Safety of anticholinergics in patients with benign prostatic hyperplasia.

Abstract:

BACKGROUND:Storage lower urinary tract symptoms (LUTS) or overactive bladder (OAB) often coexist with voiding symptoms in patients with benign prostatic obstruction (BPO). Anticholinergic medications to treat storage LUTS are often withheld in such patients for fear of significantly increasing post-void residual urine volumes or provoking acute urinary retention (AUR). OBJECTIVE:To assess the clinical validity of concerns regarding urinary safety of anticholinergics in patients with benign prostatic hyperplasia. METHODS:Review of indexed literature and congress abstracts. RESULTS/CONCLUSIONS:Existing urinary and non-urinary safety data on BPO patients administered anticholinergics, either alone or in combination with alpha-blockers, do not seem to support the above-mentioned concerns. Nevertheless, precise criteria for patient and drug selection to ascertain safe and effective administration are not yet established and need to be investigated in future trials.

journal_name

Expert Opin Drug Saf

authors

Athanasopoulos A,Mitropoulos D,Giannitsas K,Perimenis P

doi

10.1517/14740338.7.4.473

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

473-9

issue

4

eissn

1474-0338

issn

1744-764X

journal_volume

7

pub_type

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