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Had Prostate MRI, No Cancer But Volume 100ml. Have Bph, Ed. Dr. Suggested Finasteride 5mg, This Made Me Dizzy, Tired, Depressed. Barely Could Go To Work. Should I Suggest Smaller Dose Or Not Bother. I'm Fair Using Terazosin Presently. I Don't Want Worse Ed But Would Like To Improve Flow Maybe Reduce Size?

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Posted on Wed, 29 Mar 2023
Question: Had prostate MRI, no cancer but volume 100ml. Have bph, Ed. Dr. Suggested finasteride 5mg, this made me dizzy, tired, depressed. Barely could go to work. Should I suggest smaller dose or not bother. I'm fair using terazosin presently. I don't want worse Ed but would like to improve flow maybe reduce size.
doctor
Answered by Dr. Anders Mark Christensen (53 minutes later)
Brief Answer:
No need to change anything

Detailed Answer:
Hi,

As long as you are not bothered by problems of voiding, you do not need to change anything. If further medication is troublesome, I suggest minimally invasive surgery to reduce the volume of your prostate. This requires personal urological consultation.

Best wishes.
Thanks
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Anders Mark Christensen (5 hours later)
Thank you but will the finasteride side effects go away or is there a lower dose than five that will be effective and not have as many side effects. I will consult the urologist, back in two months. Let me know what you think or should I just take terazosin only my urologist doesn't seem to worry that much if I'm on both meds or just the terazosin, if I could avoid surgery I would do it.
doctor
Answered by Dr. Anders Mark Christensen (9 hours later)
Brief Answer:
You can take a lower dose of finasteride

Detailed Answer:
Hi again,

You can try a lower dose of finasteride, e.g. 2 mg, but then you probably need to get new tablets, unless your 5mg tablets can be divided in two.

Hope this helps.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Anders Mark Christensen

General Surgeon

Practicing since :2016

Answered : 1563 Questions

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Had Prostate MRI, No Cancer But Volume 100ml. Have Bph, Ed. Dr. Suggested Finasteride 5mg, This Made Me Dizzy, Tired, Depressed. Barely Could Go To Work. Should I Suggest Smaller Dose Or Not Bother. I'm Fair Using Terazosin Presently. I Don't Want Worse Ed But Would Like To Improve Flow Maybe Reduce Size?

Brief Answer: No need to change anything Detailed Answer: Hi, As long as you are not bothered by problems of voiding, you do not need to change anything. If further medication is troublesome, I suggest minimally invasive surgery to reduce the volume of your prostate. This requires personal urological consultation. Best wishes. Thanks