Managing Benign Prostatic Hyperplasia and Overactive Bladder: Treatment Options

Q: Managing Benign Prostatic Hyperplasia and Overactive Bladder: Treatment Options

Hello： 1. <br>Do not use Jovan simultaneously. <br>2. <br>You can discuss with your physician; Cialis 5mg is not covered by insurance and is also quite expensive. <br>Wishing you good health.

Treatment for Benign Prostatic Hyperplasia (BPH)

Hello doctor, last month I went to the hospital for a prostate examination.
The doctor said I have benign prostatic hyperplasia (BPH) with a size of 28.8.
I also have overactive bladder, and the doctor prescribed medication for me.
Currently, I am taking medication for overactive bladder and Cialis (Tadalafil) 2 mg.
I usually have sexual intercourse every three days.
However, I feel that the hardness of my erections is not sufficient, although my erectile function is generally normal.
The angle of my erection is about the distance between my middle and index fingers when extended, and the hardness is similar to that of an unpeeled banana.
Occasionally, I take Viagra (Sildenafil) to enhance my experience.
Currently, I am taking Cialis 2 mg and Oxbutynin Extended-release 5 mg for my overactive bladder.

I would like to ask:
1.
Is it safe to take Viagra after taking Cialis?
2.
Would it be better to switch from Cialis and the medication for overactive bladder to taking daily 5 mg of Levitra (Vardenafil) instead? I do not have high blood pressure, but the treatment with Cialis includes managing high blood pressure, so I am confused about whether it is better to continue with Cialis or switch to Levitra.
This has been troubling me for two months.

A-Rong, 40~49 year old female. Ask Date: 2023/08/19

Dr. Du Shixi reply Urology

Hello: 1.
Do not use Jovan simultaneously.
2.
You can discuss with your physician; Cialis 5mg is not covered by insurance and is also quite expensive.
Wishing you good health.

Reply Date: 2023/08/19

More Info

Managing benign prostatic hyperplasia (BPH) and overactive bladder (OAB) can be challenging, especially when considering the interplay of medications and their effects on erectile function. From your description, it seems you are currently on medications for both conditions, specifically Oxbutynin (referred to as 可迅) for OAB and possibly a phosphodiesterase type 5 inhibitor like Viagra (威而鋼) for erectile dysfunction.

Understanding Your Current Medications
1. Oxbutynin (可迅): This medication is an anticholinergic agent commonly used to treat OAB by reducing bladder contractions. While effective for urinary symptoms, it can sometimes lead to side effects such as dry mouth, constipation, and in some cases, it may affect sexual function.

2. Viagra (威而鋼): This medication is used to treat erectile dysfunction by increasing blood flow to the penis, facilitating an erection when sexual stimulation occurs.

Addressing Your Questions
1. Can you take Viagra while on Oxbutynin?
Generally, there are no direct contraindications for taking Viagra while on Oxbutynin. However, it is crucial to consult your healthcare provider before combining these medications. They can assess your overall health, including any cardiovascular concerns, and ensure that the combination is safe for you.
2. Should you switch from Oxbutynin to Cialis (犀利士)?
Cialis (Tadalafil) is another phosphodiesterase type 5 inhibitor that can also help with BPH symptoms in addition to treating erectile dysfunction. If you are considering switching to Cialis, it is essential to discuss this with your doctor. They can evaluate whether Cialis would be more beneficial for your specific symptoms and overall health.

Considerations for Treatment
- Erectile Function: You mentioned experiencing some difficulty with erection hardness and angle. This could be influenced by your current medications, underlying health conditions, or psychological factors. It’s essential to have an open discussion with your healthcare provider about your erectile function, as they may suggest adjustments to your treatment plan.

- Blood Pressure: Since you mentioned that Oxbutynin can affect blood pressure, it’s crucial to monitor your blood pressure regularly. If you have concerns about hypertension or if you experience any symptoms like dizziness or headaches, inform your doctor immediately.

- Lifestyle Modifications: In addition to medication, lifestyle changes can significantly impact both BPH and OAB symptoms. Regular exercise, maintaining a healthy weight, and avoiding bladder irritants (like caffeine and alcohol) can help manage symptoms.

- Follow-Up: Regular follow-up appointments with your healthcare provider are essential to monitor your symptoms and adjust your treatment plan as necessary. If you find that your current medications are not adequately managing your symptoms or if you experience side effects, do not hesitate to reach out to your doctor for alternative options.

Conclusion
Managing BPH and OAB requires a comprehensive approach that includes medication, lifestyle changes, and regular monitoring. It is essential to work closely with your healthcare provider to find the most effective treatment plan tailored to your needs. If you have any further questions or concerns, do not hesitate to reach out for professional medical advice. Your health and comfort are paramount, and there are various options available to help you manage your symptoms effectively.

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