What You Need to Know about Rapaflo Pills (silodosin):  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

Rapaflo is an Effective Medication for Many Men with Enlarged Prostate Symptoms

Rapaflo, also known as silodosin, is used for the treatment of symptoms of enlarged prostate and men.  Rapaflo belongs to a class of medications called “alpha-blockers”.  Rapaflo is an effective medication that can improve urine flow, decrease urinary urgency and decrease urgent need to urinate often during the day and at night. 

Rapaflo (silodosin) pills can Improve Urgency and decrease Urinary Frequency

Rapaflo usually taken as one pill per day, usually taken at night before going to sleep, is very effective in decreasing the need to urinate at night and during the day.

Taking Rapaflo daily can also decrease the urge to urinate.

Cost of Rapaflo (silodosin) Tablets

Rapaflo is not currently available as a generic medication.  As a result, Rapaflo is relatively more costly compared to other medications in the same class such as Flomax and Uroxatral.  The cost of Rapaflo is about $250 a month compared to less than $20-$30 per month for medication such as Flomax and Uroxatral, which are available as generic medications.

Because there is no significant advantage for most men from using Rapaflo compared to less expensive medications, Rapaflo is not commonly prescribed.

Silodosin (Rapaflo) Side Effects and What to Do If You Get Side Effects to Rapaflo

Side effects of Rapaflo are not very common, most common side effects include dizziness which typically resolves spontaneously within 2-3 days.    Men are usually advised to take Rapaflo at night before going to sleep so the dizziness if it occurs, is not symptomatic.  If dizziness persists, switching to a different medication often solves the problem.  Some men may feel tired the next day after taking Rapaflo.  Lack of ejaculation can also occur in some men.  Ejaculation problems are not dangerous and reversible if medication is stopped

Ejaculation Problems and Rapaflo: Treatment Options

 Rapaflo is associated with a lack of ejaculation in some men.  Lack of ejaculation tends to be a noticeable and bothersome symptom in men taking Rapaflo.  Men who are concerned about this side effect should be aware that this is not a dangerous side effect.  Often, switching to a different medication may resolve the problem.  Alternatively, Urolift for large prostate typically does not affect ejaculation and often improves ejaculatory function in men.

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. Urologist. 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 urologist 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 the New York area.

He has successfully performed hundreds of prostate procedures in adults. Urolift procedures are performed in the office under local anesthesia, in a 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.