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    Urologists no longer primary initiator of tamsulosin

    Indications for alpha-blocker expanding to include women, non-BPH uses


    PCPs prescribe drug more

    Among the male new tamsulosin users, primary care physicians initiated 31.6% of tamsulosin prescriptions, urologists initiated 18.0%, and emergency medicine physicians initiated 11.5%.

    Read: 5-ARI may have adverse metabolic effects

    Some 85.3% of male new tamsulosin users had at least one targeted comorbidity in the 12 months before tamsulosin initiation. These targeted comorbidities were hypertension in 44.8%, dyslipidemia in 41.2%, kidney stones in 31.9%, heart disease in 17.4%, and diabetes in 16.5%.

    Tamsulosin prescriptions by physician specialty

    “Tamsulosin has been used for the treatment of stones to increase the spontaneous stone passage rate, and the community of medical practitioners has taken this on,” said Dr. Kava. “Certainly, a lot of investigation needs to be done into the use for female voiding disorders and for urolithiasis.”

    A credentialing process to ensure appropriate tamsulosin use by non-urologists may be beneficial, he believes.

    “I’m not aware of any curriculum that primary care doctors have to take to show a mastery of urologic problems,” Dr. Kava said. “I am working with the American Society of Men’s Health to develop a curriculum for men’s health issues, and certainly that can be adopted by primary care physicians, emergency room doctors, and urologists.”

    One of Dr. Kava’s co-authors is an employee of Boehringer-Ingelheim, and another co-author is an investigator for that company. Another co-author is an investigator for Ixchelsis Ltd.

    More on BPH:

    5-ARI use does not raise erectile dysfunction risk

    Data cast light on ED/5-ARI connection

    BPH/LUTS: OTC alpha-blocker use feasible

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