{"id":33879,"date":"2022-12-12T16:18:09","date_gmt":"2022-12-12T09:18:09","guid":{"rendered":"https:\/\/www.edrugstore.com\/blog\/?p=33879"},"modified":"2022-12-13T16:22:55","modified_gmt":"2022-12-13T09:22:55","slug":"best-medication-for-bph","status":"publish","type":"post","link":"https:\/\/www.edrugstore.com\/blog\/mens-health\/best-medication-for-bph\/","title":{"rendered":"What Is the Best Medication for BPH?"},"content":{"rendered":"<p><b>Highlights\u00a0\u00a0<\/b><\/p>\n<ul>\n<li aria-level=\"1\"><b>The best medication for BPH focuses on treating the roots of the problem rather than its symptoms.<\/b><\/li>\n<li aria-level=\"1\"><b>Before resorting to surgery, your doctor may prescribe you BPH medications that can stop the growth of your prostate or even reverse it.<\/b><\/li>\n<li aria-level=\"1\"><b>An improvement in symptoms can also lead to a significant improvement in your quality of life.<\/b><\/li>\n<li aria-level=\"1\"><b>Some of the best medications for BPH can cause erectile dysfunction in rare cases.\u00a0<\/b><\/li>\n<\/ul>\n<hr \/>\n<p><span style=\"font-weight: 400;\">Benign prostatic hyperplasia (BPH), or enlarged prostate, causes a weak urine stream and frequent urination in sufferers. It can interfere with patients\u2019 daily activities and destroy their quality of life. BPH affects the majority of the aging male population. Around <\/span><a href=\"https:\/\/www.yalemedicine.org\/conditions\/enlarged-prostate-benign-prostatic-hyperplasia-bph\"><span style=\"font-weight: 400;\">half of men<\/span><\/a><span style=\"font-weight: 400;\"> between the ages of 50 and 60 suffer from BPH. In the 60-69 age group, the condition affects 70% of men.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Until recently, surgery was the only option to gain lasting relief from BPH. Now, we have medications that can reduce the frequency of symptoms and even <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5780290\/\"><span style=\"font-weight: 400;\">shrink the prostate<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h3>The Best Medication for BPH<\/h3>\n<p><span style=\"font-weight: 400;\">In the distant past, BPH sufferers had no choice but to rely on herbal products to address their symptoms. Many of these herbal solutions are still used today. In Europe, doctors regularly prescribe <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6859144\/\"><span style=\"font-weight: 400;\">saw palmetto-based products<\/span><\/a><span style=\"font-weight: 400;\"> for BPH.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition to these OTC supplements, we now have a selection of potent drugs we can use to alleviate the symptoms of BPH. Some of these prescription-only, clinically proven medicines can even shrink the prostate.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Wherever you are in the world, your doctor may prescribe you a drug from one of the following classes:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Alpha-blockers<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">5-Alpha reductase inhibitors<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Phosphodiesterase-5 inhibitors<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drug combinations<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Herbal products and supplements\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Unlike medications in the other categories, herbal products are unregulated and lack FDA approval.\u00a0<\/span><\/p>\n<h3>Alpha-Blockers<\/h3>\n<p><span style=\"font-weight: 400;\">Also called <\/span><a href=\"https:\/\/www.cancer.gov\/publications\/dictionaries\/cancer-terms\/def\/alpha-adrenergic-antagonist\"><span style=\"font-weight: 400;\">alpha-adrenergic antagonists<\/span><\/a><span style=\"font-weight: 400;\">, alpha-blockers are muscle relaxants. They relax the muscles of the bladder neck and prostate and allow the urine ducts to dilate. These drugs do not reduce the size of the prostate, but they do improve urine flow. They may even help with frequent urination issues.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Alpha-blockers like <\/span><a href=\"https:\/\/www.drugs.com\/doxazosin.html\"><span style=\"font-weight: 400;\">doxazosin<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.drugs.com\/tamsulosin.html\"><span style=\"font-weight: 400;\">tamsulosin<\/span><\/a><span style=\"font-weight: 400;\">, and<\/span> <a href=\"https:\/\/www.drugs.com\/mtm\/alfuzosin.html\"><span style=\"font-weight: 400;\">alfuzosin<\/span><\/a> <span style=\"font-weight: 400;\">also treat high blood pressure. They can fulfill a double role in patients who suffer from high blood pressure and BPH. Because they affect blood pressure, they can have unpleasant side effects in patients whose blood pressure is normal.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Alpha-blockers act quickly and can relieve BPH symptoms almost immediately. These drugs are the first-line defense against BPH. Doctors may prescribe them for mild cases.\u00a0<\/span><\/p>\n<h4>Side Effects \u2014 Alpha Blockers<\/h4>\n<p><span style=\"font-weight: 400;\">Never take alpha-blockers without a prescription or medical recommendation. These drugs can lower blood pressure and cause dizziness, lightheadedness, and fainting. Doctors sometimes tell patients to take their alpha-blockers just before bedtime so they can sleep through the possible side effects.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tell your doctor if you have low blood pressure, kidney or liver disease, or a history of prostate cancer. Patients having any of these problems should avoid alpha-blockers.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other side effects of alpha-blockers include:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Long-lasting, painful erections<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Skin reactions like rashes that spread<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Burning of the eyes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Swelling of the face, tongue, and throat\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Seek medical help immediately if you experience any of these severe side effects.<\/span><\/p>\n<h3>5-alpha Reductase Inhibitors<\/h3>\n<p><span style=\"font-weight: 400;\">Unlike alpha blockers which focus on the symptoms of BPH, 5-AR inhibitors address one of the roots of the problem.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You may know drugs like <\/span><a href=\"https:\/\/www.drugs.com\/mtm\/finasteride.html\"><span style=\"font-weight: 400;\">finasteride<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.drugs.com\/mtm\/dutasteride.html\"><span style=\"font-weight: 400;\">dutasteride<\/span><\/a><span style=\"font-weight: 400;\"> as drugs for male hair loss. The FDA has approved these medications for that purpose as well as for BPH.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">5-alpha reductase is a compound that \u201cburns\u201d testosterone into its more potent form, dihydrotestosterone (DHT). Doctors have noticed that high DHT levels lead to the enlargement of the prostate. DHT also clings to androgen receptors in hair follicles, leading to follicle miniaturization and hair loss.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are two types of 5-alpha reductase involved in the conversion of testosterone to DHT.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Finasteride reduces the levels of type 2 5-AR. By doing so, it can reduce the levels of DHT in the prostate <\/span><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00120-002-0230-2\"><span style=\"font-weight: 400;\">by 85-90%<\/span><\/a><span style=\"font-weight: 400;\">. It also reduces serum DHT levels by around 70%, helping with male pattern hair loss.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dutasteride is a solution that inhibits type 1 and type 2 5-AR. Its dual action makes it a more potent DHT inhibitor than finasteride.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">5-AR inhibitors affect the biological process that leads to prostate growth. These medications can stop prostate enlargement. In some cases, they can even <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5780290\/\"><span style=\"font-weight: 400;\">shrink the prostate<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Doctors prescribe 5-AR inhibitors to patients with larger prostates. In addition to arresting prostate growth, the drugs can reduce bladder damage and the need for prostate surgery.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<h4>Side Effects \u2014 5-alpha Reductase Inhibitors<\/h4>\n<p><span style=\"font-weight: 400;\">The body tolerates 5-AR inhibitors well, though the medications may cause some side effects. The side effects include:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Changes in libido<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lower sex drive<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.edrugstore.com\/blog\/erectile-dysfunction\/is-this-true-distinguishing-between-erectile-dysfunction-ed-fact-vs-fiction\/\"><span style=\"font-weight: 400;\">Erectile dysfunction<\/span><\/a><span style=\"font-weight: 400;\"> (ED)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Retrograde ejaculation, or \u201cdry orgasm,\u201d where semen flows backward into the bladder<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">5-AR inhibitors also reduce the levels of prostate-specific antigen (PSA). Doctors use PSA to screen for prostate cancer. 5-AR inhibitors can interfere with this process, rendering PSA useless as a prostate cancer indicator.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Based on their effects and side effects, 5-AR inhibitors are some of the best medications for BPH.\u00a0\u00a0<\/span><\/p>\n<h3>Phosphodiesterase-5 Inhibitors<\/h3>\n<p><a href=\"https:\/\/www.edrugstore.com\/blog\/wp-content\/uploads\/2022\/12\/2.jpeg-27.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-33883\" title=\"Peeled banana\" src=\"https:\/\/www.edrugstore.com\/blog\/wp-content\/uploads\/2022\/12\/2.jpeg-27.jpg\" alt=\"Peeled banana\" width=\"600\" height=\"411\" srcset=\"https:\/\/www.edrugstore.com\/blog\/wp-content\/uploads\/2022\/12\/2.jpeg-27.jpg 2048w, https:\/\/www.edrugstore.com\/blog\/wp-content\/uploads\/2022\/12\/2.jpeg-27-300x206.jpg 300w, https:\/\/www.edrugstore.com\/blog\/wp-content\/uploads\/2022\/12\/2.jpeg-27-1024x702.jpg 1024w, https:\/\/www.edrugstore.com\/blog\/wp-content\/uploads\/2022\/12\/2.jpeg-27-768x527.jpg 768w, https:\/\/www.edrugstore.com\/blog\/wp-content\/uploads\/2022\/12\/2.jpeg-27-1536x1053.jpg 1536w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Better known as ED meds, phosphodiesterase-5 inhibitors treat erectile dysfunction by facilitating <\/span><a href=\"https:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/14656566.2019.1589452\"><span style=\"font-weight: 400;\">the relaxation<\/span><\/a><span style=\"font-weight: 400;\"> of the smooth muscles of the penis. Through that same effect, these drugs also relax the smooth muscles of the prostate and bladder, alleviating the symptoms of BPH.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Like alpha-blockers, phosphodiesterase-5 inhibitors target the symptoms rather than the causes of BPH. Tadalafil may not be the best medication for BPH, but it doesn\u2019t hurt <\/span><a href=\"https:\/\/www.edrugstore.com\/blog\/erectile-dysfunction\/ed-after-prostate-surgery\/\"><span style=\"font-weight: 400;\">erectile function<\/span><\/a><span style=\"font-weight: 400;\"> as 5-AR inhibitors might. On the contrary, it improves it.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The FDA has approved <\/span><a href=\"https:\/\/www.drugs.com\/tadalafil.html\"><span style=\"font-weight: 400;\">tadalafil<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.edrugstore.com\/cialis\/\"><span style=\"font-weight: 400;\">Cialis<\/span><\/a><span style=\"font-weight: 400;\">) for the treatment of BPH. Doctors prescribe tadalafil for mild cases of BPH or as part of a combination treatment.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<h4>Side Effects \u2014 Phosphodiesterase-5 Inhibitors<\/h4>\n<p><span style=\"font-weight: 400;\">Although patients tolerate these medications well, in rare cases, they may cause side effects like:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Upset stomach<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headaches<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vision disturbances<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Back pains<\/span><\/li>\n<\/ul>\n<h3>Drug Combinations<\/h3>\n<p><span style=\"font-weight: 400;\">By combining drugs that work against BPH, doctors hope to cumulate their effects and achieve better results.<\/span><i><span style=\"font-weight: 400;\">\u00a0<\/span><\/i><\/p>\n<h4>Tadalafil and Tamsulosin<\/h4>\n<p><span style=\"font-weight: 400;\">Doctors <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7591403\/\"><span style=\"font-weight: 400;\">have found<\/span><\/a><span style=\"font-weight: 400;\"> that adding 0.5 milligram of tamsulosin to a 5 milligram tadalafil per day treatment reduces the symptoms of BPH better than either of the two drugs alone. The improvement it produces lasts after discontinuation of the treatment.\u00a0<\/span><\/p>\n<h4>Dutasteride and Tamsulosin<\/h4>\n<p><span style=\"font-weight: 400;\">Combining 0.5 milligrams of dutasteride with 0.4 milligrams of tamsulosin produces <\/span><a href=\"https:\/\/link.springer.com\/article\/10.2165\/11208920-000000000-00000\"><span style=\"font-weight: 400;\">better BPH improvement<\/span><\/a><span style=\"font-weight: 400;\"> than either of the two drugs alone.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<h4>Finasteride and Doxazosin<\/h4>\n<p><span style=\"font-weight: 400;\">When they combined finasteride with doxazosin, <\/span><a href=\"https:\/\/www.auajournals.org\/doi\/10.1016\/S0022-5347(05)00041-8\"><span style=\"font-weight: 400;\">researchers found<\/span><\/a><span style=\"font-weight: 400;\"> that the combination therapy slowed the progression of the condition better than either drug alone in patients with medium to large prostates.\u00a0<\/span><\/p>\n<h3>Herbal Products and Supplements<\/h3>\n<p><a href=\"https:\/\/www.edrugstore.com\/blog\/wp-content\/uploads\/2022\/12\/3.jpeg-24.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-33882\" title=\"Plant\" src=\"https:\/\/www.edrugstore.com\/blog\/wp-content\/uploads\/2022\/12\/3.jpeg-24.jpg\" alt=\"Plant\" width=\"600\" height=\"400\" srcset=\"https:\/\/www.edrugstore.com\/blog\/wp-content\/uploads\/2022\/12\/3.jpeg-24.jpg 2048w, https:\/\/www.edrugstore.com\/blog\/wp-content\/uploads\/2022\/12\/3.jpeg-24-300x200.jpg 300w, https:\/\/www.edrugstore.com\/blog\/wp-content\/uploads\/2022\/12\/3.jpeg-24-1024x684.jpg 1024w, https:\/\/www.edrugstore.com\/blog\/wp-content\/uploads\/2022\/12\/3.jpeg-24-768x513.jpg 768w, https:\/\/www.edrugstore.com\/blog\/wp-content\/uploads\/2022\/12\/3.jpeg-24-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><\/p>\n<p><span style=\"font-weight: 400;\">The FDA has not approved any herbal supplements for the treatment of BPH. Scientific studies have yielded mixed results when attempting to determine the efficacy of herbal treatments.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Herbal extracts tend to differ in quality and consistency, making it <\/span><a href=\"https:\/\/journals.sagepub.com\/doi\/10.1345\/aph.1A228\"><span style=\"font-weight: 400;\">difficult for researchers<\/span><\/a><span style=\"font-weight: 400;\"> to establish scientific facts.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In Europe, doctors often prescribe herbal solutions to patients with mild BPH. Some of the plants that may treat BPH are:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Saw palmetto<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stinging nettle root<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pumpkin seeds<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">African cherry (<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7032619\/\"><i><span style=\"font-weight: 400;\">Pygeum africanum<\/span><\/i><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you\u2019re struggling with BPH, it may make sense to take an ED drug like Cialis to protect your erectile function. Ask your doctor whether you can take Cialis in combination with the medication you\u2019re using.\u00a0<\/span><\/p>\n<h3>eDrugstore Can Help<\/h3>\n<p><span style=\"font-weight: 400;\">In addition to FDA-approved <\/span><a href=\"https:\/\/www.edrugstore.com\/erectile-dysfunction\/?__mscta=2392_94637_11584\"><span style=\"font-weight: 400;\">erectile dysfunction<\/span><\/a><span style=\"font-weight: 400;\"> drugs like Cialis, we also offer consultation with U.S.-licensed doctors. Only healthcare providers can give you a prescription that allows you to buy drugs like Viagra and Cialis.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Once you place your order, we deliver your medications quickly and discreetly. And when you order with eDrugstore, virtual health visits and shipping are always free.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Highlights\u00a0\u00a0 The best medication for BPH focuses on treating the roots of the problem rather than its symptoms. Before resorting to surgery, your doctor may prescribe you BPH medications that can stop the growth of your prostate or even reverse it. An improvement in symptoms can also lead to a significant improvement in your quality [&hellip;]<\/p>\n","protected":false},"author":22,"featured_media":33885,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_autoblog_aioseo_focus_keyphrase":"","_autoblog_aioseo_title":"","_autoblog_aioseo_description":"","footnotes":""},"categories":[20,5],"tags":[],"class_list":["post-33879","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-erectile-dysfunction","category-mens-health"],"acf":[],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO Pro 4.9.10 - aioseo.com -->\n\t<meta name=\"description\" content=\"The best medication for BPH can halt the progression of the condition and even shrink your prostate. 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