Flomax

— THERAPEUTIC CATEGORIES —
  • Benign prostatic hyperplasia/urinary retention

Flomax Generic Name & Formulations

General Description

Tamsulosin HCl 0.4mg; caps.

Pharmacological Class

Alpha-1 blocker.

How Supplied

Caps—100

Generic Availability

YES

Flomax Indications

Indications

Benign prostatic hyperplasia (BPH).

Flomax Dosage and Administration

Adult

Swallow whole. Take ½ hr after same meal of each day. Initially 0.4mg once daily; may increase to 0.8mg once daily after 2–4 weeks if response is inadequate. If therapy is interrupted, resume at 0.4mg once daily and retitrate.

Children

Not applicable.

Flomax Contraindications

Not Applicable

Flomax Boxed Warnings

Not Applicable

Flomax Warnings/Precautions

Warnings/Precautions

Rule out prostate cancer. Sulfa allergy. Syncope. End-stage renal disease. Severe hepatic impairment. Cataract or glaucoma surgery: do not initiate therapy (possible Intraoperative Floppy Iris Syndrome). Not for use in women.

Flomax Pharmacokinetics

Metabolism

Hepatic. 94–99% serum protein bound.

Elimination

Renal (76%), fecal (21%). Half-life: 9–13 hours.

Flomax Interactions

Interactions

Do not use with other α-blockers or strong CYP3A4 inhibitors (eg, ketoconazole). Caution with concomitant moderate CYP3A4 inhibitors (eg, erythromycin), moderate or strong CYP2D6 inhibitors (eg, paroxetine, terbinafine), or CYP2D6 poor metabolizers (esp. with tamsulosin >0.4mg/day). Caution with concomitant cimetidine (esp. with tamsulosin >0.4mg/day) or warfarin. Symptomatic hypotension with concomitant PDE5 inhibitors.

Flomax Adverse Reactions

Adverse Reactions

Headache, abnormal ejaculation, dizziness, rhinitis, infection, asthenia, back pain, diarrhea, pharyngitis, chest pain, nausea, tooth disorder, blurred vision, cough, somnolence, sinusitis, libido decreased, insomnia; rare: priapism.

Flomax Clinical Trials

See Literature

Flomax Note

Not Applicable

Flomax Patient Counseling

See Literature

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