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At a glance

Terazosin is an alpha-1 adrenergic blocker used for hypertension and benign prostatic hyperplasia (BPH). It lowers blood pressure by relaxing blood vessels and improves urine flow by relaxing prostate muscles.

Indications
  • Hypertension
  • Benign Prostatic Hyperplasia (BPH) symptoms
Pharmacology

Terazosin blocks postsynaptic alpha-1 receptors, relaxing smooth muscle in blood vessels and the prostate, lowering blood pressure and improving urinary flow. Long-term use induces apoptosis of prostate cells via TGF-β1, p27kip1, and the caspase cascade.

Dosage

Adult Dose (Oral):

  • Hypertension/BPH: Start 1 mg at bedtime (max), increase gradually at 7-day intervals
  • Hypertension maintenance: 2-10 mg/day; max 20 mg/day in 1-2 divided doses
  • BPH maintenance: 5-10 mg/day
  • Elderly: Start 0.5 mg at bedtime
Side effects

Common Side Effects:

  • Orthostatic hypotension (dizziness)
  • Headache, drowsiness
  • Low energy, weakness
  • Palpitations, nausea
  • Peripheral edema, priapism (rare)
Use in pregnancy

Use in Pregnancy: May be unsafe; animal studies show harmful effects; use only if clearly needed; consult your doctor.

Pregnancy Category: D — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • First dose may cause hypotension (within 30-90 minutes); take at bedtime
  • Caution with other antihypertensives (risk of significant hypotension)
  • Inform ophthalmologist before cataract surgery (IFIS risk)
  • May affect driving ability (dizziness, drowsiness)
Overdose effects

Overdose may cause acute hypotension; lie patient down; plasma volume expansion and noradrenergic vasopressor may be needed; provide symptomatic treatment.

Storage conditions

Store below 30°C, away from light and moisture; keep out of reach of children.

Terazosin — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.