UTI
Antibiotics for urinary tract infections in ELDERLY patients
As a clinical pharmacist, you will be asked more, which antibiotics should be recommended for urinary tract infections in elderly patients? It depends on whether it's a "complicated" UTI or not. We know all UTIs in older MEN are considered complicated due to possible prostate involvement. UTIs in women can also be complicated due to a catheter, obstr…
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Tadalafil
Daily CIALIS for benign prostatic hyperplasia
As a clinical pharmacist, you will hear about using daily Cialis (tadalafil) for benign prostatic hyperplasia (BPH) , not just erectile dysfunction. It's just been approved for this use. Cialis and other phosphodiesterase-5 inhibitors seem to enhance smooth muscle relaxation in the prostate, bladder, and urethra. But don't expect a large improvement in BPH sy…
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Nephrology and Urology
Treating benign prostatic hyperplasia (BPH)
About 6 in 10 men develop benign prostatic hyperplasia (BPH) by age 60 leading to urinary hesitancy, nocturia, a weak stream, etc. Emphasize nondrug measures, such as limiting fluids at bedtime, alcohol, and caffeine. Reinforce exercise, strengthening pelvic floor muscles may improve bladder control and urination. Also assess for constipation and treat it if necess…
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