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Drug interactions

Tamsulosin + Terazosin

Severity: Major

Tamsulosin 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

Combining two alpha-1 blockers offers no proven added benefit and increases the risk of orthostatic hypotension, dizziness and syncope.

What this interaction means in plain words

Tamsulosin 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.

Tamsulosin belongs to Genitourinary; Terazosin belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Additive alpha-1 adrenergic receptor blockade causing vasodilation.

What to do

Avoid concurrent use and keep to one alpha-blocker. If changing agents, stop the first and titrate the second, monitoring standing 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 Tamsulosin with Terazosin?

MediHelp rates the interaction as major. Tamsulosin 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. Combining two alpha-1 blockers offers no proven added benefit and increases the risk of orthostatic hypotension, dizziness and syncope.

How serious is the interaction between Tamsulosin 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: Avoid concurrent use and keep to one alpha-blocker. If changing agents, stop the first and titrate the second, monitoring 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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