Harnalidge Side Effects and Prostate Health Concerns - Urology

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Prostate issues 2


I apologize for the inconvenience, doctor.
The day before yesterday, I visited a urologist.
The doctor prescribed Harnalidge.
After taking it for two consecutive nights, I woke up several times during the night with an erection.
This did not happen before I started the medication.
Is this condition a side effect of Harnalidge? However, the medication bag did not mention this situation.
Additionally, I would like to know how to communicate with the doctor to request a prostate examination.
Thank you.

Zhaoji de Ken, 30~39 year old female. Ask Date: 2010/03/12

Dr. Xu Wencang reply Urology


Hello: In response to your question, Harnalidge may enhance erectile function in a small number of patients and is considered safe for the body.
For benign prostatic hyperplasia, in addition to symptom inquiry, a urinalysis is typically performed, along with prostate cancer screening through digital rectal examination or ultrasound.
These are standard tests conducted whenever there are prostate-related issues.

Reply Date: 2010/03/12

More Info


Harnalidge, which contains the active ingredient tamsulosin, is primarily used to treat symptoms of benign prostatic hyperplasia (BPH), a condition characterized by an enlarged prostate that can lead to urinary difficulties. While it is effective in alleviating urinary symptoms, it can also have side effects, some of which may not be explicitly listed on the medication packaging.

One of the side effects that some patients report is increased nocturnal erections or priapism, which is a prolonged and often painful erection. Although this is not a common side effect of Harnalidge, it can occur in some individuals. The mechanism behind this could be related to the way tamsulosin affects the smooth muscle tone in the prostate and bladder neck, potentially leading to changes in erectile function. If you have experienced this phenomenon after starting the medication, it is advisable to discuss it with your healthcare provider. They can help determine whether this is indeed related to Harnalidge or if there may be other underlying factors contributing to these symptoms.

When discussing your concerns with your doctor, it is important to be clear and specific about the symptoms you are experiencing. You might say something like, "Since I started taking Harnalidge, I've noticed that I wake up several times at night with erections, which I didn't experience before. Is this a known side effect of the medication? Should we consider adjusting my treatment?" This approach opens the door for a thorough discussion about your symptoms and any necessary adjustments to your medication.

Regarding prostate health, if you feel that you may have prostate issues, it is essential to communicate this to your doctor. You can express your concerns by saying, "I have been experiencing some urinary difficulties and other symptoms that make me think there might be an issue with my prostate. Can we discuss the possibility of conducting a prostate examination or any necessary tests?" This will prompt your doctor to consider a prostate evaluation, which may include a digital rectal exam (DRE) or a prostate-specific antigen (PSA) blood test, depending on your age, risk factors, and symptoms.

In addition to medication, some patients explore dietary supplements and alternative treatments for prostate health. For instance, saw palmetto is often mentioned in discussions about prostate health, particularly for its potential benefits in managing BPH symptoms. However, the effectiveness of such supplements can vary, and they may not be suitable for everyone. It is crucial to consult your healthcare provider before starting any new supplement, as they can interact with medications or have side effects of their own.

In summary, while Harnalidge can be effective for managing BPH symptoms, it is essential to monitor any side effects you experience and communicate openly with your healthcare provider. Prostate health is a significant concern, especially as men age, and proactive discussions about symptoms and potential evaluations can lead to better management of your overall health. Always prioritize a collaborative approach with your healthcare provider to ensure that your treatment plan is tailored to your specific needs and concerns.

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