After reviewing Mr. Johnson’s medical history and medication list the best prescription for his diagnosis would be for Tamsulosin. According to the history, Mr. Johnson has orthostatic hypotension. With this in mind, Tamsulosin will work best for Mr. Johnson because it does not have an effect on vascular smooth muscle and will not further drop his blood pressure. Mr. Johnson may not respond to 5-alpha reductase inhibitors, Dutasreride and Finasteride, because he only has a mild enlargement of his prostate. If Mr. Johnson prostate was larger on his next visit these drugs would be effective in his treatment plan. Dutasreride and Finasteride are most effective in men with very enlarged prostates, the drug is less beneficial in men with small
