Prazosin

Products

Prazosin is commercially available in some countries in tablet form. It is no longer approved in many countries.

Structure and properties

Prazosin (C19H21N5O4, Mr = 383.4 g/mol) is a quinazoline derivative. It is present in drugs as prazosin hydrochloride, a white crystalline substance that is sparingly soluble in water.

Effects

Prazosin (ATC C02CA01) is vasodilator and antihypertensive. The effects are due to selective antagonism at alpha1 receptors.

Indications

For the treatment of high blood pressure (essential hypertension).

Dosage

According to the SmPC. Initiation of therapy is gradual. The drug is usually taken two to three times daily because of its short half-life of 2.5 to 4 hours.

Contraindications

Prazosin is contraindicated in hypersensitivity, certain manifestations of heart failure, and in the first trimester of pregnancy. For complete precautions, see the drug label.

Interactions

Other antihypertensive and vasodilator agents may cause increased lowering of blood pressure.

Adverse effects

The most common possible adverse effects include a drop in blood pressure and low blood pressure.