Temulin-d is a combination of two medicines: Tamsulosin and Dutasteride. This combination is used in the treatment of an enlarged prostate gland in men, also known as benign prostatic hyperplasia (BPH). Dutasteride blocks the action of 5-alpha-reductase, an enzyme, which causes the prostate gland to grow. The inhibition of this enzymes helps to decrease the size of the prostate gland. Tamsulosin works by relaxing the muscles of the prostate gland and the opening of the urinary bladder which further helps to increase the flow of urine and relieve the symptoms.
Q. Is it safe to use Temulin-d?
Temulin-d is safe in most of the patients when used in the dose and duration as recommended by the doctor. However, in some patients it may cause common side effects like impotence, decreased libido, breast pain, ejaculation disorder, dizziness and other uncommon or rare side effects. Inform your doctor as soon as possible if you experience any persistent problem while taking this medicine.
Q. Can the use of Temulin-d causes dizziness?
Yes, the use of Temulin-d can cause dizziness as Tamsulosin can cause a fall in blood pressure when changing the posture from lying down to sitting or standing posture (orthostatic hypotension). This sudden fall in blood pressure can cause dizziness, lightheadedness, fainting, sensation of spinning and vertigo. If you feel dizzy or lightheaded, stop what you are doing and sit or lie down for sometime or until you feel better and do not drive or use any machines.
Q. What are the contraindications to the use of Temulin-d?
The use of Temulin-d is contraindicated in men under the age of 18 years as it may affect the normal development of the male reproductive tract. The use of this medicine is also contraindicated in patients with known allergy to any of the component or excipients of this medicine and in women of childbearing potential and who are pregnant. This medicine should not be even handled by a pregnant female as it may get absorbed through the skin and causes harm to the fetus.
Q. Can I take a higher dose of this medicine than recommended?
No, taking higher than recommended dose of Temulin-d can lead to increased chances of side effects. Always take your medicines in the dose and duration as advised by your doctor.
Q. Does Temulin-d expire?
Yes, Temulin-d does expire. Please check the expiry date written on the pack of this medicine. Do not use Temulin-d after the expiry date.
Q. Can the use of Temulin-d cause ejaculation problems?
Retrograde ejaculation (semen does not leave the body, instead goes into the bladder) and ejaculation failure (reduced or absent ejaculation volume) are common problems associated with the use of Tamsulosin, but this is harmless and more commonly seen at higher doses. Priapism (painful erection) is also a rare and serious side effect associated with its use.
Q. Can the use of Temulin-d cause priapism (persistent painful penile erection unrelated to sexual activity)?
Yes, the use of Temulin-d can cause priapism (painful penile erection). It is a rare and serious side effects associated with its use. This condition can lead to permanent impotence if not treated immediately.
Q. Can the use of Temulin-d have any impact on my cataract surgery?
Use of Temulin-d can cause floppy eye syndrome in which the muscles of the iris become floppy and the pupil constricts unexpectedly during cataract surgery. So, when the eye surgeon actually needs a dilated pupil, it will constrict and restrict the field of surgery and can affect the surgical outcomes. Inform your eye doctor (ophthalmologist) if you are taking this medicine or in case you have used this medicine in the last 9 months.
Q. Apart from taking medicines, what should I do to manage my prostate symptoms?
Simple lifestyle changes can help you manage your prostate symptoms better. Try to urinate when you first get the urge. However, take care not to strain or push to empty your bladder. Avoid drinking fluids (especially alcohol, caffeine) a few hours before bedtime or going out. You should also avoid medicines that can worsen urinary symptoms. These include some over the counter medicines for cold and cough.