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Drug interactions

Avanafil + Terazosin

Severity: Major

Avanafil and Terazosin: major 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

Together these drugs can cause pronounced postural hypotension, dizziness or syncope, particularly when therapy is started or doses are raised.

What this interaction means in plain words

Avanafil and Terazosin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Avanafil belongs to Genitourinary; Terazosin belongs to Genitourinary.

Evidence level: High

Why it happens

Additive vasodilation from alpha-1 blockade and PDE5 inhibition.

What to do

Start avanafil only when stable on terazosin, using the lowest dose, and counsel about orthostatic symptoms. Monitor blood pressure.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Avanafil with Terazosin?

MediHelp rates the interaction as major. Avanafil and Terazosin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Together these drugs can cause pronounced postural hypotension, dizziness or syncope, particularly when therapy is started or doses are raised.

How serious is the interaction between Avanafil and Terazosin?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Start avanafil only when stable on terazosin, using the lowest dose, and counsel about orthostatic symptoms. Monitor blood pressure.

What other medicines interact with Avanafil?

MediHelp also lists interactions of Avanafil with, for example, Amyl nitrite, Atazanavir, Clarithromycin. The full list is on the Avanafil page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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