Q. What is the harm of stopping Veltam plus in a person with BPH?

Answered by Dr. Shahil Khant and medically reviewed by iCliniq medical review team.

 

New
Do you have a question on Benign Prostatic Hyperplasia or Dutasteride? We have medical experts to help you right away. Ask a Doctor Now »
Image: What is the harm of stopping Veltam plus in a person with BPH?

Hello doctor,

My father, 74 years of age, has BPH. He had UTI four years ago and was diagnosed with BPH. PSA was 60 and last three years was on Urimax and past few months on Veltamplus. His PSA is 0.9 prostate size 45 cc and PVR is 70 ml. His symptoms have been the urinary frequency of every two hours all these four years. One doctor has asked to continue the medication. On a recent visit to the second doctor, the new doctor asked to stop the medication. So, I wanted a third opinion. What is the harm if we stop? What is the benefit of continuing it? The medication lowers blood pressure. So, it is down from the 70s to 50s.


Related Questions:
I am urinating less in the morning when compared to later hours. Why?
Kindly tell me the best medicine to cure prostate enlargement.
Is surgery necessary for a mild benign prostatic hyperplasia?
 

Dr. Shahil Khant
MBBS., M.S SURGERY., DNB UROLOGY
Andrology, General Surgery, Urology

Hello,

Welcome to icliniq.com.

I would suggest you continue medicines as at present his flow (which is good) and postvoid (which is less, it should be less only) are because of medicines. I think if he stops the medicines then his urinary symptoms may get worse or postvoid may also increase.

There is no harm in taking medicines. Veltam plus (Tamsulosin and Dutasteride) may cause postural hypotension. If he is suffering from severe postural hypotension then he can stop Veltam plus.

So harms of stopping are: His urinary symptoms may worsen. His postvoid may increase. He may develop UTI (urinary tract infection).

Regarding frequency which is every two hours, I think at 74 years it is fine. Just continue as it is. Because apart from prostate there are many age-related changes in the bladder which cause these symptoms and which are inevitable and irreversible.

Until and unless very bad frequency like every half an hour then only intervene. Make some lifestyle changes like drink less water at night before bed. Avoid or reduce drinks which cause diuresis like coffee and tea.

For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist

 
 
Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Related Questions & Answers


Semen volume has drastically reduced after Consistam D. Please suggest a remedy.
Query: Hello doctor, I am a 46 year old male. I was diagnosed with prostatomegaly (enlarged prostate, 23.48 gm) with significant post void urine volume (86 ml). The doctor prescribed Consistam D once daily. After taking for 40 days, the urge to urination reduced but semen volume and pleasure in sex drastic...  Read Full »
Dr. Shahil Khant
Urologist

Answer: Hello, Welcome to icliniq.com. I think 23 g prostate is not very enlarged. These sexual symptoms are due to Dutasteride which is one of the contents of Consistam D. I think you should stop Consistam D and take only Tamsulosin 0.4 mg. (you do not require Dutasteride). Semen volume is low because o...  Read Full »
 
My ejaculate does not come out and gets stuck during orgasm. Please advice.
Query: Hello doctor, I am 45 years old, male, and taking Dutasteride for ten years. Gradually, over the past two years, I have been seeing a change in my ejaculation. At the point of orgasm, the ejaculate no longer comes out. But this is definitely not retrograde ejaculation. The ejaculate gets stuck at t...  Read Full »
Dr. Karthik Rajan
Urologist

Answer: Hi, Welcome to icliniq.com. I have gone through your query, I would like to know a few more details about your symptoms. How is your urinary flow, do you have to strain? Have you had any endoscopic procedure or catheterization done in your urethra? Are you only on Dutasteride or do you take alpha-...  Read Full »
 
 

Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.
 

Ask a Doctor Online

* guaranteed answer within 4 hours
 

Most Viewed


Ankylosing Spondylitis
This article discusses about the causes, pathology, clinical features, musculoskeletal manifestation, investigation and ...Read more »
Is having severe leg pain during pregnancy normal?
Hello doctor, There is a complaint of severe pain in both the legs in my wife who is 14 weeks pregnant. She is unable t ...Read more »
The pulse rate started to fall after giving Epinephrine in a 4-year-old child. Kindly give your opinion.
Hello doctor, I am reviewing the patient care of a 4-year-old child diagnosed with the flu. He was having trouble breat ...Read more »