Pilot service has been created to help members of the herbal substitute viagra primary care teams of England get answers to their clinical questions.This is the first visit to the site we rmend you read "".View by speciality MOST RECENT QUESTIONS: (Please click on a question for the answer) In patients comments.cgi female mt viagra with BPH or with prostate cialis viagra vs cancer, is finasteride free viagra canada or dutasteride more effective at reducing prostate size?14/May/07 INTERPRETATION: Initial question: In patients with BPH or with prostate cancer, is finasteride or dutasteride more effective at reducing prostate size?Are the relative effects of the two on PSA measurement, and does this depend on the indication?ANSWER: Overall, we found little information to answer this question.In 2006 Dolder writing on the use of Dustasteride for treating symptomatic viagra alternative and woman benign prostatic hyperplasia noted: _"Few published data existparing dutasteride with finasteride.The PRODIGY guideline on BPH states: • Two 5-alpha reductase inhibitors are available in the UK, finasteride and dutasteride.• "A systematic review free viagra of the literature concluded that long-term use of 5-alpha reductase inhibitors: o Reduces the size of the prostate gland by 20–30% Adding: _"Prostate-specific antigen (PSA) concentrations are roughly halved by 5-alpha reductase inhibitors, and should be multiplied discount site viagra by 2 forparison with reference values.The patient.Website gives similar information: _"On average, finasteride or dutasteride can cause the prostate to shrink by about 30%.May improve as the prostate bes smaller.Can take up to six months as the prostate gradually shrinks.Alpha-blockers, the amount of improvement with finasteride or dutasteride varies from person to person, and no improvement occurs in some cases.In a review article, Marihart et al note: _"Dutasteride is used in the treatment of benign prostatic hyperplasia.It reduces serum prostate-specific antigen levels by approximately 50% at 6 months and total herbal viagra prostate volume by 25% in 2 years.Differs from finasteride in that it inhibits both isoenzymes of 5alpha reductase and results in nearplete suppression of serum dihydrotestosterone…"_ We consulted the SPCs for finasteride (Proscar) and dutasteride (Avodart) and both state the drugs reduce serum PSA concentrations by approximately 50% "even in the presence of prostate cancer.40(4): 658-65.2.Guideline on benign prostatic hyperplasia.2006 () 3.Gland enlargement.() 4.S, Harik M and Djavan B.A review of current data on a novel dual inhibitor of 5alpha reductase.2005 Fall;7(4):203-10.5.For Proscar.2004.SPC for Avodart.2006.The NLH Question Answering Service aims to answer questions quickly, it is not a systematic review.You have any doubt as to the implications of this contact the Q&A Service Provider for further information.
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