Characteristics of men using non-prescription medicines to treat their lower urinary tract symptoms

Many men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia (LUTS/BPH) opt for self-management with non-prescription treatments. We wished to better characterize these men and understand their motivation and experience.

We conducted an anonymous survey among 477 users of non-prescription treatments for LUTS.

Participating men had a mean age (64.3 ± 7.8 years) and IPSS (17.7 ± 7.9 points) comparable to users of prescription medicines in non-interventional studies, indicating that they were not primarily motivated by mild symptom intensity. They had realistic expectations on efficacy and tolerability. While reasons for preference for a non-prescription treatment varied, 40.0% stated a wish to avoid 'chemical' and, vice-versa, to use 'natural' treatments. The choice of a specific treatment was largely driven by prior experience, but recommendations from a physician or the pharmacy as well as advertisements also played a role. About two thirds of participants reported to be repeat users and purchasing the same product each time. However, less than a quarter of participants appear to use the non-prescription treatment continuously.

Men self-managing their LUTS/BPH are similar to those using prescription drugs based on age and symptom severity. Their main reasons to prefer non-prescription medicines relate to the wish to avoid 'chemical' and the preference for 'natural' treatments. Most of them are repeat users of the same product but use it only intermittently.