Efficacy and safety of muscarinic antagonists as add-on therapy for male lower urinary tract symptoms.

Abstract:

:Alpha-adrenoceptor antagonists (alpha-blockers) are widely prescribed to treat lower urinary tract symptoms (LUTS) in men but fail to ameliorate LUTS sufficiently, especially the storage symptoms related to frequency, urgency and nocturia. We performed a meta-analysis of randomised controlled trials (RCTs) comparing an alpha-blocker plus muscarinic antagonist with an alpha-blocker alone in male LUTS patients who were treated with alpha-blocker prior to randomisation. The review contained six randomised controlled trials (RCTs) that included a total of 2,208 male patients who were randomised to receive alpha-blocker plus muscarinic antagonist or alpha-blocker alone. The add-on group experienced significantly greater improvement in both total IPSS (International Prostate Symptom Score) and storage IPSS. Adverse events (AEs) were commonly experienced by both groups (41.6 vs. 33.3%) though they were not severe. Our meta-analysis indicated that muscarinic antagonists as add-on therapy alleviate LUTS, especially storage symptoms. The add-on therapy demonstrated safety and tolerability comparable with alpha-blocker monotherapy in male with LUTS.

journal_name

Sci Rep

journal_title

Scientific reports

authors

Li J,Shi Q,Bai Y,Pu C,Tang Y,Yuan H,Wu Y,Wei Q,Han P

doi

10.1038/srep03948

subject

Has Abstract

pub_date

2014-02-04 00:00:00

pages

3948

issn

2045-2322

pii

srep03948

journal_volume

4

pub_type

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