II. Indications

  1. Hypertension
    1. Not first-line Antihypertensives, and avoid using as monotherapy (higher risk of CVA and CHF)
  2. Benign Prostatic Hypertrophy
    1. Selective Alpha-1a Antagonists (e.g. Tamsulosin) are preferred
  3. Medical Expulsive Therapy for Ureteral Stone
    1. Replaced by the preferred Selective Alpha-1a Antagonists (e.g. Tamsulosin)

III. Dosing

  1. Hypertension
    1. Start 1 mg orally at bedtime
    2. Titrate to effective dose 1 to 5 mg daily or in divided doses
    3. Maximum 20 mg/day
  2. Benign Prostatic Hypertrophy (replaced by Selective Alpha-1a Antagonists)
    1. Start 1 mg orally at bedtime
    2. Titrate to effect by doubling dose every 1-2 weeks (to 2, 5 and 10 mg)
    3. Observe for effects after 4 to 6 weeks on optimal dose (typically 10 mg)
    4. Maximum of 20 mg/day

IV. Safety

  1. Pregnancy Category C
  2. Unknown safety in Lactation

V. Mechanism

  1. See Alpha Adrenergic Receptor (Alpha-1 Antagonist)
  2. Peripheral Alpha-1 Adrenergic Antagonist
    1. Arterial and Venous Vasodilation

VIII. References

  1. (2020) Med Lett Drugs Ther 62(1598): 73-80
  2. Olson (2020) Clinical Pharmacology, Medmaster Miami, p. 62-3
  3. Hamilton (2020) Tarascon Pocket Pharmacopoeia

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Related Studies

Cost: Medications

terazosin (on 12/21/2022 at Medicaid.Gov Survey of pharmacy drug pricing)
TERAZOSIN 1 MG CAPSULE Generic $0.14 each
TERAZOSIN 10 MG CAPSULE Generic $0.16 each
TERAZOSIN 2 MG CAPSULE Generic $0.14 each
TERAZOSIN 5 MG CAPSULE Generic $0.16 each