Lump In Scrotum And Detrusitol SR 4mg

Detrusitol SR 4mg capsule and Detrusitol 2mg in their respective blister packs

The lump in the scrotum has been bothering me again of late. Prior to the discovery of the lump, I stopped driving for a while because my legs were spasmodic. When the spasms struck, my legs would get in the way of the hand controls and steering wheel. The spasms went away about one week after I finished the antibiotics.

Its size has not reduced much after the two-week course of antibiotics. The spasms have returned. I believe there is a relation between the spasms and the lump. I was at the UMMC Rehabilitation Medicine Clinic for my scheduled three-month check-up yesterday. The doctor examined the lump and advised me to get a biopsy done. I am going back to SJMC soon to have the lump checked again by the urologist.

When I went to collect my supply of medication, the pharmacist changed my dosage of Detrusitol from the 2mg twice a day to one 4mg once daily prolonged-release capsule. I told him that I have had problems with the 4mg capsule as it caused problems with urination. He told me that was the only dosage the pharmacy has now and if I prefer the 2mg tablet I have to get it elsewhere. I decided to give the 4mg capsules a try again.

I cannot understand why the pharmacy prefers to dispense the 4mg capsules instead of the 2mg tablets. A one-month supply of Detrusitol SR 4mg capsules costs RM249 while the Detrusitol 2mg tablets costs only RM170 when I last bought them myself. Anyway, the instruction was that I should take one capsule at night. Based on my previous experience with Detrusitol SR, I decided to take the capsule in the morning instead. I had my first dose this morning and will be monitoring my bladder’s reaction in the coming days.

3 thoughts on “Lump In Scrotum And Detrusitol SR 4mg”

  1. The recommended dosage is 4mg unless your are having any kidney or liver problem, the dose recommend should be reduced to 2mg

    Peter:
    I was on 2mg tablets twice daily until I was prescribed the 4mg SR again. When I was using 4mg SR previously, I had problems with urine retention. That was why I switched back to the 2mg tablets.

  2. the dose for detrusitol varies from1mg bd to 2mg bd.or 4mg sr.for your case if you got urine retention which was the side effect of the med, is betterfor you to take 2mg bd

    Peter:
    Thanks for the advice. When I started on Detrusitol, I was taking 1mg twice daily – half of the 2mg tablet twice. Then the urologist decided that I needed 2mg when my serum creatinine went up to 286umol/L from 188umol/L. I like the 4mg SR because I need to take it once a day only and there is no need to take it on an empty stomach. Instead of taking it at night as directed, I am taking it first thing in the morning where the problem with urine retention is resolved with regular catheterisation. I will be monitoring its effects to see if I have urine retention at night too.

  3. If you plan to source the medicines from external pharmacies and not from SJMC itself (as it can sometimes be more costly to buy from the hospital directly), you can try getting the quote for your medicine from MyPharmacy. There’s one in Pandan Indah. That’s what I’ve been doing for my grandma’s medication. She on diabetes btw. Hope you get well soon :)

    Peter:
    I get my supply of medicine from UMMC where I also go for regular check-ups. I go to SJMC for problems that may need several weeks or months of prior appointment before I am seen by a doctor at UMMC.

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