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Drug interactions

Metoprolol + Terazosin

Severity: Moderate

Metoprolol 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 and metoprolol together lower blood pressure more than either alone. Postural dizziness and first-dose hypotension may occur, though the combination is commonly used.

What this interaction means in plain words

Metoprolol 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.

Metoprolol belongs to Cardiovascular; Terazosin belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Additive pharmacodynamic hypotension from alpha-1 blockade and beta-1 blockade.

What to do

Give the first terazosin dose at bedtime at a low dose and monitor standing blood pressure during titration.

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 Metoprolol with Terazosin?

MediHelp rates the interaction as moderate. Metoprolol 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 and metoprolol together lower blood pressure more than either alone. Postural dizziness and first-dose hypotension may occur, though the combination is commonly used.

How serious is the interaction between Metoprolol 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 monitor standing blood pressure during titration.

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

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

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