Email this article Use of alpha-adrenoblockers intherapy of benign prostatic hyperplasia in patients with arterial hypertension
- Authors: Mazo EВ1, Shashin MN1
-
Affiliations:
- РГМУ
- Issue: Vol 79, No 10 (2004)
- Pages: 72-74
- Section: Editorial
- URL: https://journal-vniispk.ru/0040-3660/article/view/29927
- ID: 29927
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Full Text
Abstract
Aim. To compare efficacy and tolerance of tonocardin (doxazosin) and omnik (tamsulosin) in the
treatment of benign prostatic hyperplasia (BPH) in hypertensive patients.
Material and methods. Group 1 patients (n = 115, age 44-81 years) with BPH and mild or moderate
arterial hypertension (AH) treated with one antihypertensive drug (ACE inhibitor - 48, calcium antagonist - 26, beta-blocker - 22, diuretic - 19) were given tonocardin in a single daily dose from 1
to 4 mgfor 12 weeks. Group 2 patients (n ~ 30, age 67-81 years) with BPH and severe AH treated
with two antihypertensive drugs and more were given omnik in a single daily dose 0.4 mgfor 12 weeks.
Results. In group 1, tonocardin treatment resulted in lowering of a total symptoms score by IPSS scale
from 17.5 ± 3.6 to 14.7 ± 1.3 points, of quality of life from 4.3 ±0.7 to 3.9 ± 0.3, in a rise of maximal velocity of urine flow (Qmax) from 7.8 ± 1.2 to 9.4 ± 0.6 ml/s; residual urine (R) reduced from
112.4 ± 8.6 to 64.5 ± 10.2 ml). Systolic arterial pressure went down from 150.5 ± 13 to
139.8 ± 13.3 mm Hg, diastolic pressure fell from 86.9 ± 6.1 to 80.8 ± 7.1 mm Hg. In group 2, omnik
resulted in IPSS scale points lowering from 17. 7 ± 3.5 to 15 ± 1.1 , QOL from 4.5 ± 0.2 to
3.8 ± 0.2, Qmax from 7.4 ± 1.1 to 9.2 ± 0.5 ml/s, Rfrom 107.5 ± 12.7 to 63.4 ±9.7 ml. Arterial
pressure did not change much.
Conclusion. Tonocardin and omnik are effective and safe not only in the treatment of BPH but also of
BPH combination with AH.
treatment of benign prostatic hyperplasia (BPH) in hypertensive patients.
Material and methods. Group 1 patients (n = 115, age 44-81 years) with BPH and mild or moderate
arterial hypertension (AH) treated with one antihypertensive drug (ACE inhibitor - 48, calcium antagonist - 26, beta-blocker - 22, diuretic - 19) were given tonocardin in a single daily dose from 1
to 4 mgfor 12 weeks. Group 2 patients (n ~ 30, age 67-81 years) with BPH and severe AH treated
with two antihypertensive drugs and more were given omnik in a single daily dose 0.4 mgfor 12 weeks.
Results. In group 1, tonocardin treatment resulted in lowering of a total symptoms score by IPSS scale
from 17.5 ± 3.6 to 14.7 ± 1.3 points, of quality of life from 4.3 ±0.7 to 3.9 ± 0.3, in a rise of maximal velocity of urine flow (Qmax) from 7.8 ± 1.2 to 9.4 ± 0.6 ml/s; residual urine (R) reduced from
112.4 ± 8.6 to 64.5 ± 10.2 ml). Systolic arterial pressure went down from 150.5 ± 13 to
139.8 ± 13.3 mm Hg, diastolic pressure fell from 86.9 ± 6.1 to 80.8 ± 7.1 mm Hg. In group 2, omnik
resulted in IPSS scale points lowering from 17. 7 ± 3.5 to 15 ± 1.1 , QOL from 4.5 ± 0.2 to
3.8 ± 0.2, Qmax from 7.4 ± 1.1 to 9.2 ± 0.5 ml/s, Rfrom 107.5 ± 12.7 to 63.4 ±9.7 ml. Arterial
pressure did not change much.
Conclusion. Tonocardin and omnik are effective and safe not only in the treatment of BPH but also of
BPH combination with AH.
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