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Dr. Andrew Rynne

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What is the best OTC drug for BPH?

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Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1605 Questions

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Posted on Tue, 5 Jun 2018 in Urinary and Bladder Problems
Question: which is the "best" otc for BPH ?

See what I've already tried below
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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 : Dr. Prasad
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