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PN and Tamsulosin (Flomax)

Neuropathy | Last Active: Dec 10, 2023 | Replies (36)

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@ray666

Hello, all!

I'm the fellow who started this thread about PN and Tamsulosin. At the time, I'd only just been given the script by my PCP; I hadn't yet received the drug. I received the Tamsulosin six days ago and began the following day taking one cap per day, so I've now been taking Tamsulosin for four days. Why not five days? Well, that's why I'm posting again. I know that among Tamsulosin's side effects were possible dizziness and lightheadedness. My PCP had assured me that the odds of my being one of those vulnerable to the side effects were slim. But here's what happened. For three of the four days I had far more difficulty with my balance, more than what I consider my "normal" difficulty because of my PN. That made me suspicious. Last evening for the first time since receiving the Tamsulosin, I skipped the evening dose, and today for the first time since I began feeling the added wobbliness, I feel "normal" (in other words, I feel my by-now familiar––and manageable––PN wobbliness). I know my PCP told me it might take several days to get used to Tamsulosin. But now I'm wondering if there might be some substitute medication. I've left a message for my PCP, but I haven't heard back yet.

Ray (@ray666)

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Replies to "Hello, all! I'm the fellow who started this thread about PN and Tamsulosin. At the time,..."

Hi Ray, You might want to discuss the UroLift or Holep procedures to see if they might be an option. I’ve thought about it but just haven’t taken the initiative to do it.

Ray, I have been taking Tamsulosin for several months now along with Prostate Pro (OTC) both for BPH. I have not noticed the symptoms that you are sharing about.
My PN pain is basically just in my feet and seems to get worse at night. I am a little wobbly, but that for me seems to be more age related. (I am 80 yrs).
My PCP noticed that one of my occurrences was every night after having gotten into bed and during the day going into a reclining position. It was her thought that it might be low blood pressure. We cut my Losartan to 50mg from 100mg and my carvedilol from 25mg at night and 12.5mg in the morning to 12.5 mg in both evening and morning. After about a week my pain in my feet during bedtime or reclining decreased by about 60% So, anecdotally one of my supposed pains from NP was decreased. Sad to say, this did nothing for my PN pain that occurred sponatneously during other times of the day and evening.

My otherwise perfectly healthy 77 yr old husband has stopped and started the drug several times. He got severe vertigo and wobbly, couldn’t do his morning runs or exercise. His doctor has finally convinced him to take it 1 day a week, and without food or drink for a couple of hours. It helps but still makes him off a couple of hours that day. Those side affects must be real - I’m going to have him look at @johnbishop ’s suggestion.