Details About Generic Salt ::  Prazosin

Main Medicine Class::    

(PRAY-zoe-sin)

Minipress

Capsules

1 mg

Capsules

2 mg

Capsules

5 mg

Alti-Prazosi

APO-Prazo

Novo-Prazin

Nu-Prazo, Rho-Prazosin

Class: Antihypertensive, Antiadrenergic, peripherally acting

 

Drugs Class ::

 Action Selectively blocks postsynaptic alpha-1-adrenergic receptors, resulting in dilation of arterioles and veins.

Indications for Drugs ::

 Indications Treatment of hypertension.

Drug Dose ::

 Route/Dosage

Adults: PO Initial dose: 1 mg bid to tid. Maintenance: 6 to 20 mg/day in divided doses (max, 40 mg/day).

Children: PO 0.5 to 7 mg tid has been suggested.

Contraindication ::

 Contraindications Hypersensitivity to doxazosin, prazosin, or terazosin.

Drug Precautions ::

 Precautions

Pregnancy: Category C. Lactation: Excreted in breast milk. Children: Safety and efficacy not established. Concomitant therapy: When adding a diuretic or other antihypertensive agent, reduce dosage to 1 to 2 mg tid and then retitrate. First-dose effect: May cause marked hypotension (especially orthostatic) and syncope at 30 min after first few doses, after reintroduction, with rapid increase (at least 2 mg) in dosing, or after addition of another antihypertensive. To avoid, initiate dosing with low dose (1 mg or up to 2 mg) and gradually increase after 2 wk. Lipids: May decrease total cholesterol levels and LDLs and increase HDLs.

PATIENT CARE CONSIDERATIONS

Drug Side Effects ::

 Adverse Reactions

CARDIOVASCULAR: Palpitations; orthostatic hypotension; hypotension; tachycardia. CNS: Depression; dizziness; nervousness; paresthesia; asthenia; drowsiness; headache. DERMATOLOGIC: Pruritus; rash; sweating; alopecia; lichen planus. EENT: Blurred vision; conjunctivitis; tinnitus; nasal congestion; epistaxis. GI: Nausea; vomiting; dry mouth; diarrhea; constipation; abdominal discomfort or pain. GU: Impotence; urinary frequency; incontinence; priapism. RESPIRATORY: Dyspnea. OTHER: Arthralgia; edema; fever.

Drug Mode of Action ::  

 Action Selectively blocks postsynaptic alpha-1-adrenergic receptors, resulting in dilation of arterioles and veins.

Drug Interactions ::

 Interactions

Alcohol: Increased risk of hypotension.

Beta-blockers: Enhanced acute orthostatic hypotensive reaction after first dose of prazosin.

Verapamil: Increased serum prazosin levels and increased sensitivity to orthostatic hypotension.

Drug Assesment ::

 Assessment/Interventions

• Obtain patient history, including drug history and any known allergies. Note current use of antihypertensives.
• Obtain baseline BP and pulse.
• Observe for possible retention of water and sodium.
• Monitor closely for first-dose effect. If syncope occurs, place patient in recumbent position and notify health care provider.
• Notify health care provider if patient complains of dizziness, palpitations, drowsiness, fatigue, tiredness, nausea, or headache.

OVERDOSAGE: SIGNS & SYMPTOMS   Drowsiness, depressed reflexes, hypotension

Drug Storage/Management ::

 Administration/Storage

• Give initial dose at bedtime to avoid syncope.
• Dosage is increased slowly, usually q 2 wk, with increase given at bedtime dose.
• Give maintenance therapy in divided doses.
• Note that efficacy does not increase when dosage exceeds 20 mg/day.
• Store at room temperature in tightly-closed, light-resistant container.

Drug Notes ::

 Patient/Family Education

• Advise patient to take medication at same time each day.
• Warn patient about possibility of syncope or orthostasis.
• Instruct patient to report the following symptoms to health care provider: dizziness, palpitations, drowsiness, fatigue, nausea, headache.
• Caution patient to avoid sudden position changes to prevent orthostatic hypotension.
• Advise patient to avoid driving or performing other tasks requiring mental alertness for 12 to 24 hr after first dose, after dosage increase, and after resuming treatment after interruption. After the 12- to 24-hr period, advise patient to use caution.
• Instruct patient not to take OTC medications (eg, nonprescription weight loss products or cough, cold, or allergy medications) without consulting health care provider.

Disclaimer ::

The Information available on this site is for only Informational Purpose , before any use of this information please consult your Doctor .Price of the drugs indicated above may not match to real price due to many possible reasons may , including local taxes etc.. These are only approximate indicative prices of the drug.