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Drug interactions

Carvedilol + Terazosin

Severity: Moderate

Carvedilol 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

Carvedilol has its own alpha-1 blocking activity, so combining it with terazosin adds to vasodilation and hypotension. Orthostatic hypotension and syncope are more likely, especially at initiation.

What this interaction means in plain words

Carvedilol 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.

Carvedilol belongs to Cardiovascular; Terazosin belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Additive alpha-1 adrenergic blockade and beta-blockade causing pharmacodynamic hypotension.

What to do

Avoid combining where possible, or introduce each drug at a low dose and titrate slowly. Monitor orthostatic blood pressure and symptoms.

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 Carvedilol with Terazosin?

MediHelp rates the interaction as moderate. Carvedilol 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. Carvedilol has its own alpha-1 blocking activity, so combining it with terazosin adds to vasodilation and hypotension. Orthostatic hypotension and syncope are more likely, especially at initiation.

How serious is the interaction between Carvedilol 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: Avoid combining where possible, or introduce each drug at a low dose and titrate slowly. Monitor orthostatic blood pressure and symptoms.

What other medicines interact with Terazosin?

MediHelp also lists interactions of Terazosin with, for example, Alfuzosin, Amifostine, Avanafil. The full list is on the Terazosin page.

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

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