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Drug interactions

Phenoxybenzamine + Terazosin

Severity: Moderate

Phenoxybenzamine 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

Both drugs block alpha-adrenergic receptors, so combining them may cause excessive vasodilation. Marked hypotension, syncope and reflex tachycardia can occur.

What this interaction means in plain words

Phenoxybenzamine 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 alpha-1 adrenergic blockade, with phenoxybenzamine acting as an irreversible non-selective blocker.

What to do

Avoid duplicate alpha-blockade unless clinically intended; if combined, titrate slowly and monitor supine and standing blood pressure.

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 Phenoxybenzamine with Terazosin?

MediHelp rates the interaction as moderate. Phenoxybenzamine 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. Both drugs block alpha-adrenergic receptors, so combining them may cause excessive vasodilation. Marked hypotension, syncope and reflex tachycardia can occur.

How serious is the interaction between Phenoxybenzamine 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 duplicate alpha-blockade unless clinically intended; if combined, titrate slowly and monitor supine and standing blood pressure.

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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