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Medications for Benign Prostatic Hyperplasia: An Objective Overview

In this article, you will find key answers to questions on the topic: “Medications for BPH.” The so-called commonly accepted medications for treating benign prostatic hyperplasia (BPH) are objectively described here, not in complex medical terms with Latin additions meant to obscure the meaning, as some doctors “lost” in the thickets of psychological theories tend to do, but in plain and understandable language for everyone. At the same time, this is done without departing from proven scientific knowledge. Here, we also discuss effective BPH treatment options and approaches to prostate care and health that are based on verified research.

Benign Prostatic Hyperplasia Treatment with Medications

Typically, representatives of private urology clinics or offices, fully absorbed in business and its intricacies, knowledgeable in the art of extracting cash from patients, continuously proclaim from their websites or roadside billboards: “Upon noticing the first symptoms of benign prostatic hyperplasia, treat it, but avoid self-medication, otherwise complications may lead to unpredictable consequences and surgical intervention. Come to us as soon as possible; we know how to help you and how to treat BPH with medications.” This marketing approach often exaggerates results and pressures patients unnecessarily, overshadowing real strategies for prostate health management and safe medications for BPH selection.

Stages of the Disease According to Doctors

For the sake of shock, outright intimidation (disregarding medical ethics), or simply as a form of caution, the disease is divided into three stages. Classification is something we love and know how to do well. The initial stage presents tolerable painful symptoms, the second is intermediate, and the third is preoperative, with serious complications, after which one of the most common outcomes of benign prostatic hyperplasia occurs – laser surgery. Let’s examine what kind of “assistance” is actually provided. Naturally, it consists of prescribing medications for BPH, including both standard prescriptions and more advanced drug therapies for prostate enlargement.

Adrenoceptor Blockers

The first group of medications in this topic is alpha–1 adrenoceptor blockers. Their effects should be studied not from the instructions accompanying the pills, but from serious and reliable medical encyclopedias. These are medications for treating BPH that lower blood pressure by reducing the spasm of small arteries (called arterioles), which precede the capillaries. In other words, they are intended to temporarily relieve pressure on the prostate, slightly improving urination and partially alleviating pain. That is all. There is no other therapeutic effect. There is no need to imagine or convince yourself otherwise. Those who benefit from this scheme are the ones interested in emptying your wallet. Reliable sources also highlight safe medications for BPH that provide true symptom relief and minimize side effects.

Usage and List of Names

They are reasonably used in patients with a large prostate volume (where the spasm-relieving effect is most likely), in combination with secondary hypertension of the 2nd or 3rd degree (systolic blood pressure reaching 180 mmHg, diastolic 110 mmHg). This is on the condition that their use reduces painful symptoms. In other cases, including those described in the instructions, they are effective for very few people.

Here is a list of the most common alpha–1 adrenoceptor blockers: “Alfuzosin,” “Alfuprost,” “Artesin,” “Dalfaz,” “Doxazosin,” “Hyperprost,” “Zoxson,” “Kamiren,” “Cardura,” “Cornam,” “Omnic,” “Omsulosin,” “Proflosin,” “Revocarin,” “Setegis,” “Sonizin,” “Tamsulosin,” “Terazosin,” “Tonokardin,” “Taniz-K,” “Tulozin,” “Tamzelin,” “Urorec,” “Urokard,” “Fokusin,” “Hytrin” (or “Hitrin”). The last name in Russian sounds somewhat like a sly trick, clearly prompting corresponding reflections. That is not all; there are subtypes like “Omnic Ocas” and “Omnic Super,” and other combinations such as “Cardura Neo,” “Tamsulosin Retard,” “Taniz ERAS.”

These medications provide only limited symptomatic relief and should not be regarded as a cure. Patients seeking real improvement in urination and prostate function must consider lifestyle, diet, long-term management strategies, and comprehensive BPH treatment plans alongside medication. Understanding alpha-blocker therapy, symptom relief for BPH, and other pharmacological options for prostate enlargement is essential for safe and effective management.

Wide Range of Choices – Is It Necessary?

This list of medications was created for treating just one combination of disease manifestations! Someone has to sell it, so shameless lying in descriptions begins, while technically not violating laws (they themselves make them up and dictate them to authorities for approval). Based on the above, choosing is often meaningless. If treatment with Omnic is ineffective, it is unlikely that Fokusin will work. Here, I must emphasize one important point about the properties of the most advertised so-called pills for prostate symptoms and treatment. For example, Omnic does not treat prostatitis, meaning it contains no antibiotics, and only helps (if it works) relieve urination. Considering the many negative side effects of its use, which the manufacturer only partially discloses, even today, the medication should be used with caution, especially by young people, even if prescribed by a medical professor. Where stale bread is sold, they never tell you where fresh and fragrant bread is available nearby. The same applies to modern medicine. Nowhere in medication instructions will you read that there are rules for nutrition, therapeutic exercises, breathing, and training of the prostate muscles (more precisely, the muscles surrounding it), the use of which allows for completely harmless and much more reliable stabilization of blood pressure and improvement of blood circulation (nowadays often referred to as blood flow)**.

Inhibitors

The next remedy is 5-alpha-reductase inhibitors. These are supposedly medications for treating the prostate that suppress the production of testosterone by the endocrine system – the presumed intermediate factor in the growth of hyperplasia. The effect may or may not appear a couple of months after starting treatment, not earlier (imagine how much the body has to process!). The manufacturer states that upon discontinuation, the functions of the internal secretion glands are restored, meaning the drug is minimally effective and has a pronounced temporary effect. But this is only on paper, in what is called the medication description. That paper is only good for the bathroom. In more serious and reliable sources, such assumptions do not even exist. Simply put, treatment with these medications is highly conditional. Here is a list of inhibitors: “Avodart,” “Alfinal,” “Zerlon,” “Penester,” “Proscar,” “Prosterid,” “Finast,” and combinations of finasteride with tamsulosin – “Sonirid Duo.” The situation is the same. Asking which is better, Finasteride or Proscar, makes more nonsense than sense. Nowhere will you learn that it is possible to fundamentally change your metabolism, and even achieve much more, through a combination of health-improving activities (including physical exercises for the prostate, movement) together with a balanced diet***.

Benign Prostatic Hyperplasia and Dietary Supplements

The two types of medicinal treatments described above are considered official. But when legalized pharmacology proves powerless, and this weakness quickly becomes apparent, scams find ample room to operate. On pharmacy shelves, tons of products are marketed under various names: dietary supplements, homeopathic remedies. They are promoted so effectively that many people mistakenly consider them genuine medications for treating an unhealthy prostate. Some doctors even prescribe them. The best description for these products would be “placebos” or “soap bubbles.” Their usage instructions contain vague and general phrases, making it impossible to determine any real physiological effect – in fact, there is none. However, they find buyers largely due to aggressive television advertising on one hand, and patients’ poor awareness on the other. Some examples include: “Gentos,” “Prostaplastin,” “Prostamol,” “Prostasabal,” “Vitaprost,” “Afala,” “Pravenor,” “Ziman,” “Cefagil,” “Tribestan.” Today they have these names; tomorrow the labels will change and new products will appear. It is not far-fetched to suggest that soon there may be “Afala New,” “Gentos Gold” (the second word means gold in English), “Prostamol We Best” (translated as “the best”), or “Prostasabal Brilliant.” Again, the packaging will change, and the price may be one and a half to two times higher than usual.

In recent years, the number of these products has been increasing exponentially, making them impossible to track. Other unscrupulous manufacturers falsely claim that they combine their new developments with ancient folk remedies. They frequently and heavily exploit bee products, offering bee corpses, royal jelly (which is more valuable than gold, and where could one possibly collect enough?), propolis, or propolis honey in their formulations.

About Honest and Dishonest Reviews on Medications

All positive online reviews about such “medications” are false, created by interested parties (the manufacturers themselves, often large wholesale distributors). They post these reviews not only on their main websites, but also create subsidiary sites, monitor public forums, and insert the desired opinions. The prostate, however, does not recognize such medications as effective.

Side Effects

Someone once said that most doctors have their own graveyard; I would add that an equally large number of medications do too. All instructions prescribe long-term use (two to three months or more) of the above-mentioned drugs. Problems arising after their use include not only a significant reduction in sexual activity or impotence. The inorganic and organic components of the tablets (magnesium and potassium stearates, carbomers, polyethylene oxide, cellulose, talc, kaolin, etc.) overload the kidneys and liver, potentially causing complications in their functioning. Furthermore, depending on individual vulnerabilities, additional disorders may appear. These are the “modern, new, and newest” drug-based methods of treating BPH offered by today’s medical entrepreneurs.

Is Doing Nothing the Right Choice?

For all these reasons, experienced and conscientious doctors (they still exist), at the early stages of the disease, after appropriate diagnostics and if there is no inflammation, advise patients to do nothing. They understand that within the knowledge dictated by pharmacology, and from which they must operate, there are no truly effective medications. Physiotherapy is completely ineffective if not combined with therapeutic exercise. In today’s commercial age, promoting movement is not profitable. Low-frequency laser therapy alone is powerless; orthomolecular therapy is suitable not as a treatment for hyperplasia without surgery, but only as prevention. By exploiting this theme, the uninformed male population is brazenly deceived not only by the constantly emerging new medications, but also by all kinds of useless devices flooding the market. These include devices like “Mavit” and its numerous clones. Extenders (primitive pumps) and their derivatives have nothing to do with health improvement (simply nonsense). Over time, all their names will be updated as the old ones fully discredit themselves. Magnetic and quantum therapies are entirely fraudulent in this context.

Folk Remedies for the Prostate

Dangerous Misconceptions and Temporary Relief

“…you don’t need to deceive me, I’m happy to deceive myself.” Now, let’s discuss vasodilating and warming ointments and creams for prostatitis and BPH. These have already been called “folk remedies,” and interest in them arises on the principle: somewhere, for someone, they helped, they are inexpensive, and most importantly – nothing needs to be done except apply them. Even some official doctors comment online that such ointments can be used as treatment for benign prostatic hyperplasia and prostatitis. But this is simply not acceptable!

This is the same principle by which grandmothers write to popular newspapers about their grandfathers. They invent a compress, relieve painful symptoms for a couple of weeks, and then claim that the prostate has been cured. And what about tomorrow? Of course, nobody knows, and there will be no follow-up letters to the editor about the return of symptoms.

Warming ointments and creams expand blood vessels and draw oxygen to the area where they are applied. The logic seems reasonable. According to all the rules, temporarily increased circulation initially improves well-being, and even potency. But! When applied to the perineum, heating the tissues around the prostate, the arteries, arterioles, capillaries, and the gland itself, once the effect of the ointment ends, the same blood vessels influenced by the ointment and increased heat dissipation will begin to constrict. Over time, they may constrict more than they expanded from the sudden thermal effect and the change in water balance in the area. Dehydration is one of the most hidden and insidious enemies of the cardiovascular system and the prostate in middle age, leading to a significant deterioration in blood supply. This procedure does not solve the problem; on the contrary, it can worsen it. The patient, however, will likely attribute this to the incurability of the disease and its progression, rather than to complications from using a warming ointment.

Furthermore, if too much ointment is applied – which is very easy to do – there is a high likelihood of a minor burn, which further compromises the already limited elasticity of the pelvic area. In addition, in nearby tissues, the opposite process occurs. That is, constriction happens due to even minor fluctuations in blood pressure caused by the initial expansion (you cannot deceive nature). Therefore, it is easy to worsen your problems by applying the ointment for therapeutic purposes, for example, to the lower back (the prostate is nearby). Finally, even in the instructions for such products, it is indicated that the duration of use should be limited (they never give this warning spontaneously). So, a piece of advice for risk-takers: if you attempt treatment with such ointments or creams as folk remedies, do not hesitate to find out which culture or people this “recipe” actually comes from.

BPH in Men: Where Is the Right Path to Treatment?

“..twist, turn, I want to deceive” (a standard phrase of street scammers). Once, while watching a television news report, I noticed a young female journalist interviewing a middle-aged man. He had been sold – or rather “foisted upon” – a regular, but well-disguised heating pad (bright and in attractive packaging) as a “brilliant invention” for combating BPH and chronic prostatitis, priced like a used car. Exposing the scammers and highlighting the legal helplessness of ordinary people, the reporter gave what she considered the only correct advice: “Consult doctors of official medicine. They will treat you with medications.”

Kind people, that man, I am certain, had visited more than one doctor before finding the heating pad! Tens of thousands of people visit countless private and public clinics every day in the hope of help! But proper help is rarely provided because doctors simply do not know how, leading patients “by the nose” and thus resembling street scammers themselves. Only once did I hear truthful words from the Minister of Health of my country (already retired): “Medications are the worst option for solving your health problems; at best, they maintain it for a year or two. A rational lifestyle can add ten years or more.” Imagine broadcasting this phrase on prime-time slots of all major television channels and updating it periodically. Then the nation would indeed be healthier.

Capital Rules the World

More than twenty years ago, the global oligarchy in pharmacology and pharmaceuticals, taking advantage of the incompetence of ruling authorities, acquired virtually for free a fantastically promising market in the countries of the former socialist bloc and developing nations. In a short time, they turned it into a kind of testing ground. Here, mainly commercial ideas are implemented, and these projects have nothing to do with human health. The medical magnates hide behind the slogan: “Let it be ineffective, let there be mistakes, but truth is born through experimentation.”

The pharmaceutical business is one of the most profitable sectors in the economy. Its owners, earning billions and filling warehouses (not pockets) with money, dictate their interests to authorities and establish strict rules for the liquidity of their products. In this chain, doctors play a key role. They, so to speak, work under “iron rules.” Official instructions require them to rely exclusively on chemical medications. Any deviation is considered heresy. Official medicine, or rather pharmacology, has long reached a dead end, not only in urology, and resembles a medieval inquisition. Anything outside this system is labeled heretical. The largest portion of television advertising is devoted to “medications.” At one point, Ukraine attempted to ban such advertising, but nothing effective resulted.

Pharmacies are the most privileged commercial establishments. There, it is never possible to return a product if the purchased medicine does not help. No quality control mechanisms exist for the pills sold. In Ukraine, for example, prescription requirements have been almost entirely abolished. Pharmacists often serve as both sellers and consultants. Patients, driven by despair and ignorance, have only one path, which often ends in a dead end.

Knowledge Is Power!

It is widely known: to earn a living, one must work. Yet few understand that to maintain health, effort is also required (although less). For both the prevention and restoration of the prostate, as well as its strengthening, there is therapeutic exercise. However, it involves many rules, and its healing effect is possible only after acquiring specific knowledge. Simply taking a morning walk, performing a set of exercises, or swimming in a pool does not automatically put one on the path to true health.

Humanity has made many discoveries and accumulated knowledge in human physiology, and this knowledge must be applied in the process of health improvement. Starting is often difficult. Changing one’s lifestyle is never easy. But if you make this effort correctly, results will appear quickly, and excellent well-being will bring optimism and energy. Meanwhile, all so-called “hypnotists and societal healers” will completely lose their influence over your mind. Do not hesitate to ask yourself questions about your health. Seek well-founded, scientifically proven answers. Study your body, avoid harm, and protect it. In most situations, no one can help your consciousness better than yourself.

** – The term “self-treatment” always and everywhere refers to the independent use of pharmacological drugs, without a doctor’s prescription. It does not apply to therapeutic exercise, as modern medicine does not use it for health improvement. In recent years, there have been neither serious directions nor practical research, nor qualified doctors in this field.

Respectfully, the website author, Gennadiy Plotyan, Ukraine.

***- Non-drug method “Without Benign Prostatic Hyperplasia” in translations to other languages: Deutsch, Français, Italiano, Español, العربية, Português, Język Polski, Türkçe, Українська, Русский.
This topic is also presented in: Українській, العربية, Italiano, Français, Język Polski, Deutsch, Türkçe, Español, Português, Русском.