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Noctoria is one of the bothersome LUTS and also most difficult to eliminate in aging menNocturnal polyurea associated with circadian change of arginine vasopressine and atrial natriuretic peptide in the elderly has been suggested as the most dominant type of nocturiaDesmopressin is effective in treating nocturia to improve the patients QOLalthough a few adverse events such as hypernatremia might occur45]
Naftopidil is an alpha 1Dselective blockerwhich has been recently reported to less likely induce ejaculatory disordersEfficacies on LUTS of the two alpha-1 blockerssilodosin and naftopidil are almost equivalentwith a small advantage of silodosin on voiding symptomsThe alpha 1Dselective blockernaftopidil may possess superior property of preserving sexual functionespecially for ejaculationcompared with the alpha 1Aselective blockersilodosin29]
Conventional treatment for the prostate includes prescription medications such as Finasteride and TerazosinHowever both medications can cause severe side effectsFinasteride has been said to cause impotencedecreased sexual drive and pain in the testiclesTerazosin can cause nauseadizzinesslow blood pressureheart palpitations and vision problems.
Crataeva nurvala is the tree known as Varuna in AyurvedaThe herbal tablets made from the bark of this tree are recommended in Ayurveda for prostate enlargement or BPHAyurveda is an age old traditional medical system still in practice in India and recognized by the WHOHerbal non-hormonal ayurvedic medicine that treats BPH by reducing prostate weightIt improves the urinary flow rate as reducing post-void residual urine.
1 or 2 tablets twice daily with meals.Allow several weeks for benefitsThe use of natural products provides progressive but long-lasting results.
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