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Drug interactions

Olanzapine / samidorphan + Terazosin

Severity: Moderate

Olanzapine / samidorphan 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

Olanzapine can cause orthostatic hypotension through alpha-1 blockade and may enhance the effect of terazosin. Patients may experience dizziness, falls or syncope.

What this interaction means in plain words

Olanzapine / samidorphan 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.

Evidence level: Moderate

Why it happens

Additive hypotension from alpha-1 adrenergic antagonism by olanzapine and terazosin.

What to do

Monitor blood pressure and orthostatic symptoms, and reduce the terazosin dose if hypotension occurs.

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 Olanzapine / samidorphan with Terazosin?

MediHelp rates the interaction as moderate. Olanzapine / samidorphan 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. Olanzapine can cause orthostatic hypotension through alpha-1 blockade and may enhance the effect of terazosin. Patients may experience dizziness, falls or syncope.

How serious is the interaction between Olanzapine / samidorphan 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: Monitor blood pressure and orthostatic symptoms, and reduce the terazosin dose if hypotension occurs.

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.

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