urinary retention

Question 1

1ST LINE in urinary retention and examples

Answer 1

alpha blockers
- doxazosin
terazosin alfuzosin
tamsulosin
indoramin

Question 2

moa of alpha blockers

Answer 2

relax prostatic smooth muscle

Question 3

how urinary retention occurs

Answer 3

in BPH as get older prostate enlarges and pushes on urethra

Question 4

s/e alpha blockers

Answer 4

postural hypo (dizzy faint) , palpitation , tachycardia , blurred vision

Question 5

c/I alpha blocker

Answer 5

postural hypo

Question 6

counselling alpha blocker

Answer 6

• first dose at night
• driving can be impaired

Question 7

2nd line in retention

Answer 7

finasteride is a 5a reductase inhibit

Question 8

s/e finasteride

Answer 8

1) male breast cancer counsel, nipple discharge, lumps, pain
2) depression or suicide thought MHRA - stop and report

Question 9

Pregnancy an finasteride

Answer 9

• use condoms as excreted in semen esp if partner pregnant or likely to be
• women of child bearing potential be careful when hndiling crush tabs and leaking dutasteride caps