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1.
Drugs Aging ; 23(10): 795-805, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17067183

RESUMO

Pharmacological management is the most common therapeutic approach for patients with benign prostatic hyperplasia and alpha-adrenoceptor antagonists are the most commonly prescribed initial treatment. Although all of the alpha-adrenoceptor antagonists produce similar improvements in symptom scores and urinary flow rates, they have different adverse effect profiles, especially with respect to the cardiovascular system. The older alpha-adrenoceptor antagonists, terazosin and doxazosin, were initially approved for the treatment of hypertension and are associated with higher rates of dizziness, syncope and hypotension than the newer agents, tamsulosin and alfuzosin. The older alpha-adrenoceptor antagonists are also involved in more interactions and have a greater number of precautions concerning their usage with other cardiovascular medications. Of the newer alpha-adrenoceptor antagonists, tamsulosin has a lower rate of dizziness than alfuzosin. However, both of these agents are superior to doxazosin and terazosin in that no dose escalation or titration is needed for them.


Assuntos
Doenças Cardiovasculares/complicações , Hiperplasia Prostática/tratamento farmacológico , 3',5'-GMP Cíclico Fosfodiesterases/antagonistas & inibidores , Antagonistas de Receptores Adrenérgicos alfa 1 , Idoso , Idoso de 80 Anos ou mais , Colestenona 5 alfa-Redutase/antagonistas & inibidores , Nucleotídeo Cíclico Fosfodiesterase do Tipo 5 , Humanos , Masculino , Fitoterapia/métodos , Hiperplasia Prostática/complicações
2.
Curr Urol Rep ; 7(4): 313-9, 2006 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-16930503

RESUMO

Prostatitis is a common urologic diagnosis. Although treatment algorithms are available for this poorly understood entity, several adaptations must be made in order to accommodate the therapeutic needs of HIV-positive patients. The most important consideration when treating HIV-infected patients for prostatitis is their current immune status, whether they are immunocompromised or not (non-progressive disease or reconstituted with highly active antiretroviral therapy). A treatment algorithm for those with chronic bacterial prostatitis (Category II), chronic nonbacterial prostatitis (Category IIIA), and prostatodynia (Category IIIB) is presented in this article. In the HIV-positive patient population, there is a greater likelihood for atypical pathogens including fungi, tuberculosis, anaerobes, and viruses. Because the HIV-infected patient is at increased risk for the development of prostatic abscess and urosepsis than the general population, increased monitoring and evaluation and longer-term appropriately directed antimicrobial therapy are required.


Assuntos
Infecções por HIV/epidemiologia , Prostatite/epidemiologia , Antagonistas Adrenérgicos alfa/uso terapêutico , Algoritmos , Terapia Antirretroviral de Alta Atividade , Doença Crônica , Comorbidade , Cistoscopia , Infecções por HIV/tratamento farmacológico , Humanos , Masculino , Dor Pélvica/etiologia , Prostatite/diagnóstico , Prostatite/microbiologia , Prostatite/fisiopatologia , Quercetina/uso terapêutico , Quinazolinas/uso terapêutico , Sulfonamidas/uso terapêutico , Tansulosina , Urodinâmica
3.
Int Braz J Urol ; 32(1): 3-14, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-16519822

RESUMO

The authors review the current literature on the complementary and alternative medicines most frequently utilized by prostate cancer patients and those at risk for the disease. Products covered are vitamin E, vitamin A, selenium, zinc, soy, lycopene, pomegranate juice, green tea and omega-3 fatty acids. There is no definitive proof that any of the nutritional supplements discussed can impact the course of prostate cancer or its development. The authors believe that simply taking a standard daily multivitamin should be sufficient to ensure that patients have the appropriate levels of vitamins and minerals without risking the over utilization of vitamins, minerals, and supplements which can lead to numerous negative side effects.


Assuntos
Suplementos Nutricionais , Minerais/uso terapêutico , Neoplasias da Próstata/prevenção & controle , Vitaminas/uso terapêutico , Anticarcinógenos/uso terapêutico , Carotenoides/uso terapêutico , Ácidos Graxos Ômega-3/uso terapêutico , Humanos , Licopeno , Lythraceae , Masculino , Neoplasias da Próstata/dietoterapia , Glycine max , Chá
4.
Int. braz. j. urol ; 32(1): 3-14, Jan.-Feb. 2006. tab
Artigo em Inglês | LILACS | ID: lil-425491

RESUMO

The authors review the current literature on the complementary and alternative medicines most frequently utilized by prostate cancer patients and those at risk for the disease. Products covered are vitamin E, vitamin A, selenium, zinc, soy, lycopene, pomegranate juice, green tea and omega-3 fatty acids. There is no definitive proof that any of the nutritional supplements discussed can impact the course of prostate cancer or its development. The authors believe that simply taking a standard daily multivitamin should be sufficient to ensure that patients have the appropriate levels of vitamins and minerals without risking the over utilization of vitamins, minerals, and supplements which can lead to numerous negative side effects.


Assuntos
Humanos , Masculino , Suplementos Nutricionais , Minerais/uso terapêutico , Neoplasias da Próstata/prevenção & controle , Vitaminas/uso terapêutico , /uso terapêutico , Anticarcinógenos/uso terapêutico , Carotenoides/uso terapêutico , Neoplasias da Próstata/dietoterapia , Lythraceae , Glycine max , Chá
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