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Urology/hydroxyzine

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QUESTION: dr leslie,im a 79 year old male who has moderate kidney damage and slightly enlarged prostate.i take Flomax and my urine flow is good.about 3 times a w week I take total of 30mg of hydroxyzine for hives.would this doseage aggravate my kidneys or prostate>

ANSWER: Roger:

It is unlikely that the hydroxazine would have any negative effects on voiding or your kidneys, but if your kidney function is extremely bad you may have to adjust the dosage.  You can ask your nephrologist or medical doctor if any dose adjustment is needed.

---------- FOLLOW-UP ----------

QUESTION: in a pryor e-mail to me you stated elderly people who take Flomax,usually have no problems with Benadryl.the internet which is usually wrong said people over 65 who take Benadryl can get loss of cognitive like dementia?is it safe for me to take Benadryl 3 times a week.total 150 mg

Answer
Roger:

I was referring to possible effects on bladder and urinary function.  The issue of taking benadryl and possible cognitive effects should be discussed with your physician and pharmacist.  However, benadryl can increase the risk of urinary retention and has been linked with confusion in the elderly so there may be better solutions for you.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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