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        | How many phases of growth does the prostate have? |  | Definition 
 
        | Two. First phase at puberty and the second at 25 (continues to grow from that age on) |  | 
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        | What are some drugs that will worsen BPH symptoms |  | Definition 
 
        | Combination cold medicines, decongestants, antihistamines and medications with anticholinergic side effects will worsen symptoms. Diuretics, if they must be used, should be dosed early in the day. |  | 
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        | What is treatment based on? |  | Definition 
 
        | primarily on the patient's perception of how bothered they are by the symptoms |  | 
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        | What class of medicine is initally started in BPH? |  | Definition 
 
        | 5-alpha clockers are used, alone or in combination with the 5-alpha reductase inhibitors. |  | 
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        | What natural product is used to treat BPH? |  | Definition 
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        | How do alpha blockers work? |  | Definition 
 
        | relax the smooth muscle of the prostate and bladder neck to improve urine flow   |  | 
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        | There are 3 types of alpha receptors: 1A (prostate primarily has these receptors), 1B and 1D. Nonselective alpha blockers results in more orthostasis/dizzinesss/fatigue/HA than the selective agents. Whata are the non-selective alpha blockers?     |  | Definition 
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        | Do alpha blockers shrink the prostate? |  | Definition 
 
        | NO! and the do not change PSA levels! |  | 
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        | Side effects of non-selective alpha blockers? |  | Definition 
 
        | orthostatic hypotension, dizziness, fatigue |  | 
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        | Statement. Not a question. |  | 
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        | Name the selective alpha blockers |  | Definition 
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        | Brand name for Tamsulosin |  | Definition 
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        | normal dose for tamsulosin |  | Definition 
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        | Statement. Not a question. |  | 
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        | Name an obvious percaution for alpha blockers (think men) |  | Definition 
 
        | Alpha blockers and PDE5 inhibitors! |  | 
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        | How do 5-alpha reductase inhibitors work? |  | Definition 
 
        | Inhibit the 5-alpha reductase enzyme. Which blocks the conversion of testosterone to DHT |  | 
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        | Name the 5-alpha reductase inhibitors |  | Definition 
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        | Brand name for Finasteride |  | Definition 
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        | Brand name for Dutasteride |  | Definition 
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        | What pregnancy category are 5-alpha reductase inhibitors? |  | Definition 
 
        | Preg Cat X   Pregnant women (should not handle nor take these meds: can be absorbed through skin; can be detrimental to fetus); semes of male taking this drugs may present a danger |  | 
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        | Do 5-alpha reductase inhibtors shrink the prostate? |  | Definition 
 
        | YES! F-alpha reductase inhibitors SHRINK the prostate and decrease PSA levels |  | 
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        | Statement. Not a question. |  | 
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