NHS Dudley Health Economy Medicines Formulary
Home > 7 Obstetrics, gynaecology, and urinary-tract disorders > 7.4 Drugs for genito-urinary disorders > 7.4.1 Drugs for urinary retention

7.4.1 Drugs for urinary retention

For the NICE Pathway on The Management of Lower Urinary Tract Symptoms in Men click here

General Guidance

  • Acute retention is painful and should be treated by catheterisation.
  • Chronic retention is painless. Catheterisation is usually only necessary if there is a deterioration in renal function or incontinence.
  • Benign prostatic hyperplasia should be treated either surgically or medically.

Recommended drugs

Tamsulosin MR capsules £

Doxazosin £

2nd line

Alfuzosin ££

Indoramin ££

Prazosin £


As section 6.4.2

Finasteride plus Tamsulosin £££

Finasteride plus Doxazosin ££

Tamsulosin plus Dutasteride (Combodart) ££


Drug Traffic Light Key:

Green – On Formulary

Amber – Restricted use, see local guidelines      

Purple – Specialist use/initiation

Red – Non Formulary


Relative Costs Key (where indicated):

£££££ - high

£££ - moderate

£ - low

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