21st February 2024

A 70 year old presents to his GP complaining of difficulty urinating. He describes a 2-week history of increasing dribbling and poor stream when urinating

A 70 year old presents to his GP complaining of difficulty urinating. He describes a 2-week history of increasing dribbling and poor stream when urinating. He also describes that after voiding, there is a sensation of incomplete bladder voiding. He has also experienced 2 episodes of enuresis over the past 2 weeks. His past medical history is significant for hypertension which is treated with Ramipril, Type 1 diabetes mellitus which is treated with insulin determir and insulin glargine and hyperlipidaemia which is treated with Atorvastatin. His drug allergies include Penicillin for which he has had a severe reaction leading to anaphylaxis. PSA levels were measured and they were elevated. An ultrasound was done and showed an increased volume of prostate suggestive of benign prostatic hyperplasia.

Prescribe the first-line medication for the treatment of benign prostatic hyperplasia.