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An older adult man with a history of hypertension, erectile dysfunction (ED), and asthma, has
An older adult man with a history of hypertension, erectile dysfunction (ED), and asthma, has been newly diagnosed with benign prostatic hypertrophy (BPH). Which education point is best to include in the disease and drug discussion with this patient? α-Adrenergic antagonists are effective at reducing BPH symptoms, providing benefit by reducing the size of the prostate. Phosphodietserases-5 (PDE5) inhibitors have been found to regulate smooth muscle tone in human prostate but should not be prescribed for men with concomitant ED. The 5α-reductase inhibitors should provide a reduction in BPH symptoms very quickly (within 1-2 weeks). Silodosin, an α-blocker, is a valid option for older adult men taking antihypertensive drugs.
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