Drug Database
DU

dutasteride + tamsulosin (Jalyn / Combodart / Duodart)

✓ Approved

GSK · ADRA1A · Small Molecule

What is dutasteride + tamsulosin?

dutasteride + tamsulosin is a small molecule developed by GSK. It is approved for therapeutic indications via oral (po).

Drug Profile

Brand NamesJalyn, Combodart, Duodart
CompanyGSK
Drug ClassSmall Molecule
Molecular TargetADRA1A, SRD5A1, SRD5A2
RouteOral (PO)
StatusApproved
Sources: ClinicalTrials.gov, GSK

Mechanism of Action

Molecular Targets

dutasteride + tamsulosin acts on 3 molecular targets:

ADRA1Aadrenoceptor alpha 1A (ALPHA1AAR, ADRA1C)
SRD5A1steroid 5 alpha-reductase 1 (S5AR 1)
SRD5A2steroid 5 alpha-reductase 2 ()
Want deeper analysis?Noah AI can explain complex mechanisms and compare to similar drugs.

Therapeutic Indications

dutasteride + tamsulosin is developed for 1 unique indication across 1 therapeutic area.

Therapeutic AreaConditionPhase
Reproductive system and breast disordersBenign prostatic hyperplasia✓ Approved

Related Research Articles

PubMedSurgical endoscopy2026-09-18

Early removal of urinary catheter before extubation in robotic total mesorectal excision with perioperative tamsulosin.

Andriopoulou Eleni E, Anyfanti Konstantina K, Petropoulou Thalia T

Postoperative urinary retention remains an important concern following total mesorectal excision (TME), resulting in relatively conservative urinary catheter management despite advances in robotic surgery and enhanced recovery after surgery (ERAS) pathways. We evaluated the feasibility of immediate urinary catheter removal before extubation within a structured integrated perioperative pathway incorporating perioperative tamsulosin. A prospective single-centre service evaluation cohort study was conducted between October 2024 and October 2025. Forty-eight consecutive patients undergoing robotic TME for rectal cancer were managed according to a predefined integrated perioperative pathway. All procedures were performed using the da Vinci Xi robotic platform. Tamsulosin 0.4 mg once daily was administered for three days before surgery and three postoperative days. Urinary catheters were removed immediately before extubation. The primary endpoint was successful immediate urinary catheter removal before extubation without the subsequent need for postoperative urinary recatheterisation. Successful immediate urinary catheter removal was defined as spontaneous postoperative voiding without the need for urinary recatheterisation. Failure of the pathway was defined as clinically significant postoperative urinary retention requiring temporary urinary recatheterisation within 72 h after surgery. Secondary outcomes included urinary tract infection, major postoperative morbidity, early mobilisation, readmission and length of stay. Mean age was 61 years and 31 patients (64.6%) were male. Thirty-eight patients (80%) received neoadjuvant treatment, 33 (68.8%) underwent surgery for ultra-low rectal cancer and 40 (83.3%) received a protective ileostomy. Successful immediate urinary catheter removal before extubation without postoperative urinary recatheterisation was achieved in 46 of 48 patients (95.8%). Two patients (4.2%) required temporary urinary recatheterisation because of clinically significant postoperative urinary retention. Recatheterisation occurred in two patients (4.2%; exact 95% confidence interval 0.5-14.3%), both with longstanding benign prostatic hyperplasia receiving chronic medical therapy. No postoperative urinary tract infections, anastomotic leaks, major postoperative complications, readmissions or mortality were observed. Early mobilisation within 24 h was achieved in 45 patients (93.7%), and median postoperative hospital stay was two days. Immediate urinary catheter removal before extubation was feasible in this prospective service evaluation cohort managed within a predefined integrated perioperative pathway. These findings support further prospective comparative evaluation but should not be interpreted as evidence of superiority over conventional catheter management. The concentration of recatheterisation events amongst patients with pre-existing benign prostatic hyperplasia supports further investigation of individualised postoperative urinary management.

PMID 42758176
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PubMedUrologiia (Moscow, Russia : 1999)2026-09-15

[Retrograde Intrarenal Surgery: Analysis of Efficacy, Safety and Cost-Effectiveness of drug preparation].

Krutskikh E Yu Y, Dutov S V V, Andronov A S S, Martov A G G

Retrograde intrarenal surgery (RIRS) is the optimal treatment for kidney stones of 5-20 mm, but the success of the intervention depends on providing access through the ureter. Traditional preoperative stenting is accompanied by stent-associated symptoms that worsen patients quality of life. Comprehensive assessment of the efficacy, safety feasibility of using Omnic Ocas for drug preparation of the ureter for RIRS. A prospective single-center study of 58 patients divided into groups: receiving Omnic Ocas 0.4 mg/day (n=29) and prestenting group (n=29). Intra- and postoperative parameters were evaluated. Additionally, a systematic review of 10 RCTs (n=1624) was performed. In the local study, the frequency of successful ureteral access sheath installation was comparable between groups (87% vs 92%, p>0.05). The Omnic Ocas group showed significantly better pain scores (3.2+/-1.1 vs 5.9+/-1.6 points, p<0.001), need for analgesics and quality of life according to the USSQ questionnaire (22.5+/-5.7 vs 34.8+/-7.3 points, p<0.001). Systematic review confirmed the advantages of tamsulosin over no preparation and comparable efficacy with prestenting with better tolerability. Drug preparation with Omnic Ocas is not inferior to prestenting in efficacy, but superior in tolerability and economic feasibility, being a preferred alternative.

PMID 42742548
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PubMedJournal of clinical medicine2026-09-15

Alpha-Adrenoceptor Blockade as a Novel Pathway Toward Non-Hormonal Male Contraception: A Mechanistic and Clinical Evidence Review.

Roztocka Alicja A, Osiński Patryk P, Car Halina H, Nazarko Natalia N et al.

Alpha-1 adrenergic receptor antagonists are widely used in the management of lower urinary tract symptoms, where they can induce ejaculatory dysfunction as a pharmacodynamic effect, particularly with α1A-selective agents. This observation has led to growing interest in their potential role as non-hormonal male contraceptives. This narrative review evaluates current clinical and preclinical evidence regarding the impact of α-blockers on the ejaculatory mechanism, with a focus on their potential application in male contraception. Both human and animal data were examined to contextualize the mechanistic basis for contraceptive potential. Evidence from clinical and pharmacological studies indicates that inhibition of α1-adrenoceptor-mediated smooth-muscle contraction in tissues involved in seminal emission, including the vas deferens, seminal vesicles, and prostate, can impair the emission phase of ejaculation. Agents such as tamsulosin and silodosin have been reported to induce anejaculation or markedly reduce semen volume, providing pharmacodynamic evidence of impaired seminal emission; however, these effects should not be considered equivalent to demonstrated contraceptive efficacy. Prospective clinical evidence currently includes one prospective pilot study and one randomized placebo-controlled clinical trial evaluating silodosin as a potential reversible non-hormonal male contraceptive. The prospective evidence includes marked and progressive suppression of sperm output and semen volume with repeated silodosin administration; at week 12, 94% of participants achieved a total sperm count ≤ 1 × 106 per ejaculate, while the observed pregnancy incidence was 4% versus 17% with placebo. However, the available evidence remains insufficient to establish reliable contraceptive effectiveness for individual sexual exposures. Safety considerations, including cardiovascular effects and sexual dysfunction, also remain insufficiently characterized in healthy men. α1-adrenoceptor antagonists represent a biologically plausible pharmacologic strategy for male non-hormonal contraception by interfering with seminal emission and sperm delivery without directly suppressing spermatogenesis. Further pharmacokinetic-pharmacodynamic studies and rigorously designed multicentre clinical trials are required to determine the optimal dosing strategy, completeness and consistency of seminal emission suppression, contraceptive effectiveness, safety, acceptability, and reversibility of this approach.

PMID 42739649
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PubMedPhytomedicine : international journal of phytotherapy and phytopharmacology2026-09-13

Efficacy and safety of Qianlieshutong Capsules in the treatment for Type III prostatitis: A post-marketing, multicenter, randomized, double-blind, single-dummy, active-controlled, parallel-group clinical trial.

Hou Huimin H, Jiang Yuxiao Y, Chen Yongming Y, Zhang Fanguo F et al.

Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS, NIH category III) remains a challenging condition with no universally accepted treatment. Although alpha-blockers and antibiotics are commonly used, their efficacy is inconsistent. In this study, we aimed to evaluate the efficacy and safety of Qianlieshutong Capsules (QLSTCs, a standardized traditional Chinese medicine) combined with tamsulosin versus tamsulosin alone in patients with CP/CPPS. In this post-marketing, multicenter, randomized, double-blind, single-dummy clinical trial, 240 male patients aged 18-50 years diagnosed with CP/CPPS were randomly assigned (1:1) to receive either QLSTCs (0.4 g/capsule, 3 capsules, three times daily) plus tamsulosin (0.2 mg nightly) or a matching placebo plus tamsulosin for 8 weeks. The primary endpoint was the change in the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) total score from baseline to week 8. Secondary outcomes included changes in the NIH-CPSI score at week 4, domain-specific scores (pain, urinary symptoms, quality of life), and treatment response rates. Safety was assessed through adverse events (AEs), laboratory tests, vital signs, and ECG. Of the 240 randomized patients, baseline characteristics were comparable. At week 8, the combination group showed a significantly greater reduction in the total NIH-CPSI score than the control group (14.30 ± 0.53 vs. 10.60 ± 0.54; mean difference = 3.70, 95% CI: 2.36-5.04; P < 0.0001). The effective response rate and marked improvement rate were significantly higher in the combination group. Improvements were also significant in all NIH-CPSI domains at week 8. AE incidences were low and comparable between groups (10.00% vs. 9.24%), with no serious AEs reported. The combination of QLSTCs and tamsulosin is a safe and more effective treatment than tamsulosin alone for CP/CPPS, offering superior symptom relief, particularly in pain, urinary symptoms, and quality of life. This approach may serve as a promising multimodal therapeutic option in clinical practice.

PMID 42731448
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PubMedAndrology2026-09-13

The Impact of Common Medications on Male Fertility: An Updated Systematic Review.

Jebli Lina L, Gallissian Salomé S, Barèges Roxanne R, Fournier Félicia F et al.

Compared with those of cytotoxic treatments, the potential effects of common medications on the fertility of men trying to conceive currently or planning to conceive in the future are less well described. The use of common medications may modify the gonadotropic axis, spermatogenesis, and epididymal maturation or alter male fertility in other ways and are prescribed much more often compare with cytotoxic treatments. Based on our review published in 2017, we systematically reviewed the effects of common medications on male fertility to provide evidence-based recommendations for clinical management and possible fertility preservation in men of reproductive age. A systematic review of the literature using the PRISMA 2020 methodology was performed. We included only original studies published from 2016 to 2025 that involved human males exposed to noncytotoxic pharmacological treatments and reported outcomes related to male fertility, including spermatogenesis, semen parameters, and reproductive hormone concentrations. The data were synthesized descriptively and organized by pharmacological class and individual drug. Among the 16,310 studies retrieved, 184 were included. In addition to the studies describing the deleterious effects of testosterone, sulfasalazine, anabolic steroids, cyproterone acetate, opioids, sertraline, tramadol, GnRH analogues, and sartan that have already been included in the 2017 review, we focused on new studies with good- to high-level evidence for the harmful effects of drugs such as duloxetine, thiopurines, dutasteride, valganciclovir, efavirenz, valproate, or hydroxyurea on male hormones and/or fertility. In this updated review, evidence-based recommendations for clinical management and for possible fertility preservation or contraception in men of reproductive age receiving common acute or chronic medical treatment are provided, with the goal of making these data more readily available to medical staff.

PMID 42730591
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PubMedArchivos espanoles de urologia2026-09-03

Effect of Tamsulosin Combined With Flexible Ureteroscopic Holmium Laser Lithotripsy on Renal Function and Postoperative Inflammatory Response in Patients With Renal Calculi.

Jiang Xiaoxiang X, Ying Lihong L

To investigate the association between perioperative tamsulosin use and outcomes of flexible ureteroscopic holmium laser lithotripsy (FURL). This retrospective cohort study was performed on 122 patients who underwent FURL at Cixi People's Hospital, Wenzhou Medical University. Patients were divided into an observation group (perioperative tamsulosin + FURL, n = 62) and a control group (FURL alone, n = 60) according to routine clinical protocols and patient preference. Operation time, stone clearance rate at 4 weeks postoperatively, renal function indicators, inflammatory markers, and complication rates were compared between the two groups. Compared with the control group, the observation group had shorter operation time (51.34 ± 9.28 vs. 58.62 ± 10.35 min, p < 0.001), shorter postoperative hospital stay (3.62±1.05 vs. 4.85±1.23 days, p < 0.001), and a higher stone clearance rate (93.55% vs. 75.00%, p = 0.005). On postoperative day 1 and at week 1, renal function indicators were significantly lower in the observation group (all p < 0.05). Serum inflammatory marker levels on postoperative days 1 and 3 were also significantly lower in the observation group (all p < 0.001). The total complication rate was lower in the observation group (8.06% vs. 21.66%, p = 0.036). In this retrospective study, perioperative tamsulosin combined with FURL was associated with shorter operation times, higher stone clearance, and lower renal function, inflammatory, and complication markers. However, due to potential selection bias, these associations require confirmation via prospective randomized controlled trials.

PMID 42684289
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