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Tadalafil vs tamsulosin for BPH

Men's Health | Last Active: 1 day ago | Replies (18)

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Profile picture for grandmira @grandmira

@anthony11021 I know what a “ pain” that congestion can be. I have allergic rhinitis and have used Flonase as well as other nasal sprays . I had been using over the counter decongestants but since I was diagnosed with BPH they are prohibited as they cause urine retention. It is becoming apparent that a final cure for BPH would be a turp or similar procedure, then I can toss the meds, if everything goes well.

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Replies to "@anthony11021 I know what a “ pain” that congestion can be. I have allergic rhinitis and..."

@grandmira on Thursday I have an appointment with Dr. Philip Pearlman ent specialist and this is what I’m going to tell him:
What I Need From You

1. A treatment for my nasal congestion that does not slow my urine stream or interact with aspirin/Plavix.
2. Possibilities to discuss:
· Montelukast (Singulair) – leukotriene inhibitor, not an antihistamine or steroid
· Ipratropium nasal spray – anticholinergic, but local; low systemic absorption
· Saline/xylitol rinses with squeeze bottle (already trying, limited effect)
· Nasal strips + wedge pillow (helps but not enough)
· Office-based procedure (e.g., turbinate reduction) if medically appropriate
3. Evaluation for aspirin-exacerbated respiratory disease (AERD) given the timing and severity of congestion after starting aspirin.