The Medical Letter on Drugs and Therapeutics
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1303
Silodosin (Rapaflo) for Benign Prostatic Hyperplasia
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Silodosin (Rapaflo – Watson Pharmaceuticals), an alpha1a-adrenoreceptor selective antagonist, has been approved by the FDA for treatment of benign prostatic hyperplasia (BPH). Some medications for BPH are listed in the table on page 4. Alpha1 blockers are commonly used with 5α-reductase inhibitors such as finasteride, which can shrink the size of the prostate, but may take months to do so.1

MECHANISM OF ACTION — Non-selective alpha1 blockers antagonize alpha1a adrenoreceptors in the bladder neck and prostate, helping relax smooth muscle tone and relieving obstructive urinary symptoms, and also inhibit alpha1b adrenoreceptors in vascular smooth muscle, causing relaxation of vascular tone, postural hypotension and syncope. The selective alpha1a antagonism of silodosin is claimed to reduce bladder tone with less risk ... more      

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Title: Silodosin (Rapaflo) for Benign Prostatic Hyperplasia
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