Overview
| Generic Names: | Abbott 45975; Terazosin HCl; Terazosin hydrochloride; Terazosina [INN-Spanish]; Terazosine; Terazosine [INN-French]; Terazosinum [INN-Latin]; Trazosin HCl |
|---|---|
| Trade Names: | Blavin; Flumarc; Fosfomic; Heitrin; Hytracin; Hytrin; Hytrinex; Itrin; Urodie; Vasocard; Vasomet; Vicard |
| PharmGKB Accession Id: | PA451612 |
Description
Terazosin is a selective alpha 1 antagonist used for treatment of symptoms of prostate enlargement (BPH). It also acts to lower blood pressure, so it is a drug of choice for men with hypertension and prostate enlargement. It works by blocking the action of adrenaline on smooth muscle of the bladder and the blood vessel walls. (source: Drug Bank)
Indication
For the treatment of symptomatic benign prostatic hyperplasia (BPH) and also for hypertension. (source: Drug Bank)
ATC Therapeutic Category
- G04CA:Alpha-adrenoreceptor antagonists
Pharmacology, Interactions, and Contraindications
Mechanism Of Action
Terazosin selectively and competitively inhibits vascular postsynaptic alpha(1)-adrenergic receptors, resulting in peripheral vasodilation and a reduction of vascular resistance and blood pressure. Unlike the nonselective alph-adrenergic blockers phenoxybenzamine and phentolamine, terazosin does not block presynaptic alpha(2)-receptors and, hence, does not cause reflex activation of norepinephrine release to produce reflex tachycardia. (source: Drug Bank)
Pharmacology
Terazosin, classified as a quinazoline, is similar to doxazosin and prazosin. As an alpha-adrenergic blocking agent, terazosin is used to treat hypertension and benign prostatic hypertrophy (BPH). Terazosin produces vasodilation and reduces peripheral resistance but in general has slight effect on cardiac output. Antihypertensive effect with chronic dosing is usually not accompanied by reflex tachycardia. (source: Drug Bank)
Absorption, Distribution, Metabolism, Elimination & Toxicity
Biotransformation
Hepatic. One of the four metabolites identified (piperazine derivative of terazosin) has antihypertensive activity. (source: Drug Bank)
Protein Binding
90-94% (source: Drug Bank)
Absorption
Essentially completely absorbed in man (90% bioavailability). (source: Drug Bank)
Toxicity
LD<sub>50</sub>=259.3mg/kg (i.v. in mice) (source: Drug Bank)
Isomeric SMILES Code:
COc1cc2c(cc1OC)nc(nc2N)N3CCN(CC3)C(=O)C4CCCO4 (source: Drug Bank)
The following genes are in curated knowledge about this drug.
| Gene | Relationship | Evidence | |
|---|---|---|---|
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CYP3A |
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Publications |
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CYP3A4 |
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Publications |
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CYP3A5 |
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Publications |
A list of non-curated publications that mention this drug along with other genes is available.
Drug Targets
| Gene | Description | |
|---|---|---|
| ADRA1A |
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(source: Drug Bank) |
| ADRA1B |
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(source: Drug Bank) |
| ADRA1D |
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(source: Drug Bank) |
PharmGKB Curated Pathways
A list of non-curated publications that mention this drug along with other drugs is available.
Drug Interactions
| Drug | Description | |
|---|---|---|
| tadalafil |
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Risk of significant hypotension with this association (source: Drug Bank) |
Additional Datasets
These datasets are minimally curated and are sorted alphabetically by title.
LinkOuts
Common Searches
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Non-Curated Publications
A list of non-curated publications that mention this drug is available.
