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Doctors use a variety of
medications to treat prostate gland enlargement:
Alpha
Blockers:
Alpha blockers
release the muscles at the neck of the bladder, allowing for easier
urination. The four alpha blockers that have been approved by the
U.S. Food and Drug Administration (FDA) are terazosin (Hytrin),
doxazosin (Cardura), tamsulosin (Flomax) and alfuzosin (Uroxatral).
Alpha blockers taken with drugs for impotence, such as sildenafil
(Viagra), vardenafil (Levitra) and tadalafil (Cialis), may interact
and cause low blood pressure.
Finasteride
(Proscar, Propecia) and dutasteride (Avodart): These
drugs actually shrink the prostate gland. However they are generally
not effective in men who have only a moderately enlarged prostate. A
small percentage of men who take finasteride experience impotence,
decreased libido and reduced semen release during ejaculation.
Finasteride also has been shown to adversely affect sexual function
and to slightly raise the risk of developing higher grade prostate
cancer.
Combination
drug therapy;
The combination
of the alpha blocker doxazosin with finasteride appears to
significantly reduce the risk of prostate gland enlargement. The
combination treatment also significantly addresses urination problems
associated with an enlarged prostate.
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