Tamsulosin increased dosage

Ask him to prescribe one a day Cialis. That will probably help your flow more and in other ways.

When I asked the nurse at my doctors practice if Amiodarone was the most complained about drug she said No, that is Tamsulosin. I said, Yes by men. She replied no by their wives.

I have taken myself off Tamulosin.  It prevents ejaculation.  I think you are right to be wary of it.  My PSA is 6.2 and only marginally outside the guidelines

Joseph,

A prostate infection will definitely increase your PSA.  I recently had a prostate infection and went on cipro, my PSA went from 2.4 to 26.  My urologist told me the antibiotic also increases the PSA, so if you are now back to a PSA of 3.1 I would say your doing good, but it bears watching closely.

The anti inflammatory drugs are the correct thing to be trying.  You might try ibuprofen and some others also.

Have you tried self catheterisation ? It may be a way for you to drop back to .4mg dose of Tamsulosin or to no Tamsulosin at all. The Tamsulosin does make it easier to get the catheter through the prostate, but every one is different and you may not have a problem. I have started doing it and had a little problem with urethral irritation and bleeding in the first couple weeks but after 3 weeks I am doing it 3 times per day and don't have those problems any more. I am trying to retrain my bladder so am doing three per day, some do just once per day. After completely emptying my bladder I don't have to urinate again for up to 6 to 8 hours, depending on liquids I drink, so I could do once or twice per day.  If you want to try it, get your urologist to show you how to do it, and give you the supplies. Start easy the first week not more than once per day.

There are some good threads on this Patient web site about it:

"Self Catherization. An alternative to Turp, Greenlight, HoLEP...?"  https://patient.info/forums/discuss/self-catherization-an-alternative-to-turp-greenlight-holep--336874

Hope this helps,

Thomas

To begin with forget about PSA at your age and lay off all meds for awhile. Try taking a diuretic available by Rx. One small pill a day will increase urine flow.

Here is something you may find interesting. I too am on TRT. I am 49 years old and I get about .30 every three days. I stopped the TRT do to my body suddenly starting to make it again. Then I noticed it seemed as though it stopped again, so I started injecting the Testosterone again and wouldn't you know it. I started having issues with BPH. The Testosterone can aggravate BPH in those with it. I can hardly urinate when I am taking the T shots not to mention the horrible pain urinating and when I have an orgasm it burns and hurts super bad. After I feel like I have to pee for hours non stop. I am going in to see my Urologist again as this has been going on for a long time now. I think it is causing Chronic non bacterial prostatitis. You may be having symptoms as a result of the TRT. If you can ask your doctor and with his or her ok maybe stop the TRT for just a week or so and see if things don't improve, I bet they just might get better. As for the PSA my dad is your age and he has a PSA of 3.5 and from what I read that isn't really that high for a man his age. Like you he is worried, but I showed him a chart that was on I think Mayo Clinic or Web MD that states the cut off for a man his age in PSA is 6.5 at that rate they would recommend further testing like a 3T MRI or Biopsy. I would try stopping the TRT for a short time if you can and I think that, if you are like me it will get better and PSA may go down as well. Again I would ask your doctor about it. I stopped on my own, but I really shouldn't have as my T level was 30 when I started TRT, so my bones had Osteoperosis and I needed to go on TRT to fix my bone issues. Good luck and I hope this helps.