Benign Prostatic Hyperplasia (BPH)

Flashcards about Benign Prostatic Hyperplasia (BPH) based on lecture notes.

What are the symptoms of Benign Prostatic Hyperplasia (BPH)?

1. Chronic urinary retention

2. Difficulty initiating urination

3. Weak urine stream

4. Difficulty fully emptying the bladder

5. Frequent need to urinate

What symptoms does Tamsulosin (Flomax relief MR) effectively relieve?

Effectively relieves urge to urinate every few hours, weak flow and feeling of unfinished urinating.

What are the supply criteria for Tamsulosin (Flomax relief)?

1. Men 45-75 years

2. Symptoms ≥3 months

3. Initially give a 2 week supply

4. Give a further 4 week supply if there is improvement after 14 days of starting

How should Tamsulosin (Flomax relief) be taken?

One 400 microgram capsule swallowed whole after the same meal each day.

What are the common side effects of Tamsulosin (Flomax relief)?

Drowsiness and dizziness; advise the patient to sit or lie down if these side effects occur.

What follow-up is required when taking Tamsulosin (Flomax relief)?

1. See the doctor after 6 weeks to confirm if continuation is appropriate

2. See the doctor every 12 months for a review to enable further OTC supply

If a patient presents with symptoms that are present for less than 3 months and complains of BPH, what should you do?

REFER

If a patient presents with symptoms of dysuria, haematuria or cloudy urine in the past 3 months and complains of BPH, what should you do?

REFER

If a patient presents with fever and complains of BPH, what should you do?

REFER - queried undiagnosed UTI

If a patient takes interacting medicines (concomitant alpha-1-blockers) and complains of BPH, what should you do?

REFER - enhanced hypotension

If a patient with postural hypotension complains of BPH, what should you do?

REFER

If a patient with heart, kidney or liver problems complains of BPH, what should you do?

REFER

If a patient with uncontrolled diabetes complains of BPH, what should you do?

REFER

If a patient with urinary incontinence complains of BPH, what should you do?

REFER

If a patient who had previous prostate surgery complains of BPH, what should you do?

REFER

If a patient with undiagnosed blurred/cloudy vision complains of BPH, what should you do?

REFER

If a patient with scheduled surgery for glaucoma or cataract complains of BPH, what should you do?

REFER