Product Information
Flomax tablets medication
Flomax
tablets medication is the most widely accepted branded alpha-blocker for Benign
Prostatic Hyperplasia (BPH)
in the U.S. Generic Flomax tablets is a medication developed specifically to
relieve the symptoms of BPH.
Generic
Flomax tablets medication does this by relaxing muscles in the prostate and
the neck of the bladder resulting in improved urine flow. This is like releasing
a pinched straw, which makes it easier for urine to pass out of the body. This
may result in reducing the symptoms of Benign Prostatic Hyperplasia.
As
with other alpha-adrenergic blocking medications, there is a potential risk
of fainting. Patients beginning treatment with Flomax tablets medication should
be cautioned to avoid situations where injury could result should fainting occur.
Benign
Prostatic Hyperplasia (BPH): Information
Benign
Prostatic Hyperplasia (BPH), also known as benign prostatic hypertrophy, is
a non-cancerous enlargement of the prostate, a small gland that encircles the
urethra in males and produces a fluid that makes up part of semen. As the volume
of the prostate increases, it can put pressure on the urethra, causing a slowdown
in the urine stream, hesitancy in urinating, a frequent and urgent need to urinate,
and sometimes dribbling of urine at the end of the flow. It can also cause urine
retention, which can weaken the bladder muscle and increase the risk of developing
a urinary tract infection (UTI) or kidney stones. In severe cases of BPH, urine
may back up into and damage the kidneys. Rarely, BPH may prevent a patient from
urinating at all, a situation that requires immediate medical attention.
BPH
can also affect sexual functioning. It can lead to reduced sexual ability, painful
orgasm, and impotence. The type and severity of symptoms experienced will vary
from person to person and may vary over time. For many men, BPH never progresses
beyond a minor to moderate annoyance; for others, it may represent a significant
challenge to their quality of life. BPH becomes a very common condition in men
as they age. According to the American Urology Association, about 50% of men
will have some degree of BPH by the time they are 60 years old, and up to 90%
will be affected by age 80. While BPH does not cause prostate cancer, both may
be found together.
Causes of B PH
The
cause of Benign Prostatic Hyperplasia is unknown. It is possible that the condition
is associated with hormonal changes that occur as men age. The testes produce
the hormone testosterone, which is converted to dihydrotestosterone (DHT) and
estradiol (estrogen) in certain tissues. High levels of dihydrotestosterone,
a testosterone derivative involved in prostate growth, may accumulate and cause
hyperplasia. How and why levels of DHT increase remains a subject of research.
Signs and Symptoms of B PH
Common
symptoms of Benign Prostatic Hyperplasia include the following:
- Blood in the urine (i.e., hematuria), caused by straining to void
- Dribbling after voiding
- Feeling that the bladder has not emptied completely after urination
- Frequent urination, particularly at night (i.e., nocturia)
- Hesitant, interrupted, or weak urine stream caused by decreased force
- Leakage of urine (i.e., overflow incontinence)
- Pushing or straining to begin urination
- Recurrent, sudden, urgent need to urinate
In
severe cases of BPH, another symptom, acute urinary retention (the inability
to urinate), can result from holding urine for a long time, alcohol consumption,
long period of inactivity, cold temperatures, allergy or cold medications containing
decongestants or antihistamines, and some prescription drugs (e.g., ipratropium
bromide, albuterol, epinephrine). Any of these factors can prevent the urinary
sphincter from relaxing and allowing urine to flow out of the bladder. Acute
urinary retention causes severe pain and discomfort. Catheterization may be
necessary to drain urine from the bladder and obtain relief.
Treatment of B PH
There
are several treatment options for men with benign prostate hyperplasia, depending
on the severity of symptoms. If symptoms do not threaten the man's health, he
may choose not to be treated. If symptoms are severe enough to cause discomfort,
interfere with daily activities, or threaten health, treatment is usually recommended.
- Watchful waiting
Men with mild symptoms may choose to return for annual examinations. The physician will perform an examination that includes a DRE, PSA tests, and a urinary flow rate. The patient will be asked to describe symptoms in order to determine if the condition is worsening.
- Medication
5-Alpha reductase inhibitors such as finasteride (Proscar) and dutasteride (Avodart) prevent the conversion of testosterone to the hormone dihydrotestosterone (DHT). In many cases, a treatment period of 6-month is necessary to see if the therapy is going to work. These drugs are taken orally, once a day.
- Alpha blockers relax smooth muscle tissue in the bladder neck and prostate, which increases urinary flow. They typically are taken orally, once or twice a day.
Commonly prescribed alpha blockers include the following: