Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (2024)

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Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (3)

Generic Flomax

Used for Benign Prostatic Hyperplasia

Used for Benign Prostatic Hyperplasia

Tamsulosin (Flomax) is a commonly prescribed oral medication used to treat benign prostatic hyperplasia (BPH), also known as an enlarged prostate. For it to work properly, you have to take it 30 minutes after the same meal each day. Also, since tamsulosin (Flomax) has a lot of interactions, you'll need to check with your healthcare provider or pharmacist before you start any new medications.

Reviewed by:

Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (4)

Robert Chad Hakim, PharmD, BCCCP

Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (5)

Allison Gourley, PharmD

Last reviewed on January 8, 2023

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Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (6)

What is Tamsulosin (Flomax)?

02:25

Featuring Alyssa Billingsley, PharmD | Reviewed by Daisy Chau, PharmD, Preeti Parikh, MD

What is Tamsulosin (Flomax) used for?

  • Enlarged prostate (benign prostatic hyperplasia, BPH)

How Tamsulosin (Flomax) works

Tamsulosin (Flomax) is an alpha-1 blocker. It blocks a specific type of receptor found in the prostate. By blocking these receptors, the medication works by relaxing the muscles in your prostate and bladder, which relieves symptoms of BPH by making it easier to urinate.

info

Are you looking for information on Jalyn (dutasteride / tamsulosin) instead?

When does Tamsulosin (Flomax) start working?

Time passed since treatment started:

HOURS

DAYS

WEEKS

MONTHS

Initial effect

Full effect

Drug Facts

Common BrandsFlomax

Drug ClassAlpha-1 blocker

Controlled Substance ClassificationNot a controlled medication

Generic StatusLower-cost generic available

AvailabilityPrescription only

Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (7)

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$57.46

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Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (8)

What are the side effects of Tamsulosin (Flomax)?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Headache (19-21%)
  • Dizziness (15-17%)
  • Stuffy nose (13-18%)
  • Abnormal ejacul*tion (8-18%)

Other Side Effects

  • Diarrhea
  • Back pain
  • Chest pain
  • Sleepiness
  • Weakness
  • Trouble sleeping
  • Sore throat
  • Nausea
  • Blurred vision
  • Lower sex drive

Serious Side Effects

Contact your healthcare provider immediately if you experience any of the following.

  • Serious allergic reactions: rash, hives, trouble breathing, swelling of your face, lips, tongue, or throat

When do Tamsulosin (Flomax) possible side effects begin and end?

Time passed since treatment started:

HOURS

DAYS

WEEKS

MONTHS

Headaches

Dizziness

Runny or stuffy nose

ejacul*tion problems

If a line continues to the right, you'll likely keep experiencing this side effect once it starts.

Source:DailyMed

More on Tamsulosin (Flomax) side effects

7 Flomax Side Effects and How to Manage ThemWritten by Nathan Williams, PharmD, RYT
Tamsulosin (Flomax) Side Effects and Risks in the Elderly: What Older Adults Need to KnowWritten by Timothy Aungst, PharmD

The following side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Cough or hoarseness

fever or chills

lower back or side pain

painful or difficult urination

Less common

Chest pain

Rare

Dizziness or lightheadedness

dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position

fainting

feeling of constant movement of self or surroundings

painful or prolonged erection of the penis

sensation of spinning

Incidence not known

Blistering, peeling, or loosening of the skin

blurred vision

confusion

diarrhea

difficult or labored breathing

fast, pounding, or irregular heartbeat or pulse

itching

joint or muscle pain

large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs

red skin lesions, often with a purple center

red, irritated eyes

sore throat

sores, ulcers, or white spots in the mouth or on the lips

sweating

tightness of the chest

unusual tiredness or weakness

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Abnormal ejacul*tion

back pain

body aches or pain

congestion

headache

lack or loss of strength

sneezing

stuffy or runny nose

tender, swollen glands in the neck

trouble swallowing

voice changes

Less common

Decreased interest in sexual intercourse

decreased sexual drive or performance

drowsiness

inability to have or keep an erection

increased cough

loss in sexual ability, desire, drive, or performance

nausea

pain or tenderness around the eyes and cheekbones

sleepiness or unusual drowsiness

tooth disorder

trouble sleeping

Incidence not known

Constipation

hives or welts, skin rash

redness of the skin

vomiting

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (11)

Pros and cons of Tamsulosin (Flomax)

Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (12)

Pros

Considered a first-choice treatment option for BPH

Oral medication that you only have to take once a day

Available as a lower-cost generic

Less likely to cause a sudden drop in blood pressure upon standing, compared to similar medications

Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (13)

Cons

Only treats the symptoms of an enlarged prostate rather than affect the growth of the prostate

Needs to be taken at the same time every day 30 minutes after a meal

Can have negative side effects on your sexual health

Though rare, maybe not the best option for people with a sulfa allergy

Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (14)

Pharmacist tips for Tamsulosin (Flomax)

Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (15)

  • Take tamsulosin (Flomax) 30 minutes after the same meal every day. This will help your body absorb the proper amount of medication.

    • Swallow tamsulosin (Flomax) capsules whole. Don't crush, chew, or open tamsulosin (Flomax) capsules because it will affect how the medication works.

      • If you accidentally miss your dose of tamsulosin (Flomax), take it as soon as you remember that day. If it's been a whole day, just take your next dose on your regular schedule. Never take two doses at the same time.

        • If for some reason you stop taking tamsulosin (Flomax) for several days in a row, talk with your provider before you start taking it again since your dose might be different.

          • Tamsulosin (Flomax) can cause dizziness and low blood pressure, especially when you get up too quickly. Slowly move from a lying down position to a sitting position, and then stand up slowly to allow your body to adjust to possible changes in blood pressure.

            • Tamsulosin (Flomax) interacts with a lot of commonly used medications. Make sure to tell your provider about all the medications you're taking before starting tamsulosin (Flomax) to make sure it's safe.

              Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (16)

              Frequently asked questions about Tamsulosin (Flomax)

              Is tamsulosin (Flomax) a first-choice treatment option for BPH?

              expand_more

              Yes, according to the 2021 treatment guidelines written by the American Urological Association, tamsulosin (Flomax) is one of the first-choice medications for the treatment of moderate to severe BPH.

              When should I take tamsulosin (Flomax)?

              expand_more

              You should take tamsulosin (Flomax) 30 minutes after the same meal every day to ensure that your body absorbs the right amount of medication. Taking it on an empty stomach can cause your body to absorb too much of the medication, which raises your risk of side effects.

              Can I drink alcohol while I'm taking tamsulosin (Flomax)?

              expand_more

              It's best not to. Drinking alcohol while taking tamsulosin (Flomax) can further raise the risk of low blood pressure when changing body positions (e.g., from sitting to standing). This is especially important after the first dose or each time your dose is changed.

              Will I still be able to have sex while taking tamsulosin (Flomax)?

              expand_more

              Yes, you can still have sex while on tamsulosin (Flomax). Tamsulosin (Flomax) might cause abnormal ejacul*tion, lower sex drive, and rarely, priapism (an erection that lasts longer than 4 hours). But, some studies have shown tamsulosin (Flomax) might not affect your sexual health at all. If you notice any changes to your sexual health after starting tamsulosin (Flomax), contact your provider.

              What's the difference between tamsulosin (Flomax) and other medications used to treat BPH?

              expand_more

              There are many available medications used to treat BPH. Some of them like dutasteride (Avodart) and finasteride (Proscar) work preventing the prostate from getting bigger. On the other hand, tamsulosin (Flomax) and other alpha-1 blockers work by relaxing muscles in the prostate and bladder, which improves urinary symptoms. Some people may need to take a combination of different BPH medications for the most benefit. Talk to your provider about which treatment would be best for you.

              Can tamsulosin (Flomax) be used in women too?

              expand_more

              Possibly. At this time tamsulosin (Flomax) is only FDA approved for use in men with BPH. But there have been studies showing it might be helpful in women with urination problems by targeting muscles in the bladder. It's best to talk to your provider if you have questions about whether or not tamsulosin (Flomax) is appropriate for you.

              Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (17)

              How to save using GoodRx

              Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (18)

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              What are the risks and warnings for Tamsulosin (Flomax)?

              Tamsulosin (Flomax) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

              Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (22)

              Sudden drop in blood pressure upon standing

              • Risk factors: Moving too quickly from sitting down to standing up | Not enough fluid in your body (dehydration) | Taking other medications that lower blood pressure | Heart failure | Drinking alcohol

                When you first start to take tamsulosin (Flomax) or when your dose is raised, you can experience a sudden drop in blood pressure when you get up from a sitting or lying down position. This is called orthostatic hypotension. Always make sure to move slowly from a lying down position to a sitting position, and then stand up slowly to allow your body to adjust to possible changes in blood pressure. Symptoms include feeling lightheaded or dizzy after standing up, blurry vision, fainting, nausea, and confusion. Your body should adjust to the medication after the first few days, but if you continue to have these symptoms tell your healthcare provider. If you fall and hit your head, get medical help right away.

                Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (23)

                Prolonged and painful erection

                Although rare, tamsulosin (Flomax) can cause prolonged and painful erections, which sometimes requires surgery to treat. If you develop a prolonged erection that lasts longer than 4 hours, stop taking tamsulosin (Flomax) and get medical attention right away.

                Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (24)

                Eye problems

                • Risk factors: Planned cataract or glaucoma surgery

                  Tamsulosin (Flomax) can cause an eye problem called floppy iris syndrome (FIS), which can happen during cataract or glaucoma surgery. FIS can raise your risk of having eye problems during and after cataract surgery and it can occur even if you've stopped taking tamsulosin (Flomax). Let your eye provider know if you're taking tamsulosin (Flomax) because they might have you stop the medication or change their surgical technique to lower your risk for FIS.

                  Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (25)

                  Severe allergic reactions

                  • Risk factors: Sulfa allergy

                    Some people have experienced a severe allergic reaction to tamsulosin (Flomax), especially those allergic to sulfa. These reactions can be life-threatening and include facial swelling, hives, and anaphylaxis (e.g., closing of the throat). If you notice dizziness, fast heartbeat, a choking sensation, difficulty breathing, swelling around your eyes, swelling of the lips or tongue, or any signs of a severe skin reaction after taking tamsulosin (Flomax), get medical attention right away.

                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (26)

                    Tamsulosin (Flomax) dosage forms

                    The average cost for 30 capsules of 0.4mg of Tamsulosin (Flomax) is $10.00 with a free GoodRx coupon. This is 82.59% off the average retail price of $57.46.

                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (27)

                    Capsule

                    DosageQuantityPrice as low asPrice per unit
                    0.4mg30 capsules$10.00$0.33

                    Typical dosing for Tamsulosin (Flomax)

                    The typical starting dose is 0.4 mg by mouth once a day, 30 minutes after the same meal each day. The maximum daily dose is 0.8 mg once a day.

                    More on Tamsulosin (Flomax) dosage forms

                    Tamsulosin (Flomax) Dosages for Adults: Your GoodRx GuideWritten by Brian Leonard, PharmD, BCACP, BCGP

                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (29)

                    Interactions between Tamsulosin (Flomax) and other drugs

                    Tamsulosin (Flomax) may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Tamsulosin (Flomax). Please note that only the generic name of each medication is listed below.

                    More on Tamsulosin (Flomax) interactions

                    6 Tamsulosin Interactions You Should Know AboutWritten by Mandeep Sohal, PharmD

                    Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

                    • Boceprevir

                    Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

                    • Alfuzosin
                    • Bunazosin
                    • Ceritinib
                    • Clarithromycin
                    • Cobicistat
                    • Conivaptan
                    • Dapiprazole
                    • Doxazosin
                    • Idelalisib
                    • Indinavir
                    • Itraconazole
                    • Ketoconazole
                    • Lopinavir
                    • Moxisylyte
                    • Nefazodone
                    • Nelfinavir
                    • Paroxetine
                    • Phenoxybenzamine
                    • Phentolamine
                    • Posaconazole
                    • Prazosin
                    • Ritonavir
                    • Saquinavir
                    • Silodosin
                    • Tadalafil
                    • Telaprevir
                    • Telithromycin
                    • Terazosin
                    • Tolazoline
                    • Trimazosin
                    • Urapidil
                    • Voriconazole

                    Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

                    • Acebutolol
                    • Alprenolol
                    • Atenolol
                    • Avanafil
                    • Betaxolol
                    • Bevantolol
                    • Bisoprolol
                    • Bucindolol
                    • Carteolol
                    • Carvedilol
                    • Celiprolol
                    • Cimetidine
                    • Dilevalol
                    • Esmolol
                    • Labetalol
                    • Levobunolol
                    • Mepindolol
                    • Metipranolol
                    • Metoprolol
                    • Nadolol
                    • Nebivolol
                    • Oxprenolol
                    • Penbutolol
                    • Pindolol
                    • Propranolol
                    • Sildenafil
                    • Sotalol
                    • Talinolol
                    • Tertatolol
                    • Timolol
                    • Vardenafil

                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (31)

                    How much does Tamsulosin (Flomax) cost?

                    To access savings, use a GoodRx coupon and pay just a fraction of the retail price.

                    Flomax (brand)

                    savings_outlinedGoodRx lowest price$294.23(save 16.84%)

                    Tamsulosin (Flomax) (generic)

                    savings_outlinedGoodRx lowest price$10.00(save 82.59%)

                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (32)

                    What are alternatives to Tamsulosin (Flomax)?

                    There are a number of medications that your doctor can prescribe in place of Tamsulosin (Flomax). Compare a few possible alternatives below.

                    Tamsulosin (Flomax)

                    Used for:

                    • Enlarged prostate (benign prostatic hyperplasia, BPH)

                    $10.00 Lowest GoodRx priceView Prices

                    Alfuzosin ER (Uroxatral)

                    Used for:

                    • Signs and symptoms of benign prostatic hyperplasia (BPH)

                    $6.00 Lowest GoodRx priceView Prices

                    Doxazosin (Cardura)

                    Used for:

                    • Enlarged prostate (benign prostatic hyperplasia, BPH)

                    • High blood pressure - immediate-release tablet only

                    $15.00 Lowest GoodRx priceView Prices

                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (33)

                    What is the latest news about Tamsulosin (Flomax)?

                    Allergic to Sulfa Drugs? Here Are Some Medications You Can Still TakeSulfa drugs can trigger an allergic reaction if you have a sulfa allergy. Here are medications to avoid plus others that might be safer for you.
                    6 Tamsulosin Interactions You Should Know AboutTamsulosin (Flomax) interacts with alcohol, warfarin, and blood pressure medications like Cardura. Learn how to avoid unwanted tamsulosin interactions here.
                    6 Medication Treatments for Benign Prostatic HyperplasiaBenign prostatic hyperplasia (BPH) is a common condition in men over 50. A doctor may prescribe alpha blockers, anticholinergics, or other medications for BPH.
                    7 Flomax Side Effects and How to Manage ThemFlomax, often used to treat symptoms of an enlarged prostate, can cause various side effects. This includes dizziness, ejacul*tion issues, and headaches.
                    Tamsulosin (Flomax) Dosages for Adults: Your GoodRx GuideThe recommended tamsulosin dosage for adults is 0.4 mg once a day. If needed, your dosage may be increased to 0.8 mg once daily. Some interactions may require a lower dosage.
                    Finasteride vs. Tamsulosin: How Do They Compare for Benign Prostatic Hyperplasia?Finasteride (Proscar) and Tamsulosin (Flomax) both reduce symptoms of benign prostatic hyperplasia (BPH). Compare side effects, interactions, and more here.
                    11 Medications That May Be Affecting Your Sex LifeMany factors can cause sexual problems, and your medication could be one of them. Find out which medications may be affecting your sex life.
                    Tamsulosin (Flomax) Side Effects and Risks in the Elderly: What Older Adults Need to KnowTamsulosin (Flomax) may cause side effects like dizziness, especially in the elderly. Here’s everything you should know about the most common tamsulosin side effects.
                    Can an Enlarged Prostate Affect Your Sex Life? Erectile Dysfunction, org*sms, and MoreCan an enlarged prostate affect your sex life? Not really, but BPH treatments might. Explore the link between prostate issues and erectile dysfunction here.
                    How Flomax Works for Kidney Stones: Dosage, Time to Pass, and MoreDid you know Flomax is prescribed off-label for kidney stones? Learn everything about Flomax for kidney stones, including the dose and time it takes to pass.

                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (44)

                    Tamsulosin (Flomax) images

                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (45)

                    This medicine is Green And Orange Capsule Imprinted With "G821 G821".Green And Orange G821 G821 - Tamsulosin Hydrochloride 0.4mg Capsule

                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (46)

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                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (47)

                    This medicine is Green And Yellow Capsule Imprinted With "Tml 0.4 Tml 0.4".Green And Yellow Tml 0.4 Tml 0.4 - Tamsulosin Hydrochloride 0.4mg Capsule

                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (48)

                    This medicine is Green And Yellow Capsule Imprinted With "160 160".Green And Yellow 160 160 - Tamsulosin Hydrochloride 0.4mg Capsule

                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (49)

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                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (50)

                    This medicine is Green And Orange Capsule Imprinted With "D 53".Green And Orange D 53 - Tamsulosin Hydrochloride 0.4mg Capsule

                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (51)

                    This medicine is Green And Orange Capsule Imprinted With "Tam 0.4 Mg".Green And Orange Tam 0.4 Mg - Tamsulosin Hydrochloride 0.4mg Capsule

                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (52)

                    This medicine is Green And Orange Capsule Imprinted With "Tam 0.4 Mg".Green And Orange Tam 0.4 Mg - Tamsulosin Hydrochloride 0.4mg Capsule

                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (53)

                    This medicine is Green And Orange Capsule Imprinted With "Tam 0.4 Mg".Green And Orange Tam 0.4 Mg - Tamsulosin Hydrochloride 0.4mg Capsule

                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (54)

                    This medicine is Green And Orange Capsule Imprinted With "Tam 0.4 Mg".Green And Orange Tam 0.4 Mg - Tamsulosin Hydrochloride 0.4mg Capsule

                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (55)

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                    This medicine is Green And Orange Capsule Imprinted With "Tsl 0.4".Green And Orange Tsl 0.4 - Tamsulosin Hydrochloride 0.4mg Capsule

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                    References

                    starsBest studies we found

                    Ascend Laboratories, LLC. (2022). TAMSULOSIN HYDROCHLORIDE capsule [package insert]. DailyMed.

                    Chapple, C. R. (2005). A comparison of varying α-blockers and other pharmacotherapy options for lower urinary tract symptoms. Reviews in Urology.

                    Flach, A. J. (2009). Intraoperative floppy iris syndrome: Pathophysiology, prevention, and treatment. Transactions of the American Ophthalmological Society.

                    View All References (7)

                    expand_more

                    Höfner, K., et al. (1999). Tamsulosin 0.4 mg once daily: Effect on sexual function in patients with lower urinary tract symptoms suggestive of benign prostatic obstruction. European Urology.

                    Kaplan, S. A. (2009). Side effects of α-blocker use: Retrograde ejacul*tion. Reviews in Urology.

                    Lerner, L. B., et al. (2021). Management of lower urinary tract symptoms attributed to benign prostatic hyperplasia. The Journal of Urology.

                    MedlinePlus. (2019). Orthostatic hypotension.

                    Paśko, P., et al. (2016). Interactions between medications employed in treating benign prostatic hyperplasia and food − A short review. Biomedicine & Pharmacotherapy.

                    Schwinn, D. A., et al. (2009). α1-adrenoceptor subtypes and lower urinary tract symptoms. International Journal of Urology: Official Journal of the Japanese Urological Association.

                    Zhang, H. L., et al. (2017). Tamsulosin for treatment of lower urinary tract symptoms in women: A systematic review and meta-analysis. International Journal of Impotence Research.

                    GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.

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                    Tamsulosin (Flomax): Uses, Side Effects, Dosage & Reviews (2024)

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