Dutasteride + Tamsulosin
Find more information about this combination medication at the webpages for Dutasteride and Tamsulosin
Prostatic Hyperplasia
Advisory
- This medicine contains a combination of 2 drugs Dutasteride and Tamsulosin.
- Dutasteride and Tamsulosin are both used to treat the same disease or symptom but work in different ways in the body.
- Most doctors will advise making sure that each individual medicine is safe and effective before using a combination form.
Drug Status
Government Approvals
None
WHO Essential Medicine
NO
Known Teratogen
NO
Pharmaceutical Class
5-alpha Reductase Inhibitor and Alpha-Adrenergic Blocker
Controlled Drug Substance
NO
Summary
Dutasteride and Tamsulosin are used to treat benign prostatic hyperplasia (BPH), a condition where the prostate gland is enlarged. This can cause difficulty urinating, a weak urine stream, and frequent urination.
Dutasteride reduces the production of dihydrotestosterone (DHT), a hormone that enlarges the prostate. This helps to shrink the prostate over time. Tamsulosin relaxes the muscles in the prostate and bladder neck, improving urine flow and reducing BPH symptoms quickly.
The usual adult daily dose is one capsule containing 0.5 mg of Dutasteride and 0.4 mg of Tamsulosin. Both medications are taken once daily, about 30 minutes after the same meal each day, to maintain consistent blood levels and maximize effectiveness.
Common side effects include dizziness, ejaculation problems, decreased sex drive, and difficulty maintaining an erection. Dutasteride may also cause breast tenderness or enlargement, and Tamsulosin can cause low blood pressure when standing up quickly.
These medications should not be used by women, especially those who are or may become pregnant, as Dutasteride can harm a male fetus. Patients with liver disease should use these medications with caution. Patients should not donate blood while taking Dutasteride and for 6 months after stopping it.
Indications and Purpose
How does combination of Dutasteride and Tamsulosin work?
Dutasteride and Tamsulosin work together to alleviate symptoms of benign prostatic hyperplasia (BPH). Dutasteride is a 5-alpha reductase inhibitor that reduces the production of dihydrotestosterone (DHT), a hormone that causes prostate enlargement, thereby decreasing prostate size over time. Tamsulosin is an alpha-blocker that relaxes the muscles in the prostate and bladder neck, improving urine flow and reducing symptoms like difficulty urinating and frequent urination. Together, they provide both immediate and long-term relief from BPH symptoms by addressing different aspects of the condition.
How effective is combination of Dutasteride and Tamsulosin?
The effectiveness of Dutasteride and Tamsulosin in treating benign prostatic hyperplasia (BPH) is supported by clinical trials. Dutasteride has been shown to reduce prostate size and lower the risk of acute urinary retention and the need for surgery over time. Tamsulosin provides rapid relief of urinary symptoms by relaxing the muscles in the prostate and bladder neck. Studies have demonstrated that the combination of these medications offers superior symptom relief compared to either drug alone, providing both immediate and long-term benefits for patients with BPH.
Directions for Use
What is the usual dose of combination of Dutasteride and Tamsulosin?
The usual adult daily dose for the combination of Dutasteride and Tamsulosin is one capsule containing 0.5 mg of Dutasteride and 0.4 mg of Tamsulosin. Dutasteride is typically taken once daily to help shrink the prostate over time, while Tamsulosin is also taken once daily to provide immediate relief by relaxing the muscles in the prostate and bladder neck. Both medications are usually taken around the same time each day, approximately 30 minutes after the same meal, to maintain consistent blood levels and maximize effectiveness.
How does one take combination of Dutasteride and Tamsulosin?
Dutasteride and Tamsulosin should be taken once daily, approximately 30 minutes after the same meal each day to ensure consistent absorption and effectiveness. The capsules should be swallowed whole and not chewed, crushed, or opened, as this can affect the medication's efficacy and cause irritation. Patients are advised to avoid grapefruit juice while taking these medications, as it can interfere with the metabolism of the drugs. Consistency in timing and adherence to these instructions help maximize the benefits of the treatment.
For how long is combination of Dutasteride and Tamsulosin taken?
The typical duration of use for Dutasteride and Tamsulosin can vary depending on the individual's response to treatment and the severity of symptoms. Dutasteride may take 3 to 6 months to show full benefits, and it is often used long-term to maintain prostate size reduction. Tamsulosin provides quicker symptom relief and is also used long-term to manage urinary symptoms. Patients are usually advised to continue taking both medications as prescribed by their healthcare provider, even if they feel well, to maintain symptom control.
How long does it take for combination of Dutasteride and Tamsulosin to work?
Dutasteride and Tamsulosin work together to treat symptoms of benign prostatic hyperplasia (BPH). Tamsulosin, an alpha-blocker, typically starts to improve urinary symptoms within a few days to weeks by relaxing the muscles in the prostate and bladder neck. Dutasteride, a 5-alpha reductase inhibitor, may take longer to show effects, often requiring 3 to 6 months to reduce prostate size and improve symptoms. The combination of these medications can provide both immediate and long-term relief from BPH symptoms.
Warnings and Precautions
Are there harms and risks from taking combination of Dutasteride and Tamsulosin?
Common side effects of Dutasteride and Tamsulosin include dizziness, ejaculation problems, decreased libido, and trouble maintaining an erection. Dutasteride may also cause breast tenderness or enlargement. Serious adverse effects can include allergic reactions such as swelling of the face, tongue, or throat, and difficulty breathing. Tamsulosin may cause orthostatic hypotension, leading to dizziness or fainting when standing up quickly. Patients should be aware of these potential side effects and consult their healthcare provider if they experience any severe or persistent symptoms.
Can I take combination of Dutasteride and Tamsulosin with other prescription drugs?
Dutasteride and Tamsulosin can interact with several prescription drugs. Tamsulosin should not be used with other alpha-blockers due to the risk of significant hypotension. Both medications can interact with strong inhibitors of CYP3A4, such as ketoconazole, which can increase drug levels and the risk of side effects. Caution is advised when using Tamsulosin with PDE-5 inhibitors, as both can lower blood pressure. Patients should inform their healthcare provider of all medications they are taking to avoid potential interactions.
Can I take combination of Dutasteride and Tamsulosin if I am pregnant?
Dutasteride and Tamsulosin are not safe for use during pregnancy. Dutasteride can cause harm to a male fetus, potentially leading to abnormalities in the development of male genitalia. Women who are pregnant or may become pregnant should not handle Dutasteride capsules, as the medication can be absorbed through the skin. If contact occurs, the area should be washed immediately with soap and water. Tamsulosin is also not indicated for use in women, particularly during pregnancy, due to the lack of safety data.
Can I take combination of Dutasteride and Tamsulosin while breastfeeding?
Dutasteride and Tamsulosin are medications often used to treat conditions related to the prostate. Dutasteride works by reducing the size of the prostate, while Tamsulosin helps to relax the muscles in the prostate and bladder neck, making it easier to urinate. According to the NHS and other trusted sources, Dutasteride is not recommended for use by women, especially during breastfeeding, as it can potentially harm a breastfeeding infant. Tamsulosin is also not typically used by women, and there is limited information on its safety during breastfeeding. If you are breastfeeding, it is important to consult with a healthcare professional before taking any medication, including Dutasteride and Tamsulosin, to ensure the safety of your baby.
Who should avoid taking combination of Dutasteride and Tamsulosin?
Important warnings for Dutasteride and Tamsulosin include the risk of orthostatic hypotension, which can cause dizziness or fainting. Dutasteride is contraindicated in women, especially those who are or may become pregnant, due to the risk of birth defects. Both medications should be used with caution in patients with liver disease. Patients should not donate blood while taking Dutasteride and for 6 months after stopping it to prevent exposure to pregnant women. Allergic reactions and interactions with other medications are also important considerations.