The first couple days I could barely pee a dribble and it BURNED…nervous that the main risks are high BP, acute urinary retention, and UTI, but so far so good…Hello, my name is Nic aged 64 and live in England. It is important to obtain a baseline PSA value before beginning treatment with one of these medications, and then have another after 6–12 months, to see how much the PSA has gone down after treatment. Or consider taking a 5–alpha-reductase inhibitor.The nonselective alpha-1 blockers (doxazosin and terazosin) are available now in generic as well as brand name formulations, and so may save you some money (see Table 1). I am wondering if the problem is actually coelomic adipose tissue in the region just protruding against the bladder wall instead of the prostate. If you have to pay for medications on your own, or if your insurance company requires some type of co-pay, you may want to figure cost into the equation. Viagra has worked well in the past but not available to me. My “very large” prostate still allows tolerable urination cycles. Analyzing a sample of your urine can help rule out an infection or other conditions that can cause similar symptoms. Is this bladder retention common when coming off this drug and am I going to be stuck on it for life?Kevin, I hope you decided to stay on Tamsulosin. Trouble is, the nightly bathroom runs become more frequent -- eventually edging their way into the daytime routine. Hope this is of some help to someone. Do not use this medication without telling your doctor if you are breast-feeding a baby.Take Ditropan XL exactly as prescribed by your doctor. This process, known as titration, may be frustrating for you as well because you will need to wait to find the correct therapeutic dose.Dosing is simpler for the selective alpha-1 blockers. Please discuss any options with your healthcare provider.The information you share, including that which might otherwise be Protected Health Information, to this site is by design open to the public and is not a private, secure service. !Prior to going to China I went my Urologist (noted to my General Practictinser during annual physical of frequent low volume urination issues) and he said PAS #’s looked OK over my last five years of Annual physicals and prostrate is slightly enlarged (I am 71 and very active), and come back and see him in 6 months.Went to China for 20 days half way through the trip developed this sharp pain in my lowere left back. High blood pressure. Very helpful.Thanks for the enlightenment! Best wishes to you all.Has anyone been prescribed to take a double dose of Uroxatral (alfuzosin)? Sudden episodes of low blood pressure can be dangerous if you already have some type of vascular disease, because it increases your risk of suffering a heart attack or stroke.Similarly, because of these side effects, the nonselective alpha-1 blockers may not be the best choice for you if your blood pressure is already on the low side.The selective alpha-1 blockers, alfuzosin, silodosin, and tamsulosin, have less of an impact on blood pressure, so they may be good alternatives in these situations. 5 yrs. Ditropan (oxybutynin chloride) is an antispasmodic and anticholinergic used to treat symptoms of overactive bladder, such as frequent or urgent urination, incontinence (urine leakage), and increased night-time urination. Symptoms of enlarged prostate can include: Q&A with Dr. Daniel Rukstalis on prostatic urethral… I am on this regimen for the last two years. I achieved my goal in that after 8 years daily prescription I no longer need Omeprazole but do take half tsp Bicarbonate of Soda before bed. I would think flomax would also be taken at the same time until the prostate shrinks. Your use of this site is governed by Harvard University and its affiliates Terms of Use located at The contents displayed within this public group(s), such as text, graphics, and other material (“Content”) are intended for educational purposes only. Rx: Prescription Only: OTC: Over the Counter: Rx/OTC: Prescription or Over the Counter: Off Label: This medication may not be approved by the FDA for the treatment of this condition. Now I take tamsulosin .4 mnd and finasteride 5 mg. I have tried all the drugs therapies to include doxazosin, tamsulosin, finisteride, cialis, myrbetric, desmopressin, etc., both individually and in combination. Ditropan XL can decrease perspiration and you may be more prone to heat stroke.This medication may cause blurred vision and may impair your thinking or reactions. But it badly needs updating. This not only impedes urinary tract functioning, but also reduces the volume of urine the bladder can hold.B. Now my issue, there are lots of discussions, but none address my question. And to use them for ED you simply increase your dose on whoopee day.If you can get away with not taking Finisteride and only using Tamulosulin that is about as good as it gets for me.