BPH

Question 1

symptoms

Answer 1

• Incomplete emptying
• Inc frequency
• Intermittent flow
• Urgency
• Weak stream
• Straining
• Nocturia

Question 2

treatment OTC

Answer 2

tamsulosin 400mcg (Flowmax MR Relief)

• 1 tablet daily
• 2 week initial supply
• if Sx improve, can make further 4 week supply OTC
• need to ee GP in 6 weeks of starting
• can continue OTC when see GP (as long as Sx stay the same)
• 45 - 75yrs

Question 3

age licencing for tamsulosin

Answer 3

45 - 75yrs

Question 4

counselling for BPH

Answer 4

• reduce alcohol
• reduce caffeine
• reduce fluid intake esp before bedtime
• general lifestyle -> weight loss

Question 5

when NOT to supply tamsulosin

Answer 5

• Sx < 3 mths
• prostate surgery
• unstable/undiagnosed diabetes
• liver/kidney/heart problems
• Sx postural hypotension
• cataract surgery planned
• recent blurry/cloudy vision not examined by GP/optician (cataracts)
• allergy to tamsulosin/ingredient
• other meds for BPH Rx
• antihypertensives, esp ALPHA BLOCKERS