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Medical Forum / Diseases and Disorders / Prostate BPH / May 2006

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Urimax cause urinary retention ?

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Harshana - 09 May 2006 13:11 GMT
Hi all,

This is about my farther (now 75yrs). He had a TURP in 1994 because of
enlarge prostate.
Around 2004 ~ 2005 he started getting urine infections on and off. Then
he had a stroke in July 2005 (nominal aphasia) for that doctors gave
lot of aspirin. After few weeks,
he had a urine block and started bleeding. For this, his urologist
cleaned the system (irrigation of the bladder?) using saline and was
put on catheter. He also did a sistoscopy and said he should be
operated to get a permenant cure. Since his heart condition is not
good, we delayed it. On Feb 2006 (after 5 months on catheter), for some
reason, his catheter came out and he found that he can pass urine. We
went to see our family doctor and he said,
little urine is retained in the bladder but its ok as it is better to
be without the catheter if he can.
After about one month from that we went to see our urologist and he was
happy that he could pass urine without the catheter and without
operation. Also he gave him urimax (double doze) and some other
antibiotic and he said he'll be able to pass urine better. Also, he
warned to watch out for his blood pressure as urimax would reduce it.
But on the first day it self, my farther had a retention and had to
catheterize after couple of days.
Since then, he's on catheter (and he refuses to go back to that
urologist).

I did a small search on the net and found that urimax warns of urinary
retentions.
Then why is the urologist gave him that medicine? Can someone explain?
What are the options for my father?

Thanks in advance,
Harshana
Pete - 09 May 2006 20:11 GMT
Harshana...I don't know where you live, but I am in the U.S.  I did a quick
google of "urimax" and saw that it was a "generic flomax" as well as an
antiseptic/analgesic, both of which had the same name (ie "urimax").  This
was very distressing to me, and I don't know how the FDA could allow that -
ie, they take great care that two different drugs (even if one is over the
counter) don't have the same name, or even similar names, for the obvious
safety reasons).

Having said that, it appears your father is taking the flomax version.  What
I don't understand is your comment about "urimax warns of urinary
retentions".  Flomax is used to treat BPH and the urinary retention that may
result.  Perhaps you read that urinary retention could be caused by other
things such as strictures, but even then, I would think the flomax may still
help by its smooth muscle relaxing properties.  I am not a doctor.

Pete

> Hi all,
>
[quoted text clipped - 29 lines]
> Thanks in advance,
> Harshana
Derek F - 10 May 2006 09:34 GMT
Pete, it does appear that two products have had the name Urimax. See my
Googles but one now seems to have departed.
Derek.
http://www.inhousepharmacy.co.uk/mens-health/generic-flomax-m.html?PHPSESSID=17e
cf3de3bb89a2962e6b476a1f3bdd0


http://www.urimax.com/

> Harshana...I don't know where you live, but I am in the U.S.  I did a
> quick google of "urimax" and saw that it was a "generic flomax" as well as
[quoted text clipped - 47 lines]
>> Thanks in advance,
>> Harshana
Harshana - 10 May 2006 10:41 GMT
Hi Pete,

Thanks for the reply. Here are the links I found on Urimax

http://www.drugs.com/PDR/Urimax_Tablets.html
http://www.ichelp.com/painissues/ICAndPain.html

As U said it is very disturbing to see that two different drugs exists
in same name. Now my problem is what drug has my farther taken? Can I
buy the two types from the same drug store?

One observation I forgot to mention was, after taking urimax for couple
of days (before giving-up on them), it was seen that urine flow rate
has improved, but it takes lot of effort to get going. In my opinion,
improving on flow rate is useless if U can't start it.

Thanks,
Harshana

PS: I'm from Sri Lanka.
Pete - 11 May 2006 00:11 GMT
Harshana...I am sure your dad was taking the "flomax" version because you
said his doc warned him of a possible blood pressure drop.  Do you really
want both types.  The analgesic version is to relieve burning, etc, when
urinating (there are many brands for this - both OTC and Rx - some make you
pee orange and some make you pee blue :-).  They don't do anything for me as
far as helping pain/burning.

You confused me a little here also - I thought you said in your other post
that your father had retention the first day after taking them.  Flomax is
supposed to help urinary retention caused by BPH like I said.  Now you are
saying maybe it did help him after a couple days.  Take care...Pete

> Hi Pete,
>
[quoted text clipped - 16 lines]
>
> PS: I'm from Sri Lanka.
Harshana - 15 May 2006 12:35 GMT
Hi all,

Sorry for the late response. I'm still not convinced whether my farther
took the right medicine. Both urimax drugs warns of possible blood
pressure drops. I'm sure that the doctor wanted to give "flomax" but
I'm not sure whether we got flomax from the drug store.

What I said in my prev. post is, My farther got retention (increased)
from the first day he started the drugs. And it kept increasing untill
we had to catheterize him. But what we saw was, drug increased the flow
rate/volume. What I mean here is, initially it was difficult to pass
urine and then he get good (better than prev.) flow rate/volume once he
started urinating. But the thing was initial difficulty increased day
by day (untill he was catheterized) and finally he could not get
started at all.

Can someone tell me the typical dosages of these two types of
urimax-es. What my farther got was 400mg capsules (two in morning and
two in evening - suppose to be double doze).

Thanks,
Harshana.
Pete - 16 May 2006 01:41 GMT
> Hi all,
>
[quoted text clipped - 18 lines]
> Thanks,
> Harshana.

Harshana...Flomax capsules (tamsulosin hydrochloride) are ".4 mg each"
(notice the decimal point in front of the "4" - so that is four tenth's of a
mg each).  So obviously he wasn't taking "flomax", or it's generic.  Hope
this helps.  Best wishes...Pete
 
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