{"id":53639,"date":"2023-09-20T09:49:00","date_gmt":"2023-09-20T09:49:00","guid":{"rendered":"https:\/\/medsname.com\/silofast\/"},"modified":"2026-04-30T10:25:11","modified_gmt":"2026-04-30T10:25:11","slug":"silofast","status":"publish","type":"product","link":"https:\/\/medsbase.com\/el\/silofast\/","title":{"rendered":"Silofast"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:14px 0;border-radius:3px;\">\n<h3 style=\"margin:0 0 6px 0;\">\u0393\u03c1\u03ae\u03b3\u03bf\u03c1\u03b7 \u03b1\u03c0\u03ac\u03bd\u03c4\u03b7\u03c3\u03b7<\/h3>\n<p style=\"margin:0;\"><strong>Silofast<\/strong> \u03c0\u03b5\u03c1\u03b9\u03ad\u03c7\u03b5\u03b9 <strong>silodosin 4 mg \/ 8 mg<\/strong> made by Cipla Inc. It is used for the symptoms of an enlarged prostate (benign prostatic hyperplasia, BPH) in men. Take exactly as directed by your clinician \u2014 do not adjust the dose yourself.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>\u0391\u03c5\u03c4\u03cc \u03c0\u03bf\u03c5 \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b5 \u03bc\u03b5 \u03c4\u03b7\u03bd MedsBase:<\/strong> \u03a0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ae\u03c2 WHO-GMP \u00b7 \u0394\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u00b7 \u03a0\u03b1\u03b3\u03ba\u03cc\u03c3\u03bc\u03b9\u03b1 \u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae \u00b7 1,400+ \u03b5\u03c0\u03b1\u03bb\u03b7\u03b8\u03b5\u03c5\u03bc\u03ad\u03bd\u03b5\u03c2 <a href=\"https:\/\/medsbase.com\/el\/reviews\/\">\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03bb\u03b1\u03c4\u03ce\u03bd<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 \u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd <a href=\"https:\/\/medsbase.com\/el\/medsbase-re-shipment-assurance-policy\/\"><strong>\u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03b3\u03b3\u03cd\u03b7\u03c3\u03b7\u03c2 \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2<\/strong><\/a> \u2014 \u03b5\u03ac\u03bd \u03c4\u03bf \u03b4\u03ad\u03bc\u03b1 \u03c3\u03b1\u03c2 \u03b4\u03b5\u03bd \u03c6\u03c4\u03ac\u03c3\u03b5\u03b9 \u03b5\u03bd\u03c4\u03cc\u03c2 20 \u03b5\u03c1\u03b3\u03ac\u03c3\u03b9\u03bc\u03c9\u03bd \u03b7\u03bc\u03b5\u03c1\u03ce\u03bd, \u03c4\u03bf \u03b5\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03c5\u03bc\u03b5.<\/p>\n<div style=\"background:#f4f8fb;border:1px solid #d6e4ec;padding:12px 18px;margin:14px 0;border-radius:4px;font-size:14px;color:#3a5160;text-align:center;\"><strong>\ud83d\udd12 \u039a\u03c1\u03c5\u03c0\u03c4\u03bf\u03b3\u03c1\u03b1\u03c6\u03b7\u03bc\u03ad\u03bd\u03b7 \u039f\u03bb\u03bf\u03ba\u03bb\u03ae\u03c1\u03c9\u03c3\u03b7 \u0391\u03b3\u03bf\u03c1\u03ac\u03c2<\/strong> \u00b7 <strong>\ud83d\udcb3 \u0395\u03c0\u03b1\u03bb\u03b7\u03b8\u03b5\u03c5\u03bc\u03ad\u03bd\u03bf\u03c2 \u0395\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c2<\/strong> \u00b7 <strong>\ud83d\ude9a \u03a0\u03b1\u03b3\u03ba\u03cc\u03c3\u03bc\u03b9\u03b1 \u0391\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae<\/strong> \u00b7 <strong>\u2b50 4.9\/5 \u03b1\u03c0\u03cc 1,400+ \u03c0\u03b5\u03bb\u03ac\u03c4\u03b5\u03c2<\/strong><\/div>\n<h3>\u0393\u03b9\u03b1\u03c4\u03af \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03af\u03bb\u03b5\u03c4\u03b5 \u03b1\u03c0\u03cc \u03c4\u03b7 MedsBase<\/h3>\n<p>\u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03c4\u03af\u03b4\u03b1 \u03c0\u03c1\u03bf\u03ad\u03c1\u03c7\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03ad\u03bd\u03b1 <strong>\u03c0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf \u03b1\u03c0\u03cc \u03c4\u03b7 WHO-GMP \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ae<\/strong>. \u039f\u03b9 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b5\u03c2 \u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b1\u03c0\u03bb\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u03c7\u03c9\u03c1\u03af\u03c2 \u03b5\u03bc\u03c0\u03bf\u03c1\u03b9\u03ba\u03ae \u03c3\u03ae\u03bc\u03b1\u03bd\u03c3\u03b7 \u03b1\u03c0\u03cc \u03c4\u03bf\u03c5\u03c2 \u03c3\u03c5\u03bd\u03b5\u03c1\u03b3\u03ac\u03c4\u03b5\u03c2 \u03bc\u03b1\u03c2 \u03ba\u03b1\u03b9 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd <a href=\"\/el\/medsbase-re-shipment-assurance-policy\/\">\u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03b3\u03b3\u03cd\u03b7\u03c3\u03b7\u03c2 \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2<\/a>. \u0388\u03c7\u03bf\u03c5\u03bc\u03b5 \u03b5\u03be\u03c5\u03c0\u03b7\u03c1\u03b5\u03c4\u03ae\u03c3\u03b5\u03b9 <strong>1,400+ \u03b5\u03c0\u03b1\u03bb\u03b7\u03b8\u03b5\u03c5\u03bc\u03ad\u03bd\u03bf\u03c5\u03c2 \u03c0\u03b5\u03bb\u03ac\u03c4\u03b5\u03c2<\/strong> \u03bc\u03b5 <strong>4.9\/5 \u03bc\u03ad\u03c3\u03bf \u03cc\u03c1\u03bf \u03b1\u03be\u03b9\u03bf\u03bb\u03cc\u03b3\u03b7\u03c3\u03b7\u03c2<\/strong> \u03c3\u03b5 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03b1 \u03b1\u03c0\u03cc 600 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1.<\/p>\n<h2>What Silofast is and how it works<\/h2>\n<p>Silofast contains <strong>silodosin<\/strong>, a uroselective <strong>alpha-1A adrenoceptor antagonist<\/strong>. The smooth muscle of the prostate, prostatic urethra and bladder neck is rich in alpha-1A receptors; blocking them relaxes that muscle and improves urine flow. Because silodosin is &gt;100 times more selective for alpha-1A than alpha-1B receptors, blood-pressure effects are smaller than with non-selective alpha-blockers such as terazosin or doxazosin.<\/p>\n<p>Silofast is licensed to relieve <strong>lower urinary tract symptoms (LUTS) of benign prostatic hyperplasia<\/strong> &mdash; weak stream, hesitancy, intermittency, incomplete emptying, frequency, urgency and nocturia &mdash; in adult men. It does <strong>\u03b4\u03b5\u03bd<\/strong> shrink the prostate; if shrinkage is needed (large gland, high PSA, recurrent retention) a 5-alpha-reductase inhibitor such as dutasteride or finasteride is added.<\/p>\n<h2>\u0394\u03bf\u03c3\u03bf\u03bb\u03bf\u03b3\u03af\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03c1\u03cc\u03c0\u03bf\u03c2 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7\u03c2<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">\u039f\u03bc\u03ac\u03b4\u03b1 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">\u03a3\u03c5\u03bd\u03b9\u03c3\u03c4\u03ce\u03bc\u03b5\u03bd\u03b7 \u03b4\u03bf\u03c3\u03bf\u03bb\u03bf\u03b3\u03af\u03b1<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Adult men with BPH (normal renal function)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\"><strong>8&nbsp;mg once daily<\/strong> with food<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Mild renal impairment (eGFR 50&ndash;80)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">8&nbsp;mg once daily &mdash; usually tolerated<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Moderate renal impairment (eGFR 30&ndash;50)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Start at <strong>4&nbsp;mg<\/strong> once daily; titrate to 8&nbsp;mg if tolerated after 1 week<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">\u03a3\u03bf\u03b2\u03b1\u03c1\u03ae \u03bd\u03b5\u03c6\u03c1\u03b9\u03ba\u03ae \u03b4\u03c5\u03c3\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1 (eGFR &lt;30)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">\u0391\u03c0\u03bf\u03c6\u03cd\u03b3\u03b5\u03c4\u03b5<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">\u03a3\u03bf\u03b2\u03b1\u03c1\u03ae \u03b7\u03c0\u03b1\u03c4\u03b9\u03ba\u03ae \u03b4\u03c5\u03c3\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1 (Child-Pugh C)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">\u0391\u03c0\u03bf\u03c6\u03cd\u03b3\u03b5\u03c4\u03b5<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Take with food at the same meal each day<\/strong> &mdash; food increases tolerability and gives a more predictable plasma level. Swallow whole; do not crush. Onset of symptom benefit is rapid (within days for flow rate) but the full effect takes 2&ndash;4 weeks. If you miss a dose, skip it and take the next one as scheduled &mdash; do not double up.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:14px 0;border-radius:3px;\">\n<p style=\"margin:0 0 6px 0;\"><strong>&#9888; Stop and tell your eye surgeon you take silodosin<\/strong><\/p>\n<p style=\"margin:0;\">Silodosin (and other alpha-blockers) can cause <strong>\u03a3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf \u03c7\u03b1\u03bb\u03b1\u03c1\u03ae\u03c2 \u03af\u03c1\u03b9\u03b4\u03b1\u03c2 \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03b5\u03b3\u03c7\u03b5\u03af\u03c1\u03b7\u03c3\u03b7 (IFIS)<\/strong> during cataract or glaucoma surgery, complicating the operation. If you have surgery planned, your ophthalmologist must be told in advance. Do not stop the medication on your own; the surgical team will plan around it.<\/p>\n<\/div>\n<h2>\u03a0\u03b1\u03c1\u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b5\u03c2<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">\u03a0\u03b1\u03c1\u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b1<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">\u03a3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">\u0394\u03c1\u03ac\u03c3\u03b7<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\"><strong>\u0391\u03bd\u03b1\u03b4\u03c1\u03bf\u03bc\u03b9\u03ba\u03ae \u03b5\u03ba\u03c3\u03c0\u03b5\u03c1\u03bc\u03ac\u03c4\u03b9\u03c3\u03b7<\/strong> (dry orgasm)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Very common (~28%)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Reversible on stopping; not harmful but discuss with partner \/ fertility plans<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Dizziness on standing (orthostatic hypotension)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Common (~3%)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Stand slowly; mostly first 1&ndash;2 doses<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">\u039a\u03b5\u03c6\u03b1\u03bb\u03b1\u03bb\u03b3\u03af\u03b1<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">\u03a3\u03c5\u03c7\u03bd\u03ac<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Usually settles within a week<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Nasal congestion \/ runny nose<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">\u03a3\u03c5\u03c7\u03bd\u03ac<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Symptomatic; antihistamines fine<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Diarrhoea, nausea<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">\u0391\u03c3\u03c5\u03bd\u03ae\u03b8\u03b9\u03c3\u03c4\u03b5\u03c2<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Take with food; report if persistent<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Decreased libido \/ erectile dysfunction<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">\u0391\u03c3\u03c5\u03bd\u03ae\u03b8\u03b9\u03c3\u03c4\u03b5\u03c2<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Discuss with prescriber<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Fainting (syncope)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">\u03a3\u03c0\u03ac\u03bd\u03b9\u03b5\u03c2<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Stop and seek medical advice<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>\u0391\u03bb\u03bb\u03b7\u03bb\u03b5\u03c0\u03b9\u03b4\u03c1\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">\u03a3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc\u03c2<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">\u0391\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">\u0394\u03c1\u03ac\u03c3\u03b7<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">\u0399\u03c3\u03c7\u03c5\u03c1\u03bf\u03af \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03b5\u03af\u03c2 CYP3A4 (\u03ba\u03b5\u03c4\u03bf\u03ba\u03bf\u03bd\u03b1\u03b6\u03cc\u03bb\u03b7, \u03b9\u03c4\u03c1\u03b1\u03ba\u03bf\u03bd\u03b1\u03b6\u03cc\u03bb\u03b7, \u03c1\u03b9\u03c4\u03bf\u03bd\u03b1\u03b2\u03af\u03c1, \u03ba\u03bb\u03b1\u03c1\u03b9\u03b8\u03c1\u03bf\u03bc\u03c5\u03ba\u03af\u03bd\u03b7)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Major rise in silodosin levels &rarr; hypotension<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\"><strong>\u0391\u03c0\u03bf\u03c6\u03cd\u03b3\u03b5\u03c4\u03b5 \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc<\/strong><\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Other alpha-blockers (terazosin, doxazosin, tamsulosin, alfuzosin)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Additive hypotension<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Do not combine<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">PDE-5 inhibitors (sildenafil, tadalafil, vardenafil)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Additive hypotension; tadalafil 5&nbsp;mg daily for BPH\/ED is the most studied combination<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Stable on silodosin first; introduce PDE-5 cautiously<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">\u0391\u03bd\u03c4\u03b9\u03c5\u03c0\u03b5\u03c1\u03c4\u03b1\u03c3\u03b9\u03ba\u03ac<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Additive blood-pressure lowering<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Monitor; first-dose hypotension possible<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">P-gp inhibitors (cyclosporin)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Modest rise in silodosin levels<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">\u03a0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Diuretics, alcohol<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Worsens orthostatic symptoms<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Caution; especially in elderly<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Who should not take Silofast<\/h2>\n<ul>\n<li>Severe renal impairment (eGFR &lt;30 mL\/min) &mdash; not studied; avoid<\/li>\n<li>\u03a3\u03bf\u03b2\u03b1\u03c1\u03ae \u03b7\u03c0\u03b1\u03c4\u03b9\u03ba\u03ae \u03b4\u03c5\u03c3\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1 (Child-Pugh C)<\/li>\n<li>Concurrent strong CYP3A4 inhibitors (ketoconazole, itraconazole, ritonavir, clarithromycin)<\/li>\n<li>History of severe orthostatic hypotension<\/li>\n<li>Women, children, adolescents (no indication; not studied)<\/li>\n<\/ul>\n<h2>Pregnancy, fertility and storage<\/h2>\n<p>Silofast is not used in women and is not for paediatric use. Because of <strong>retrograde ejaculation<\/strong> in &gt;25% of users, men actively trying to father a child should discuss alternatives or temporarily switch to tamsulosin (slightly lower retrograde-ejaculation rate) with their prescriber. Store below 30&deg;C in the original blister.<\/p>\n<h2 id=\"faqs\">\u03a3\u03c5\u03c7\u03bd\u03ad\u03c2 \u0395\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2<\/h2>\n<h3>How quickly does Silofast start working?<\/h3>\n<p>Flow-rate improvement is measurable within 2&ndash;6 hours of the first dose, but daily symptom relief stabilises over 2&ndash;4 weeks. Most men notice clearer night-time relief within the first week.<\/p>\n<h3>Why is the dose taken with food?<\/h3>\n<p>Food modestly slows absorption and lowers peak plasma levels &mdash; this reduces dizziness without compromising efficacy. Taking it at the same meal each day keeps levels predictable.<\/p>\n<h3>What is retrograde ejaculation and is it dangerous?<\/h3>\n<p>Retrograde ejaculation means semen flows backwards into the bladder rather than out. It looks like a &ldquo;dry orgasm&rdquo;, is not harmful and reverses fully within a few days of stopping silodosin. It does temporarily affect fertility.<\/p>\n<h3>Will Silofast shrink my prostate?<\/h3>\n<p>No. Silodosin only relaxes the smooth muscle of the prostate and bladder neck. It improves <em>flow<\/em>, not size. If the gland is large or PSA is rising, your urologist may add finasteride or dutasteride.<\/p>\n<h3>Can I take Silofast with tadalafil 5&nbsp;mg for BPH and ED?<\/h3>\n<p>The combination is widely used and effective, but can amplify blood-pressure lowering. Start one drug, become stable, then add the second &mdash; do not start both simultaneously. Tell your prescriber about all PDE-5 use.<\/p>\n<h3>Why is the eye-surgery warning so important?<\/h3>\n<p>Once silodosin has bound iris-dilator alpha-1A receptors, the iris can become floppy <em>even after the drug is stopped<\/em>. So all cataract \/ glaucoma surgeons need to know in advance &mdash; they may use special surgical techniques to keep the iris stable.<\/p>\n<h3>\u03a4\u03b9 \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03b1\u03bd \u03be\u03b5\u03c7\u03ac\u03c3\u03c9 \u03bc\u03b9\u03b1 \u03b4\u03cc\u03c3\u03b7;<\/h3>\n<p>Skip the missed dose and take the next one at the usual time with food. Do not take two doses in one day &mdash; that increases the risk of dizziness and fainting.<\/p>\n<h3>Is silodosin better than tamsulosin?<\/h3>\n<p>Silodosin has higher alpha-1A selectivity, which usually means lower BP impact but a higher rate of retrograde ejaculation. Tamsulosin has slightly more orthostatic dizziness but lower ejaculatory side effects. Comparator trials show similar IPSS improvement.<\/p>\n<h3>Can I drink alcohol on Silofast?<\/h3>\n<p>Modest amounts are usually fine, but alcohol amplifies dizziness on standing. Avoid alcohol with the very first dose and for the first week of treatment.<\/p>\n<h3>Do I need ongoing PSA \/ prostate monitoring?<\/h3>\n<p>Yes. Silodosin treats symptoms, not the underlying gland. Continue routine PSA, DRE and IPSS reviews at the interval your urologist recommends &mdash; typically every 6&ndash;12 months.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>\u0386\u03bb\u03bb\u03b1 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03bf\u03c5\u03c1\u03bf\u03b4\u03cc\u03c7\u03bf \u03ba\u03cd\u03c3\u03c4\u03b7 \u03ba\u03b1\u03b9 \u03c4\u03bf\u03bd \u03c0\u03c1\u03bf\u03c3\u03c4\u03ac\u03c4\u03b7<\/h2>\n<ul>\n<li><a href=\"\/el\/alfusin\/\">Alfusin (alfuzosin 10&nbsp;mg ER) &mdash; alpha-blocker, fewer ejaculatory side effects<\/a><\/li>\n<li><a href=\"\/el\/alfusin-d\/\">Alfusin D (alfuzosin + dutasteride) &mdash; combination if your gland is large<\/a><\/li>\n<li><a href=\"\/el\/urotel-xl\/\">Urotel XL (tolterodine ER) &mdash; if storage symptoms (frequency \/ urgency) dominate<\/a><\/li>\n<li><a href=\"\/el\/cystone\/\">Cystone &mdash; herbal urinary support for stones \/ mild LUTS<\/a><\/li>\n<li><a href=\"\/el\/fosirol-powder-3g\/\">Fosirol 3&nbsp;g (fosfomycin) &mdash; for an acute UTI episode<\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:3px;font-size:13px;color:#3a5160;\">\n<p style=\"margin:0;\"><strong>\u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03b1\u03c0\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03b5\u03c5\u03b8\u03c5\u03bd\u03ce\u03bd.<\/strong> \u039f\u03b9 \u03c0\u03bb\u03b7\u03c1\u03bf\u03c6\u03bf\u03c1\u03af\u03b5\u03c2 \u03c3\u03b5 \u03b1\u03c5\u03c4\u03ae \u03c4\u03b7 \u03c3\u03b5\u03bb\u03af\u03b4\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03cc\u03bd\u03bf \u03b3\u03b9\u03b1 \u03b3\u03b5\u03bd\u03b9\u03ba\u03bf\u03cd\u03c2 \u03b5\u03ba\u03c0\u03b1\u03b9\u03b4\u03b5\u03c5\u03c4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03c3\u03ba\u03bf\u03c0\u03bf\u03cd\u03c2 \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03bf\u03cd\u03bd \u03c5\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c4\u03bf \u03c4\u03b7\u03c2 \u03c3\u03c5\u03bc\u03b2\u03bf\u03c5\u03bb\u03ae\u03c2 \u03b5\u03bd\u03cc\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c1\u03c4\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf\u03c5 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03bf\u03cd. \u03a3\u03c5\u03b6\u03b7\u03c4\u03ae\u03c3\u03c4\u03b5 \u03ba\u03ac\u03b8\u03b5 \u03bd\u03ad\u03bf \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03bf \u03ae \u03b1\u03bb\u03bb\u03b1\u03b3\u03ae \u03b4\u03cc\u03c3\u03b7\u03c2 \u03bc\u03b5 \u03c4\u03bf\u03bd \u03b3\u03b9\u03b1\u03c4\u03c1\u03cc \u03ae \u03c4\u03bf\u03bd \u03c6\u03b1\u03c1\u03bc\u03b1\u03ba\u03bf\u03c0\u03bf\u03b9\u03cc \u03c3\u03b1\u03c2, \u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03b5\u03ac\u03bd \u03b5\u03af\u03c3\u03c4\u03b5 \u03ad\u03b3\u03ba\u03c5\u03bf\u03c2, \u03b8\u03b7\u03bb\u03ac\u03b6\u03b5\u03c4\u03b5, \u03ad\u03c7\u03b5\u03c4\u03b5 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2 \u03ae \u03c0\u03b1\u03af\u03c1\u03bd\u03b5\u03c4\u03b5 \u03ac\u03bb\u03bb\u03b1 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1.<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u2705 Improves Urinary Control<br \/>\n\u2705 Reduces Frequent Urination<br \/>\n\u2705 Eases Bladder Discomfort<br \/>\n\u2705 Enhances Sleep Quality<br \/>\n\u2705 Safe for Long-term Use<\/p>","protected":false},"featured_media":53640,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3614,3141,3342],"product_tag":[],"class_list":{"0":"post-53639","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-bladder-prostate","7":"product_cat-category-overview","8":"product_cat-general-health","10":"first","11":"outofstock","12":"shipping-taxable","13":"purchasable","14":"product-type-variable","15":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product\/53639","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/comments?post=53639"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media\/53640"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media?parent=53639"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_brand?post=53639"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_cat?post=53639"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_tag?post=53639"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}