months and developed same problems: breast enlargement and puffy sensitive nipples and also had hot flashes. Complained to Uro and Finesteride was discontinued. Breast never went back to pre Finesteride level. Talk to your urologist babout it.

    MK

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    • Posted

      MK

      My surgery keeps being put back and is not now scheduled until late January so it looks like I will be on these meds until then. God only knows what size my breasts will be by then. Yes, I've been getting hot flashes to add to my discomfort as well and if your breast never returned to their original state then my future doesn't look too rosy.

      Peter

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    • Posted

      Peter,

      i had a TURP on June 1st. Cancer was found in removed prostate chips during TURP surgery. It was Gleason 6. I had prostate biopsy on August 11th and Cancer was confirmed but higher Gleason score. 1 of 12 cores was  (4+3) Gleason 7b. Now, I am scheduled for surgery on 11/2 to remove prostate. 

      I am very concerned about surgery SE like incontinece and impotence at my youn age of 51.

      MK

       

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    • Posted

      MK

      My thoughts go out to you, you've had a rough patch but it's surely best to have the prostate out if it's cancerous. It's natural to have concerns about side effects from the surgery but I guess it boils down to the either/or nitty gritty. You are indeed a young man to be going through this and I wish you the very best of luck and a successful outcome from your forthcoming surgery.

      Peter

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  • Posted

    Hi Peter.  When I was on Tamsulosin the only adverse affect was that my blood pressure lowered slightly but other than that no serious problems.  You may experience a reduction in ejaculate when you orgasm but this is to be expected given the fact that this medication is designed to relax the sphincter muscles that control your bladder emptying and as such a partial retrograde ejaculation may be the result.  When you come off Tamsulosin all these side effects will disappear over time.

    As for the adrogen blockers (I was on dutasteride), both this and finasteride may well result in enlarged breasts however, obesity will play a major part in how greatly they develop and if at all they will reduce in size once you have stopped the medication.  I was mildly obese with a BMI of 29 and I experienced a slight enlargement which all but disappeared following cessation of the medication.  I have since lost 14 Ibs in weight my "man boobs" are a thing of the past.

    As I earlier implied, it's my view that being even mildly obese will result in some enlargement of the breast and purely due to weight gain, then along comes the androgen blocker and they get even bigger.  So dump the excess weight (if you have any) and minimise the visual affect the meds will have on your breasts when they do start to enlarge.  Good luck with the op.  

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    • Posted

      Hi rogcal and thanks for the information. My weight has remained the same for the past 5 years but I have taken on board your suggestion to shed some weight. 

      My man boobs have made wearing Tee Shirts a thing of the past, the level of discomfort when I'm moving about is pretty high too. 

      I pray your right when you say they will reduce when I come off the meds.

      Thanks for the good wishes.

       

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  • Posted

    I am taking Tamsulosin which I am not convinced is having any effect at all. I'm thinking about stopping it just to see what happens. I asked my urologist about Finasteride and after he explained the side effects and problems with it, I decided against it. The worst to me was if a person taking Finasteride does develop prostate cancer, it is often a more aggressive cancer.

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