Can I Take Viagra While on Doxaben and Oxbu for Prostate Issues? - Urology

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Hello doctor, I currently have benign prostatic hyperplasia with a size of 28.8 mL.
I visited a urologist who prescribed me 2 mg of Casodex.
I would like to inquire about the common side effects of medications for treating prostate enlargement.
If I switch to taking 5 mg of Cialis, would that be acceptable? I occasionally take Viagra and I am currently on the following medications: 1.
Doxazosin 2 mg 2.
Oxybutynin Extended-release 5 mg.
Can I still take Viagra while on these medications?

A-Rong, 40~49 year old female. Ask Date: 2023/06/23

Dr. Du Shixi reply Urology


Hello: According to the instructions for using Viagra (Sildenafil), there should be no adverse effects.
Wishing you good health.

Reply Date: 2023/06/23

More Info


When considering the use of Viagra (sildenafil) while on medications like Doxaben (doxazosin) and Oxbu (oxybutynin) for prostate issues, it is essential to understand the interactions and potential side effects of these medications.

Doxaben is an alpha-blocker commonly prescribed for benign prostatic hyperplasia (BPH) and hypertension. It works by relaxing the muscles in the prostate and bladder neck, making it easier to urinate. Oxbu, on the other hand, is an anticholinergic medication used to treat overactive bladder symptoms. It helps reduce urinary urgency and frequency.

Viagra, primarily used to treat erectile dysfunction, works by increasing blood flow to the penis. It does this by inhibiting an enzyme called phosphodiesterase type 5 (PDE5), which leads to relaxation of blood vessels. While Viagra is generally safe for most patients, there are important considerations when combining it with other medications.

One of the primary concerns when taking Viagra with Doxaben is the potential for hypotension (low blood pressure). Both Doxaben and Viagra can lower blood pressure, and when taken together, they may enhance this effect. This could lead to symptoms such as dizziness, lightheadedness, or fainting, especially when standing up (orthostatic hypotension). Therefore, it is crucial to monitor your blood pressure regularly and report any concerning symptoms to your healthcare provider.

Regarding the use of Oxbu, there are no direct contraindications with Viagra. However, since Oxbu can cause side effects like dry mouth, constipation, and blurred vision, it is essential to ensure that these side effects do not interfere with your overall health or the effectiveness of Viagra.

If you are considering switching from Viagra to a lower dose (like 5 mg), it is advisable to consult your healthcare provider first. They can assess your specific situation, including your prostate health, blood pressure, and any other underlying conditions you may have. They may also consider your overall treatment plan and whether a different medication would be more appropriate for your needs.

In summary, while it is generally possible to take Viagra while on Doxaben and Oxbu, it is crucial to do so under the guidance of your healthcare provider. They can help you navigate the potential risks and benefits, ensuring that your treatment for prostate issues and erectile dysfunction is both safe and effective. Always communicate openly with your doctor about all medications you are taking, including over-the-counter drugs and supplements, to avoid any adverse interactions.

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