Medical therapy for clinical benign prostatic hyperplasia: α1 Antagonists, 5α reductase inhibitors and their combination

Medical therapy for clinical benign prostatic hyperplasia (BPH) has advanced significantly in the last 2 decades. Many new α1 antagonists and 5α reductase inhibitors (5ARi) are now commercially available. The practicing urologist must decide on the most appropriate medication for his patients, takin...

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Main Authors: Cheuk Fan Shum, Weida Lau, Chang Peng Colin Teo
Format: Article
Language:English
Published: Elsevier 2017-07-01
Series:Asian Journal of Urology
Online Access:http://www.sciencedirect.com/science/article/pii/S221438821730053X
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author Cheuk Fan Shum
Weida Lau
Chang Peng Colin Teo
author_facet Cheuk Fan Shum
Weida Lau
Chang Peng Colin Teo
author_sort Cheuk Fan Shum
collection DOAJ
description Medical therapy for clinical benign prostatic hyperplasia (BPH) has advanced significantly in the last 2 decades. Many new α1 antagonists and 5α reductase inhibitors (5ARi) are now commercially available. The practicing urologist must decide on the most appropriate medication for his patients, taking into consideration various factors like efficacy, dosing regime, adverse effects, cost, patient's socioeconomic background, expectations, drug availability and his own clinical experience. The use of combination therapy added further to the complexity in clinical judgment when prescribing. We highlight some of the key points in prescribing α1 antagonists, 5ARi and their combination, based on our viewpoints and experience as urologists in an Asian clinical setting. Keywords: 5α Reductase inhibitors, Adrenergic α1 receptor antagonists, Drug therapy, Combination, Prostatic hyperplasia
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spelling doaj.art-fbbf9e4d2ca4495e98d8f639bde31c1c2022-12-22T02:13:30ZengElsevierAsian Journal of Urology2214-38822017-07-0143185190Medical therapy for clinical benign prostatic hyperplasia: α1 Antagonists, 5α reductase inhibitors and their combinationCheuk Fan Shum0Weida Lau1Chang Peng Colin Teo2Corresponding author.; Department of Urology, Khoo Teck Puat Hospital, SingaporeDepartment of Urology, Khoo Teck Puat Hospital, SingaporeDepartment of Urology, Khoo Teck Puat Hospital, SingaporeMedical therapy for clinical benign prostatic hyperplasia (BPH) has advanced significantly in the last 2 decades. Many new α1 antagonists and 5α reductase inhibitors (5ARi) are now commercially available. The practicing urologist must decide on the most appropriate medication for his patients, taking into consideration various factors like efficacy, dosing regime, adverse effects, cost, patient's socioeconomic background, expectations, drug availability and his own clinical experience. The use of combination therapy added further to the complexity in clinical judgment when prescribing. We highlight some of the key points in prescribing α1 antagonists, 5ARi and their combination, based on our viewpoints and experience as urologists in an Asian clinical setting. Keywords: 5α Reductase inhibitors, Adrenergic α1 receptor antagonists, Drug therapy, Combination, Prostatic hyperplasiahttp://www.sciencedirect.com/science/article/pii/S221438821730053X
spellingShingle Cheuk Fan Shum
Weida Lau
Chang Peng Colin Teo
Medical therapy for clinical benign prostatic hyperplasia: α1 Antagonists, 5α reductase inhibitors and their combination
Asian Journal of Urology
title Medical therapy for clinical benign prostatic hyperplasia: α1 Antagonists, 5α reductase inhibitors and their combination
title_full Medical therapy for clinical benign prostatic hyperplasia: α1 Antagonists, 5α reductase inhibitors and their combination
title_fullStr Medical therapy for clinical benign prostatic hyperplasia: α1 Antagonists, 5α reductase inhibitors and their combination
title_full_unstemmed Medical therapy for clinical benign prostatic hyperplasia: α1 Antagonists, 5α reductase inhibitors and their combination
title_short Medical therapy for clinical benign prostatic hyperplasia: α1 Antagonists, 5α reductase inhibitors and their combination
title_sort medical therapy for clinical benign prostatic hyperplasia α1 antagonists 5α reductase inhibitors and their combination
url http://www.sciencedirect.com/science/article/pii/S221438821730053X
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