Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
188 Doctors are Online
Ask a Urologist   »  

What is the best OTC drug for BPH?

User rating for this question
Very Good
Answered by

General & Family Physician
Practicing since : 2010
Answered : 1553 Questions
Question
which is the "best" otc for BPH ?

See what I've already tried below
Tue, 5 Jun 2018 in Urinary and Bladder Problems
 
 
Answered by Dr. Klarida Papaqako 2 hours later
Brief Answer:
There is no best medicine, but some option that you can try.

Detailed Answer:
Hello,

Thank you for using Healthcaremagic to post your health query.
I read carefully your question and I understand your concern.

There is not best medicine for BPH. There are some option that seem to work differently in different people.
The first options are alpha-1 blockers which include alfuzosin 10 mg, doxazosin 2-8 mg, tamsulosin 0.4-0.8 mg, terazosin 2-10 mg, and silodosin 8mg. You seem to be trying this option. You will need at least 3 weeks to access if it will work or not.

If these do not give the desired relief from the symptoms, then the next option are 5-alpha reductase inhibitors (5-ARIs) especially if estimated prostate size > 30 g or PSA level > 1.4 ng/mL. These include dutasteride 0.5 mg and finasteride 5 mg orally once daily. It needs ≥ 3 months to assess treatment response.

If these do not help as well, then the next option it is a combination of both these classes of medicines.

Yes, prostatic urethral lift (UroLift) is one of the options of treatment (not a medicine, but a procedure) which improves lower urinary tract symptoms without increasing risk of erectile dysfunction.

Hope this is helpful.
Let me know if you need more clarifications.

Regards,     
Dr. Papaqako
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+

The user accepted the expert's answer

Ask a Urologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor