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12 years on tamsulosin: what now?
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Now then, when does it make sense to take medication? In the early stages, when symptoms are mild or moderate, medication can be reasonable as a first line. No one's saying everyone needs surgery.
The problem is when medication doesn't return you to a normal quality of life, you still have symptoms, and it's kept as a kind of indefinite patch. I see patients who've been taking tamsulosin for 12 years.