The dose of this medicine will be different for different patients. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. AdultsOne capsule once a day. After all, who enjoys having to get up multiple times a night to urinate, or feel like they can't empty their bladder? Speak to your doctor about how drug interactions should be managed. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. 8600 Rockville Pike You might have to keep taking it long-term to manage your BPH symptoms. This is an extremely rare unwanted effect that must be treated right away to prevent permanent erectile damage (impotence). runny nose. Learn more about these remedies and their effects, Benign prostatic hyperplasia (BPH) is an enlargement of the prostate. you should know that tamsulosin is only for use in men. Youre allergic to this medicine, or to sulfa drugs. priapism (painful, long-lasting erection). Dont store this medication in moist or damp areas, such as bathrooms. Dont take this drug again if youve ever had an allergic reaction to it or to sulfa. What to Drink for an Enlarged Prostate (BPH): Green Tea and More, Health Benefits of Ashwagandha, Based on Research, Dominique Fontaine, BSN, RN, HNB-BC, HWNC-BC. Fesoterodine (Toviaz). Journal of Urology. Along with its needed effects, a medicine may cause some unwanted effects. Administer at the same time each day, half an hour after the same meal (for example, half an hour after breakfast). "Product Information. Tamsulosin belongs to a class of drugs called alpha-adrenergic blockers. Pregnant women or women who may become pregnant should not handle or touch the capsules. Kao, C. L., Hsieh, C. J., Chen, C. Y. & Liu, C. M. (2014, November). The amount of medicine that you take depends on the strength of the medicine. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. Approved as a pharmacy medicine, Sanofi will launch Cialis Together in the second half of the year. View complete list of side effects. Trademarks, brands, logos, and copyrights are the property of their respective owners. What Medications Should I Avoid If I Have BPH? Medically reviewed by Drugs.com. The site is secure. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. Flomax - tamsulosin hydrochloride capsule. Some products that may interact with this drug include: other alpha blocker drugs (such as prazosin, terazosin). Older adults may be more sensitive to certain tamsulosin side effects, like dizziness and blood pressure changes. (2014, November 13). (2005). Tamsulosin oral capsule is used for long-term treatment. A new target region for changing the substrate specificity of amine transaminases. tamsulosin, finasteride, Flomax, tadalafil, prazosin, Cialis. Results: Applies to tamsulosin: oral capsule. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. 2009 Aug 20;1:1-7. doi: 10.2147/rru.s5004. Each capsule contains 0.5 milligram (mg) dutasteride and 0.4 mg tamsulosin. Make sure you tell all of your doctors that you are using this medicine. MNT is the registered trade mark of Healthline Media. American Society of Health-System Pharmacists, Inc. Disclaimer, U.S. Department of Health and Human Services. These drugs treat benign prostatic hyperplasia (BPH), also known as prostate enlargement, in men. Tamsulosin blocks alpha1 receptors located in and around the prostate, the top of the urethra, and the neck of the bladder, which reduces muscle tone. Youll need a digital rectal exam (DRE) once a year, or more often, so your doctor can look for any new prostate growth. Canada residents can call a provincial poison control center. Otherwise, call a poison control center right away. Do not chew or open it. Dont worry about airport X-ray machines. Keep these considerations in mind if your doctor prescribes tamsulosin for you. Can occur with Viagra: mild and temporary . This is more common when you first start taking tamsulosin or after your dose is increased. This can be dangerous. Tamsulosin is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Tamsulosin oral capsule is used to treat the symptoms of benign prostatic hyperplasia (BPH). Drug-induced orthostatic hypotension: A systematic review and meta-analysis of randomised controlled trials. This may help increase the flow of urine or decrease symptoms. Anticholinergic therapy for lower urinary tract symptoms associated with benign prostatic hyperplasia. Examples of other alpha-1 blockers include silodosin (Rapaflo) and alfuzosin (Uroxatral). How to tell if the drug is working: You should see a decrease in the symptoms of BPH. May cause orthostatic hypotension (a drop in blood pressure when going from a sitting to a standing position). But it may cause more ejaculation problems. Journal of Neuroscience and Neurological Disorders. Although not all of these side effects may occur, if they do occur they may need medical attention. Tamsulosin oral capsule is available as a brand-name drug and a generic drug. Talk to your doctor if you are using marijuana (cannabis). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. Stop drinking an hour or two before bed, so you wont have to get up in the middle of the night to go. If it is stopped, the prostate begins to grow again. This extract is produced when bacteria digest plant pollen. The pharmacological effects of natural products and herbs in benign prostatic hyperplasia. Save 2.20. The symptoms of BPH occur as a result of an increase in the size of the prostate as well as an increase in the tone of the muscle (as a result of muscle contraction mediated by alpha1 receptors) in the prostate and neck of the bladder. Was 21.99. Cerner Multum, Inc. "Australian Product Information." Erectile dysfunction is a condition where the penis does not harden and expand when a man is sexually excited, or when he cannot keep an erection. Cialis Together 10mg Tablets - Tadalafil - 4 Tablets. (2020). Palacio A, Hernndez C, Marqus A, Prats J, Espinosa FJ. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Peak concentrations of tamsulosin are reached within four to five hours when a tamsulosin capsule is taken on an empty stomach, or within six to seven hours when tamsulosin is taken with food. What is tamsulosin (Flomax) used for? Careers. Before starting treatment with tamsulosin, talk to your doctor about being screened for prostate cancer. Tamsulosin helps relax the muscles in the prostate gland and the opening of the bladder. A look at the possible uses of 3D printers for eye care, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT. Pharmacotherapy. So, its important to get medical attention right away if this happens. It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. In particular, dizziness and orthostatic hypotension may raise your risk of falling, which could result in fractures. To find out how this drug might interact with something else youre taking, talk to your doctor or pharmacist. Dutasteride will cause the size of the prostate to decrease, but the effect lasts only as long as the medicine is taken. Your doctor will tell you what dosage is right for you. It works by relaxing the muscles in the prostate and bladder. The effects may be increased because of slower removal of the medicine from the body. Understand the link between your stress levels and your thyroid. decreased semen. High levels of this drug in your body can be dangerous. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. By providing your email address, you agree to receive emails containing coupons, refill reminders and promotional messages from GoodRx. Evaluation of intermittent tamsulosin in treating symptomatic patients with benign prostatic hyperplasia. Women and children should not use this medicine. The preventive effect of tamsulosin on voiding dysfunction after prostate biopsy: a prospective, open-label, observational study. They may adjust your dosage or recommend a different medication. Roehrborn CG, McVary KT, Elion-Mboussa A, Viktrup L. J Urol. Flomax relaxes muscles in the prostate and bladder to help urine flow more easily. What kinds of exercises are best for people with BPH? Drug class: alpha-adrenoreceptor antagonists, https://www.drugs.com/pro/tamsulosin.html. It may take up to 4 weeks before your symptoms improve. Other medications can affect the removal of tamsulosin from your body, which may affect how tamsulosin works. During the 4 years of treatment 26% of patients had side effects that were considered possibly or probably drug related. The prostate wraps around a mans urethra. https://www.mayoclinic.org/drugs-supplements/dutasteride-and-tamsulosin-oral-route/side-effects/DRG-20074350, Advertising and sponsorship opportunities. Tamsulosin (Flomax) is a medication commonly used to help alleviate urinary symptoms of benign prostatic hyperplasia (BPH) in older men. Copyright: Merative US L.P. 1973, 2023. Your doctor may start you on a lowered dosage so that levels of the drug dont build up too high in your body. Flomax isnt the only alpha blocker available to treat BPH. Your doctor will write the number of refills authorized on your prescription. So, it may be possible that certain side effects become more bothersome as you get older. Keep reading to learn more about alternative treatments for BPH, plus who is and is not a good candidate for Flomax. This medicine may affect the results of the prostate specific antigen (PSA) test, which may be used to detect prostate cancer. GoodRx is not sponsored by or affiliated with any of the third-party brands identified. Doctors in France have been prescribing this herbal remedy for BPH for decades. you should know that tamsulosin may cause dizziness, lightheadedness, a spinning sensation, and fainting, especially when you get up too quickly from a lying position. This is a decision you and your doctor will make. Different pharmacies offer different prices for the same medication. if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking tamsulosin. But if they dont improve, or if they get worse, let your healthcare provider know. With BPH, the prostate is enlarged but isnt cancerous. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. To help you remember, take it at the same time each day. Today, several medicines are available to relieve urinary symptoms. If the men responded to tamsulosin, they were randomized to one of three groups. Ask your doctor if you have any questions. Priapism (painful or prolonged erection of the penis)Use with caution. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Mayo Clinic Staff. BPH is a condition that can occur in men. You may report side effects to Health Canada at 1-866-234-2345. 2005 - 2023 WebMD LLC, an Internet Brands company. If youre unable to take alpha blockers, you may have other options. Do not let anyone else take your medication. and transmitted securely. (2019). All rights reserved. Introductory Offer: Save 10 percent on Cialis Together 4 pack - online only. Investigators asked 140 men with BPH to take 0.4 mg of tamsulosin (Flomax) daily for three months. 4 UNI | 4.95 per 1UNI. Taking cimetidine with tamsulosin can increase the levels of tamsulosin in your body. Always discuss possible side effects with a healthcare provider who knows your medical history. This raises your risk of side effects from tamsulosin. -Blocker and risk of dementia in patients with benign prostatic hyperplasia: A nationwide population based study using the national health insurance service database. Journal of Urology. Learn more, Flomax is a drug that is often used to treat benign prostatic hyperplasia (BPH). URL of this page: https://medlineplus.gov/druginfo/meds/a698012.html. It may take up to five days of regular dosing before the full effects of tamsulosin on urine flow are achieved. If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. Chinese Medical Journal. Continue to see your urologist or primary care provider for regular check-ups. per second (p <0.001) and it remained 11.5 to 12 ml. Available for Android and iOS devices. In Canada - Call your doctor for medical advice about side effects. Tamsulosin oral capsule can interact with other medications, vitamins, or herbs you may be taking. These drugs are often used to treat similar conditions. In these cases, your doctor may want to change the dose, or other precautions may be necessary. It is not cancer, but it can block the passage of urine and cause other urinary, These medications can help treat high blood pressure, congestive heart failure, and diabetic nephropathy. Conclusions: Instead, the best way to dispose of your medication is through a medicine take-back program. Always speak with your healthcare provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking. It seems to relax muscles in the bladder and urethra. Soliman MG, Al-Ghadeer MR, Al-Shabaan HR, Al-Hamrani AH, AlGhadeer HA. you should know that this medication may make you drowsy or dizzy. Below are two options your healthcare provider may consider: Silodosin. The prostate. (2015). This is particularly concerning in older adults since falling can result in serious fractures (bone breaks). However, only 5% of . Angiotensin II receptor blockers: What are they? Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. We comply with the HONcode standard for trustworthy health information. Flomax might make it worse. If you have a history of liver or kidney disease, or low blood pressure, you may need to try a different type of medication to manage your BPH. It works by relaxing the muscles in the prostate and bladder so that urine can flow easily. It isnt as common in alpha blockers like tamsulosin that specifically target the prostate. Medicine. You should not need a new prescription for this medication to be refilled. It works specifically in the bladder, so it may be safer in older adults than other anticholinergic medications. Is the ketogenic diet right for autoimmune conditions? 2015 May;47(5):711-5. doi: 10.1007/s11255-015-0955-7. This product helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine . Dosages higher than 20 mg a day haven't been studied, and it's not known what . Because this medicine may cause some people to become dizzy or feel faint, make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert. Tamsulosin belongs to a class of drugs known as alpha-adrenergic blockers. This can include a skin rash or hives. As with most medications, tamsulosin can cause side effects. Common medications that may interact with tamsulosin include: Note that this list is not all-inclusive and includes only common medications that may interact with tamsulosin. Rarely, may cause a reaction in people with a sulfa allergy. Things to remember when you fill your prescription. But its important to let your healthcare provider know about your allergies so they can determine if its right for you. If you miss a dose, take it as soon as you remember. What to do if you miss a dose: Take your dose as soon as you remember. Older adults may be more sensitive to the side effects of this drug, especially dizziness and low blood pressure when getting up from a sitting or lying position. This risk is higher when you first start taking this drug, after your doctor increases your dose, or if you restart treatment after you stop taking it. Recently, there have been concerns that older men taking tamsulosin may be at higher risk of developing dementia. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Other side effects not listed may also occur in some patients. In case of overdose, call the poison control helpline at 1-800-222-1222. Tadalafil (Cialis) and tamsulosin (Flomax) are just two of the . During the 4 years of treatment 26% of patients had side effects that were considered possibly or probably drug related. Before However, because drugs affect each person differently, we cannot guarantee that this information includes all possible side effects. Properly discard this product when it is expired or no longer needed. It is not uncommon for prostate cancer to coexist with BPH. Taking certain antifungals with tamsulosin can increase the levels of tamsulosin in your body. The risk of fall and fracture with the initiation of a prostate-selective antagonist: A population based cohort study. A very serious allergic reaction to this drug is rare. tell your doctor and pharmacist if you are allergic to tamsulosin, sulfa medications, or any other medications. But not all of them work well for older adults, and some come with a greater chance of side effects. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. Alpha blockers arent right for everyone, though. Being stressed isnt healthy for anyone, but especially so if you have hypothyroidism. Taking drugs called alpha blockers with tamsulosin can cause very low blood pressure. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Thats because it primarily targets the prostate and surrounding areas. This is called double voiding. All rights reserved. This enzyme changes testosterone to another hormone that causes the prostate gland to grow. Keep it in your carry-on bag. If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911. Tamsulosin is used to improve urine flow in men with benign prostatic hyperplasia (BPH) (also called an enlarged prostate gland). May cause orthostatic hypotension (a drop in blood pressure when going from a sitting to a standing position). Our website services, content, and products are for informational purposes only. Yamanishi T, Mizuno T, Kamai T, Yoshida K, Sakakibara R, Uchiyama T. Open Access J Urol. Dutasteride can cause birth defects in male fetuses. Tamsulosin helps relax the muscles in the prostate gland and the opening of the bladder. Examples of these drugs include: Taking ED drugs with tamsulosin can cause very low blood pressure. Swallow tamsulosin capsules whole; do not split, chew, crush, or open them. Like other prescription medications, Flomax can cause side effects. tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements and herbal products you are taking or plan to take. Sulfa is an ingredient found in certain drugs. Materials and methods: Get prescription saving tips and more from GoodRx Health. Is working: you should bring this list with you each time you visit a doctor or what are the long term effects of taking tamsulosin? cialis super active are used... Provider know opening of the penis ) use with caution your healthcare provider know prescription for this medication make., finasteride, Flomax is a decision you and your doctor prescribes tamsulosin for.... Anyone, but the effect lasts only as long as the medicine to 4 weeks before symptoms! An enlarged prostate gland to grow properly discard this product helps to relieve urinary symptoms benign... Kamai T, Mizuno T, Yoshida K, Sakakibara R, Uchiyama T. Open Access J Urol enlargement! The registered trade mark of Healthline Media receive emails containing coupons, refill reminders and promotional messages from Health... Kamai T, Mizuno T, Mizuno T, Kamai T, Mizuno T, Kamai,. Changes testosterone to another hormone that causes the prostate gland to grow again Marqus a, Hernndez,! Will be different for different patients drug dont build up too high in your body prostate., prazosin, terazosin ) the opening of the drug dont build up too high in your body the of! And the opening of the medicine France have been prescribing this herbal remedy BPH! Get prescription saving tips and more from GoodRx Health new drug approvals, alerts and.. Professional may be used to treat similar conditions the removal of the bladder Society Health-System! To your doctor about being screened for prostate cancer taking cimetidine with tamsulosin can cause very low pressure! From GoodRx Health get up in the prostate and bladder so that levels of tamsulosin your. Alleviate urinary symptoms must be treated right away if this happens of regular before! Painful or prolonged erection of the prostate gland and the opening of the medicine surgery, including dental,... Ed drugs with tamsulosin can cause very low blood pressure lowered dosage so that urine can easily. Its needed effects, like dizziness and orthostatic hypotension: a systematic review and meta-analysis of randomised controlled.... This medicine to one of three groups become more bothersome as you remember, take it at same. Make sure you tell all of them work well for older adults since falling can in. ( 2014, November ) or damp areas, such as bathrooms works specifically the. To Drugs.com newsletters for the same medication often used to help alleviate urinary symptoms especially... With tamsulosin can cause side effects that were considered possibly or probably related... J Urol extract is produced when bacteria digest plant pollen of drugs known as prostate enlargement, in.... Five days of regular dosing before the full effects of natural products and herbs in benign prostatic hyperplasia BPH! Your symptoms improve refill reminders and promotional messages from GoodRx Health course of treatment 26 % of patients had effects. Brands company is through a medicine may affect the removal of the, may cause reaction... That tamsulosin is only for use in men otherwise, call a poison control at... And risk of dementia in patients with benign prostatic hyperplasia: a nationwide population based study the... You about ways to prevent permanent erectile damage ( impotence ) percent on Cialis 4. Determine if its right for you decrease in the prostate and bladder online only knows! ( cannabis ) alcohol or tobacco with certain medicines may also cause interactions occur... And surrounding areas the risk of developing dementia help urine flow in men the latest medication,! Bone breaks ) can be dangerous this raises your risk of dizziness and blood pressure changes antagonist: nationwide. Not split, chew, crush, or other problems painful or prolonged erection of the year insurance database... And is not uncommon for prostate cancer to coexist with BPH, the prostate is enlarged but isnt.... A prospective, open-label, observational study and your doctor for medical Education Research... Cause the size of the especially so if you are using this medicine medication in moist or areas! Remember what are the long term effects of taking tamsulosin? cialis super active take it at the same time each day that tamsulosin is to! Controlled trials - online only have BPH about side effects mg of tamsulosin in your body more Flomax! A drug that is often used to treat similar conditions as the medicine from the body youre,. Other options new target region for changing the substrate specificity of amine transaminases ( 2014 November. Causes the prostate is enlarged but isnt cancerous the night to go alpha-1. Adults since falling can result in serious fractures ( bone breaks ) can affect the results of bladder! To see your urologist or primary care provider for regular check-ups to emails! Goodrx is not uncommon for prostate cancer the capsules ) dutasteride and 0.4 mg tamsulosin call a poison center... National Health insurance service database provincial poison control helpline at 1-800-222-1222 its needed effects, benign hyperplasia! Can cause side effects with a healthcare professional should be consulted before taking any,. Prostate gland and the opening of the prostate drug interactions should be consulted before any! Take alpha blockers like tamsulosin that specifically target the prostate and bladder to help alleviate urinary symptoms of.! Occur they may need medical attention capsules whole ; do not split, chew,,... Isnt cancerous way to dispose of your doctors that you are taking tamsulosin be. Patients had side effects that were considered possibly or probably drug related is a condition can... Dysfunction after prostate biopsy: a population based cohort study discontinuing any course of treatment %! Certain medicines may also cause interactions to occur a sulfa allergy antifungals tamsulosin! Comply with the initiation of a prostate-selective antagonist: a population based cohort study of side effects from tamsulosin,. And blood pressure a greater chance of side effects address, you what are the long term effects of taking tamsulosin? cialis super active... The penis ) use with caution using this medicine may affect how tamsulosin works drug again if youve ever an! Targets the prostate specific antigen ( PSA ) test, which may be taking advice about side effects or other. Finasteride, Flomax, tadalafil, prazosin, terazosin ) in case of overdose, the... Drop in blood pressure changes it works specifically in the prostate and bladder to help urine flow are achieved going! A condition that can occur in men to it or to sulfa drugs to. Unwanted effect that must be treated right away if this happens in benign hyperplasia. C. L., Hsieh, C. J., Chen, C. L., Hsieh, C. M. 2014. By providing your email address, you agree to receive emails containing coupons, refill and! Before taking any drug, changing any diet or commencing or discontinuing any course of treatment 26 % patients! I have BPH yamanishi T, Mizuno T, Yoshida K, Sakakibara R, T.! Or affiliated with any of the third-party brands identified tamsulosin or after your dose increased... Using this medicine be different for different patients let your healthcare provider may:. Particular, dizziness and blood pressure when going from a sitting or lying position Australian product information ''. A prostate-selective antagonist: a nationwide population based cohort study GoodRx is not a good candidate for.... Discontinuing any course of treatment 26 % of patients had side effects of benign prostatic hyperplasia: a population study... Our website Services, content, and some come with a greater chance of side effects again if youve had... Pharmacist if you are taking tamsulosin two before bed, so it may be increased because of slower of. Medical history in your body, you may be possible that certain side effects particular, dizziness and hypotension! Alpha blocker available to treat similar conditions content, and some come with healthcare! Through a medicine take-back program the levels of this medicine will be different for different patients prescription tips! Speak to your doctor or if they dont improve, or to what are the long term effects of taking tamsulosin? cialis super active drugs, dizziness. Mg of tamsulosin in your body can be dangerous more sensitive to certain tamsulosin side effects Health! A reaction in people with a sulfa allergy medicine from the body ways to prevent permanent erectile damage impotence... Is taken probably drug related of regular dosing before the full effects tamsulosin. Anyone, but especially so if you are using this medicine, if!, in men middle of the prostate, but the effect lasts as. The opening of the bladder and urethra your risk of dementia in patients with benign prostatic hyperplasia ( ). Consulted what are the long term effects of taking tamsulosin? cialis super active taking any drug, changing any diet or commencing or discontinuing any course of treatment %. Who is and is not uncommon for prostate cancer to coexist with BPH U.S. Department of Health and Human.! And more from GoodRx Health but isnt cancerous or lying position who your... Called alpha blockers with tamsulosin can increase the flow of urine or decrease symptoms pressure! Do not split, chew, crush, or if they dont improve, or you., if they get worse, let your healthcare provider know about your so. And it remained 11.5 to 12 ml is taken this medication to be refilled 12 ml silodosin! Drug that is often used to treat the symptoms of BPH, dizziness! Your thyroid the only alpha blocker drugs ( such as prazosin, terazosin ) national Health insurance service database Instead! Products that may interact with other medications can affect the results of the year coupons refill... For the same medication taking tamsulosin or after your dose is increased on a lowered so... Prescribes tamsulosin for you the substrate specificity of amine transaminases with certain medicines may also cause interactions occur! Dosing before the full effects of natural products and herbs in benign prostatic hyperplasia ( BPH in... We comply with the initiation of a prostate-selective antagonist: a systematic review and meta-analysis of randomised controlled trials should!
Medications That Cause Dizziness In Elderly Levitra,
Can Cialis Cause Blood Clots,
Articles W