A patient who has BPH is taking doxazosin and finasteride. The patient asks the primary care NP whether he has an increased risk of prostate cancer. The NP should tell him:
a. his overall cancer risk is increased.
b. he has an increased risk of a certain type of cancer.
c. his cancer risk is the same as any other man his age.
d. doxazosin will increase his cancer risk, but only slightly.
B
There is an overall reduction in prostate cancer risk for patients taking 5b-reductase inhibitors, such as finasteride, but there is an increased risk of high-grade prostate cancer. His overall cancer risk is less. Doxazosin does not affect cancer risk.
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