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Prosta-Q's patent-pending blend of active ingredients have been clinically shown to address the symptoms associated with Chronic Non-bacterial Prostatitis as well as improve overall prostate health.*
Prosta-Q was tested in a randomized placebo controlled clinical trial by the Institute of Male Urology (IMU) and was led by Dr. Daniel Shoskes, M.D. At the time of the study, Dr. Shoskes was a staff urologist at the UCLA Medical Center. The study showed that 82% of males taking Prosta-Q had an "improvement of symptoms from Non-Bacterial Chronic Stage III Prostatitis"1.*
These results were published in the American Medical Journal of Urology. Prosta-Q is also cited as a primary method for addressing the symptoms associated with Chronic Non-bacterial Stage IIIa Prostatitis in various authoritative resources and books including "The Textbook on Prostatitis" and "The Prostatitis Manual", both edited by the noted prostatitis expert, Dr. J. Curtis Nickel of Queens University in Canada.*
The Prosta-Q complex is a proprietary combination of clinically proven ingredients including Quercetin, a bioflavonoid with anti-inflammatory and antioxidant effects, Saw Palmetto, Cranberry, Bromelain and Papain, to aid digestion, as well as zinc. Prosta-Q has been shown to be the most effective bioflavonoid formulation yet tested to "provide significant symptomatic improvement"1 in men with Chronic Non-Bacterial Prostatitis /Chronic Pelvic Pain Syndrome.*
More Information
Prosta-Q may help address the symptoms associated with:
• Chronic Non-Bacterial Prostatitis*
• Chronic Pelvic Pain Syndrome*
• Prostatodynia*
• Sexual Dysfunction*
Prosta-Q was born out of the intense desire to tailor a combination of the most potent of the bioflavonoid supplements with a mixture of other naturally occurring compounds needed to overcome absorption issues while at the same time promoting and maintaining a healthy prostate to successfully address symptoms associated with Chronic Non-bacterial Prostatitis, Chronic Pelvic Pain Syndrome (Category III Prostatitis), Prostatodynia and Sexual Dysfunction.*
Early studies with bioflavonoids for prostatitis treatment were disappointing because of their low and inconsistent absorption rates. Dr. Shoskes, in association with his colleagues, recognized this and structured a formula specifically designed to increase bioavailability2.
The results of the research in Chronic Non-Bacterial Prostatitis patients using Prosta-Q have been dramatic and compelling in significantly and rapidly addressing the symptoms associated with Category III Prostatitis (Chronic Pelvic Pain Syndrome).*
Other studies suggest that bioflavonoid intake can be linked to "protection against coronary heart disease"3 and a "reduction of the increased capacity for signal transduction in human cancer cells"4.
Prosta Q contains:
- No Salt
- No Yeast
- No Wheat
- No Gluten
- No Preservatives
- No Starch
- No Sugar
- No Sodium
- No Milk/Dairy
- No Artificial flavor
- No Soy
- No Rice
Frequently Asked Questions about Prosta-Q
Q and A with Daniel Shoskes M.D. Cleveland Ohio
What is Prosta-Q?
Prosta-Q is an herbal supplement containing bioflavonoids and minerals that is manufactured by Farr Laboratories. It is a patent pending proprietory formulation. Please refer questions regarding its manufacture and composition to Farr Laboratories, LLC.
What indications support the use of Prosta-Q?
I use Prosta-Q in men to support prostate health which may help address chronic pelvic pain syndrome. Synonyms for this condition include nonbacterial chronic prostatitis, prostatodynia, pelvic muscle myalgia and NIH category III prostatitis. I first perform localizing cultures of urine and expressed prostatic secretions (EPS) in all men prior to therapy. I treat and sterilize any infection that is found to localize to the prostate. In men with extensive inflammation of the EPS, I will often give a trial of antibiotics if the patient has not been so treated before. Men with no evidence of active infection and those who have failed treatment with antibiotics are ideal candidates for the benefits of Prosta-Q.
How do you use Prosta-Q?
I recommend 1 capsule taken three times a day with meals. If 3 times per day is successful, many patients can then manage longer term with 2 times or once per day. If the patient has no symptom improvement after 6-8 weeks, the product is unlikely to help them.
How long will it take for Prosta-Q to work?
Some users notice improvement after the first few doses. Others find that they must take it for at least 1 month to see any benefit.
Are there any contraindications to using Prosta-Q?
There is a theoretical risk that use of Prosta-Q will interfere with the action of quinolone antibiotics (eg Cipro, Floxin, Levaquin). Therefore, don't take these antibiotics with Prosta-Q.
What side effects have you seen?
Some users who take the product on an empty stomach report mild nausea. Some users have report slight tingling in the extremities shortly after their first dose. Prosta-Q has helped me, but I still have urinary symptoms. Some men find that Prosta-Q is more effective for their pain than for their urinary symptoms. I have found that combining Prosta-Q with an alpha blocker (eg Flomax, Uroxatral) is a helpful approach for these men.
Can I combine Prosta-Q with other supplements?
I don't recommend it. There is no way of knowing how ingredients in other herbal supplements or traditional treatments will interact with Prosta-Q. Even if the other product is considered "safe", it may interfere with the absorption of Prosta-Q, or block its actions in other ways. Furthermore, very high doses of antioxidants can lead to pro-oxidant effects. By combining high doses of multiple supplements, you may actually be producing the opposite and potentially harmful effect.
Prosta-Q has helped me feel better. Do I have to keep taking it?
I recommend staying on a maintenance dose of 1 capsule per day for an additional 2-3 months. Some users find they can stop the product without recurrence of symptoms. Some find they need to stay on the maintenance or even full dose. Some have utilized a "3 weeks on/1 week off" regimen with success.
What other brands of quercetin do you recommend?
Unfortunately, there are none other that I can recommend that have demonstrated the reliability and success that Prosta-Q has shown. Many brands do not have adequate batch to batch quality control such that one bottle works one month but another bottle doesn't work the next month. I have never seen this happen with Prosta-Q. Other brands commonly combine quercetin with vitamin C. The high doses of vitamin C delivered with the quercetin can severely acidify the urine, making symptoms worse in some men.
A new quercetin preparation called Q-Urol has the advantages of timed release quercetin combined with bee pollen. Bee pollen has shown beneficial effects for prostate health in several European studies.
Is there any medical literature to support what you say?
Hirsch IH. Integrative urology: a spectrum of complementary and alternative therapy. Urology 2000; 56 (2): 185.
Shoskes DA, Zeitlin SI, Shahed A, Rajfer J. Quercetin in men with category III chronic prostatitis: a preliminary prospective, double-blind, placebo-controlled trial. Urology 1999; 54 (6): 960.
Shahed AR, Shoskes DA. Oxidative stress in prostatic fluid of patients with chronic pelvic pain syndrome: correlation with gram positive bacterial growth and treatment response. J Androl 2000; 21 (5): 669.
Shahed AR, Shoskes DA. Correlation of beta-endorphin and prostaglandin E2 levels in prostatic fluid of patients with chronic prostatitis with diagnosis and treatment response. J Urol 2001 Nov;166(5):1738-41
Cited References
1. Shoskes DA, Zeitlin SI, Shahed A, Rajfer J. Quercetin in men with category III chronic prostatitis: a preliminary prospective, double-blind, placebo-controlled trial. Urology 1999; 54 (6): 960.
2. Shoskes D. A. : Use of the bioflavonoid quercetin in patients with longstanding chronic prostatitis. Journal of the American Neutraceutical Association, 2: 18, 1999.
3. Knekt P., Jarvinen R., Reunanen A., Maatela J. : Flavonoid intake and coronary mortality in Finland: a cohort study. Bmj, 312: 478, 1996. 2. Pace-Asciak C. R., Hahn S., Diamandis E. P., Soleas G., Goldberg D. M.: The red wine phenolics trans-resveratrol and quercetin block human platelet aggregation and eicosanoid synthesis: implications for protection against coronary heart disease. Clin Chim Acta, 235: 207, 1995.
4.Singhal R. L., Yeh Y. A., Praja N., Olah E., Sledge G. W., Jr., Weber G. : Quercetin down-regulates signal transduction in human breast carcinoma cells. Biochem Biophys Res Commun, 208: 425, 1995, 2. Lee S. C., Kuan C. Y., Yang C. C., Yang S. D. Bioflavonoids commonly and potently induce tyrosine dephosphorylation/inactivation of oncogenic proline-directed protein kinase FA in human prostate carcinoma cells. Anticancer Res, 18: 1117, 1998.
*This statement has not been evaluated by the FDA. The products detailed on this site are not meant to diagnose, treat, cure or prevent any disease. If a medical condition exists, see your health care professional.
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| Clinical Studies | Quercetin in Men With Category III Chronic Prostatitis Oxidative Stress in Prostatic Fluid of Patients with Chronic Pelvic Pain Syndrome |
| Research Articles | Clinical Phenotyping in Chronic Prostatitis/CPPS and IC Nutraceuticals in Prostate Disease: The Urologist's Role Managing Chronic Prostatitis Herbal and Complementary Medicine in Chronic Prostatitis Phenotypic Approach to the Management of Chronic Prostatitis/CPPS Clinical Phenotyping of Patients with Chronic Prostatitis/CPPS |
| Common Conditions | Prosta-Q is a clinically proven natural supplement used to address prostate dysfunction and pelvic pain related to inflammation. Learn more common conditions below: Chronic Non-Bacterial Prostatitis Chronic Non-Bacterial Prostatitis
What is Chronic Non-Bacterial Prostatitis? Chronic nonbacterial prostatitis or Inflammatory Chronic Pelvic Pain Syndrome is the inflammation of the prostate not due to bacterial infection. It refers to a condition affecting patients who present symptoms of prostatitis without a positive result after urine culture or expressed prostate secretion (EPS) culture. Currently, the National Institute of Health refers to Chronic Non-Bacterial Prostatitis as Category IIIa Prostatitis or Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS).
Anatomy and Function of Chronic Non-Bacterial Prostatitis The prostate is part of the male reproductive system. It is a walnut-sized and shaped gland located below the bladder and in front of the rectum and surrounds the urethra (a tube-like structure that carries urine form the bladder out through the penis). In this syndrome, men have the symptoms of prostate infection but do not have any evidence of a bacterial infection. Some researchers argue that the organism chlamydia is responsible, but this is very controversial. The symptoms are probably caused by spasms of the sphincter muscles of the bladder and the pelvic floor. This may also increase the pressure in the urethra, which forces urine down into the prostate.
Causes of Chronic Non-Bacterial Prostatitis Unfortunately, little is known about what causes chronic nonbacterial prostatitis or inflammatory chronic pelvic pain syndrome. However, health professionals believe the possible causes include: • Blocked urine flow • Abnormal movement of urine and prostate secretions into the prostate • Microorganisms that may infect the prostate (if they are present, they usually are not detectable in the urine) • The immune system attacking the prostate (autoimmune disease) • Chemicals normally found in the urine, such as uric acid, which may get into the prostate and cause irritation • Abnormal nerve or muscle function
Diagnosis of Chronic Non-Bacterial Prostatitis A physical exam is not usually enough to make the diagnosis. But, often it reveals that the anal sphincter, prostate, and groin muscles are tight. A diagnosis of Nonbacterial Prostatitis usually is made after repeated unsuccessful attempts to treat what is presumed to be bacterial prostatitis. Although microscopic examination of prostate massage specimens may show increased numbers of white blood cells, ultimately, no definite source of infection can be identified. Urine and prostatic fluid routinely fail to show the presence of any infecting organisms. Often the diagnosis is made only after various unsuccessful drug treatments, numerous doctors' visits and considerable expense. Occasionally, doctors will diagnose patients whose Nonbacterial Prostatitis develops from a lack of sexual activity. This so-called "congestive prostatitis" is thought to be the result of a lack of ejaculation. When semen stays too long in the prostate and causes inflammation. A converse diagnosis of "exhaustive prostatitis" or "overuse prostatitis" may be made in men whose Nonbacterial Protatitis symptoms appear to be caused by excessive ejaculation. In both cases, a sexual history is essential to accurate diagnosis, and modification of sexual activity usually is prescribed.
Symptoms of Chronic Non-Bacterial Prostatitis The syndrome usually affects men between 18 and 50 years old. Its symptoms are the most common urologic problem in men younger than 50 years and the third most common urologic problem in older men. Recent studies using the NIH Chronic Prostatitis Symptom Index (NIH-CPSI) found the prevalence of prostatitis symptoms to be approximately 10% in a population of men aged 20-74 years. The symptoms may be constant, or they may come and go. The common symptoms associated with Chronic Nonbacterial Prostatitis include: • Frequent urge to urinate (especially at night) • Pain or burning sensation during urination • Difficulty urinating • Decreased urine stream and caliber • Pain or vague discomfort during or after ejaculation. • Pain with bowel movements • Blood in the urine • Blood in the semen Pain or discomfort in: • Perineal • Suprapubic • Scrotal • Low back • Urethral • Tip of penis How to Address the Symptoms of Chronic Non-Bacterial Prostatitis Chronic Non-Bacterial Prostatitis usually cannot be cured, but it can be managed. These include: Traditional Treatments : • Muscle relaxants and alpha-blockers may be used if muscle spasms are causing pain or problems urinating. • Massaging the prostate 3 to 4 times a week may help relieve symptoms. • Counseling, biofeedback, acupuncture or relaxation techniques may help reduce stress that is contributing to the pain. • Microwave therapy (transurethral thermotherapy) may be used to heat the prostate in an attempt to end the inflammation. Higher settings can be used to destroy the part of the prostate that is causing pain. • This is similar to treatment for Benign Prostatic Hyperplasia (BPH). • Warm baths may provide some relief of the perineal and lower back pain associated with prostatitis. Nutrition: • Eat whole, fresh, unrefined, and unprocessed foods. Include fruits, vegetables, whole grains, soy, beans, seeds, nuts, olive oil, and cold-water fish (salmon, tuna, sardines, halibut, and mackerel). Eating organic food helps reduce exposure to pesticides, herbicides, and hormones. • Avoid sugar, dairy products, refined foods, fried foods, junk foods, and caffeine. • Eliminate food sensitivities. Use an elimination and challenge diet to determine food sensitivities. • Drink 1/2 of your body weight in ounces of water daily (e.g., if you weigh 150 lbs., drink 75 oz. of water daily). Principal Proposed Natural Method to Address the Symptoms of Chronic Non-Bacterial Prostatitis by Promoting Prostate Health: Quercetin belongs to a class of water-soluble plant coloring agents called bioflavonoids, which have anti-inflammatory and antioxidant properties. Bioflavonoids have been investigated for a wide variety of medical uses. A study published in 1999 suggests that Quercetin may be helpful for addressing the symptoms of Chronic Non-Bacterial Prostatitis by promoting prostate health. In this double-blind trial, 30 men with fairly severe Chronic Non-Bacterial Prostatitis were given either Quercetin (500 mg twice daily) or placebo for a month. The results showed that participants given Quercetin improved to a significantly greater extent than those in the placebo group. The greatest gains were seen in reduction of pain.
Chronic Non-Bacterial Prostatitis Facts • Many patients respond to treatment while others are not relieved despite multiple treatment attempts. • Symptoms often recur after treatment and may eventually not be treatable. • Unresolved symptoms of Nonbacterial Prostatitis may cause significant changes in lifestyle and emotional well-being related to sexual and urinary problems. • Once symptoms are gone there is no need for further monitoring. The man should contact a healthcare provider if symptoms persist or return.
Resources for Chronic Non-Bacterial Prostatitis National Institute of Diabetes and Digestive and Kidney Disorders American Foundation for Urologic Disease Prostatitis Foundation www.ChronicProstatitis.com
Prostadynia
There are various types of prostatitis, one of which is Prostatodynia (or Prostadynia). Sometimes called Noninflammatory Chronic Pelvic Pain Syndrome, it is the occurrence of prostatitis symptoms, without inflammation or bacterial infection. Currently, the National Institute of Health refers to Prostatodynia as Category IIIb. Doctors understand very little about why some people - often young, otherwise healthy men - develop this problem. Theories to explain prostatodynia include an abnormal buildup of pressure in the urinary tract, irritation resulting from an autoimmune or chemical process, or pain generated in the nerves and muscles within the pelvis. There may be a link between prostatodynia and increased stress, because this condition is often found in men with "Type A" personalities in high-stress situations. The main symptom is pain in the pelvis or perineum (the area between the scrotum and the anus.) However, many of the nonbacterial prostatitis symptoms may be present, such as fever, pain in the lower back, pain in genital area, general body aches, burning or pain on urination, increased urinary frequency, urgency, pain or discomfort during or after ejaculation, decreased libido, and occasionally visible blood in the urine.
Causes and Risk Factors of Prostatodynia There are many theories about the cause of nonbacterial prostatitis: fungi, viruses, trichomonads, and obligate anaerobic bacteria have been suspected. Irritation caused by a reflux of urine flowing into the prostate may also be a cause. Up to 65% of patients with chronic prostatitis have the nonbacterial form. The disorder is seen in 5 of every 10,000 outpatient visits by men.
The common symptoms associated with Prostatodynia include: • Pain • Perineal, Suprapubic, Scrotal, Lower back, Urethral, Tip of penis • Frequent urination • Pain/burning with urination • Decreased urinary stream • Pain with ejaculation • Pain with bowel movements • Blood in the urine • Blood in the semen The symptoms of Prostatodynia are the same as those of Chronic Bacterial Prostatitis.
How to Address the Symptoms of Prostatodynia Prostatodynia or Noninflammatory Chronic Pelvic Pain Syndrome is difficult to treat because it is not clear what causes this form of prostatitis. The primary goal of treatment is to relieve symptoms. Nonnarcotic pain medications, muscle relaxers, and alpha-blockers are used. • The role of prostate massage in providing symptomatic relief is controversial. Therapeutic ejaculation • The role of frequent ejaculation in either producing or reducing CPPS symptoms remains controversial. SURGICAL CARE: Transurethral resection of the prostate (TURP) • A widely held opinion among urologists is that TURP should be reserved for those patients who have experienced extreme, persistent symptoms over a protracted period, with no relief from nonoperative interventions. Radical prostatectomy • This is an extreme measure.
• The influence of diet on this condition is variable. ACTIVITY: • Sitz baths may provide partial relief from acute exacerbations.
• Many patients respond to treatment while others are not relieved despite multiple treatment attempts.
National Institute of Diabetes and Digestive and Kidney Disorders
Chronic Pelvic Pain Syndrome
What is Chronic Pelvic Pain Syndrome? Chronic Pelvic Pain Syndrome (CPPS) occurs just in men. It is a persistent discomfort or pain that you feel in your lower pelvic region-mainly at the base of your penis and around your anus. The source of the pain is thought to be the prostate gland. The prostate gland is only found in men. It lies just beneath the bladder. It is normally about the size of a chestnut. The urethra, a tube that passes urine from the bladder, runs through the middle of the prostate. The prostate helps to make semen. However, most semen is made by the seminal vesicle. Currently, the National Institute of Health refers to Chronic Pelvic Pain Syndrome as Category IIIa Prostatitis or Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS). Chronic Pelvic Pain Syndrome is another name for Chronic Nonbacterial Prostatitis (or close medical condition association). The Noninflammatory Chronic Pelvic Pain Syndrome was formerly called Prostatodynia.
Causes of Chronic Pelvic Pain Syndrome The cause is not known although symptoms are thought to come from the prostate gland. Many theories have been put forward as to the cause. These include: • Infection of the prostate with a germ that has not yet been identified • Nerve problems in the prostate • Tiny cysts or stones in the prostate • Partial blockage of fluid made in the prostate In some cases, there is some inflammation of the prostate (prostatitis). However, the cause of the inflammation is not known. (Another name for this sub-group of Chronic Pelvic Pain Syndrome is Chronic Abacterial (Non-infective) Prostatitis). In other cases of chronic pelvic pain syndrome, there is no inflammation.
Diagnosis of Chronic Pelvic Pain Syndrome A typical diagnosis includes: • A urine sample - to rule out urine infection Symptoms of Chronic Pelvic Pain Syndrome The common symptoms associated with Chronic Pelvic Pain Syndrome include: • Pain or discomfort - lasting several months, and often longer
How to Address the Symptoms of Chronic Pelvic Pain Syndrome • Reassurance and explanation are sometimes helpful. Some people worry that they may have a serious disease such as prostate cancer. Worry and anxiety can make symptoms worse. Therefore, it may be useful to know that you have chronic pelvic pain syndrome and not some other disease. However, you will have to accept that pain or discomfort is likely to persist. • Painkillers such as paracetamol or ibuprofen may ease the pain. Painkillers can keep discomfort to a minimum. • Antibiotics. A four week course may be advised. This is to be absolutely sure that no infection is present. Tests for bacteria are not 100% foolproof, so it may seem sensible to treat a possible infection even though urine tests for infection are negative. There is a small chance that antibiotics will help. Various other ways to address CPPS have been tried. They may benefit some people, but so far there are few research studies to confirm whether they help in most cases. They are not 'standard' or routine ways to address CPPS, but a specialist may advise that you try one. They include the following: • Alpha-blockers are medicines that are used to treat prostate enlargement. They relax the muscle tissue of the prostate and the outlet of the bladder. There are several different brands. There is some evidence that they help in chronic pelvic pain syndrome, and one may be worth a try. • Other medicines such as allopurinol and finasteride (a medicine which may 'shrink' the prostate). • Removal of the prostate (prostatectomy) may be considered if you have small stones (calculi) in the prostate. It is not clear how much this may help. Your specialist will advise. • Other surgical techniques to the prostate. For example, prostatic thermotherapy. This involves heating the prostate. The theory is that this may help clear inflammation of the prostate, or affect nerve fibers that may be the cause of the pain. Again, it is not clear how much this may help. • Stress management and other pain relieving techniques are sometimes tried to help cope with the persistent pain. The principle proposed natural method to address the symptoms of chronic pelvic pain syndrome by promoting prostate health. • Bioflavonoid (e.g. quercetin)- A class of water-soluble plant coloring agents, which have anti-inflammatory and antioxidant properties.
What is Sexual Dysfunction?
Do you experience pain before, during or after ejaculation? Are you less interested in having sexual encounters? Do you live with prostate pain, chronic pelvic pain, or rectal pain? Have you confronted penile dysfunction due to pain or are you experiencing an uncomfortable throbbing sensation in your genital or rectal areas? Are you suffering from prostatic congestion? While regular ejaculation and prostatic massage are helpful for some patients many patients with post-ejaculatory pain can exacerbate their symptoms with repeated ejaculations, thereby creating no long-term relief. 20 million men of all ages share the symptoms of non-bacterial chronic prostatitis. While there are several types of prostatitis diagnosed in men, including bacterial prostatitis (acute and chronic), non-bacterial prostatitis and prostatodynia account for 95% of all prostatitis diagnoses. Symptoms can include perineal pain, reduced urine flow and possibly impotence and pain before, during and after ejaculation. |





