Patient's question:
Doctor, I just made a mistake. My dad has been taking "Hale" intermittently for 8 boxes, and also Finasteride. Will there be any side effects from taking these medications long-term? My dad isn't that old, he's 56 this year. I want to ask if there's a better treatment plan. Besides, these two medications are quite expensive, and I can't afford to take them for years.Doctor's answer:
Hello, Harle is the most specific and has fewer side effects. Treatment for benign prostatic hyperplasia: (1) Medication treatment: According to the three pathological changes related to the symptoms of benign prostatic hyperplasia (see Question 126), the drugs currently used to treat benign prostatic hyperplasia are also divided into three categories:① Drugs acting on cholinesterase: Urological (flavoxate hydrochloride), oral, 0.2-0.4 grams each time, 3 times a day.
② α1 receptor blockers: First-generation α1 receptor blockers (also known as non-selective α1 receptor blockers), such as phenoxybenzamine (), oral, 5-10 milligrams each time, once a day. The main adverse reactions include dry mouth, nasal congestion, dizziness, fatigue, and orthostatic hypotension, which disappear after discontinuation of the drug. Second-generation α1 receptor blockers (also known as selective α1 receptor blockers), such as prazosin, 2 milligrams each time, twice a day; Sata (alfuzosin), 2.5 milligrams each time, 3 times a day; Goutling (terazosin), oral, once a day before bedtime, 2 milligrams each time. The adverse reactions are smaller than those of the first generation. Third-generation α1 receptor blockers (also known as ultra-selective α1 receptor blockers), such as Harle, oral, 0.2 milligrams each time, once a day. The performance is better than the other two.
③ Drugs that reduce prostate volume: Prostect, a pollen preparation containing various bioactive enzymes, trace elements, and amino acids, etc. It reduces prostate volume and improves related symptoms by regulating sex hormone metabolism. Oral, 6 tablets each time, 3 times a day; Mepacrine (Elistec), which can inhibit the absorption of hormones in the liver-intestine cycle, reduces hormone levels to improve