Alpha blockers

Alpha blockers are primarily used to manage prostate health and urinary tract symptoms. They work by relaxing the smooth muscles in the prostate and bladder neck, improving urine flow. Common alpha blockers include tamsulosin and alfuzosin. These medications are often the frontline treatment for lower urinary tract symptoms due to their effectiveness in relieving obstructive symptoms without significant cardiovascular side effects 1 2 3.

Dr. Ted Schaeffer and Peter Attia discuss that while alpha blockers improve symptoms like urinary frequency, urgency, and flow, they do not shrink the prostate. If an alpha blocker isn't sufficient, a five alpha reductase inhibitor, such as finasteride, might be added to reduce prostate size over months, though these inhibitors can have side effects and require careful monitoring 1 4.

Beta blockers are also mentioned for their off-label use in managing anxiety related to public speaking, due to their ability to keep heart rates calm and reduce physical symptoms of anxiety 3.

For natural alternatives, supplements like saw palmetto, zinc, and boron can act as natural inhibitors of five alpha reductase, but their effectiveness varies and they are not as strong as pharmaceutical options 5. It’s important to consider lifestyle factors such as regular exercise and dietary changes, like increasing vegetable intake and consuming lycopene-rich foods, which can also support prostate health 6.