What medication type should be avoided in treating patients with BPH due to worsening urinary symptoms?

Tricyclic antidepressants are the type of medication that should be avoided in treating patients with Benign Prostatic Hyperplasia (BPH) because they have anticholinergic effects. These effects can lead to urinary retention and exacerbate the already existing urinary symptoms associated with BPH.

The anticholinergic properties of tricyclic antidepressants can cause relaxation of the bladder and contraction of the sphincter, making it more difficult for patients to urinate. Given that BPH is characterized by symptoms such as increased urinary frequency, urgency, or difficulty initiating urination, medications that can interfere with bladder function are particularly problematic.

In contrast, the other medication types listed do not possess significant anticholinergic effects that adversely impact urinary symptoms in the context of BPH. Understanding the pharmacological effects of different medication classes is crucial in managing conditions like BPH effectively.