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Drug interactions

Terazosin + Zotepine

Severity: Moderate

Terazosin and Zotepine: 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

Zotepine has alpha-1 adrenergic blocking activity, so combining it with terazosin can add to blood pressure lowering. This may cause orthostatic hypotension, dizziness and falls, especially when starting treatment or raising doses.

What this interaction means in plain words

Terazosin and Zotepine 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 receptor blockade producing vasodilation.

What to do

Monitor standing and sitting blood pressure when starting or titrating either drug, and advise patients to rise slowly. Start with low doses and reduce terazosin if symptomatic 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 Terazosin with Zotepine?

MediHelp rates the interaction as moderate. Terazosin and Zotepine 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. Zotepine has alpha-1 adrenergic blocking activity, so combining it with terazosin can add to blood pressure lowering. This may cause orthostatic hypotension, dizziness and falls, especially when starting treatment or raising doses.

How serious is the interaction between Terazosin and Zotepine?

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 standing and sitting blood pressure when starting or titrating either drug, and advise patients to rise slowly. Start with low doses and reduce terazosin if symptomatic 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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