[Safety and efficacy of anticholinergic and alpha-blocker combination therapy in treatment of benign prostatic hyperplasia]
Scientific and Research Journal of Army University of Medical Sciences-JAUMS. 2010; 7 (4): 268-271
in Persian
| IMEMR
| ID: emr-123652
ABSTRACT
Although voiding symptoms are classically related to BPH, as many as 50% of patients can experience irritative symptoms. We compared safety and efficacy of combination therapy using alpha-blocker with anticholinergic agents with tamsulosin alone. We compared anticholingergic and alpha-blocker combination therapy versus alpha-blocker alone in BPH patients with dominant irritative symptoms in a clinical trial during 2006. Eighty four patients who fulfilled the inclusion/exclusion criteria were randomly divided into two groups of tamsulosin monotherapy versus tamsulosin and an anticholinergic agent combination therapy. Therapeutic efficacy and safety were analyzed using international prostate symptom score [IPSS] and residual urine volume. Total IPSS was significantly improved in both groups. We considered significant improvements in total IPSS were also seen for the combination therapy group [P=0.0008 within group], but not for the monotherapy group. At the end of treatment, median PVR was not significantly higher for the co-therapy group [51.6 mL] than for the monotherapy group [47.0 mL] [P=0.173]. There was no retention in either group. Combination of alpha-blocker and anticholinergics in BPH patients with dominant irritative symptoms is a reasonable and safe therapeutic option without any increase in urinary retention rate
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Sulfonamides
/
Adrenergic alpha-Antagonists
/
Cholinergic Antagonists
/
Drug Therapy, Combination
Limits:
Humans
/
Male
Language:
Persian
Journal:
Sci. Res. J. Army Univ. Med. Sci.
Year:
2010
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