Anyone had cataract surgery while taking Flomax?

[JazzMan42]

In addition to my ADT meds for my APC, I am taking tamsulosin (Flomax) for BPH. I have scheduled cataract surgery for January but have learned there may be adverse effects because of the Flomax. Have any of you had the surgery and with what results? I will speak to my opthamologist in early January and want to know what to ask him. Any advice and experiences greatly welcomed.

[6357axbz]

I just had my left eye operated on for cataract removal and lens replacement. Been on tamsulosin for years. No problem. Right eye next week

[JazzMan42 in reply to 6357axbz]

Thanks, very encouraging news. Good luck with the right eye.

[Tall_Allen]

As you probably know, it's called floppy iris syndrome. As long as your surgeon knows to expect it, he can correct for it, and it shouldn't be a problem. I keep hoping I will get cataracts and get my lenses replaced with the bionic lenses now available, which improves upon what nature gave me. Which kinds of lenses have you picked out? I've already got an implant in my brain, and hope to replace my body parts one by one as I morph into a Cyborg.

[Shooter1 in reply to Tall_Allen]

With new medical advances all the time,,,you just might make ^ million dollar man.

[6357axbz in reply to Tall_Allen]

I chose the Vivity multi focal. In use quite awhile in Europe and FDA approved here this year. My vision with my new left lens and uncorrected right eye is far better than I can remember ever having. Huge QOL improvement. I didn’t know about this tamsulosin issue but it was listed on the medications list I gave my surgeon. I’ll let him know for round two.

[JazzMan42 in reply to Tall_Allen]

Thanks, TA. I am getting the toric lens which will also correct my astigmatism. Decisions still to be made whether I want to improve near or far sight. Probably far sight as I always have to ask my golfing partner where the hell my ball ended up - very embarrassing! Too bad we can't replace our prostates with a bionic version that doesn't express cancer cells.

[j-o-h-n in reply to JazzMan42]

You could always get a prostate transplant in Poland.....but only from women...and all that Jazz

Good Luck, Good Health and Good Humor.

j-o-h-n Saturday 12/12/2020 2:18 PM EST

[tango65]

It is possible, the ophthalmologist should know you took or are taking these drugs since they are associated with floppy iris syndrome during the surgery.

consultqd.clevelandclinic.o...

[JazzMan42 in reply to tango65]

Thanks, Tango.

[Hidden]

Topic to talk over with your eye surgeon. Last week in a discussion about cataracts and my medication......l not ready to remove yet ..... but the Doctor did look at my medications and said that I would not have to stop any medications which included Flomax..... I have taken Flomax, twice a day since 2003...... pretty sure that the surgeon, if he knows, can be prepared to deal with any complication. Good luck.

GD

[JazzMan42 in reply to Hidden]

Thanks, gourd dancer.

[Muffin2019 in reply to Hidden]

I take it 4mg at night, said to take it only at night, asked about twice a day but poo poo that, when do you take it at what times ? Also facing cataract surgery in the fall, wondering if I gave to stop it 2 weeks in advance and do not want to go through the catheter again.

[Hidden in reply to Muffin2019]

Flomax comes 0.4 mg. I take twice a day. Me, one in morning and one in evening. In fact, one can take two once a day. Explained to me in 2003. It is relatively safe. I will tell you that only one cap does not work for me. A little over 18 years. Will take until the day I die.

Understand that dosage is one per 24 hours for BHP. Dosage is based on your medical condition and response to treatment. I take it because of Brachytherapy and IMRT. I take one at 6 am and one at 6pm. I ran short once and took only one for four days. No relief.

If one is not doing the trick, then talk to your oncologist. How is works is that it relaxed the smooth muscles. Located in prostate, ureter, and bladder. Again, if you fail to respond after 2 to 4 weeks with once a day, it can be increased to either 0.8 mg once a day or twice a day with 0.4 mg. In either case 0.8 mg is max for a 24 hour period.

I am not a doctor. My instructions come from two Radiation Oncologist, Medical Oncologist, Urologist, and Cardiologists. All agreed.

Good luck.

[Muffin2019 in reply to Hidden]

Thanks, I am on the 2 dose pills and is working and flows good. The ecologist said to take both before bed time because it might nwke me dizzy, never did, been taking both at midnight. It is working but going to bed around 1:30 in the morning then sleeping for about 5 hours then every hour till 10 am I pee. Around 2 to 5 I pee more then slacks off in the evening. It makes sense to spread it out so you are getting a more consistent dose like what you are doing. I would take one pill at midnight then one at noon, easy to remember because my one cat gets his insulin shot at the same time. I will be seeing the oncologist this month so will ask him or call the urologist for his take but I will try it a few days to see if it works better your way, always the fear of not being able to pee, one thing they did say is constipation complicates things. It would be nice to get more sleep and possible with your method.

[Hidden in reply to Muffin2019]

Excellent. Whatever works. Like I wrote, in 2003, I was told either works. However I would listen to your pro.

GD

[j-o-h-n]

This definitely is the year for it "20/20"....

Good Luck, Good Health and Good Humor.

j-o-h-n Saturday 12/12/2020 2:20 PM EST

[6357axbz]

Mentioned this with my surgeon after my first eye was successfully operated on. He was well aware of the tamsulosin issue and took appropriate precautions. “Don’t worry” he said, “this ain’t our first rodeo.”

Second eye was successful as well. Based on my experience expect first night after surgery to be very uncomfortable to painful. After that it was all good for me.

[JazzMan42 in reply to 6357axbz]

Thanks

[Collarpurple]

Husband is having cataract surgery in JanDr knows about flomax and no problem