Get Virtual Care
For Businesses
About Us
A member asked:
I have a high dht level. would a 5a-reductase inhibitor be a better choice for treating my bph (storage, not voiding, is prob.) than an alpha blocker?
2 doctors weighed in across 2 answers
Combination Tx: Combination therapy with a 5-alpha reductase and an Alpha blocker would be optimal medical therapy BPH provide the prostate gland size is greater than 35g. However, neither of these medication classes are meant to directly aid in storage. Addition of an anticholinergic or a beta 3 agonist could directly improve storage.
Answered 6/24/2014
4.1k views
See below: 5 a-reductase inhibitor will decrease the conversion of testosteronte to dht. It takes 3,&sometimes up to 6, months to show demonstrable effect. Alpha blockers start showing effect within a few hours. If I were treating you I would start you on Flomax (tamsulosin). If improvement is less than desirable I would add Proscar (or other bands in same groups).There is also a combination pill which has both (Jalyn).
Answered 8/15/2014
3.8k views
Related Questions
A member asked:
I feel difficulty in finding appropriate vocabulary and stammer during long speech. I am a male, 73, and on alpha blockers for bph.?
A doctor has provided 1 answer
A member asked:
Too much alpha blockade? I take doxazosin for BPH and carvedilol for early chf. Should I change to metoprolol to avoid too much alpha blockade?
6 doctors weighed in across 2 answers
A member asked:
Other than prostate cancer what medical conditions would cause frequent urination at night in a 60 year-old male who does not have BPH?
2 doctors weighed in across 2 answers
A member asked:
Frequent urination, interrupted stream, bladder does not empty easily. Ultrasound ok (no BPH). uroflow - 8ml/s. Diagnosis? lifestyle changes can help?
A doctor has provided 1 answer
People also searched for:
Having BPH 4 years. Recent Estradiol level was 307,7 pmol/L. DHT was not tested. Testosterone was normal. Is estradiol likely the cause? Thank you.
Recent onset of bph. Pcp suggested flomax. A year ago DHT measured 175 ng/dl. Would avodart (dutasteride) be better?
Does isotretinoin plays a role with androgen ? Does it touch 5 alpha reductase or DHT level ? Can it affect libido by users ? Thanks !
Many articles show that Accutane low DHT and 5 alpha reductase, the reason why it stops acne. What to think ? Like finasteride ?
I have extreme frequent urination especially at night, but the urination itself seems regular..no weakness to start, no weak stream, no pain, just extreme frequency especially at night. Could this possibly be elevated PSA or prostate cancer or BPH?
Didn't find what you're looking for?
90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more.
Ask your questionMore of what we treat
Download HealthTap
Video visit and message your doctor
