Article: Use of pharmacologic agents to treat concomitant hypertension and BPH

ABSTRACT

Hypertension (HTN) and benign prostatic hyperplasia (BPH) occur together in many middle-aged and elderly men, up to 44% by one estimate. The alpha antagonists doxazosin and terazosin are the only pharmaceutical treatments approved to treat both hypertension and BPH. The other agents approved for BPH-finasteride, a 5-alpha inhibitor, and tamsulosin, another alpha antagonist-require a second agent to manage hypertension. Both doxazosin and terazosin are effective when used as oncedaily monotherapy, which is likely to improve medication adherence and lower acquisition costs in these patients. Side effect profiles are somewhat similar for all four agents; however, alpha antagonists ...

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