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How long does prostatitis flare up last?

Chronic bacterial prostatitis is an infection of the prostate that can last for a long time – at least three months.

prostatecanceruk.org - What is prostatitis? - Chronic pelvic pain syndrome (CPPS)

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Chronic pelvic pain syndrome (CPPS)

CPPS is the most common type of prostatitis – around 19 out of every 20 men (90 to 95 per cent) with prostatitis have it. You might also hear it called chronic non-bacterial prostatitis, chronic abacterial prostatitis or prostate pain syndrome. Chronic means long-lasting. Men with CPPS usually have symptoms for three months or longer. Even after treatment, you may still have prostatitis for a long time. It might come and go, causing occasional episodes of severe pain, sometimes known as flare-ups.

What causes it?

Nobody knows for certain what causes CPPS. Unlike other types of prostatitis it isn’t usually caused by a bacterial infection. There could be a number of causes, which makes it difficult to diagnose and treat.

There are also a number of things that might trigger it, including:

urine getting into the prostate

previous infections in or around the prostate

an infection that doesn’t show up in tests

problems with nerves pathway, so that they send pain signals to the brain even when there’s nothing physically wrong

stress, anxiety or depression

problems with the pelvic floor muscles (the muscles that support your bladder and bowel and help to control urination). Some research shows a link between stress, anxiety and depression and CPPS. But this doesn’t mean that CPPS is all in your head. If you’re feeling stressed or depressed, this may cause physical symptoms that trigger CPPS, or make symptoms worse. There’s some evidence that CPPS may be linked to other conditions such as chronic fatigue syndrome, which causes severe tiredness, and irritable bowel syndrome (IBS), which causes bowel problems. Some men with CPPS have symptoms of these conditions too. There’s also some evidence that in a small number of men, CPPS may be caused by a sexually transmitted infection. But we need more research to know for sure. You can read more about the symptoms of CPPS, the test used to diagnose it, and the treatments available.

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What happens when you come off tamsulosin?

Stopping tamsulosin suddenly can make your condition worse as your symptoms may return. Talk to a doctor if you want to stop taking tamsulosin. If you're bothered by side effects, the doctor may be able to prescribe a different medicine.

nhs.uk - Tamsulosin: a medicine used to treat men with symptoms of an ... - NHS

Tamsulosin comes as slow-release tablets and capsules (also called modified release, prolonged release, MR or XL).

This means the medicine is released into your body gradually.

How much will I take?

The usual dose of tamsulosin for enlarged prostate and kidney stone is 400 micrograms, once a day. The word microgram is sometimes written with the Greek symbol μ followed by the letter g (μg). A microgram is 1,000 times smaller than a milligram (mg).

How to take it

Swallow your tamsulosin capsules or tablets whole with a glass of water.

Do not break, chew or crush them.

If you can, take tamsulosin in the morning, after breakfast or the first meal or snack of the day. This is so the highest levels of medicine are in your body during the day and gives you the most benefit when you are most likely trying to pee.

It's best to take it at about the same time each day.

What if I forget to take it?

If you miss a dose of tamsulosin, and you remember within 6 hours, take the missed dose as soon as you remember. If it's more than 6 hours, skip the missed dose and take your next dose at the usual time the next day. Do not take a double dose to make up for a forgotten dose. If you forget doses often, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.

What if I take too much?

Taking too much tamsulosin can lead to a decrease in your blood pressure and an increase in your heart rate. You may feel drowsy, faint and lightheaded.

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