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My Second Attempt Here. My Prostrate Is Enlarged. I Have

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Posted on Thu, 2 Apr 2020
Twitter Thu, 2 Apr 2020 Answered on
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Question : My second attempt here.
My prostrate is enlarged.
I have been taking Duodart 500/400 for ten years.
In the last two years my ability to get an erection has almost gone.
My ability to pee standing up is gone.
Obviously my Duodart is not a desirable medication for me.
Would any of these other medications, or any others at all, help my conditions?

Alfuzosin (Uroxatral)
Doxazosin (Cardura)
Prazosin (Minipress)
Silodosin (Rapaflo)
Tamsulosin (Flomax)
Terazosin (Hytrin)
doctor
Answered by Dr. Anders Mark Christensen (21 minutes later)
Brief Answer:
Hi again

Detailed Answer:
Hi again Repahus,

I do not hope that you were unsatisfied with my previous answers. Anyhow, the Duodart you take is a combination of medicine, I.e. medicine to increase urine flow through your urethra and medicine to prevent your prostate from increasing in size. If you are not satisfied with the Duodart, you could try any of the drugs you mention at relatively high doses and see if it is better than the Duodart.

How does that sound?
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Anders Mark Christensen (1 hour later)
I guess the medical world has not made any, or much, progress in the last ten years. As pervasive as an enlarged prostate problem is I am surprised with the amount of progress in solving the problem.

I am very doubtful that I can wisely select the brand and the dosage of a different med. Apparently you feel the same.

So I'll wait until the virus lockdown is over and try to find a Filipino doctor that I can rely on.

Thanks.
doctor
Answered by Dr. Anders Mark Christensen (38 minutes later)
Brief Answer:
No problem

Detailed Answer:
Hi again,

You can try tamsulosin 0,4mg per day for 4-8 weeks and see if it works. If not, dutasterid 0,5mg daily for up to 6 months may be a good alternative as this treatment can lead to a volume reduction of up to 50% of the prostate. However, in most countries, these types of medicine cannot be bought over the counter, so you probably need to contact a local doctor.

Best wishes.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Anders Mark Christensen

General Surgeon

Practicing since :2016

Answered : 1554 Questions

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My Second Attempt Here. My Prostrate Is Enlarged. I Have

Brief Answer: Hi again Detailed Answer: Hi again Repahus, I do not hope that you were unsatisfied with my previous answers. Anyhow, the Duodart you take is a combination of medicine, I.e. medicine to increase urine flow through your urethra and medicine to prevent your prostate from increasing in size. If you are not satisfied with the Duodart, you could try any of the drugs you mention at relatively high doses and see if it is better than the Duodart. How does that sound?