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Medical Forum / Diseases and Disorders / Prostate BPH / December 2005

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Avodart vs Flomax

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Paul - 15 Nov 2005 14:44 GMT
Does anyone have experience with Avodart and Flomax?  Flomax gave me a
constant backache, I never tried Avodart.
R & L Del. - 15 Nov 2005 17:54 GMT
> Does anyone have experience with Avodart and Flomax?  Flomax gave me a
> constant backache, I never tried Avodart.
> Hello Paul.
 I have taken flomax for about a year and a half, the side effects I
experience is occasional dizzy spells..
  The medication has worked well for me for BPH  problems.I never tried
Avodart . I  certainly wouldn't want to deal
 with a  constant backache.  Maybe Avodart might be  better choice   try a
google search and talk to your Euro.about  the side effects..
RVer Don - 16 Nov 2005 07:01 GMT
> Does anyone have experience with Avodart and Flomax?  Flomax gave me a
> constant backache, I never tried Avodart.
I quit Avodart.  It screwed up my sex life.  Urologist said this happens
occasionally but is rare.

Don in Tracy, Calif.
joggernut - 16 Nov 2005 19:55 GMT
my uro put me on avodart about 6 mos ago.  only once a week though.  no
problems noted.  i believe it is more for reduction in prostate.

> Does anyone have experience with Avodart and Flomax?  Flomax gave me a
> constant backache, I never tried Avodart.
Realtor1 - 16 Nov 2005 22:07 GMT
I am brand new to this newsgroup but wanted to provide some input.  I
live in Danbury, CT and had been diligent about annual prostate exams
since the mid 1990's.  I was told I had an "enlarged" prostate but
since my uro group did not provide me with any reason to further
investigate this knowledge, I thought it was a normal part of aging (I
am now 62 years of age).  However, I was having some erectile problems
and told both my euro and my primary care doc.  Both immediately wrote
me a script for Viagra, then Cialis when it became available.  I hated
Viagra because it made me all red in the face and the nasal stuffiness
was more than I could bear.  Neither of them offered to do testing to
find out why I was having the ED problem and, again I thought it was a
normal part of aging.  However, it just got worse and them my libido
started to wane as well (not good).  I had no clue and was not told
that it could be the result of my enlarged prostate.  In February of
this year, things went from somewhat okay to worse when I started
having pelvic pain.  I went to my euro and he pushed me off to his
Physician's Assistant.  They made the determination I had prostatitis
and prostatodynia in addition to a 91 gram prostate.  I had urine
retention although my urine was clear.  I was put on Levaquin and told
to take Aleve or some similar product for the pain.  I was also put on
Floxax and Avodart.  However, 1 Floxax was not enough so they upped it
to 2 per day.  I was told to come back in 6 months.  After a few months
of this, I was not feeling any better, so went back after doing a
little research on the internet.  I found a drug called Ultram and
asked them for it so they gave it to me.  This seemed to work better
for the pain.  I still was not happy taking all these drugs so did
further research and found some prostate specific exercises to do which
I did every day for months.  In addition, I worked out every day for
1-2 hours and lost 30 lbs.  This really helped with the pain to the
point of almost eliminating it.  However, I still had the urine
retention, even with 2 Flomax a day.  The euro wanted to do a TURP but
when I found out what it entailed I said to hell with that!  Further
research brought me to the Greenliight PVP which had done 1 week ago in
the Waterbury Hospital in Waterbury, CT by Dr. Michael Flanagan who is
now my new euro.  It seems to be working although I still have some
pain but no the same kind of pain that I had before.  Hope it works.  I
have a follow up appointment in 2 days so we'll see what he says.
That's my story.  If anyone has any questions, I would be happy to
share information with them.  Anything to help!
Ed - 16 Nov 2005 22:57 GMT
>I am brand new to this newsgroup but wanted to provide some input.  I
>live in Danbury, CT and had been diligent about annual prostate exams
[quoted text clipped - 35 lines]
>That's my story.  If anyone has any questions, I would be happy to
>share information with them.  Anything to help!

Thanks for the info. Just a little comment - that a eurologist is
someone who studies European finances, wheras a urologist is a doctor
who specializes in diseases of the male and female urinary systems and
the male reproductive system.

Ed
Realtor1 - 18 Nov 2005 00:53 GMT
Sorry Ed, I have never claimed to be an expert speller but I should
have proof read my post before submission.
Realtor1 - 18 Nov 2005 00:53 GMT
Sorry Ed, I have never claimed to be an expert speller but I should
have proof read my post before submission.
Pat C - 18 Nov 2005 16:51 GMT
I had Cardular, Flomax for many years, proscar for 1 year.  It worked, no
backpain or any big side effects, but lower libido. My prostate size was 100
gm.  Had TUMT June 04, only helped for several months, then zero effect.  Had
PVP three months ago.  Very satisfied although have retro.  My uro asks me to
have Avodart daily for 6 months after PVP.  I hesitate to start to take it
yet.

Joggernut, please share us more of your story.

Realtor 1,  Thank you for your input.  You are doing well.  In week 2 after
pvp, you might have mild blood urine again for 1 to 2 days then it will
diminish.
Realtor1 - 19 Nov 2005 23:23 GMT
Pat C:  Thanks for your input.  Actually, that has already happened to
me. Another thing that has been happening is a feeling of irritation in
my lower pelvic area.  It started at the end of voiding, now it's at
the beginning.  I also was getting discomfort sometimes after voiding
so much so, it interrupted my sleep.  I decided to take Valium before I
went to bed and that helped.  I discussed it with my uro yesterday and
he suggested I take a medication he prescribed for me that turns your
urine orange (I forgot the drug name) instead of Valium.  I told him I
stopped the Avodart and Flomax immediately after the PVP.  He said it
was okay but he usually recommends staying on it for another month or
so.  He seems to think everything was progressing okay.  I am not sure
about that because I do get some strange feelings sometimes in my lower
pelvic area.   I do hope it settles out in a month or two.  I am
realistic and do not expect miracles but it certainly is disconcerting.
Anyone else that had a recent PVP have any imput on what they are
experiencing and feeling and perhaps, some suggestions?
Pete - 20 Nov 2005 22:48 GMT
> I had Cardular,

Typo - it's spelled Cardura :-)

Flomax for many years, proscar for 1 year.  It
> worked, no backpain or any big side effects, but lower libido. My
> prostate size was 100 gm.  Had TUMT June 04, only helped for several
[quoted text clipped - 7 lines]
> after pvp, you might have mild blood urine again for 1 to 2 days then
> it will diminish.
frank - 01 Dec 2005 21:04 GMT
sorry i didn't check with this post sooner.  since i only take avodart once
a week, my story might not be helpful.  i had pvp 2 1/2 yrs ago and
everything so far is great.  when dr laub asked me about my stream (when i
saw him last spring), i said is was average, but i had no urgencies and have
long retention.  he then gave me some avodart samples and said to take one a
day for a week, and then one a week thereafter.  flow has improved somewhat,
but it wasn't a problem before.  my expectations are: a reduction in
prostate growth.  hope this helps.

>I had Cardular, Flomax for many years, proscar for 1 year.  It worked, no
> backpain or any big side effects, but lower libido. My prostate size was
[quoted text clipped - 12 lines]
> pvp, you might have mild blood urine again for 1 to 2 days then it will
> diminish.
Spread_deMocracy - 19 Nov 2005 18:13 GMT
PAUL:  First, let's talk about the basics.  If you have back pain...get
yourself right back to your doctor (or find another one) RIGHT AWAY.  That
pain can be coming from any number of causes...meds, gall bladder, infected
prostate, or from a coincidental strain...hard to second guess anything
around back pain.

If your pain is indeed coming from the FLO, as you indicate, try one of the
alternatives, (below).   Other than the FLO, your prostate size might be
causing the pain.  And FLO won't do anything for that.  But the AVO "might".
If it is the size of your prostate then PVP, reduction surgery, or the
slower-working, long-term use of "AVODART" or "PROSCAR" may be of use to
you.   Or, is your pain coming from Prostatitis, a bacterial infection in
your Prostate?   If prostatitis, then the pain may radiate into your lower
back area.

Your doctor was standard therapy for non-prostatitis BPH symptoms by
prescribing FLO and AVO.  There are many studies showing the long-term,
(5-yr) efficacy of this "Alpha-Blocker and DHT-inhibitor", combo therapy.
Doctors have jumped on the bandwagon to duplicate the original studies,
thus, making it appear that there is "lots of evidence".   FLO is one of the
class of "Alpha-Blockers" that lowers blood pressure selectively.  According
to my FIRST urologist, "just in that area", motioning to the groin region.
[Oh sure!  Tell that to my brain when I got dizzy; or, my heart when running
up stairs caused my heart to race. Even my cardiologist didn't think of that
Alpha Blockers.  But my second urologist & surgeon who did the PVP, said,
"Of course...the drugs lower your blood pressure...duh!"]

There are 4 FDA-approved, FLOMAX-type drugs, so, if you want to take
medications for this, then you have lots of choices: "FLOMAX", "UROXATROL",
"HYTRIN", or "CARDURA".  There will be minor differences in side-effects,
so, one might help your back pain if it is indeed originating from the med.
Check the websites of the pharmaceuticals for their warning statements, if a
warning sheet didn't come with your prescription.

Best of outcomes to you!

> Does anyone have experience with Avodart and Flomax?  Flomax gave me a
> constant backache, I never tried Avodart.
Derek F - 19 Nov 2005 21:03 GMT
The first time I went to see my present doctor eleven years ago was with a
pain in my lower back. He immediately did DRE and discovered my enlarged
prostate.
Derek.
> PAUL:  First, let's talk about the basics.  If you have back pain...get
> yourself right back to your doctor (or find another one) RIGHT AWAY.  That
[quoted text clipped - 36 lines]
>> Does anyone have experience with Avodart and Flomax?  Flomax gave me a
>> constant backache, I never tried Avodart.
You smiled, you spoke, and I believed - 13 Dec 2005 16:36 GMT
> Does anyone have experience with Avodart and Flomax?  Flomax gave me a
> constant backache, I never tried Avodart.

I am taking flomax after brachytherapy.  (11/21/05)

I am experiencing no side effects, so far as I can tell.

But then, I am naturally clumsy, so possible dizziness might not be
noticible.

To tell the truth, I look forward to taking it, since the  frequency of
urination goes up, and the burning goes down.  I find the effects last
about 4-6 hours, then the burning starts to increase.

I am drinking lots of water, juice, and coffee during the day.

j.
Spread_deMocracy - 16 Dec 2005 00:13 GMT
Makes sense to me.   FLOMAX is a relaxant.   If you are not experiencing any
side effects and if you are implying that you are having trouble for 18
hours because med only lasts for 6, then I'd suggest you go back to the
doctor to see if he'd have any problem with you taking one tablet/capsule
every 12 hours?   In my case UROXATROL was not dong as good as job after
about 2 months, so I escalated my own dosage to 1 and half tablets before I
consulted with my doctor.  He was totally OK with that for me, in my
particular case.   Your burning, I'm sure,  has a lot to do with the
radiation sensitivity that you notice more  once the passage way tenses up
after the FLOMAX wears off.   All the best to you.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
"You smiled, you spoke, and I believed" <nospam@nospam.net> wrote in message
...[SNIP]... I am taking flomax after brachytherapy.  I am experiencing no
side effects, so far as I can tell....[SNIP]...
> urination goes up, and the burning goes down.  I find the effects last
> about 4-6 hours, then the burning starts to increase.   I am drinking lots
> of water, juice, and coffee during the day.
 
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