Prostate enlargement
Hello Dr.
Liu, may I ask if Proscar should be taken at bedtime or at another time? My AST value is 1.71; is this considered mild or severe? Please advise.
Thank you, and I wish you peace.
Terry Chen, 60~69 year old female. Ask Date: 2000/11/15
Dr. Liu Jianting reply Urology
Proscar should be taken once a day without time restrictions.
A PSA level of 1.71 is considered within the normal range (0-4).
It is recommended that you regularly consult a urologist for blood tests and evaluation.
Reply Date: 2000/11/15
More Info
Proscar, known generically as finasteride, is a medication commonly prescribed for the treatment of benign prostatic hyperplasia (BPH) and, in some cases, for male pattern baldness. It works by inhibiting the conversion of testosterone to dihydrotestosterone (DHT), a hormone that contributes to prostate enlargement.
Regarding the timing of Proscar administration, it is generally recommended to take it at the same time each day to maintain consistent levels of the medication in your system. There is no specific requirement to take it at night; however, some patients prefer to take it in the evening to minimize any potential side effects, such as dizziness or fatigue, that may occur. Ultimately, the best time to take Proscar is when it fits best into your routine, as long as it is taken consistently.
As for your question about the ASP (which I assume refers to the prostate-specific antigen or PSA level), a PSA level of 1.71 ng/mL is considered to be within the normal range for most men. Generally, PSA levels below 4.0 ng/mL are considered normal, but it’s important to interpret these levels in the context of other clinical findings and risk factors. A PSA level of 1.71 would typically be classified as low and not indicative of severe prostate enlargement or prostate cancer. However, PSA levels can vary based on several factors, including age, race, and individual health conditions.
In terms of prostate enlargement severity, the classification can be somewhat subjective and is often assessed through a combination of PSA levels, digital rectal examinations (DRE), and imaging studies such as ultrasound. Mild enlargement may not require immediate intervention, while moderate to severe cases could necessitate treatment options ranging from medication to surgical intervention.
It’s also important to note that while Proscar can help reduce the size of the prostate and alleviate symptoms associated with BPH, it may take several months to see significant improvements. Regular follow-up with your healthcare provider is essential to monitor your condition and adjust treatment as necessary.
In summary, take Proscar at a time that works best for you, ideally at the same time each day. Your PSA level of 1.71 is considered low and typically indicates mild prostate enlargement, but it’s crucial to discuss your specific situation with your healthcare provider for personalized advice and management. Regular monitoring and communication with your doctor will help ensure that any changes in your condition are addressed promptly.
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