A man who has benign prostatic hypertrophy (BPH),in whom prostate carcinoma has been ruled out,asks the primary care nurse practitioner (NP)about beginning drug therapy to treat his symptoms.The NP notes that he consistently has blood pressure readings around 145/90 mm Hg.The NP should prescribe:

Question

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Doxazosin is a nonspecific a-blocker,which also lowers blood pressure and should be considered to treat BPH in patients who also have hypertension.Tadalafil is used to treat erectile dysfunction.Tamsulosin is a specific á-blocker and is first-line treatment for patients with BPH who do not have hypertension.Finasteride is a 5a-reductase inhibitor,which is not a first-line medication.

A Man Who Has Benign Prostatic Hypertrophy (BPH),in Whom Prostate