Terazosin Hydrochloride

Generic Details

Generic Name

Terazosin Hydrochloride

Other Names

  • Terazosin HCl

Drug Class

  • Alpha-1 blocker

Chemical Formula

C19H25ClN6O4S

Molecular Weight

459.959 g/mol

Mechanism of Action

  • Blocks alpha-1 adrenergic receptors leading to vasodilation

Indications

  • Hypertension
  • Benign prostatic hyperplasia (BPH)

Common Dosage Forms

  • Tablet

Typical Dosage

  • 1-5 mg once daily for hypertension
  • 1-10 mg once daily for BPH

Pediatric Dosage

  • Not established

Geriatric Dosage

  • Dosage adjustment may be necessary in the elderly

Side Effects

  • Dizziness
  • Headache
  • Fatigue
  • Orthostatic hypotension
  • Retrograde ejaculation

Contraindications

  • Hypotension
  • Severe liver impairment

Pregnancy Category

  • Category C - Risk cannot be ruled out

Lactation Safety

  • Caution advised

Drug Interactions

  • Antihypertensives
  • PDE-5 inhibitors
  • Alpha-blockers

Overdose Symptoms

  • Hypotension
  • Tachycardia
  • Drowsiness

Antidote for Overdose

  • Supportive measures

Storage Conditions

  • Store at room temperature away from moisture and heat

Pharmacokinetics

  • Absorption: Rapidly absorbed
  • Distribution: Distribution volume: 5–6 L/kg
  • Metabolism: Extensively metabolized in the liver
  • Excretion: Excreted mainly via feces and urine

Precautions

  • Caution in patients with hepatic impairment
  • Monitor blood pressure regularly

Warnings

  • Do not abruptly discontinue therapy

Others

  • May cause first-dose orthostatic hypotension