Rick...Jim is correct.
Here's the scoop...There are 4, FDA approved "alpha blockers": Terazosin, 1993, ("Hytrin"), Doxazosin, 1995, ("CARDURA"), Tamsulosin, 1997, ("FLOMAX"), and Alfuzosin, 2003("UROXATROL"). Your Saw Palmetto works on a different principle than the above urinary channel relaxants. Saw is supposed to reduce the amount of DHT which comes from testosterone...[My opinion? I think Saw Palmetto is bullshit. I carefully experimented with it and could not notice any effect when my BPH was rather serious. In fact, I think it even worsened my BPH symptoms!!]...In your case...Saw Palmetto may not be working either because your BPH is too advanced, if it is just BPH and not prostatitis...Saw might work in mild cases, but you may need something more. One more point. Not all Saw Palmetto is created equally. You may need to try a different brand, but likely it just won't work because of the stage of advanced of your BPH. If it is Prostatitis that you suffer from, then DHT blockers are not going to ever help much.
Theory says that it's either Prostatitis or, once Prostatitis is completely ruled out, then it may be the DHT that tends to sensitize prostate cells into growing. There is nothing special about taking Terazosin over any other alpha blocker. You may get a slightly better reaction from one of the more recently approved drugs versus the original, but maybe not. Many of us had to try a few different ones before we were satisfied with the results. Even then, in my case, I had side effects that just was not worth staying on the drug. Regardless, urinary channel relaxants are only a temporary symptom reliever. It does nothing for the size of the prostate which will keep on growing till you either have an operation or spend more than 6 months taking the FDA-approved, DHT inhibitors: Finasteride, 1992, ("PROSCAR"), or Dutasteride, 2001, ("AVORDART"). If you take these FDA approved, DHT inhibitors, you will likely have to continue to take them for years and years...and maybe forever.
If your symptoms are as pressing as you say, then my opinion is you need to revisit your doctor right away, or, if you have just seen you doctor and told him about your symptoms, then I feel it safe to say that your doctor is a dummy! If it is the latter scenario, then go get another urologist who knows what he is doing, and do it soon. At the very least he should have offered to put you on a combination therapy of Alpha Blocker and DHT inhibitor. Study after study indicates the efficacy of allowing the urinary channel to relax while the months of drugging yourself with the DHT inhibitors have time to kick in...could be as much as a year or more, then to keep taking both for almost forever. Nonetheless, don't confuse efficacy of the combo drug therapy with freedom from potential side effects--be careful and learn about the side effects before you take the stuff.
On the other hand, if you have prostatitis, your doctor needs to find out what is causing it...what bacteria specifically... and then to put you and your sex partner on it for many, many months....maybe 6 or more, depending on the bacteria. Try to avoid self-catheterization. Though the urinary channel is already full of bacteria, the last thing you need is to introduce more into that region.
Here's wishing you all the best. [P.S.: Question...how did you manage to make the background yellow in your original post? Pretty cool stuff.]
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ I believe that's Hytrin and yes many have used it as described. It had some side effects , however, so other similar products like Cordura and Flomax gained greater acceptance. Jim W. Once again the pain and "urgency" associated with my enlarged prostate has flared up big time... Currently doing major Cipro to clobber any bacterial infection; indeed the flare-up usually subsides somewhat with this anti-biotic. (But I'd like to meet the idiot that says you need 3 to 4 glasses of water with each Cipro tablet...) The very specific pain in the prostate and bladder always leads me to the Dr for anti-biotics. But... The urgency has got to the frantic stage (almost embarrassing sometimes -- only one instance of leakage). The difficulty relaxing-to-pee and the intensity of the urethra/glans pain has got beyond "manageable" -- I wish I was brave enough to self-catheterize, In the past three weeks I have tripled my Saw Palmetto and Lycopene intake with no obvious improvement.
So all that preamble just to ask if any of you fellas have tried TERAZOSIN? Here's some info I found via Google and damn it sounds promising... --------------------------------------------- Terazosin has been shown to significantly increase urinary flow rates and decrease outflow obstruction. It is also effective in easing BPH-related symptoms by preventing stimulation of adrenergic receptors and consequent smooth muscle contractions in the bladder and prostatic urethra. Urodynamic improvement may help reduce urinary tract infection. --------------------------------------------- Regards... RickCord/////
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