The medications you are taking?Flotral (alfuzosin), Blocstal (silodosin), and Macpee (bethanechol)?are designed to relax your bladder and prostate muscles to help improve your urinary symptoms. They do not directly shrink the prostate or lower PSA levels. It is quite common for PSA levels to remain stable or fluctuate slightly on these treatments. Please share these results with your urologist, who can look at the bigger picture and guide your care.
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Why are my prostate blood test (PSA) levels not decreasing even though I am taking Macpee, Flotral, and Blocstal?