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Relaxing muscles in the prostate and urethra to improve urine flow
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Flomaxtra XL 400 microgram Tablets
2-3 minutes online assessment to check your eligibility for a treatment
Film-coated, prolonged-release tablet
No
Tamsulosin hydrochloride
Prolonged-release (few days to few weeks)
Relaxing muscles in the prostate and urethra to improve urine flow
Dizziness, abnormal ejaculation, weakness, headache, runny or blocked nose
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Flomaxtra XL contains tamsulosin hydrochloride and is used for the urinary symptoms of benign prostatic hyperplasia, an enlarged prostate. The extended release formulation is taken once a day and is designed to give cover across 24 hours. It is a medicine that requires a clinician to assess whether it is suitable for you.
Tamsulosin is an alpha blocker. As the prostate enlarges it presses on the urethra, and the muscle in the prostate and bladder neck tightens around it, which is what produces a weak stream, hesitancy, dribbling and frequent trips to the toilet. Tamsulosin relaxes that smooth muscle so the passage opens, improving flow. It eases the symptoms rather than shrinking the prostate itself.
Swallow one tablet whole once a day with water, at the same time each day, with or without food. Do not crush or chew it, since that defeats the extended release design. Improvement is usually noticeable within the first couple of weeks. Rise slowly from sitting or lying for the first few days, as alpha blockers can cause dizziness at first.
It is for adult men with symptoms of an enlarged prostate where a clinician has confirmed it is appropriate. Your clinician needs to know about low blood pressure, fainting, liver or kidney problems, other blood pressure medicines and treatments for erectile dysfunction, which can combine to lower blood pressure further.
The most commonly reported effects are dizziness, reduced libido, erectile difficulty and reduced ejaculate volume. Seek prompt advice for fainting, a rapid or irregular heartbeat, chest pain, a sudden change in vision or hearing, or signs of an allergic reaction. Tell your eye surgeon that you take tamsulosin before any cataract surgery. See a doctor urgently if you cannot pass urine at all, or if you notice blood in your urine. Our UK pharmacy team can answer questions about this product before you buy.
How soon does it work?
Many men notice a difference within the first couple of weeks of daily use.
Can I split the tablet?
No. It must be swallowed whole to keep the extended release working.
Why mention it before eye surgery?
Tamsulosin can affect the iris during cataract surgery, so the surgeon needs to know in advance.
Always read the patient information leaflet supplied with the pack before use.
Medically reviewed and published
This page was medically reviewed by Dr Sohaib Imtiaz, Clinical Lead on Aug 24, 2023, 3:30 pm
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