Alpha-Blockers
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Questions and Answers

Which one of these drugs has a longer half-life?

  • Alfuzosin ER (Uroxatral)
  • Silodosin (Rapaflo) (correct)
  • Finasteride
  • None of the above
  • Which one of these drugs is uroselective?

  • Alfuzosin ER (Uroxatral)
  • Silodosin (Rapaflo) (correct)
  • Finasteride
  • None of the above
  • Which one of these drugs does not require titration?

  • Alfuzosin ER (Uroxatral)
  • Silodosin (Rapaflo) (correct)
  • Finasteride
  • None of the above
  • Which one of these drugs has immediate results?

    <p>Silodosin (Rapaflo)</p> Signup and view all the answers

    Which one of these drugs is a 5-alpha-reductase inhibitor?

    <p>Finasteride</p> Signup and view all the answers

    Which one of these drugs is associated with sexual dysfunction as an adverse effect?

    <p>Finasteride</p> Signup and view all the answers

    Which one of these drugs is associated with an increased risk of aggressive prostate cancer?

    <p>Finasteride</p> Signup and view all the answers

    Which one of these drugs has precautions for hepatic disease?

    <p>Finasteride</p> Signup and view all the answers

    Which one of these drugs may take several months for symptom relief?

    <p>Finasteride</p> Signup and view all the answers

    Which alpha-blocker/alpha antagonist is considered a second-generation medication?

    <p>Doxazosin (Cardura)</p> Signup and view all the answers

    Which alpha-receptor subtype is primarily found in the prostate?

    <p>Alpha 1A</p> Signup and view all the answers

    Which adverse event is associated with alpha-blockers, especially the early-generation ones?

    <p>Orthostasis/dizziness</p> Signup and view all the answers

    Which alpha-receptor subtype is primarily found in vascular smooth muscle?

    <p>Alpha 1B</p> Signup and view all the answers

    Which alpha-blocker is known to cause retrograde ejaculation?

    <p>Tamsulosin (Flomax)</p> Signup and view all the answers

    Which alpha-receptor subtype is primarily found in the bladder neck?

    <p>Alpha 1A</p> Signup and view all the answers

    Which alpha-blocker has a half-life of 14 hours?

    <p>Tamsulosin (Flomax)</p> Signup and view all the answers

    Which alpha-blocker requires slow dose titration and takes 2-4 weeks for full results?

    <p>Terazosin (Hytrin)</p> Signup and view all the answers

    Which alpha-blocker should be restarted at 0.8mg QD if therapy is interrupted for several days?

    <p>Tamsulosin (Flomax)</p> Signup and view all the answers

    Study Notes

    Drug Comparisons

    • Drug with the longest half-life offers prolonged therapeutic effects, essential for chronic conditions.
    • Uroselective drugs target the prostate with fewer side effects on vascular smooth muscle.
    • Certain drugs do not require titration, allowing for immediate medication administration without adjustments.
    • Drugs providing immediate results are aimed at quick symptom relief, beneficial in acute conditions.

    Drug Classes

    • 5-alpha-reductase inhibitors are specific agents for reducing prostate size by inhibiting the conversion of testosterone.
    • Some drugs are linked to sexual dysfunction as a notable adverse effect, impacting patient adherence and quality of life.
    • Increased risk of aggressive prostate cancer is an associated concern with specific medications, necessitating careful patient monitoring.

    Precautions and Effects

    • Drugs with precautions for hepatic disease require careful use in patients with liver impairments to avoid complications.
    • Certain medications may take several months for symptom relief, requiring patient education on expected timelines.

    Alpha-Blockers and Receptors

    • Second-generation alpha-blockers are favored for their balance between efficacy and safety in treating conditions like BPH.
    • The alpha-receptor subtype primarily found in the prostate is alpha-1A, linked to urinary symptoms improvement.
    • Early-generation alpha-blockers can cause orthostatic hypotension, necessitating monitoring during initial therapy.
    • The alpha-receptor subtype in vascular smooth muscle is primarily alpha-1B, influencing blood pressure regulation.

    Specific Drug Effects

    • Retrograde ejaculation is a known side effect of specific alpha-blockers, affecting male reproductive health and quality of life.
    • The alpha-receptor subtype recognized in the bladder neck is predominantly alpha-1D, contributing to urinary control.
    • Alpha-blocker with a half-life of 14 hours allows for convenient dosing schedules and adherence.
    • Slow dose titration of certain alpha-blockers can take 2-4 weeks to achieve optimal therapeutic outcomes.
    • For interrupted therapy, the alpha-blocker should be restarted at 0.8 mg QD to ensure safety and efficacy.

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    Description

    Test your knowledge on alpha-blockers/alpha antagonists (-osin) pharmacotherapy! Learn about the MOA, efficacy, and short-term relief they provide for dynamic symptoms related to the prostate/bladder neck. Challenge yourself with this quiz and expand your understanding of these medications.

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