Print Print
CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.

Lower urinary tract symptoms in men, age-related (including symptoms of benign prostatic hyperplasia/hypertrophy) - Management
Start immediate-release alpha blocker

Age from 40 years onwards
Start doxazosin tablets: 1mg once a day
Doxazosin 1mg tablets
Take one tablet once a day.
Supply 14 tablets.
Age: from 40 years onwards
NHS cost: £0.60
Licensed use: yes
Patient information: Take the first dose before you go to bed at night. Some people experience side effects such as blurred vision, dizziness, drowsiness, sweating or feeling light headed. If any of these apply, sit or lie down until the symptoms have disappeared. Tell your doctor if these symptoms continue after taking the medicine for a few days. Usually, your doctor will increase the dose of this medicine every week or two during the first month or so of treatment, provided that side effects are not troublesome.
Start terazosin: BPH starter pack
Terazosin 5mg tablets and Terazosin 2mg tablets and Terazosin 1mg tablets
Take one tablet once a day. See package insert for full instructions.
Supply 28 tablets.
Age: from 40 years onwards
NHS cost: £10.97
Licensed use: yes
Patient information: Take the first dose before you go to bed at night. Some people experience side effects such as blurred vision, dizziness, drowsiness, sweating or feeling light headed. If any of these apply, sit or lie down until the symptoms have disappeared. Tell your doctor if these symptoms continue after taking the medicine for a few days.

© NHS Institute for Innovation and Improvement