A member asked:

Can we use neostigmin in benign prostatic hyperplasia?or what is the newest drug for bph?

6 doctors weighed in across 2 answers

Not for BPH: Neostigmine is often used to treat neuromuscular disease such as myasthenia gravis--and has many side effects. It is not for bph. There hasn't been new drug lately for bph, last one was rapaflo (silodosin) (approved 2008) and combo of older meds (jalyn-2010), and Cialis (2012) as an adjunct treatment for bph. I certainly hope you don't have BPH at age 21. Consult doc if you have concern/problem. Good luck.

Answered 6/30/2014

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Dr. James Lin answered

Here are some...: Alpha-blockers such as prazosin, doxazosin, terazosin, tamsulosin, alfuzosin, silodosin, etc., and 5-alpha reductase inhibitors such as finasteride, dutasteride, etc., are the mainstay of drugs treating BPA-related symptoms. Neostigmine is to increase smooth muscle contrabability such as its use in hyasthenia garvis ; should not be used for BPH due to bladder outlet obstruction.

Answered 5/22/2014

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