Case Study analysis
L.L. is a 67-year-old male who has been diagnosed with BPH. He is having difficulty with urination. He is currently on Cozaar 100 mg for HTN and his BP is well controlled. He is taking no other medications. The doctor has recommended medication for his BPH, but he would like to try a herbal supplement before taking a prescription medication.
1. Would you recommend a herbal supplement in L.L’s case?
2. If so, what herbal supplement would he take?
3. What is the recommended dosage?
4. What are possible side effects of the herbal supplement?
5. What warnings should you give L.L. before he starts the herbal supplement.
Sample Solution
1. Yes, I would recommend a herbal supplement in L.L’s case as an option if he is not comfortable with taking prescription medication for his BPH. Herbal supplements are natural remedies that may be beneficial in treating the symptoms of BPH.
2. The most commonly recommended herbal supplement for treating the symptoms associated with BPH is saw palmetto extract derived from the berry of the Serenoa repens plant. It has been used to reduce urinary difficulties caused by an enlarged prostate gland, such as difficulty urinating and frequent nighttime urination (nocturia).
3. The recommended dosage for saw palmetto extract is 320-640 mg daily split into two doses per day (320-640mg/day). It should also be noted that it may take up to 6 weeks before any improvement in symptoms can be noticed so it needs to be taken consistently over this period of time for best results.
4. Possible side effects associated with taking saw palmetto include nausea, constipation, diarrhea, headache and abdominal pain although these side effects are rare and usually mild if they occur at all.. Some people have also reported feeling dizzy or drowsy when they first start taking Saw Palmetto so driving or operating machinery should only be undertaken after assessing how well tolerated it is on an individual basis initially.. In addition some individuals can experience allergic reactions such as skin rashes or hives which require discontinuing use immediately if they occur.. Generally speaking though side effects are minimal compared to many prescription medications available for treating BPH and its related symptoms..
5. Before starting a course of Saw Palmetto there are several considerations that need to discussed and outlined with LLL: Firstly he must realise that while herbs like Saw Palmetto might provide relief from symptoms associated with BPH it does not cure prostate enlargement outright; Secondly he should discuss any other prescribed medications he currently takes with his doctor just to check there will not be any interactions between them; Thirdly patients who have allergies should take special caution since some batches of Saw Palmetto can contain traces of nuts which could trigger an allergic reaction; Finally patient's who suffer from other health issues such as diabetes may need closer monitoring due to potential drug interaction risks involved when combining different treatments regimes together so careful consultation and monitoring by a qualified healthcare professional should always form part of their treatment plan..