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.
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Dear Martin,
Thank you Dr. Maarten for your quick response to my prostate problem. It is not entirely clear to me and I have the following question. You say that you use Tamsulosin 0,4 in combination with Dutasteride for the urinary problem. I use Finasteride tab 5 mg for my prostate and I read that Tamsulosin is also used for an oversized prostate.
In this case, could I stop taking Finasteride? If not, would the combination of Finasteride (I've been taking this for 8 months now) with Tamsulosin not cause any problems? With Finasteride I have also had problems with dizziness in the morning and now take it at night and have had no problems since.
Thanks again for your help.
Regards,
J.
*******
Dear J,
There are some possibilities:
– Finasteride plus tamsulosin
– Dutasteride plus tamsulosin
– Duodart (a combination preparation of dutasteride and tamsulosin in one tablet)
Finasteride and Dutasteride shrink the prostate. I wouldn't stop the finasteride because it works very slowly. Real results only come after a year.
The alpha-blockers Terazosin, Tamsulosin, Alfuzosin and Silodosin affect smooth muscle tissue, which, among other things, dilates blood vessels (lowers blood pressure), but also the urethra, making it easier to urinate.
With a sharp drop in blood pressure, dizziness occurs. Therefore take it in the evening.
Yours faithfully,
Dr. 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).