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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Current PSA Level Is 4.31 After 1 Month Intake Of 'rapilif8 Od' And Still Continuing For 3 Mnths With High Bp Medicine 'CovenceD' And Suppressant. Should I Continue With Rapilif8 And Get PSA Test Done ?

I am 66 years and 80 kg height 165 cm. I have typical prostate symtoms. Postate is 27 gms in ultrasound.PSA test was 5.79ng/nl average urine flow 4 ml /s with pvru 14 cc.I was prescribed rapilif8 od. After one month PSA level came down to 4.31. I am continuing rapilif8 since last 3 months and have no serious side effect. At what interval should get PSA test done and for how long to take rapilif8. I take high bp medicines CovenceD and suppressaNT regularly and bp remains 180/80 normally.I walk and exercise regularly. Should I take rapilif8 everyday like bp medicines. Any problem in long use
Mon, 23 Dec 2013
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Urologist,  's  Response
Hello
Thanks for your query,based on the facts that you have posted it appears that you have obstructive voiding symptoms due to enlarged prostate.

Though your prostate size is marginally increased you have poor flow with 15 cc of post void residual urine.

Your Serum PSA is slightly higher than normal level of 4ng/ml.which is insignificant.

Your Dr has prescribed Rapilif8 This drug belongs to a group of drug called alpha one blockers which relaxes the smooth muscles in bladder neck and prostate and helps to improve urine flow.You can take it for indefinitely once in a day till you need to go for surgery for prostate.

It does not lower down PSA levels .

You can repeat your serum PSA every 6 months .
Dr.Patil.



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Current PSA Level Is 4.31 After 1 Month Intake Of 'rapilif8 Od' And Still Continuing For 3 Mnths With High Bp Medicine 'CovenceD' And Suppressant. Should I Continue With Rapilif8 And Get PSA Test Done ?

Hello Thanks for your query,based on the facts that you have posted it appears that you have obstructive voiding symptoms due to enlarged prostate. Though your prostate size is marginally increased you have poor flow with 15 cc of post void residual urine. Your Serum PSA is slightly higher than normal level of 4ng/ml.which is insignificant. Your Dr has prescribed Rapilif8 This drug belongs to a group of drug called alpha one blockers which relaxes the smooth muscles in bladder neck and prostate and helps to improve urine flow.You can take it for indefinitely once in a day till you need to go for surgery for prostate. It does not lower down PSA levels . You can repeat your serum PSA every 6 months . Dr.Patil.