Maarten Vasbinder lives in Isaan. His profession is general practitioner, a profession that he mainly practiced in Spain. On Thailandblog he answers questions from readers who live in Thailand.

Do you have a question for Maarten and do you live in Thailand? Send this to the editor: www.thailandblog.nl/contact/ It is important that you provide the correct information such as:

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Dear Martin,

Man, 69 years old, 171 cm, temporarily 80 kilos (normally 75) due to circumstances. Problems with sinus, asthma, skin, osteoarthritis, prostate and blood flow in legs. Don't smoke, drink wine now and then.

Question 1:
Autumn 2020 problems with blood in the urine and severe pain when urinating.
Diagnosis: enlarged prostate PSA 11.
Been using Firide 2mg and Tamsulosin 5mg for almost 0,4 years now
Have no more complaints, fall 2021 the PSA was 5,5, but I understood that the result may have been affected by the use of Firide.

My question: can I just (endlessly) continue taking these pills? Are there harmful long-term side effects? Or is it better, for example, to carry out an inspection every year?

Question 2:
Problem with venous flow in the legs. Suspicion of thrombosis not confirmed on examination. Since autumn 2020 I have been taking Daflon 500 mg (2 per day).
Seems to work fine too, don't have any special issues anymore. Here again the question: can I just keep taking these pills (endlessly) [package insert states a maximum of 3 months]? Are there harmful long-term side effects? Or is it better, for example, to carry out an inspection every year?

Due to COVID, I prefer to avoid doctor/hospital visits, and it seems that the doctors/hospitals also prefer not to treat patients without acute problems themselves. Just send you off again with prescriptions for the same pills.
Hence my question.

Regards,

R.

*****

Dear R,
1 – Finasteride can be taken for a longer period of time. Have the liver functions checked once a year.
You probably had a urinary tract infection at the time, something most doctors, or so it seems, have never heard of and certainly not in men. I recommend that you have an MRI of your prostate. If it's good, then you don't have to worry about it anymore. PSA is not a good marker for that. Incidentally, with finasteride use, the PSA decreases because the prostate becomes smaller.
2- Daflon has never been shown to work, but if it works for you, just take it. The three month limit is unknown to me. It is true that if it doesn't work after three months, it will never work and then it has no use. It works for you and you can just keep using it and endless is also finite.
Exercise is good for the legs. For example, air cycling, if you lie on your back. A good start to the day.
Sincerely,
Maarten

Do you have a question for Maarten and do you live in Thailand? Send this to the editor: www.thailandblog.nl/contact/ It is important that you provide the correct information (see list at the top of the page).

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