PROSTATE CANCER SUPPORT SCOTLAND
Formerly the Scottish Association of Prostate Cancer Support Groups

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Treatment by Medication


Medication
Two types of prescribed drugs can be helpful for urinary symptoms caused by an enlarged prostate. The first type, called alpha-blockers, work by relaxing the muscles of the opening to the bladder and the muscles of the prostate gland, overcoming the resistance to passing urine. Drugs of this type are also used to treat high blood pressure, and this explains some of the side-effects which people may experience, including:

* dizziness or faintness;
* headaches;
* lack of energy; and
* nasal congestion.

Often, these side-effects occur with the first dose of an alpha-blocker, and then disappear as the body adjusts to the medication. It is important to talk to your doctor about any symptoms or concerns you have with the medication.

The second type of medication, which your urologist may prescribe works by shrinking the enlarged prostate gland to relieve the narrowing of the urethra. For example, Finasteride blocks the effects of the male hormone testosterone on the prostate gland, reducing the size of the prostate and relieving the narrowing of the urethra caused by the enlarged prostate. This type of drug works better on larger prostates and takes a longer period of time to achieve an effect (3-6 months). Potential side-effects include:

* problems maintaining erections;
* decreased sexual desire;
* breast tenderness and enlargement; and
* skin rash. If you experience any of these symptoms, report them to your doctor.

Some herbal medications are widely used to treat symptoms of BPH. While their value is not regarded as proven by medical authorities, they have a beneficial effect in some men.

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PROSTATE CANCER SUPPORT SCOTLAND
Formerly the Scottish Association of Prostate Cancer Support Groups
President: John Duncan
Scottish Charity No. SC 029158