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Can Flomax Be Taken While Suffering From Congestive Heart Failure?

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Posted on Mon, 5 Dec 2016
Question: I have had HF (quadruple bypass 2.5 years ago) and am currently on blood pressure and cholesterol medication. At 86, I obviously have low kidney function and high prostrate antigen (6.5). I just read a study on the drug solifenacin (FLOMAX) that indicates it should not be taken by a HF sufferer. Yes, when looking for negative interactions for Flomax, the heart is not mentioned. I've been taking both FLOMAX and VESIcare for the two + years since my heart operation. My GP provider has not informed me of any negative interaction with my heart medication. Should I terminate my FLOMAX (or wean myself off of it)?
doctor
Answered by Dr. Chobufo Ditah (59 minutes later)
Brief Answer:
Flomax is tamsulosin and not solifenacin!

Detailed Answer:
Hi,

Please flomax is not solifenacin. There is no need getting worried about it as you must have made an error with the name. Flomax is not listed in this document as a possible aggravating medication of heart failure.

Let me know if you have any further worries.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (1 hour later)
I'm not sure how I equated Flomax to solifenacin. I may have sent the wrong attachment. I meant to refer you to an XXXXXXX Heart Association Bulletin:
(AHA Scientific Statement "CLINICAL STATEMENTS AND GUIDELINES
Circulation: 2016;134:00–00. DOI: 10.1161/CIR.0000 of
August 9, 2016*, which contains a very long list of medications that affect HF patients. The second from last drug mentioned in Table 1 is Tamsulosin (FLOMAX). The table indicates that it has a moderate affect on HF patients.

*(I tried to do a cut/paste of the AHA Table, but this box will not accept it)

In light of this new information, please re-read my original question and provide a new answer. signed: XXXX
doctor
Answered by Dr. Chobufo Ditah (36 hours later)
Brief Answer:
The evidence is not strong enough

Detailed Answer:
Hi,

I have reviewed this level of evidence and it is not strong enough to to cause a change in clinical practice as long as the benefits are palpable: which I think it is in your case. if it were a level A evidence, then I would have been considering switching or stopping but not at this time.

Feel free to follow up is need be.
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Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

Answered : 6323 Questions

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Can Flomax Be Taken While Suffering From Congestive Heart Failure?

Brief Answer: Flomax is tamsulosin and not solifenacin! Detailed Answer: Hi, Please flomax is not solifenacin. There is no need getting worried about it as you must have made an error with the name. Flomax is not listed in this document as a possible aggravating medication of heart failure. Let me know if you have any further worries.