Dannie Boy wrote:Cialis is is the leading brand name for the drug tadalafil but there are many generic options available. Viagra on the other hand is the leading brand for the drug Sildenafil, again of which there are many generic options. I am certain that these drugs are not interchangeable for the treatment of BPH.
I don’t know the prices of any of these , but assume that generic versions will be at least 50% cheaper than the leading brand names and may not be that more expensive than the BPH drugs you are using.
I wouldn't be so "certain '' as you are on that point. But in any event I wasn't suggesting they could be both applied for BPH, despite the fact that various reports on internet suggests they can.
I'd rather find an Alpha blocker equivalent to Tamsulosin that doesn't give me a headache
There's a few been mentioned on here but most said they didn't work anyway
Dannie Boy wrote:Cialis is is the leading brand name for the drug tadalafil but there are many generic options available. Viagra on the other hand is the leading brand for the drug Sildenafil, again of which there are many generic options. I am certain that these drugs are not interchangeable for the treatment of BPH.
I don’t know the prices of any of these , but assume that generic versions will be at least 50% cheaper than the leading brand names and may not be that more expensive than the BPH drugs you are using.
I wouldn't be so "certain '' as you are on that point. But in any event I wasn't suggesting they could be both applied for BPH, despite the fact that various reports on internet suggests they can.
I'd rather find an Alpha blocker equivalent to Tamsulosin that doesn't give me a headache
There's a few been mentioned on here but most said they didn't work anyway
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I take Tamsulosin but don’t suffer from headaches so it may be patient specific?
Dannie Boy wrote:Cialis is is the leading brand name for the drug tadalafil but there are many generic options available. Viagra on the other hand is the leading brand for the drug Sildenafil, again of which there are many generic options. I am certain that these drugs are not interchangeable for the treatment of BPH.
I don’t know the prices of any of these , but assume that generic versions will be at least 50% cheaper than the leading brand names and may not be that more expensive than the BPH drugs you are using.
I wouldn't be so "certain '' as you are on that point. But in any event I wasn't suggesting they could be both applied for BPH, despite the fact that various reports on internet suggests they can.
I'd rather find an Alpha blocker equivalent to Tamsulosin that doesn't give me a headache
There's a few been mentioned on here but most said they didn't work anyway
Sent from my M2007J20CT using Tapatalk
I take Tamsulosin but don’t suffer from headaches so it may be patient specific?
Sent from my iPhone using Tapatalk
Useful to know that, thanks Dannie
And thanks for the Wittaya tip too. Do you typically consult with him at the clinic or the hospital?
I'm assuming it's more convenient for the patient to see him at the clinic? (less waiting time, less people etc)
thecolonel asked about Tamsulosin....I was on Tamsulosin for about 2 years and found it to be ok but my prostate was actually increasing in volume and the PSA numbers were also. My urologist has been prescribing Xatral (alfuzosin) instead as an alpha-blocker, and the figures are decreasing with no side effects. I religiously take mine exactly at the same time every evening.
I really appreciate everyone's thoughts with this, thanks. But what we all have to remember is that we are all different and where one drug for an individual works, it may not for another.
I now have the wonderful task of arranging our trip to Thailand and looking forward to an ASQ hotel in BKK.
One thing to keep in mind with an enlarged prostate: have a blood test for kidney function. When my prostate enlarged, it caused urine to back up into my kidneys and I now have kidney disease.
The 2 most important markers are GFR, glomular filtration rate, i.e. the percentage of kidney function and Creatinine, the waste product of Creatine, from animal products, that the kidneys have a difficult time eliminating. I'm not trying to alarm you, just a heads up.
handdrummer wrote:One thing to keep in mind with an enlarged prostate: have a blood test for kidney function. When my prostate enlarged, it caused urine to back up into my kidneys and I now have kidney disease.
The 2 most important markers are GFR, glomular filtration rate, i.e. the percentage of kidney function and Creatinine, the waste product of Creatine, from animal products, that the kidneys have a difficult time eliminating. I'm not trying to alarm you, just a heads up.
Good call
From your previous tests were you ever given an acceptable range for the eGFR?
From your previous tests were you ever given an acceptable range for the eGFR?
The ranges are, roughly: Stage 1 above 90
2: 68-89
3: 30-59
4: 15-29
5: Below 15, also known as end stage CKD (Chronic Kidney Disease)
The book: Learn The Facts About Kidney Disease by Steven Rosansky,M.D. Will answer all your questions about CKD. There's also a youtube channel: DadviceTV that has excellent info.
I bought the book from Book Depository, online. Discount prices & free shipping. I think is was about 460 bht., give or take.
handdrummer wrote:From your previous tests were you ever given an acceptable range for the eGFR?
The ranges are, roughly: Stage 1 above 90
2: 68-89
3: 30-59
4: 15-29
5: Below 15, also known as end stage CKD (Chronic Kidney Disease)
The book: Learn The Facts About Kidney Disease by Steven Rosansky,M.D. Will answer all your questions about CKD. There's also a youtube channel: DadviceTV that has excellent info.
I bought the book from Book Depository, online. Discount prices & free shipping. I think is was about 460 bht., give or take.
Most useful thanks
Ps. Should stage 2 read.... 60 - 89? Is 68 a typo?
Dannie Boy wrote: ↑Sat Dec 12, 2020 2:03 pm
I take Tamsulosin but don’t suffer from headaches so it may be patient specific?
Sent from my iPhone using Tapatalk
Very much so. I was put on Alfuzosin but it caused terrible bouts of orthostatic hypotension - I nearly collapsed several times and had to hold on to something to avoid fainting.
Switched to Tamsulosin and the effects are much, much milder. I still get dizzy spells when I stand up sometimes but not nearly as often or as severe as with the Alfuzosin.
Also the Alfuzosin did absolutely nothing for the symptoms of my BPH, whereas Tamsulosin does.
Whilst im interested in going to see Dr Wittaya in Petchaburi, has anyone used or know of any feedback on this Urology Doc at Bangkok Hosptial Hua HIn?
I specifically stated i would not see Tanongkit!!!
" Apart of Dr. Tanongkit we have another Urologist named Dr. Karan RIMTHEPHATHIP who has the work schedule from Tuesday till Saturday and from 9.00 - 16.30 approximately."
