Prazosin

WHAT IS IT?

Prazosin (Minipress) is a α1-adrenergic blocking agent. These medications will cause vasodilation by blocking the action of norepinephrine on vascular smooth muscle.

WHEN DO WE USE IT?

Post Traumatic Stress Disorder (nightmares): this medication is often used to treat nightmares that are experienced in the context of PTSD.

Urinary retention (in the setting of BPH): this medication can relax smooth muscle in the urinary tract.

Hypertension: given its activity this medication can be used to lower hypertension (although is not a common first-line antihypertensive medications).

Pheochromocytomabefore surgical removal of this tumor, the patient is give alpha-adrenergic blockade, which can be done with Prazosin.

WHEN DO WE AVOID USING IT?

Hypotension: patients who have very low blood pressure might need to avoid this medication (due to its activity as a vasodilator).

HOW IS IT ADMINISTERED?

Orally administered

Source
Source
WHAT ARE THE SIDE EFFECTS/TOXICITY?

Orthostatic hypotension: This can be experienced often during the initial dosing of this medication.

General: headaches, dizziness

ANYTHING ELSE TO KEEP IN MIND?

Ending of “-zosin” is generally specific to

FURTHER READING

DynaMed

UpToDate

 

Page Updated: 09.01.2016