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Carnitine for PSA
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<blockquote data-quote="sbstrum_MD" data-source="post: 97286" data-attributes="member: 17682"><p>Of concern in your post is the result you show for what I presume to be a post-void residual urine volume. In the best of worlds the urologist uses an ultrasound to do a pre- and post-void volume. Any post-void volume > 50cc (same as ml) is of concern for retaining urine due to bladder outlet obstruction (BOO). You are on an alpha blocker Alfluzosin, and that is fine. Flomax is in the same general category. Below is a list of alpha blockers:</p><p></p><p>Cardura -- doxazosin</p><p>Hytrin -- terazosin</p><p>Flomax -- tamsulosin</p><p>Uroxatral -- alfuzosin</p><p>Minipress -- prazosin </p><p></p><p>Your getting up at night (called nocturia) is related to possibly many factors:</p><p>1. consuming liquids close to bedtime.</p><p>2. diuretics in your diet or prescription </p><p>3. BOO due to any cause </p><p>4. excessive salt consumption which leads to renal elimination mostly at night due to &#8593; renal blood flow while lying supine. </p><p></p><p>A baseline scoring system is called the AUA Symptom Score. I will see if I can attach it to this email. </p><p></p><p>A downside of any internet forum is that all the facts are always not in evidence. Any strategy that we impose relating to living aka biological issues, should have full diligence (complete) assessment. In other words, Status Begets Strategy (SbS) if we wish not to make major mistakes. Otherwise you end up with: Yep, weapons of mass destruction &#8594; invade. </p><p></p><p>Lastly, sexual adverse side-effects from alpha blockers and from 5-alpha reductase inhibitors like finasteride (Proscar) or dutasteride (Avodart) are not uncommon but usually of low frequency. Here is where communication between physician and patient is so important. Combination use of dutasteride (Avodart) and an alpha blocker is not unreasonable for men with BOO as a first approach.</p></blockquote><p></p>
[QUOTE="sbstrum_MD, post: 97286, member: 17682"] Of concern in your post is the result you show for what I presume to be a post-void residual urine volume. In the best of worlds the urologist uses an ultrasound to do a pre- and post-void volume. Any post-void volume > 50cc (same as ml) is of concern for retaining urine due to bladder outlet obstruction (BOO). You are on an alpha blocker Alfluzosin, and that is fine. Flomax is in the same general category. Below is a list of alpha blockers: Cardura -- doxazosin Hytrin -- terazosin Flomax -- tamsulosin Uroxatral -- alfuzosin Minipress -- prazosin Your getting up at night (called nocturia) is related to possibly many factors: 1. consuming liquids close to bedtime. 2. diuretics in your diet or prescription 3. BOO due to any cause 4. excessive salt consumption which leads to renal elimination mostly at night due to ↑ renal blood flow while lying supine. A baseline scoring system is called the AUA Symptom Score. I will see if I can attach it to this email. A downside of any internet forum is that all the facts are always not in evidence. Any strategy that we impose relating to living aka biological issues, should have full diligence (complete) assessment. In other words, Status Begets Strategy (SbS) if we wish not to make major mistakes. Otherwise you end up with: Yep, weapons of mass destruction → invade. Lastly, sexual adverse side-effects from alpha blockers and from 5-alpha reductase inhibitors like finasteride (Proscar) or dutasteride (Avodart) are not uncommon but usually of low frequency. Here is where communication between physician and patient is so important. Combination use of dutasteride (Avodart) and an alpha blocker is not unreasonable for men with BOO as a first approach. [/QUOTE]
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