What You Need to Know about Flomax (Tamsulosin) Treatment for Enlarged Prostate Symptoms in Men

by Alex Shteynshlyuger MD

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Urolift system for Enlarged Prostate

Urolift for Treatment of BPH

Flomax is an Effective Treatment for BPH Symptoms

 Flomax (generic name tamsulosin) is an effective medication that treats symptoms of enlarged prostate in men.  Flomax has been used by millions of men.  It has a good safety profile with usually minor side effects in some men.  Flomax or tamsulosin is a type of medication called alpha-blocker because it blocks the alpha receptors which causes the muscle of the prostate to relax. 

Flomax can Improve Slow Urine Stream

Tamsulosin is effective in improving the slow urine stream. Tamsulosin also decreases the need to wake up at night to urinate and decrease urinary urgency in men with an enlarged prostate.

Flomax Helps Not To Wake Up at Night to Urinate

Urination at night is a common symptom in men with an enlarged prostate. Some men may need to wake up once or twice a night but others have an urge to pee up to 6-8 times a night.  Medications such as Flomax can often help men to sleep through the night and to get a good night’s rest without waking up multiple times with the urge to urinate.

Cost of Tamsulosin (Flomax)

Tamsulosin or Flomax is available as a generic medication.  Flomax is fairly inexpensive with a monthly cost of under $20-30.  Small private pharmacies and Costco pharmacy, as well as Walmart pharmacy, tend to have good prices.  Chain pharmacies such as CVS and Walgreens tend to be more expensive.

Tamsulosin (Flomax) Side Effects and What to do If You Get Them

Every medication has side effects but not every patient gets side effects.  In general, tamsulosin has mild side effects.  The most bothersome side effects that men experience is dizziness which typically resolves within 2-3 days.  For this reason, Flomax is usually taken at night before going to sleep so that dizziness if occurs happens during sleep. Some people feel groggy or tired in the morning – if it persists, see a doctor.  The other bothersome symptom that some men experience is lack of ejaculation.  Lack of ejaculation or unejaculation is not dangerous and reversible once a patient stops Flomax.  Men who experience unejaculation, are able to orgasm as ejaculation and orgasm are two separate functions that tend to occur together.

Alternatives to Flomax: Treatment Options for Enlarged Prostate if You Have Side Effects or if Tamsulosin Does Not Help

For men who experienced side effects to Flomax, trying a different medication such as Uroxatral (alfuzosin), terazosin or Rapaflo often works and they often do not experience side effects to a different medication. 

If Flomax does not help or if a patient experiences side effects to replacement medication such as to alfuzosin or Rapaflo, other treatment options include Urolift procedure, REZUM and laser prostate enucleation. Bipolar TURP and Greenlight laser of the prostate are also effective.

Finasteride or Proscar is another medication that is often helpful in men with urinary symptoms caused by enlarged prostate and BPH.  Typically, Proscar is taken together with Flomax as a combination provides more benefit than either medication alone.

Medications used for overactive bladder treatment are often helpful in combination with Flomax to alleviate the symptoms of frequent urination in men, urgency, and urge incontinence.  These medications include oxybutynin, Vesicare, Myrbetriq, and Detrol.

How Effective His Flomax For Men With Symptoms Closed By Enlarged Prostate?

Flomax, in general, is a very effective treatment for men with symptoms of the enlarged prostate such as the need to urinate often, slow urine stream, need to push to empty the bladder and to wake up at night to urinate.

In some men, the prostate grows too large and Flomax does not provide adequate benefit.  In men who have enlarged median lobe of the prostate that blocks urine flow, medications typically do not help and surgical treatment provides the most effective relief of symptoms.

Why Choose New York Urology Specialists for Treatment of Enlarged Prostate (BPH) with Prostate Enucleation?

  • All treatment is performed by a Board-certified urologist experienced in treating men with symptoms of BPH using medical therapy, minimally invasive therapies, lasers and open surgery.
  • We are one of the few practices in the region to offer a full range of options for treatment of BPH.
  • We offer BPH treatment options under local anesthesia which avoids the risks, costs, and recovery from general anesthesia. Most men are able to return to office work and other normal activities the next day.
  • Extensive Experience: Hundreds of men treated successfully using medical therapy, Urolift, lasers for BPH (Holmium, Thulium, Evolve, Greenlight lasers), Bipolar TURP, traditional TURP, open suprapubic prostatectomy, robotic suprapubic prostatectomy for BPH.
  • We treat men with BPH who have heart problems (hypertension, CAD, CHF), renal failure (ESRD) on hemodialysis, men on blood thinners such as aspirin, Lovenox, Coumadin (Warfarin), apixaban, rivaroxaban (Xarelto).

Excellence-Urology_Care VasectomyWhen it comes to experience and innovation – New York Urology Specialists are a step ahead.  Better Science Means Better Care.  We specialize in minimally invasive highly effective treatment for symptoms of enlarged prostate and BPH. Many treatment procedures are performed in the convenience and privacy of office settings under local anesthesia.

If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call: 646-663-4044


Medicare and major insurances accepted. We offer affordable rates and financing options.

Schedule an Appointment with Dr. Shteynshlyuger:

Call today: 646-663-4044 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship trained board-certified with expertise in evaluation and treatment of urinary problems in men.  He uses modern effective and proven treatment methods including Urolift for BPH.  He is highly recommended by top primary care physicians in New York area.

He has successfully performed hundreds of prostate procedures in adults. Urolift procedures are performed in the office under local anesthesia, in surgical center and affiliated hospitals under anesthesia.

If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to Contact Us with any questions.


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call: (646) 663-4044

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend, and evening office hours.