Prostate-specific antigen (PSA): Understanding the Prostate cancer

Prostate-specific antigen (PSA) is a protein produced by the prostate gland in men. PSA testing is commonly used to screen for prostate cancer, a disease that affects one in every eight men. However, it’s important to note that having an elevated PSA level does not necessarily mean that you have prostate cancer.

When to test for PSA:

PSA testing is generally recommended for men between the ages of 50 and 70, although it may be recommended earlier if you have a family history of prostate cancer or if you are experiencing symptoms such as frequent urination or difficulty urinating.

Conditions associated with PSA:

PSA levels can be elevated in non-cancerous conditions as well, such as prostatitis (inflammation of the prostate gland) or benign prostatic hyperplasia (BPH), a condition in which the prostate gland enlarges and causes urinary problems.

When is it raised:

PSA levels can also be raised in men who have prostate cancer, although not all men with prostate cancer will have elevated PSA levels. The level of PSA in the blood can be influenced by a number of factors, such as age, race, and certain medications.

What to do if it is raised:

If a person’s PSA level is found to be elevated, further testing may be recommended by your doctor to determine the cause. This may include a digital rectal exam and/or a prostate biopsy. Treatment options for prostate cancer can include surgery, radiation therapy, or watchful waiting. For non-cancerous conditions such as prostatitis or BPH, treatment options may include medications or surgery.

In conclusion, PSA testing can be an important tool in detecting prostate cancer and other conditions affecting the prostate gland. It is important for men to discuss with their doctors whether PSA testing is appropriate for them, and to be aware of the potential risks and benefits associated with the test. Alternatively, you can book a private at-home PSA test to give you peace of mind. If your PSA level is found to be elevated, further testing and treatment options should be discussed with your doctor.

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Important Safety Information

Take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) for pulmonary hypertension. Your blood pressure could drop to an unsafe level are allergic to Tadalafil or any of the ingredients in Tadalafil

Discuss your health with your doctor to ensure that you are healthy enough for sex. If you experience chest pain, dizziness, or nausea during sex, seek immediate medical help

Tadalafil can cause serious side effects. Rarely reported side effects include:

an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away. If it is not treated right away, priapism can permanently damage your penis

sudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). Stop taking Tadalafil and call your healthcare provider right away if you have any sudden vision loss

sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking Tadalafil and contact a doctor right away

Before you take Tadalafil, tell your healthcare provider if you:

have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure

have had heart surgery within the last 6 months

have pulmonary hypertension

have had a stroke

have low blood pressure, or high blood pressure that is not controlled

have a deformed penis shape

have had an erection that lasted for more than 4 hours

have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia

have retinitis pigmentosa, a rare genetic (runs in families) eye disease

have ever had severe vision loss, including an eye problem called NAION

have bleeding problems

have or have had stomach ulcers

have liver problems

have kidney problems or are having kidney dialysis have any other medical conditions

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Tadalafil may affect the way other medicines work, and other medicines may affect the way Tadalafil works, causing side effects. Especially tell your healthcare provider if you take any of the following:

medicines called nitrates

medicines called guanylate cyclase stimulators such as Adempas (riociguat)

medicines called alpha-blockers such as Hytrin (terazosin HCl), Flomax (tamsulosin HCl), Cardura (doxazosin mesylate), Minipress (prazosin HCl), Uroxatral (alfuzosin HCl), Jalyn (dutasteride and tamsulosin HCl), or Rapaflo (silodosin). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. In some patients, the use of Tadalafil with alpha-blockers can lead to a drop in blood pressure or to fainting medicines called HIV protease inhibitors, such as ritonavir (Norvir), indinavir sulfate (Crixivan), saquinavir (Fortovase or Invirase), or atazanavir sulfate (Reyataz)

some types of oral antifungal medicines, such as ketoconazole (Nizoral) and itraconazole (Sporanox)

some types of antibiotics, such as clarithromycin (Biaxin), telithromycin (Ketek), or erythromycin

other medicines that treat high blood pressure

other medicines or treatments for ED

Tadalafil should not be used with REVATIO or with other PAH treatments containing PDE5 inhibitors.

Tadalafil does not protect against sexually transmitted diseases, including HIV.

The most common side effects of Tadalafil: headache; flushing; upset stomach; abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash.