Anybody been prescribed Tamsulosin?

My Doctor has suggested I start taking this prescribed drug as I have developed the condition for which this drug is used.
It occurred to me that with the age profile of members of the forum there would be others on this drug.
I was slightly wary of possible side affects, dizziness due to it lowering blood pressure. ( I am on blood pressure tablets already) and I need to drive for my job.
The Doctor said if your symptoms are not bothering you, maybe don’t use it.
Without going into too much detail:
Does the Drug work?
Do benefits outweigh any side affects?
Do you need to on the drug permanently ?
Are you glad you are using it?

I hope this is not an inappropriate post but any feedback/advice would be helpful.

Cheers. C.

You really need to talk to your urologist, who will be able to answer all your questions and concerns. An adjustment to your blood pressure tablets may be required.

If your prescribing doctor is a GP, ask for a referral to a urologist.

With the best will in the world, the chances of one of us here being qualified to answer some of your questions is slim to none. However, the drug will have been rigorously scrutinised and given the go ahead as a safe and effective drug, whose benefits outweigh the side effects.

I hope all works out well for you.

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To be honest, outside of official sites and appropriate support groups, the internet is the worst possible place to seek medical advice. It invariably leads to heightened anxiety as people attribute symptoms to themselves and reach misinformed diagnoses. And any registered practitioner would be highly unlikely to dispense advice due to their accountability in regard of any advice offered.
As suggested, consult your GP or pharmacist if you have concerns. They are best placed to advise in relation to drugs, their benefits and side effects. And they may be able to point you towards an appropriate support network if beneficial.

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If its a gp giving you advice I’d question him further about seeing a urologist. It is a muscle relaxant primarily and may help depending on position and severity of anything blocking or otherwise needing the relaxant. See your urologist.

Was prescribed it. Didn’t like side effects (not lowered blood pressure though). Stopped taking it in consultation with GP. This is just my experience and not advice.

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I had BPH diagnosed 11 years ago. I started annual PSA tests as well. I also tried Tamsulosin, but didn’t continue very long. Four years ago PSA too high and Prostate Cancer diagnosed. I opted for surgery which has been successful.

I read very extensively on the internet. One possibility is that it can reduce PSA, but the downside is that this might delay a cancer diagnosis.

There are other natural ways of improving prostate health such as pomegranate juice. Combined with enjoying the sun, getting exercise, cutting out tea, coffee and alcohol much can be done. Then there is fluid intake and longer intervals between urination.

I wouldn’t get too worried as careful monitoring goes a long way.

Phil

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Talk to your pharmacist or GP. It is good to have questions but advice here can hardly carry the weight of a professional who has responsibility for your care. They don’t generally mind explaining more, well at least i did not!

As a rule I think the leaflets inside drug boxes aren’t well written or that helpful.

Bruce

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Given the effect of Covid on Outpatient waiting times the likelihood of a urologist offering an appt in anything other than an extended timescale is remote - assuming that the GP felt that asking for a urologist opinion on an everyday treatment usually prescribed by a GP was appropriate… :roll_eyes:

Advocating what in all probability is an inappropriate referral isn’t really helping the NHS right now…

First of all, I was trying to help an individual and not the NHS.

Second, the sooner a referral is made, the sooner an appt can be made, Covid or no Covid.

Third, from the OP it sounds like the GP may not have done a great job. Seeking further advice/help is always appropriate.

Before you go telling me off for not knowing what I am talking about, please be advised that I have a 40 year history as a nurse with the NHS, and being married to a hospital consultant.

No doctor worth their salt would advocate that people avoid hospital.

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You don’t help patients by advocating that relatively routine GP work is escalated to out-patient specialist services - this only impedes access for those who really need hospital expertise.

During the pandemic the NHS has tried to maintain services by dealing with problems at the appropriate level - and in some cases this does indeed mean that Drs who are worth their salt advocate that patients avoid hospital. They are generally the ones best placed to make these decisions…

Being married to a Consultant I’m sure they would be able to confirm that they don’t really want GPs just passing all their workload up the chain into (her?) clinic.

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…and I can assure you most urologists are not in the business of routine GP-level urology, and they would rapidly reject such referrals.

In my experience many surgeons (and yes that is a huge generalisation) prescribe medications without ever really discussing or indeed considering effects/side effects. Not unique to surgical specialists either. Oh, and my wife was a hospital specialist by the way!

Talk to your pharmacist or ask another GP who has access to your records.

Bruce

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Thanks for all the replies. I should have made clear or come back in earlier. It is a Urologist who asked my Doctor to prescribe the Drug to me. I had the conversation with my Doctor ref Pros and Cons. I have another scan next week to check for anything untoward.

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I hope all goes well @Collywobbles. Good to know you are being seen by the right people.

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Often the way of things.

One slight clarification that may help you. Tamsulosin and other alpha blocking drugs are symptomatic (rather than ‘disease altering’) treatments. In simple terms most patients can try them, stop and start them etc and make their own decisions on whether the effects (and side effects) are worthwhile. You don’t have to stay on them for ever or take a ‘course’.

Hope that is helpful. I am always really reluctant to post anything other than the most general medical advice here.

Bruce

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I’ve been taking Tamsulosin for several years now having been started on it by a Urologist colleague. Works very well with no side effects in my case, and as long as I take the prescribed dose my ‘stream’ is good. No overt interactions with the various other medications I take for my angina. My advice (as a retired professional!) is take what’s prescribed, and if it produces adverse effects discuss it with your GP.

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That’s a very legitimate concern, but you’d only really know if it affected you if you took it.

Virtually all of those questions can probably only be answered on an individual basis, firstly if your symptoms are affecting your quality of life significantly, secondly if the drug helps or doesn’t.

What kind of scan do you have coming up? Standard ultrasound, transrectal ultrasound (TRUS), MRI prostate or other?

I am not a doctor but I still feel I can give some advice, especially as I recognise what you are going through. Fortunately, I don’t have any “rules” I have to stick to, not being a member of the medical profession, which means that information can be freely shared without the need for a gagging clause, albeit within the bounds of forum rules.
Secondly, I am not going to recommend you taking any medication, which merely treats the symptoms rather than the root cause of a problem.
Tamsulosin is used to help the symptoms of BPH, which is very common in ageing men, where the prostate enlarges to squeeze the urethra which passes through the “ring doughnut” shaped prostate to reduce urine flow. This you probably all know. What people often don’t know, is that hyperinsulinaemia and the ensuing insulin resistance are inflammatory and a likely cause of the problem, owing to long term, high carbohydrate/glucose/fructose consumption in your diet, often over decades, this problem often manifests itself in the over 40’s and is usually just put down to getting older. While getting older is true, these problems don’t have to occur and not all men develop them.
Insulin is an anabolic hormone, meaning that when it is in a constantly elevated state, it triggers cell growth more than it should. Every cell in the body responds to insulin and this is one of reasons for enlarged prostate issues, along with other complications, like hypertension and elevated blood pressure, cardiovascular issues and other related metabolic disorders. Given that roughly 2/3 of the adult population in Western society are overweight or obese and that researchers reckon that upwards of 80% of people have insulin resistance, it shouldn’t surprise you to find that you may be among that number.
Treat the cause and you will likely help the condition, so that means reducing the elevated blood insulin levels you likely have. I assume your doctor has measured your HBA1C, CRP and fasting insulin levels and given you a glucose tolerance test to see how far you are along the scale of Insulin resistance/pre-diabetes. If not, he should have done. Blood glucose measurements aren’t always sufficient because the human body is incredibly good at keeping blood glucose levels in the normal range until you are well along the way to being type 2 diabetic, along with other accompanying inflammatory metabolic issues.
Personally, I would look into reducing sugars, particularly sugary drinks and processed, high glycemic load foods, like pasta, rice, bread to make some inroads into reducing your blood insulin levels. Intermittent fasting is also a good technique for reducing the frequency of meals, cutting out snacking and reducing the insulin spikes caused by primarily, carbohydrate consumption.
Unfortunately, the standard diet eaten by many doesn’t help the situation I have described above but reducing the frequency of food consumption and lowering glucose and fructose spiking foods will likely help you manage the situation better in future.
I am 56 myself and have followed a fasting/low carb diet for the last couple of years and feel my flow is not worsening as it once was, plus I have lost 15 kilos, mostly fat from the visceral region, my skin and sleep has improved, along with reflux and gastro/bowel issues and have a lot more energy than I had, just to name a few.

Give it a go, you may find it helps, especially if you do some due diligence, as I did, to research the topics first.
One final point, I have a lot of respect for doctors and what they do, but Hippocrates, widely regarded as the father of modern medicine, is often quoted as saying,”Let food be thy medicine and medicine be thy food” and I often wonder if modern medicine overlooks this aphorism, in their rush to prescribe for symptoms, rather than treat the causes of many modern diseases.

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Yes, that is an opinion that can be shared. Unless you have a reference to results of medical research and concomitant medical advice, then it is just an opinion.

Not really my opinion! Only books written by doctors, endocrinologists, nephrologists, physiologists, professors, researchers and scientific journalists. Too many to list here and one can obviously take their opinions with a pinch of salt.

I am sure the intention of the post above is good but be aware that it represents a very minority view and some of what is suggested is, to a conventionally trained practitioner, bizarre.

I will quit this thread here. I suggest the OP does his own careful reading and reaches his own conclusions.

Note I am not ‘gagged’ or ‘sticking to any rules’ but giving detailed medical advice to an anonymous individual, without their records, history, results or background is unprofessional and unwise. That is the reason for reticence. I doubt a solicitor, accountant, architect etc etc would do any differently in their sphere.

Bruce

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