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Drug interactions

Amlodipine-hydrochlorothiazide-valsartan + Terazosin

Severity: Moderate

Amlodipine-hydrochlorothiazide-valsartan and Terazosin: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Terazosin is an alpha-1 blocker that causes first-dose and orthostatic hypotension. Added to amlodipine, valsartan, and hydrochlorothiazide, the blood pressure lowering is additive and may cause dizziness or syncope.

What this interaction means in plain words

Amlodipine-hydrochlorothiazide-valsartan and Terazosin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Amlodipine-hydrochlorothiazide-valsartan belongs to Cardiovascular; Terazosin belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Additive vasodilatory antihypertensive effects.

What to do

Give the first terazosin dose at bedtime at a low dose and titrate slowly. Monitor standing blood pressure and reduce other antihypertensives if symptomatic.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amlodipine-hydrochlorothiazide-valsartan with Terazosin?

MediHelp rates the interaction as moderate. Amlodipine-hydrochlorothiazide-valsartan and Terazosin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Terazosin is an alpha-1 blocker that causes first-dose and orthostatic hypotension. Added to amlodipine, valsartan, and hydrochlorothiazide, the blood pressure lowering is additive and may cause dizziness or syncope.

How serious is the interaction between Amlodipine-hydrochlorothiazide-valsartan and Terazosin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give the first terazosin dose at bedtime at a low dose and titrate slowly. Monitor standing blood pressure and reduce other antihypertensives if symptomatic.

What other medicines interact with Amlodipine-hydrochlorothiazide-valsartan?

MediHelp also lists interactions of Amlodipine-hydrochlorothiazide-valsartan with, for example, Aliskiren, Dofetilide, Sparsentan. The full list is on the Amlodipine-hydrochlorothiazide-valsartan page.

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