TAMSULOSIN (FLOMAX) - Doctor's Guide to Taking!

Erik Richardson D.O.
2 Aug 202204:49

Summary

TLDRIn this video, Dr. Richardson discusses Tamsulosin (Flomax), a commonly prescribed medication for men with prostate issues. He explains how it works to relieve symptoms of benign prostatic hypertrophy (BPH), such as frequent urination, by relaxing smooth muscles in the prostate and bladder. The video covers the proper dosage, potential side effects like dizziness and sexual dysfunction, and precautions for those undergoing eye surgery. Overall, Tamsulosin can significantly improve quality of life for men suffering from BPH, despite its potential side effects.

Takeaways

  • πŸ’Š Tamsulosin, also known as Flomax, is a commonly prescribed medication for prostate issues.
  • πŸ” It belongs to a class of drugs called alpha blockers, which help control smooth muscle contractions in the urinary tract.
  • 🌱 Tamsulosin is primarily used to treat benign prostatic hypertrophy, a condition where the prostate enlarges and makes it difficult for the bladder to empty.
  • 🚽 The medication works by relaxing the smooth muscles in the prostate and bladder, allowing for better urine flow and reducing frequent urination.
  • πŸ’‘ It can also be used to assist in the passage of kidney stones by relaxing the muscles in the ureters.
  • πŸ’‘ Additionally, it may be prescribed for overactive bladder conditions.
  • πŸ’‘ Tamsulosin comes in a 0.4 milligram capsule, with a starting dose that may increase to 0.8 milligrams if symptoms persist.
  • ⏱️ It is recommended to take the medication 30 minutes after the same meal every day for optimal effectiveness.
  • πŸ”‘ The medication starts working quickly, with noticeable differences often seen within a couple of days.
  • ⚠️ Potential side effects include lightheadedness, dizziness, headaches, sleeplessness, nausea, and blurry vision.
  • πŸ›‘ Serious side effects are rare but include low blood pressure, heart rhythm problems, allergic reactions, and severe skin rashes, which require immediate medical attention.
  • πŸ‘οΈ A specific condition to be aware of is intraoperative floppy iris syndrome, which can occur during eye surgeries for patients on Tamsulosin.

Q & A

  • What is tamsulosin (Flomax) commonly prescribed for?

    -Tamsulosin (Flomax) is commonly prescribed for treating benign prostatic hypertrophy (BPH), which is an enlarged prostate, and it can also help in the passage of kidney stones and treat overactive bladder.

  • How does tamsulosin help with an enlarged prostate?

    -Tamsulosin helps by relaxing the smooth muscles in the prostate and bladder, allowing better passage of urine and helping to drain the bladder more effectively.

  • What are alpha blockers and how do they work?

    -Alpha blockers are medications that block alpha receptors found in smooth muscles, helping to control muscle contraction. In the context of tamsulosin, they relax the muscles in the urinary tract to improve urine flow.

  • What is the typical dosage of tamsulosin for treating an enlarged prostate?

    -The typical dosage of tamsulosin for treating an enlarged prostate starts at 0.4 milligrams once daily, which can be increased to 0.8 milligrams daily if symptoms are not controlled after two to four weeks.

  • How soon can one expect to see improvements after starting tamsulosin?

    -Improvements can be noticed within a couple of days if the medication is going to be effective.

  • What are some common side effects of tamsulosin?

    -Common side effects include lightheadedness when standing up quickly, dizziness, headaches, sleeplessness, nausea, and blurry vision.

  • Can tamsulosin affect sexual function?

    -Yes, tamsulosin can affect sexual function. Some people may experience erectile dysfunction, decreased libido, and retrograde ejaculation.

  • What should you do if you experience severe side effects from tamsulosin?

    -If you experience severe side effects such as passing out, heart rhythm problems, allergic reactions, or severe skin rashes, you should contact your doctor immediately.

  • What is intraoperative floppy iris syndrome and why is it relevant for tamsulosin users?

    -Intraoperative floppy iris syndrome is a condition that can occur during eye surgeries like cataract or glaucoma operations when the patient is taking tamsulosin. It is important to inform the surgeon about tamsulosin use as it may change the surgical approach.

  • How should tamsulosin be taken for the best effectiveness?

    -For best effectiveness, tamsulosin should be taken 30 minutes after the same meal every day.

Outlines

00:00

πŸ’Š Introduction to Tamsulosin (Flomax)

In this video, we discuss tamsulosin, also known as Flomax, a commonly prescribed medication for prostate issues. It helps men who frequently wake up at night to urinate or have to stop often during car rides. We will cover the best way to take this medication and its side effects.

🩺 How Tamsulosin Works

Tamsulosin belongs to a class of medications called alpha blockers, which block alpha receptors in smooth muscles. These receptors are found in blood vessels and the urinary tract, particularly the bladder and prostate. Tamsulosin relaxes these muscles, helping with conditions like benign prostatic hypertrophy (BPH), where the prostate enlarges, making it difficult to empty the bladder.

πŸ’‘ Uses of Tamsulosin

While tamsulosin is primarily used for an enlarged prostate, it also helps with the passage of kidney stones and sometimes in treating overactive bladder. The medication relaxes muscles in the ureters, easing the passage of stones from the kidneys to the bladder.

πŸ’Š Dosage and Administration

Tamsulosin is available in a 0.4 mg capsule, typically taken once a day after the same meal. The dosage can be increased to 0.8 mg daily if needed. It usually starts working within a few days but only remains effective while being taken. Stopping the medication will likely result in the return of symptoms.

⚠️ Common Side Effects

Most people tolerate tamsulosin well, but some may experience lightheadedness when standing up quickly, dizziness, headaches, sleeplessness, nausea, and blurry vision. These side effects are generally manageable but should be monitored.

🚫 Sexual Side Effects

Tamsulosin can affect sexual health, with potential side effects including erectile dysfunction, decreased libido, and retrograde ejaculation. These issues are relatively uncommon, affecting 1-5% of users, but should be considered.

⚠️ Serious Side Effects

Serious side effects, though rare, include significant drops in blood pressure, heart rhythm problems, allergic reactions, and severe skin rashes. If any of these occur, contact your doctor immediately.

πŸ‘οΈ Intraoperative Floppy Iris Syndrome

Tamsulosin can cause intraoperative floppy iris syndrome during eye surgeries like cataract or glaucoma operations. Patients should inform their surgeons if they are taking or have taken tamsulosin to adjust the surgical approach accordingly.

πŸ“ Conclusion

Despite the extensive list of potential side effects, tamsulosin is generally well-tolerated and can significantly improve life quality for those with an enlarged prostate. If recommended by your doctor, it can be a game-changer. Share your experiences with this medication in the comments. Thank you for watching.

Mindmap

Keywords

πŸ’‘Tempo Solocin

Tempo Solocin, also known as Flomax, is a medication that is commonly prescribed for prostate problems. It is an alpha blocker, which means it works by blocking alpha receptors in smooth muscles, aiding in the relaxation of muscles in the urinary tract, specifically the bladder and prostate. In the video, it is discussed as a potential solution for men who experience frequent urination due to an enlarged prostate, helping them to have a better night's sleep.

πŸ’‘Benign Prostatic Hypertrophy (BPH)

Benign Prostatic Hypertrophy, or BPH, is a condition where the prostate gland enlarges over time, making it difficult for the bladder to empty completely. This leads to a frequent urge to urinate, which is one of the main reasons tamsulosin is prescribed. The script explains that tamsulosin helps to relax the muscles in the prostate and bladder, allowing for better urine flow and reducing the frequency of trips to the bathroom.

πŸ’‘Alpha Blockers

Alpha blockers are a class of medications that block alpha receptors in smooth muscles, including those found in blood vessels and the urinary tract. They are used to control muscle contraction and are particularly relevant in the context of the video because tamsulosin, as an alpha blocker, helps to relax the muscles in the prostate and bladder to improve urine flow. The script mentions that these medications were initially developed for blood pressure control but are also effective for prostate issues.

πŸ’‘Kidney Stones

Kidney stones are hard deposits that form in the kidneys and can cause severe pain when they pass through the urinary tract. The video script mentions that tamsulosin can be used to help with the passage of kidney stones by relaxing the muscles in the ureters, making it easier for the stones to pass and reducing the associated discomfort.

πŸ’‘Overactive Bladder

An overactive bladder is a condition where the bladder contracts involuntarily, leading to a sudden urge to urinate. The script discusses that tamsulosin, under the brand name Flomax, can be used to treat this condition, suggesting that its muscle-relaxing properties can also be beneficial for individuals with an overactive bladder.

πŸ’‘Dosage

The dosage of tamsulosin, or Flomax, is an important aspect of the medication's use. The script specifies that the medication comes in a 0.4 milligram capsule and is typically taken once a day. If symptoms persist, the dosage may be increased to 0.8 milligrams daily after a period of two to four weeks. The dosage is crucial for ensuring the medication's effectiveness and managing side effects.

πŸ’‘Side Effects

Side effects are potential adverse reactions that can occur with the use of any medication, including tamsulosin. The video script outlines several side effects to watch out for, such as lightheadedness when standing quickly, dizziness, headaches, sleeplessness, nausea, and blurry vision. It also mentions more serious side effects that require immediate medical attention, emphasizing the importance of monitoring one's response to the medication.

πŸ’‘Intraoperative Floppy Iris Syndrome (IFIS)

Intraoperative Floppy Iris Syndrome, or IFIS, is a rare condition that can occur during eye surgeries such as cataract or glaucoma operations for patients taking medications like tamsulosin. The script warns viewers to inform their surgeon about the use of tamsulosin before eye surgery, as it may affect the surgical approach, although it is not a common concern for most patients.

πŸ’‘Erectile Dysfunction

Erectile dysfunction is the inability to achieve or maintain an erection sufficient for sexual intercourse. The script mentions that in some studies, between one to five percent of people using tamsulosin may experience erectile dysfunction as a side effect. This is an important consideration for men considering the use of this medication for prostate issues.

πŸ’‘Decreased Libido

Decreased libido refers to a reduced sex drive. The video script includes this as a potential side effect of tamsulosin, noting that it may affect some individuals' sexual life. It is one of the sexual function-related side effects that patients should be aware of when taking this medication.

πŸ’‘Retrograde Ejaculation

Retrograde ejaculation is a condition where semen is directed into the bladder instead of being expelled through the urethra during orgasm. The script mentions this as a rare side effect that some people may experience while taking tamsulosin, affecting their sexual function and requiring monitoring.

Highlights

Tempo Solocin, or Flomax, is the most commonly prescribed medication for prostate problems.

Flomax is used to treat benign prostatic hypertrophy, helping with frequent urination and difficulty emptying the bladder.

Tamsulosin relaxes smooth muscles in the prostate and bladder, improving urine flow.

Flomax can also assist in the passage of kidney stones by relaxing ureter muscles.

Tamsulosin is sometimes used for overactive bladder conditions.

Flomax is easy to take, coming in a 0.4 milligram capsule, with a possible increase to 0.8 milligrams if needed.

For optimal effectiveness, Flomax should be taken consistently 30 minutes after the same meal daily.

Patients may notice improvements within a couple of days of starting Flomax.

Flomax does not cure an enlarged prostate but temporarily alleviates symptoms.

Common side effects of Flomax include lightheadedness, dizziness, headaches, and sleeplessness.

Sexual side effects such as erectile dysfunction and decreased libido are rare but possible with Flomax.

Intraoperative Floppy Iris Syndrome is a rare condition associated with Flomax use during eye surgery.

Serious side effects like low blood pressure, heart rhythm problems, and allergic reactions require immediate medical attention.

Tamsulosin has been well-tolerated by the majority of patients, significantly improving quality of life for those with prostate issues.

Dr. Richardson emphasizes the importance of discussing Flomax with a doctor if it's deemed the right medication.

The video encourages viewers to share their experiences with Flomax in the comments section.

Transcripts

play00:00

today we're talking about temp solocin

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or flomax the most commonly prescribed

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medication for those annoying prostate

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problems if you're a guy and are sick of

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waking up all night long going to the

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bathroom or if you're done with avoiding

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car rides because you have to stop every

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half hour then this is the video for you

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because today we're going to go over how

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to best take this medication as well as

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review some of the side effects that you

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should be watching out for so you can

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get a better night's sleep camsylosum

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belongs to a class of medication called

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alpha blockers these are medications

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that block the alpha receptors that are

play00:27

found in smooth muscles and help control

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contraction they are found in blood

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vessels but in the context of tamsilosin

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they're also found in the urinary tract

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specifically the bladder and the

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prostate because of that the most common

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use of tamsilosin is the treaty

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condition we call benign prostatic

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hypertrophy this is where over time the

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prostate starts to enlarge making it

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more difficult for the bladder to empty

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when the bladder doesn't empty

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completely it takes a lot less time for

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it to feel full again hence this is why

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you're getting up so often to go to the

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bathroom what tamsulosin or flomax is

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trying to do is to relax the smooth

play00:57

muscles in the prostate and bladder to

play00:59

allow better passage of urine and

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hopefully drain the bladder better so an

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enlarged prostate is most common reason

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we give this medication but it's not the

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only reason the next most common reason

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we may give it would be to help in the

play01:09

passage of kidney stones if you've had a

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kidney stone you know how miserable it

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can be and we found that by giving

play01:15

tamsulosin it can help relax the muscles

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in the ureters or those tubes that

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connect the kidneys to the bladder and

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allow the stone to pass a lot easier

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it's also used sometimes in a condition

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called overactive bladder tamsilos inner

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flowmax can be a great medication that

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can change your life if it works for you

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it's pretty easy to take as well it

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comes in a 0.4 milligram capsule that is

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meant to be taken once a day for an

play01:35

enlarged prostate the typical dose

play01:36

starts at 0.4 milligrams and if your

play01:39

symptoms are still not controlled it can

play01:40

be increased to 0.8 milligrams daily

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after two to four weeks for this to be

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most effective though it's recommended

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that you take it 30 minutes after the

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same meal every day the great thing

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about this medication is that it should

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start working really fast if it's going

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to help you you should start noticing a

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difference within a couple days this is

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a medication though that only really

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works while you take it now it isn't

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really going to fix your large prostate

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it's just going to help open it up to

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drain the bladder so if you stop taking

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it your symptoms will likely return so

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overall this is a great medication can

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be a life changer for those who are

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really suffering from their enlarged

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prostate but it isn't without its

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potential side effects the vast majority

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of people do great on it without any

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significant problems but there are a few

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things that you should be watching out

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for probably the most common side effect

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that you may encounter is a feeling of

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lightheadedness with standing quickly

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alpha blockers like tamsulosum were

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actually first developed to be blood

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pressure medications so they can lower

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your blood pressure making you dizzy

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when you stand up too quick this is

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something that i typically see improve

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over time but in some cases it may be

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more significant so if you start

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noticing this then make sure you focus

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on standing up slower and let your

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doctor know if it's too severe other

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side effects to watch out for can be

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some dizziness headaches sleeplessness

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nausea and blurry vision now one thing

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we do need to talk about is that it can

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have an effect on your sexual life in

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some studies we've seen that between one

play02:55

to five percent of people may notice

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some symptoms like erectile dysfunction

play02:59

decreased libido and even what they call

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retrograde ejaculation where sema is

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directed into the bladder instead of out

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these aren't common and frankly i

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haven't had many patients complaining of

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these but it is something you may want

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to watch out for there are some rare

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more serious side effects that you do

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need to learn your doctor about if you

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start to notice them now we did talk

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about low blood pressure but sometimes

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it could be enough that patients have

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actually passed down there are also some

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reports of heart rhythm problems

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allergic reactions and some severe skin

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rashes that can be dangerous

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so if you notice any of these then

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contact your doctor right away now one

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last kind of weird thing i need to warn

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you about there is a condition called

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intraoperative floppy iris syndrome this

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is a specific issue that can happen when

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having eye surgery like cataract or

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glaucoma operations when you're on

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medications like pepsilos this isn't

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something you should worry yourself much

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about but if you need to go in for eye

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surgery make sure you tell your surgeon

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that you're on or have been on this

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medication because it may change the way

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that they approach their surgery i

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always cringe a little bit about going

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over a big list of side effects that are

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possible because it makes it sound much

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worse than it really is

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tamselson really is a medication that

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for the vast majority of people has

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tolerated really well and can be a life

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changer when you spend your life getting

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up four five or six times throughout the

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night or you're that guy that knows

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where every single bathroom is in town

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something like this can be a game

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changer so if your doctor thinks that

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this is the right medication for you

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hopefully you feel now a little more

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confident taking it and know exactly

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what to watch out for if you start

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having a problem with it so that's all

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we're going to say about tim sultan

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today we really appreciate you spending

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time with us and would love to hear

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about your experiences with this

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medication or anything else let us know

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in the comments below what you've been

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experienced while taking this medication

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but until next time i'm dr richardson

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with family mad and we want to thank you

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for watching and we'll see you in the

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next video

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[Music]

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Related Tags
Prostate HealthTamsulosinFlomaxBenign Prostatic HypertrophyKidney StonesAlpha BlockersUrinary IssuesMen's HealthMedication GuideSide Effects