Genitourinary System OTC

Question 1

What are the symptoms of BPH?

Answer 1

Chronic urinary retention

Difficulty initiating urination

Weak urine stream

Difficulty fully emptying the bladder

Frequent need to urinate

Question 2

When do you refer for BPH?

Answer 2

Present for less than 3 months

Dysuria, haematuria, cloudy urine in past 3 months

Fever

Concomitant alpha blockers

Question 3

What are the medical conditions that you have to refer BPH in?

Answer 3

Postural hypotension
Heart, kidney or liver problems
Uncontrolled diabetes
Urinary incontinence
Previous prostate surgery
Undiagnosed blurred/cloudy vision 
Scheduled surgery for glaucoma or cataract

Question 4

What is the OTC product for BPH?

Answer 4

Tamsulosin

For men 45-75 years

Question 5

What is the supply criteria for tamsulosin OTC?

Answer 5

Symptoms > 3 months
Initially give 2 week supply
Give further 4 week supply if there is improve,met after 14 days of starting

Question 6

How do you take OTC tamsulosin?

Answer 6

1 400mcg capsule swallowed whole after the same meal each day

Drowsiness, dizziness

Question 7

What is the advice for BPH OTC?

Answer 7

After 6 weeks see doctor

Every 12 months see dr for review

Does not increase risk of prostate cancer