Managing Chronic Prostatitis: Can Cernitin Replace Harnalidge? - Urology

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Prostatitis


Hello, Doctor.
I have issues with benign prostatic hyperplasia and chronic prostatitis.
I am currently taking Harnalidge OCAS 0.4 mg (tamsulosin) extended-release tablets.
Recently, a friend introduced me to a new medication called Cernitin (Sihukang), suggesting that it has good effects.
I would like to ask:
1.
Can I stop taking Harnalidge if I start taking Sihukang, or can both be taken together?
2.
I found online that Sihukang seems to have fewer side effects and functions similarly to Harnalidge, with additional relaxing effects, is that correct?
3.
Is it true that Sihukang can help prevent the occurrence of prostatitis?
4.
Is this medication covered by health insurance?
Thank you, Doctor.

LKK, 60~69 year old female. Ask Date: 2018/09/11

Dr. Du Shixi reply Urology


Hello: 1) It is not recommended to discontinue your current medication.
2) This type of medication is not a new drug; you can check the information on the FDA website (https://www.fda.gov.tw/MLMS/H0001D.aspx?Type=Lic&LicId=020235653) for indications.
4) From what I understand, health insurance may not cover it.
Wishing you good health.

Reply Date: 2018/09/11

More Info


Managing chronic prostatitis and benign prostatic hyperplasia (BPH) can be quite challenging, and it's understandable to seek alternatives or adjuncts to your current medication regimen. Let's address your questions regarding Cernitin (賜護康) and Harnalidge (活路利淨).

1. Can Cernitin Replace Harnalidge?
Cernitin is a herbal supplement derived from pollen extracts, which is often marketed for its potential benefits in supporting prostate health and alleviating symptoms associated with BPH and prostatitis. Harnalidge, on the other hand, is a medication that contains tamsulosin, which is an alpha-1 adrenergic antagonist. It works by relaxing the muscles in the prostate and bladder neck, making it easier to urinate. While Cernitin may offer some benefits, it is not a direct replacement for Harnalidge. If you are considering taking Cernitin, it is essential to consult with your healthcare provider to determine whether you can safely discontinue Harnalidge or if both can be taken concurrently.
2. Safety and Efficacy of Cernitin
Cernitin is often touted for its minimal side effects compared to pharmaceutical options. While some studies suggest that it may help relieve urinary symptoms associated with BPH, the evidence is not as robust as that for established medications like Harnalidge. Cernitin may have a relaxing effect on the prostate, but it is crucial to understand that individual responses can vary. Always discuss with your doctor before making any changes to your medication regimen.

3. Preventing Prostatitis with Cernitin
There is some evidence suggesting that Cernitin may help in reducing the recurrence of prostatitis symptoms, but more extensive clinical studies are needed to confirm its efficacy in preventing prostatitis. It is essential to approach this claim with caution and rely on established treatments and lifestyle modifications as primary strategies for managing prostatitis.

4. Insurance Coverage for Cernitin
Regarding insurance coverage, Cernitin is typically classified as a dietary supplement rather than a prescription medication. Therefore, it may not be covered by health insurance plans. It is advisable to check with your specific insurance provider for details on coverage for supplements.


Additional Considerations for Managing Chronic Prostatitis and BPH
- Lifestyle Modifications: In addition to medication, lifestyle changes can significantly impact symptoms. Staying hydrated, avoiding caffeine and alcohol, and practicing pelvic floor exercises may help alleviate symptoms.


- Regular Monitoring: Regular follow-ups with your healthcare provider are essential for monitoring your condition and adjusting treatment as necessary. If you experience any new symptoms or worsening of existing symptoms, it is crucial to seek medical advice promptly.

- Alternative Therapies: Some patients find relief through alternative therapies such as acupuncture, physical therapy, or dietary adjustments. Discuss these options with your healthcare provider to determine what might be appropriate for you.

- Education and Support: Educating yourself about your condition and connecting with support groups can provide additional resources and emotional support as you navigate your treatment journey.

In conclusion, while Cernitin may offer some benefits for prostate health, it should not be viewed as a replacement for Harnalidge without professional guidance. Always consult your healthcare provider before making any changes to your treatment plan to ensure safety and efficacy.

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