Silodosin
Molecule Description
Silodosin is used for the treatment of problems arising due to the enlargement
of the prostate gland, a medical condition known as benign prostatic hyperplasia (BPH). It blocks the alpha receptors present on walls of arteries and certain types of muscle (e.g. prostate) and causes them to relax. The primary function of alpha receptors is to narrow (constrict) and increase the pressure. Silodosin belongs to a group of medicines called ‘anti-adrenergic agents. Dizziness, postural hypotension (a drop in blood pressure after a change of posture), headache, loose motions, and retrograde ejaculation (backward flow of semen/orgasm with less or no semen) are some of the common side effects of Silodosin, but not everybody gets them.
Uses of Silodosin
Contraindications of Silodosin
When should one not use Silodosin
- This medicine should not be taken in patients with allergic reaction to Silodosin
- Other alpha-receptor blockers (e.g. Prazosin, Doxazoin, Terazosin), or any of its components
- It is not to be used in liver diseases, in patients having low blood pressure or those on Diuretics
- Severe kidney disease
Side effects of Silodosin
Common side effects of this drug are:
- Retrograde ejaculation
- Dizziness
- Postural hypotension
- Headache
- Loose motions
- Nasal congestion
Precautions and Warnings of Silodosin
Pregnancy
Breast Feeding
Driving
Alcohol
Other General Warnings
- As Silodosin works by slowing the heart rate, older adults may be more sensitive to the side effects of this medicine, especially dizziness and low blood pressure when getting up from a sitting or lying position...
- Silodosin must be used with caution in elderly patients and people with liver disease
- People undergoing cataract surgery should inform their doctor as Silodosin may sometime complicate the procedure
Mode of Action of Silodosin
How Does It Work?
Interactions of Silodosin
Interactions with other medicines
- Other alpha-receptor blockers - Terazosin, Prazosin, Alfuzosin, Tamsulosin, Doxazosin
- Medicines used to treat HIV/ AIDS (Fosemprenavir, Atazanavir, Indinavir)
- Antifungals (Clotrimazole)
- Antibiotics (Clarithromycin, Dalfopristin/ Quinupristin, Erythromycin)
- Isoniazid (and antitubercular treatment containing Isoniazid as one of the medicines)
- Imanitib
- Blood pressure medications (Diltiazem, Felodipine, Nicardipine, Nifedipine, Verapamil, etc.)
- Medicines used to suppress the immune system/ prevent organ transplant rejection (Cyclosporine, Sirolimus, Tacrolimus)
- Medicines used to treat erectile dysfunction (Sildenafil, Tadalafil, Vardenafil)
- Quinidine (used to treat irregular heartbeats)
- Conivaptan (used to treat low sodium levels)
Content Details
Dr. Nikita Toshi
BDS (Bachelor of Dental Surgery)
Dr. Ritu Budania
MBBS, MD (Pharmacology)
Frequently Asked Questions (FAQs)
Q: What should I discuss with my healthcare expert before taking Silodosin?
- You cannot take Silodosin if you are allergic to it or other medicines of the same group (alpha-receptor blockers) like Prazosin, Terazosin, Doxazosin, etc.
- Inform your physician if you have severe kidney or liver disease
- If you have low blood pressure and heart disease
- If you are on a low salt diet
- If you are taking any water pill (Diuretic)
- If you have had a history of prostate cancer
Q: What is BPH or Benign Prostatic Hyperplasia?
- Prostate is a gland (a secretory organ) that is present between the penis and the bladder. Its primary function is to nourish and transport the semen (male ejaculatory fluid) during the reproductive age...
- As old age approaches, the prostate gland enlarges in some men due to decreased reproductive hormones and this will lead to inadequate nourishment and enlargement of the gland
- The prostate can also enlarge in Prostate cancer and hence the name Benign Prostatic Hyperplasia to differentiate it from cancer
- Benign means ‘not malignant (cancerous)’
Q: Why is silodosin given at night?
Q: What is the mechanism of action of silodosin?
Q: what are the side effects of silodosin?
References
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