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Gotely (other name Temsujohn)

Gotely (other name Temsujohn) 0.4mg

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Temsujohn Tablets: Comprehensive Information for Benign Prostatic Hyperplasia (BPH) Management

Discover Temsujohn, a medication specifically designed to alleviate the symptoms of benign prostatic hyperplasia (BPH) in men. Understanding how Temsujohn works, its proper usage, and potential side effects is crucial for effective treatment. This guide provides detailed information to empower you in managing your BPH with Temsujohn.

What is Temsujohn?

Temsujohn contains Tamsulosin, an alpha-blocker. Alpha-blockers work by relaxing the muscles in the prostate and bladder neck, making it easier to urinate. This leads to improved urine flow and reduced BPH symptoms.

Uses of Temsujohn Tablets

Temsujohn is primarily prescribed for:

  • Benign Prostatic Hyperplasia (BPH): Managing urinary symptoms associated with an enlarged prostate.
  • Frequent Urination: Reducing the need to urinate frequently, especially at night (nocturia).
  • Urgency: Decreasing the urgent need to urinate.
  • Weak Urine Stream: Improving the force and flow of urine.
  • Difficulty Starting Urination: Easing the initiation of urine flow.

Temsujohn Dosage and Administration

Follow these guidelines for optimal results:

  • Administration: Swallow the Temsujohn tablet whole with a full glass of water. Do not crush, chew, or break the tablet.
  • Timing: Take Temsujohn approximately 30 minutes after the same meal each day. Consistency is key.
  • Dosage Adjustment: Do not increase the dose without consulting your doctor. The appropriate dosage is determined by your individual condition and response to treatment.

Important Precautions While Using Temsujohn

Consider these precautions for your safety:

  • Alcohol Consumption: Limit or avoid alcohol intake while taking Temsujohn, as it can increase the risk of dizziness and lightheadedness.
  • Liver Health: If you have any liver problems, discuss them with your doctor before starting Temsujohn. Liver impairment may affect how your body processes the medication.
  • Kidney Health: Consult your doctor if you have any kidney problems before using Temsujohn.
  • Driving and Operating Machinery: Temsujohn can cause dizziness or drowsiness. Avoid driving or operating heavy machinery until you know how the medication affects you.
  • Elderly Patients: Older individuals may be more sensitive to the effects of Temsujohn and should use it under medical supervision.
  • Orthostatic Hypotension: Temsujohn can cause a sudden drop in blood pressure upon standing (orthostatic hypotension), leading to dizziness. Get up slowly from a sitting or lying position.
  • Cataract Surgery: If you are planning to have cataract surgery, inform your ophthalmologist that you are taking Temsujohn. Tamsulosin can cause a condition called Intraoperative Floppy Iris Syndrome (IFIS) during cataract surgery.

Contraindications: When Temsujohn is Not Recommended

Temsujohn is contraindicated in the following situations:

  • Low Blood Pressure (Hypotension): Temsujohn can lower blood pressure, so it is not suitable for individuals with existing low blood pressure.
  • Prostate Cancer: Temsujohn is specifically for BPH and should not be used to treat prostate cancer. If prostate cancer is suspected, it needs to be ruled out before starting Temsujohn.
  • Allergies: Do not use Temsujohn if you are allergic to Tamsulosin or any other alpha-blockers.
  • Children: Temsujohn is not recommended for use in children under 18 years old.
  • Severe Renal Impairment: Use with caution in patients with severe kidney disease.
  • Sulfa Allergy: While rare, some Tamsulosin products may contain a sulfa component. Inform your doctor if you have a sulfa allergy.

Potential Side Effects of Temsujohn

Like all medications, Temsujohn can cause side effects. Common side effects are usually mild and temporary:

  • Dizziness
  • Abnormal Ejaculation: Decreased volume or retrograde ejaculation.
  • Runny or Stuffy Nose
  • Headache
  • Weakness
  • Back Pain
  • Diarrhea
  • Orthostatic Hypotension: Dizziness upon standing.
  • Nasal Congestion
  • Insomnia (difficulty sleeping)
  • Blurred Vision

Seek medical attention immediately if you experience any of the following serious side effects:

  • Priapism: A prolonged and painful erection.
  • Severe Allergic Reaction: Hives, difficulty breathing, swelling of the face, lips, tongue, or throat.

Drug Interactions with Temsujohn

Temsujohn can interact with several other medications. Inform your doctor about all medications, supplements, and herbal remedies you are taking to avoid potential interactions:

  • Other Alpha-Blockers: Prazosin, terazosin, or alfuzosin can increase the risk of low blood pressure.
  • Erectile Dysfunction Medications: Sildenafil (Viagra), tadalafil (Cialis), or vardenafil (Levitra) can intensify the blood pressure-lowering effects.
  • Antifungal Medications: Itraconazole and ketoconazole can increase the concentration of Tamsulosin in your body, leading to increased side effects.
  • HIV Protease Inhibitors: Lopinavir and ritonavir can increase Tamsulosin levels, increasing the risk of side effects.
  • Antibiotics: Clarithromycin can slow down the removal of Tamsulosin from your body, resulting in increased side effects.
  • Warfarin: Tamsulosin may affect the anticoagulant effect of Warfarin
  • Cimetidine: Increases the levels of Tamsulosin in the body
  • Dutasteride and Finasteride: Can be used in combination with Tamsulosin for better BPH symptom control.

What to Do If You Miss a Dose

If you miss a dose of Temsujohn, take it as soon as you remember, unless it is almost time for your next dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Overdose Information

Taking more than the prescribed dose of Temsujohn can cause severe dizziness or fainting. If you suspect an overdose, seek immediate medical attention or contact a poison control center.

Proper Storage of Temsujohn

Follow these storage guidelines to maintain the effectiveness of Temsujohn:

  • Store at room temperature (below 30°C or 86°F).
  • Keep away from direct sunlight and moisture.
  • Keep out of reach of children and pets.
  • Do not store in the bathroom.

Additional Information

  • Lifestyle Modifications: In addition to medication, certain lifestyle changes can help manage BPH symptoms. These include limiting fluid intake before bedtime, avoiding caffeine and alcohol, and practicing bladder training exercises.
  • Regular Checkups: Regular checkups with your doctor are important to monitor your BPH and the effectiveness of Temsujohn treatment.

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Frequently Asked Questions (FAQ) About Temsujohn

Q: How quickly does Temsujohn start working?

A: You may start to notice an improvement in your urinary symptoms within a few days of starting Temsujohn, but it may take several weeks to experience the full benefits.

Q: Can I stop taking Temsujohn if my symptoms improve?

A: Do not stop taking Temsujohn without consulting your doctor. Even if your symptoms improve, it is important to continue taking the medication as prescribed to maintain the benefits.

Q: Is Temsujohn a cure for BPH?

A: Temsujohn does not cure BPH, but it helps manage the symptoms associated with the condition. It relaxes the muscles in the prostate and bladder neck, making it easier to urinate and improving urine flow.

Q: Can women take Temsujohn?

A: Temsujohn is specifically designed for men and is not indicated for use in women.

Q: What should I do if I experience dizziness while taking Temsujohn?

A: If you experience dizziness while taking Temsujohn, sit or lie down until the dizziness subsides. Avoid sudden changes in posture, such as standing up quickly from a sitting or lying position.

Q: Can Temsujohn affect my sexual function?

A: Yes, Temsujohn can cause sexual side effects, such as abnormal ejaculation (decreased volume or retrograde ejaculation) or decreased libido. If you experience these side effects, discuss them with your doctor.

Q: Are there any natural alternatives to Temsujohn for BPH?

A: Some natural remedies, such as saw palmetto, pumpkin seed oil, and pygeum, have been used to treat BPH symptoms. However, the effectiveness of these remedies is not well-established, and they may interact with other medications. Discuss any natural remedies you are considering with your doctor before using them.

Q: Can I take Temsujohn with other medications for prostate problems?

A: Temsujohn can be used in combination with other medications for prostate problems, such as 5-alpha reductase inhibitors (finasteride, dutasteride). However, it is important to discuss all medications you are taking with your doctor to avoid potential drug interactions.

Disclaimer: This information is for informational purposes only and should not be considered medical advice. Always consult with your doctor or other qualified healthcare professional for any questions you may have regarding a medical condition or treatment.

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