Mens Health

Question 1

Which drugs can cause hyperprolactinaemia?

Answer 1

Methyldopa
Metoclopramide
Cimetidine
Phenothiazines

Question 2

When would a patient with ED having treatment be classified as a non-responder?

Answer 2

A patient should receive 6 doses at the maximum dose before being classified as a non-responder

Question 3

How is BPH diagnosed?

Answer 3

Prostate-specific antigen (PSA)
Transrectal ultrasound
International prostate symptom score (IPSS), rate of 0-7

Question 4

What is the IPSS?

Answer 4

Questions include: incomplete emptying, frequency, intermittency, urgency, weak stream, nocturia, straining
1-7= mild
8-19= moderate
20-35= severe

Question 5

What is the non drug treatment for BPH?

Answer 5

Watchful waiting if symptoms are mild and have ruled out anything else
Surgery- transurethral incision of the prostate (TUIP)
-transurethral resection of the prostate (TURP)

Question 6

What is the drug treatment for BPH?

Answer 6

Alpha blockers e.g tamsulosin (flowmax) OTC- relaxes bladder mucles, offer to men with moderate to severe symptoms
Finasteride (proscar), reduces prostate size, offer if more then 30g and at high risk of progression and severe symptoms

Question 7

What are the cautions of phosphodiesterase 5 inhibitors?

Answer 7

Angina treatment as decreases BP