Skip to main content
Erschienen in: International Urology and Nephrology 3/2007

01.09.2007 | Original Paper

A prospective study of the efficacy of Serenoa repens, Tamsulosin, and Serenoa repens plus Tamsulosin treatment for patients with benign prostate hyperplasia

verfasst von: Fatih Hızlı, M. Cemil Uygur

Erschienen in: International Urology and Nephrology | Ausgabe 3/2007

Einloggen, um Zugang zu erhalten

Abstract

Introduction

Increasing attention has been focused on the use of phytotherapeutic agents to alleviate the symptoms of benign prostatic hyperplasia (BPH) in recent times. The best described and studied phytotherapeutic agent is Serenoa repens (SR).

Materials and methods

This prospective study was designed to have 3 arms including SR 320 mg per day (N = 20), Tamsulosin (TAM) 0.4 mg per day (N = 20) and SR + TAM (N = 20) to reveal the superiority or equivalence between these treatment regimens in BPH.

Results

The groups were not statistically different with regard to increase in maximal urinary flow rate (Q max) and decrease in International Prostate Symptom Score (I-PSS) (P > 0.05). No adverse effect was detected in SR therapy group.

Conclusion

Treatment of BPH by both SR and TAM seems to be effective alone. None of them had superiority to another and additionally, combined therapy (SR + TAM) does not provide extra benefits. Furthermore SR is a well-tolerated agent that can be used alternatively in the treatment of LUTS due to BPH.
Literatur
1.
Zurück zum Zitat Holtgrewe HL (1998) Current trends in management of men with lower urinary tract symptoms and benign prostatic hyperplasia. Urology 51(Suppl 4A):1–7PubMedCrossRef Holtgrewe HL (1998) Current trends in management of men with lower urinary tract symptoms and benign prostatic hyperplasia. Urology 51(Suppl 4A):1–7PubMedCrossRef
2.
Zurück zum Zitat Oesterling JE (1995) Benign prostatic hyperplasia. Medical and minimally invasive treatment options. N Engl J Med 332:99–109PubMedCrossRef Oesterling JE (1995) Benign prostatic hyperplasia. Medical and minimally invasive treatment options. N Engl J Med 332:99–109PubMedCrossRef
3.
Zurück zum Zitat Buck AC (1996) Phytotheraphy for the prostate. Br J Urol 78:325–336PubMed Buck AC (1996) Phytotheraphy for the prostate. Br J Urol 78:325–336PubMed
4.
Zurück zum Zitat Wilt TJ, Ishani A, Stark G et al (1998) Saw palmetto extracts for treatment of benign prostatic hyperplasia: a systematic review. JAMA 280(18):1604–1609PubMedCrossRef Wilt TJ, Ishani A, Stark G et al (1998) Saw palmetto extracts for treatment of benign prostatic hyperplasia: a systematic review. JAMA 280(18):1604–1609PubMedCrossRef
5.
Zurück zum Zitat Lowe FC, Fagelman E (1999) Phytotheraphy in the treatment of benign prostatic hyperplasia: an update. Urology 53(4):671–678PubMedCrossRef Lowe FC, Fagelman E (1999) Phytotheraphy in the treatment of benign prostatic hyperplasia: an update. Urology 53(4):671–678PubMedCrossRef
6.
Zurück zum Zitat Chacon A, Monga M (1999) Medical management of benign prostatic hyperplasia. Geriatr Nephrol Urol 9(1):39–48PubMedCrossRef Chacon A, Monga M (1999) Medical management of benign prostatic hyperplasia. Geriatr Nephrol Urol 9(1):39–48PubMedCrossRef
7.
Zurück zum Zitat Clifford GM, Farmer RD (2000) Medical therapy for benign prostatic hyperplasia. A review of the literature. Eur Urol 38(1):2–19PubMedCrossRef Clifford GM, Farmer RD (2000) Medical therapy for benign prostatic hyperplasia. A review of the literature. Eur Urol 38(1):2–19PubMedCrossRef
8.
Zurück zum Zitat Champault G, Patel JC, Bonnard AM (1984) A double-blind trial of an extract of the plant Serenoa Repens in benign prostatic hypertrophy. Br J Clin Pharmacol 18(3):461–462PubMed Champault G, Patel JC, Bonnard AM (1984) A double-blind trial of an extract of the plant Serenoa Repens in benign prostatic hypertrophy. Br J Clin Pharmacol 18(3):461–462PubMed
9.
Zurück zum Zitat Tasca A, Barulli M, Cavazzana A et al (1985) Treatment of obstructive symptomatology caused by prostatic adenoma with an extract of Serenoa repens. Double-blind clinical study vs. placebo. Minerva Urol Nefrol 37(1):87–91PubMed Tasca A, Barulli M, Cavazzana A et al (1985) Treatment of obstructive symptomatology caused by prostatic adenoma with an extract of Serenoa repens. Double-blind clinical study vs. placebo. Minerva Urol Nefrol 37(1):87–91PubMed
10.
Zurück zum Zitat Cukier J, Ducassou J, Le Guillou M et al (1985) Permixon versus placebo: results of a multicentre study. C R Ther Pharmacol Clin 4:15–21 Cukier J, Ducassou J, Le Guillou M et al (1985) Permixon versus placebo: results of a multicentre study. C R Ther Pharmacol Clin 4:15–21
11.
Zurück zum Zitat Descotes JL, Rambeaud JJ, Deschaseaux P et al (1995) Placebo-controlled evaluation of the efficacy and tolerability of Permixon in benign prostatic hyperplasia after exclusion of placebo responders. Clin Drug Invest 9:291–297 Descotes JL, Rambeaud JJ, Deschaseaux P et al (1995) Placebo-controlled evaluation of the efficacy and tolerability of Permixon in benign prostatic hyperplasia after exclusion of placebo responders. Clin Drug Invest 9:291–297
12.
Zurück zum Zitat Carraro JC, Raynaud JP, Koch G et al (1996) Comparison of phytotheraphy (Permixon) with finasteride in the treatment of benign prostate hyperplasia: a randomized international study of 1098 patients. Prostate 29(4):231–240PubMedCrossRef Carraro JC, Raynaud JP, Koch G et al (1996) Comparison of phytotheraphy (Permixon) with finasteride in the treatment of benign prostate hyperplasia: a randomized international study of 1098 patients. Prostate 29(4):231–240PubMedCrossRef
13.
Zurück zum Zitat Debruyne F, Koch G, Boyle P et al (2002) for the members of the PERMAL Study Comparison of a phytotherapeutic agent (Permixon) with an α-blocker(tamsulosin) in the treatment of benign prostatic hyperplasia: a 1-year randomized international study. Eur Urol 41:497–507PubMedCrossRef Debruyne F, Koch G, Boyle P et al (2002) for the members of the PERMAL Study Comparison of a phytotherapeutic agent (Permixon) with an α-blocker(tamsulosin) in the treatment of benign prostatic hyperplasia: a 1-year randomized international study. Eur Urol 41:497–507PubMedCrossRef
14.
Zurück zum Zitat Neal DE (1997) Watchful waiting or drug therapy for benign prostatic hyperplasia? Lancet 350:305–306PubMedCrossRef Neal DE (1997) Watchful waiting or drug therapy for benign prostatic hyperplasia? Lancet 350:305–306PubMedCrossRef
15.
Zurück zum Zitat Boyle P, Gould AL, Roehrborn CG (1996) Prostate volume predicts outcome of treatment of benign prostatic hyperplasia with finasteride: meta-analysis of randomized clinical trials. Urology 48:398–405PubMedCrossRef Boyle P, Gould AL, Roehrborn CG (1996) Prostate volume predicts outcome of treatment of benign prostatic hyperplasia with finasteride: meta-analysis of randomized clinical trials. Urology 48:398–405PubMedCrossRef
16.
Zurück zum Zitat Di Salle E, Briatico G, Giudici D et al (1994) Novel aromatase and 5 alpha-reductase inhibitors. J Steroid Biochem Mol Biol 49:289–294PubMedCrossRef Di Salle E, Briatico G, Giudici D et al (1994) Novel aromatase and 5 alpha-reductase inhibitors. J Steroid Biochem Mol Biol 49:289–294PubMedCrossRef
17.
Zurück zum Zitat Di Salle E, Briatico G, Giudici D et al (1994) Endocrine properties of the testosterone 5 alpha-reductase inhibitor turosteride (FCE 26073). J Steroid Biochem Mol Biol 48:241–248PubMedCrossRef Di Salle E, Briatico G, Giudici D et al (1994) Endocrine properties of the testosterone 5 alpha-reductase inhibitor turosteride (FCE 26073). J Steroid Biochem Mol Biol 48:241–248PubMedCrossRef
18.
Zurück zum Zitat Jardin A, Bensadoun H, Delauche-Cavallier MC et al (1991) Alfuzosin for treatment of benign prostatic hypertrophy. The BPH-ALF Group. Lancet 337:1457–1461PubMedCrossRef Jardin A, Bensadoun H, Delauche-Cavallier MC et al (1991) Alfuzosin for treatment of benign prostatic hypertrophy. The BPH-ALF Group. Lancet 337:1457–1461PubMedCrossRef
19.
Zurück zum Zitat Abrams P (1997) Urodynamic effects of doxazosin in men with lower urinary tract symptoms and benign prostatic obstruction. Results from three double-blind placebo-controlled studies. Eur Urol 32:39–46PubMed Abrams P (1997) Urodynamic effects of doxazosin in men with lower urinary tract symptoms and benign prostatic obstruction. Results from three double-blind placebo-controlled studies. Eur Urol 32:39–46PubMed
20.
Zurück zum Zitat Astin JA (1998) Why patients use alternative medicine: results of a national study. JAMA 279:1548–1553PubMedCrossRef Astin JA (1998) Why patients use alternative medicine: results of a national study. JAMA 279:1548–1553PubMedCrossRef
21.
Zurück zum Zitat Vincent C, Furnham A (1996) Why do patients turn to complementary medicine? An empirical study. Br J Clin Psychol 35(Pt 1):37–48PubMed Vincent C, Furnham A (1996) Why do patients turn to complementary medicine? An empirical study. Br J Clin Psychol 35(Pt 1):37–48PubMed
22.
Zurück zum Zitat Furnham A, Forey J (1994) The attitudes, behaviors and beliefs of patients of conventional vs. complementary (alternative) medicine. J Clin Psychol 50(3):458–469PubMedCrossRef Furnham A, Forey J (1994) The attitudes, behaviors and beliefs of patients of conventional vs. complementary (alternative) medicine. J Clin Psychol 50(3):458–469PubMedCrossRef
23.
Zurück zum Zitat Weisser H, Tunn S, Behnke B, Krieg M (1996) Effects of the sabal serrulata extract IDS 89 and its subfractions on 5 alpha-reductase activity in human benign prostatic hyperplasia. Prostate 28(5):300–306PubMedCrossRef Weisser H, Tunn S, Behnke B, Krieg M (1996) Effects of the sabal serrulata extract IDS 89 and its subfractions on 5 alpha-reductase activity in human benign prostatic hyperplasia. Prostate 28(5):300–306PubMedCrossRef
24.
Zurück zum Zitat Iehle C, Delos S, Guirou O, Tate R, Raynaud JP, Martin PM (1995) Human prostatic steroid 5 alpha-reductase isoforms – a comparative study of selective inhibitors. J Steroid Biochem Mol Biol 54(5–6):273–279PubMedCrossRef Iehle C, Delos S, Guirou O, Tate R, Raynaud JP, Martin PM (1995) Human prostatic steroid 5 alpha-reductase isoforms – a comparative study of selective inhibitors. J Steroid Biochem Mol Biol 54(5–6):273–279PubMedCrossRef
25.
Zurück zum Zitat Plosker GL, Brogden RN (1996) Serenoa repens (Permixon). A review of its pharmacology and therapeutic efficacy in benign prostatic hyperplasia. Drugs Aging 9(5):379–395PubMedCrossRef Plosker GL, Brogden RN (1996) Serenoa repens (Permixon). A review of its pharmacology and therapeutic efficacy in benign prostatic hyperplasia. Drugs Aging 9(5):379–395PubMedCrossRef
26.
Zurück zum Zitat Sultan C, Terraza A, Devillier C, Carilla E, Briley M, Loire C, Descomps B (1984) Inhibition of androgen metabolism and binding by a liposterolic extract of “Serenoa repens B” in human foreskin fibroblasts. J Steroid Biochem 20(1):515–519PubMedCrossRef Sultan C, Terraza A, Devillier C, Carilla E, Briley M, Loire C, Descomps B (1984) Inhibition of androgen metabolism and binding by a liposterolic extract of “Serenoa repens B” in human foreskin fibroblasts. J Steroid Biochem 20(1):515–519PubMedCrossRef
27.
Zurück zum Zitat Carilla E, Briley M, Fauran F, Sultan C, Duvilliers C (1984) Binding of Permixon, a new treatment for prostatic benign hyperplasia, to the cytosolic androgen receptor in the rat prostate. J Steroid Biochem 20(1):521–523PubMedCrossRef Carilla E, Briley M, Fauran F, Sultan C, Duvilliers C (1984) Binding of Permixon, a new treatment for prostatic benign hyperplasia, to the cytosolic androgen receptor in the rat prostate. J Steroid Biochem 20(1):521–523PubMedCrossRef
28.
Zurück zum Zitat Ravenna L, Di Silverio F, Russo MA, Salvatori L, Morgante E, Morrone S, Cardillo MR, Russo A, Frati L, Gulino A, Petrangeli E (1996) Effects of the lipidosterolic extract of Serenoa repens (Permixon) on human prostatic cell lines. Prostate 29(4):219–230PubMedCrossRef Ravenna L, Di Silverio F, Russo MA, Salvatori L, Morgante E, Morrone S, Cardillo MR, Russo A, Frati L, Gulino A, Petrangeli E (1996) Effects of the lipidosterolic extract of Serenoa repens (Permixon) on human prostatic cell lines. Prostate 29(4):219–230PubMedCrossRef
29.
Zurück zum Zitat Paubert-Braquet M, Mencia Huerta JM, Cousse H, Braquet P (1997) Effect of the lipidic lipidosterolic extract of Serenoa repens (Permixon) on the ionophore A23187-stimulated production of leukotriene B4 (LTB4) from human polymorphonuclear neutrophils. Prostaglandins Leukot Essent Fatty Acids 57(3):299–304PubMedCrossRef Paubert-Braquet M, Mencia Huerta JM, Cousse H, Braquet P (1997) Effect of the lipidic lipidosterolic extract of Serenoa repens (Permixon) on the ionophore A23187-stimulated production of leukotriene B4 (LTB4) from human polymorphonuclear neutrophils. Prostaglandins Leukot Essent Fatty Acids 57(3):299–304PubMedCrossRef
30.
Zurück zum Zitat Debruyne F, Boyle P, Calais Da Silva F, Gillenwater JG, Hamdy FC, Perrin P, Teillac P, Vela-Navarrete R, Raynaud JP, Schulman CC (2004) Evaluation of the clinical benefit of permixon and tamsulosin in severe BPH patients-PERMAL study subset analysis. Eur Urol 45(6):773–779PubMedCrossRef Debruyne F, Boyle P, Calais Da Silva F, Gillenwater JG, Hamdy FC, Perrin P, Teillac P, Vela-Navarrete R, Raynaud JP, Schulman CC (2004) Evaluation of the clinical benefit of permixon and tamsulosin in severe BPH patients-PERMAL study subset analysis. Eur Urol 45(6):773–779PubMedCrossRef
31.
Zurück zum Zitat Wilt TJ, Ishani A, Stark G, MacDonald R, Lau J, Mulrow C (1998) Saw palmetto extracts for treatment of benign prostatic hyperplasia: a systematic review. JAMA 280(18):1604–1609PubMedCrossRef Wilt TJ, Ishani A, Stark G, MacDonald R, Lau J, Mulrow C (1998) Saw palmetto extracts for treatment of benign prostatic hyperplasia: a systematic review. JAMA 280(18):1604–1609PubMedCrossRef
32.
Zurück zum Zitat Glemain P, Coulange C, Billebaud T, Gattegno B, Muszynski R, Loeb G (2002) Groupe de l’essai OCOS [Tamsulosin with or without Serenoa repens in benign prostatic hyperplasia: the OCOS trial]. Prog Urol 12(3):395–403 Glemain P, Coulange C, Billebaud T, Gattegno B, Muszynski R, Loeb G (2002) Groupe de l’essai OCOS [Tamsulosin with or without Serenoa repens in benign prostatic hyperplasia: the OCOS trial]. Prog Urol 12(3):395–403
33.
Zurück zum Zitat Zlotta AR, Teillac P, Raynaud JP, Schulman CC (2005) Evaluation of male sexual function in patients with Lower Urinary Tract Symptoms (LUTS) associated with Benign Prostatic Hyperplasia (BPH) treated with a phytotherapeutic agent (Permixon), Tamsulosin or Finasteride. Eur Urol 48(2):269–276PubMedCrossRef Zlotta AR, Teillac P, Raynaud JP, Schulman CC (2005) Evaluation of male sexual function in patients with Lower Urinary Tract Symptoms (LUTS) associated with Benign Prostatic Hyperplasia (BPH) treated with a phytotherapeutic agent (Permixon), Tamsulosin or Finasteride. Eur Urol 48(2):269–276PubMedCrossRef
34.
Zurück zum Zitat Braeckman J, Denis L, de Lavel J et al (1997) A double-blind, placebo-controlled study of the plant extract Serenoa repens in the treatment of benign hyperplasia of the prostate. Eur J Clin Res 9:247–259 Braeckman J, Denis L, de Lavel J et al (1997) A double-blind, placebo-controlled study of the plant extract Serenoa repens in the treatment of benign hyperplasia of the prostate. Eur J Clin Res 9:247–259
35.
Zurück zum Zitat Carbin BE, Larsson B, Lindahl O (1990) Treatment of benign prostatic hyperplasia with phytosterols. Br J Urol 66(6):639–641PubMed Carbin BE, Larsson B, Lindahl O (1990) Treatment of benign prostatic hyperplasia with phytosterols. Br J Urol 66(6):639–641PubMed
36.
Zurück zum Zitat Willetts KE, Clements MS, Champion S, Ehsman S, Eden JA (2003) Serenoa repens extract for benign prostate hyperplasia: a randomized controlled trial. BJU Int 92(3):267–270PubMedCrossRef Willetts KE, Clements MS, Champion S, Ehsman S, Eden JA (2003) Serenoa repens extract for benign prostate hyperplasia: a randomized controlled trial. BJU Int 92(3):267–270PubMedCrossRef
37.
Zurück zum Zitat Gerber GS, Kuznetsov D, Johnson BC, Burstein JD (2001) Randomized, double-blind, placebo-controlled trial of saw palmetto in men with lower urinary tract symptoms. Urology 58(6):960–964PubMedCrossRef Gerber GS, Kuznetsov D, Johnson BC, Burstein JD (2001) Randomized, double-blind, placebo-controlled trial of saw palmetto in men with lower urinary tract symptoms. Urology 58(6):960–964PubMedCrossRef
38.
Zurück zum Zitat Boyle P, Robertson C, Lowe F, Roehrborn C (2004) Updated meta-analysis of clinical trials of Serenoa repens extract in the treatment of symptomatic benign prostatic hyperplasia. BJU Int 93(6):751–756PubMedCrossRef Boyle P, Robertson C, Lowe F, Roehrborn C (2004) Updated meta-analysis of clinical trials of Serenoa repens extract in the treatment of symptomatic benign prostatic hyperplasia. BJU Int 93(6):751–756PubMedCrossRef
39.
Zurück zum Zitat Bent S, Kane C, Shinohara K et al (2006) Saw Palmetto for benign prostatic hyperplasia. N Engl J Med 354:557–566PubMedCrossRef Bent S, Kane C, Shinohara K et al (2006) Saw Palmetto for benign prostatic hyperplasia. N Engl J Med 354:557–566PubMedCrossRef
40.
Zurück zum Zitat Lepor H (1998) Long-term evaluation of tamsulosin in benign prostatic hyperplasia: placebo-controlled, double-blind extension of phase III trial. Tamsulosin Investigator Group. Urology 51(6):901–906PubMedCrossRef Lepor H (1998) Long-term evaluation of tamsulosin in benign prostatic hyperplasia: placebo-controlled, double-blind extension of phase III trial. Tamsulosin Investigator Group. Urology 51(6):901–906PubMedCrossRef
41.
Zurück zum Zitat Brooks SK (1999) Effect of tamsulosin on AUA symptom score and BPH impact index as a function of symptom severity in patients with benign prostatic hyperplasia. J Urol 161(Suppl):267CrossRef Brooks SK (1999) Effect of tamsulosin on AUA symptom score and BPH impact index as a function of symptom severity in patients with benign prostatic hyperplasia. J Urol 161(Suppl):267CrossRef
42.
Zurück zum Zitat Schulman CC, Cortvriend J, Jonas U, Lock TM, Vaage S, Speakman MJ (1999) Tamsulosin: 3-year long-term efficacy and safety in patients with lower urinary tract symptoms suggestive of benign prostatic obstruction: analysis of a European, multinational, multicenter, open-label study European Tamsulosin Study Group. Eur Urol 36(6):609–620PubMedCrossRef Schulman CC, Cortvriend J, Jonas U, Lock TM, Vaage S, Speakman MJ (1999) Tamsulosin: 3-year long-term efficacy and safety in patients with lower urinary tract symptoms suggestive of benign prostatic obstruction: analysis of a European, multinational, multicenter, open-label study European Tamsulosin Study Group. Eur Urol 36(6):609–620PubMedCrossRef
43.
Zurück zum Zitat Giannakopoulos X, Baltogiannis D, Giannakis D et al (2002) The lipidosterolic extract of Serenoa repens in the treatment of benign prostatic hyperplasia: a comparison of two dosage regimens. Adv Ther 19(6):285–296PubMed Giannakopoulos X, Baltogiannis D, Giannakis D et al (2002) The lipidosterolic extract of Serenoa repens in the treatment of benign prostatic hyperplasia: a comparison of two dosage regimens. Adv Ther 19(6):285–296PubMed
44.
Zurück zum Zitat Braeckman J (1994) The extract of Serenoa repens in the treatment of benign prostatic hyperplasia: a multicenter open study. Curr Ther Res 55:776–785CrossRef Braeckman J (1994) The extract of Serenoa repens in the treatment of benign prostatic hyperplasia: a multicenter open study. Curr Ther Res 55:776–785CrossRef
45.
Zurück zum Zitat Gerber GS, Zagaja GP, Bales GT, Chodak GW, Contreras BA (1998) Saw palmetto (Serenoa repens) in men with lower urinary tract symptoms: effects on urodynamic parameters and voiding symptoms. Urology 51(6):1003–1007PubMedCrossRef Gerber GS, Zagaja GP, Bales GT, Chodak GW, Contreras BA (1998) Saw palmetto (Serenoa repens) in men with lower urinary tract symptoms: effects on urodynamic parameters and voiding symptoms. Urology 51(6):1003–1007PubMedCrossRef
46.
Zurück zum Zitat Wang LG, Liu XM, Kreis W, Budman DR (1997) Down-regulation of prostate-specific antigen expression by finasteride through inhibition of complex formation between androgen receptor and steroid receptor-binding consensus in the promoter of the PSA gene in LNCaP cells. Cancer Res 57(4):714–719PubMed Wang LG, Liu XM, Kreis W, Budman DR (1997) Down-regulation of prostate-specific antigen expression by finasteride through inhibition of complex formation between androgen receptor and steroid receptor-binding consensus in the promoter of the PSA gene in LNCaP cells. Cancer Res 57(4):714–719PubMed
47.
Zurück zum Zitat Romics I, Schmitz H, Frang D (1993) Experience in treating benign prostatic hypertrophy with Sabal serrulata for one year. Int Urol Nephrol 25(6):565–569PubMed Romics I, Schmitz H, Frang D (1993) Experience in treating benign prostatic hypertrophy with Sabal serrulata for one year. Int Urol Nephrol 25(6):565–569PubMed
48.
Zurück zum Zitat Kondas J, Philipp V, Dioszeghy G (1996) Sabal serrulata extract (Strogen forte) in the treatment of symptomatic benign prostatic hyperplasia. Int Urol Nephrol 28(6):767–772PubMedCrossRef Kondas J, Philipp V, Dioszeghy G (1996) Sabal serrulata extract (Strogen forte) in the treatment of symptomatic benign prostatic hyperplasia. Int Urol Nephrol 28(6):767–772PubMedCrossRef
49.
Zurück zum Zitat Roveda S, Colombo P (1994) Sperimentazione clinica controllata sulla bioequivalenza terapeutica e sulla tollerabilita dei prodotti a base di Serenoa repens in capsule da 160 mg o capsule rettali da 640 mg. Arch Med Intern 46:61–75 Roveda S, Colombo P (1994) Sperimentazione clinica controllata sulla bioequivalenza terapeutica e sulla tollerabilita dei prodotti a base di Serenoa repens in capsule da 160 mg o capsule rettali da 640 mg. Arch Med Intern 46:61–75
50.
Zurück zum Zitat Drew A (2000) An alternative stream: Serenoa repens for benign prostatic hypertrophy? Aust Prescr 23:79 Drew A (2000) An alternative stream: Serenoa repens for benign prostatic hypertrophy? Aust Prescr 23:79
51.
Zurück zum Zitat Hamid S, Rojter S, Vierling J (1997) Protracted cholestatic hepatitis after the use of prostata. Ann Intern Med 127(2):169–170PubMed Hamid S, Rojter S, Vierling J (1997) Protracted cholestatic hepatitis after the use of prostata. Ann Intern Med 127(2):169–170PubMed
Metadaten
Titel
A prospective study of the efficacy of Serenoa repens, Tamsulosin, and Serenoa repens plus Tamsulosin treatment for patients with benign prostate hyperplasia
verfasst von
Fatih Hızlı
M. Cemil Uygur
Publikationsdatum
01.09.2007
Verlag
Springer Netherlands
Erschienen in
International Urology and Nephrology / Ausgabe 3/2007
Print ISSN: 0301-1623
Elektronische ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-006-9106-5

Weitere Artikel der Ausgabe 3/2007

International Urology and Nephrology 3/2007 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.