Silodosin, an alpha adrenergic blocker, is prescribed for the treatment of benign prostatic hyperplasia (BPH). The drug aids relaxation of prostate and bladder neck muscles and facilitates micturition.
Silodosin is a selective blocker of post-synaptic alpha-1 adrenergic receptors in bladder base, prostate, prostate urethra, bladder neck and prostatic capsule. Selective blocking of such receptors results in smooth muscle relaxation and facilitated urine flow with reduction of BPH symptoms.
The oral bioavailability of Silodosin is about 32%. The absorption rate is affected by moderate fat and calorie meals. The apparent Vss of Silodosin is 49.5 L, and about 97% of the drug is bound to plasma proteins. The drug is primarily metabolized by hepatic enzymes including cytochrome P450 pathway. Silodosin is excreted by urine and feces.
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Silodosin can cause painful penile erection that may last over four hours, abnormal ejaculation, rhinorrhoea, headache, diarrhoea, dizziness and fainting.
Silodosin may impair thinking and mental alertness. Do not drive vehicles or operate heavy machineries while taking Silodosin. Avoid going out in the hot sun or in extreme weather conditions, it may lead to serious dehydration. Do not wake up fast from bed in the morning. It may cause fall accident. Silodosin is contraindicated in patients with severe hepatic or renal disorders.
An adjusted dosage may be needed for patients with prostate malignancy, hepatic and renal disorders. Avoid using Silodosin at least before or after cataract surgery.
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Silodosin may interact with quinidine, imatinib, conivaptan, INH, anti-fungal drug, clarithromycin, erythromycin, anti-depressants, calcium channel blockers, sildenafil, immunosuppressive drugs and quinidine.
Do not consume alcohol while taking Silodosin
For Benign Prostatic Hyperplasia (Adults):
The recommended oral dosage is 8 mg/day.
Silodosin should be preferably taken with meals.
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Silodosin is contraindicated in children
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Store at 20-25°C.
Store at 20-25°C.
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