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Prazosin information


Prazosin
prazosin 2D skeletal
prazosin 3D BS
Clinical data
Trade namesMinipress, others
AHFS/Drugs.comMonograph
MedlinePlusa682245
License data
  • US DailyMed: Prazosin
Pregnancy
category
  • AU: B2[1]
Routes of
administration
By mouth
Drug classα1 blocker
ATC code
  • C02CA01 (WHO)
Legal status
Legal status
  • CA: ℞-only
  • UK: POM (Prescription only)[2]</ref>
  • US: ℞-only[3]
  • In general: ℞ (Prescription only)
Pharmacokinetic data
Bioavailability~60%
Protein binding97%[4]
Onset of action30–90 minutes[5]
Elimination half-life2–3 hours[4]
Duration of action10–24 hours[4]
Identifiers
IUPAC name
  • [4-(4-Amino-6,7-dimethoxy-2-quinazolinyl)-1-piperazinyl](2-furyl)methanone
CAS Number
  • 19216-56-9 checkY
PubChem CID
  • 4893
IUPHAR/BPS
  • 503
DrugBank
  • DB00457 checkY
ChemSpider
  • 4724 checkY
UNII
  • XM03YJ541D
KEGG
  • D08411 checkY
ChEBI
  • CHEBI:8364 checkY
ChEMBL
  • ChEMBL2 checkY
CompTox Dashboard (EPA)
  • DTXSID4049082 Edit this at Wikidata
ECHA InfoCard100.038.971 Edit this at Wikidata
Chemical and physical data
FormulaC19H21N5O4
Molar mass383.408 g·mol−1
3D model (JSmol)
  • Interactive image
SMILES
  • O=C(N3CCN(c2nc1cc(OC)c(OC)cc1c(n2)N)CC3)c4occc4
InChI
  • InChI=1S/C19H21N5O4/c1-26-15-10-12-13(11-16(15)27-2)21-19(22-17(12)20)24-7-5-23(6-8-24)18(25)14-4-3-9-28-14/h3-4,9-11H,5-8H2,1-2H3,(H2,20,21,22) checkY
  • Key:IENZQIKPVFGBNW-UHFFFAOYSA-N checkY
  (verify)

Prazosin, sold under the brand name Minipress among others, is a medication used to treat high blood pressure, symptoms of an enlarged prostate, and nightmares related to post-traumatic stress disorder (PTSD).[6] It is an α1 blocker.[6] It is a less preferred treatment of high blood pressure.[6] Other uses may include heart failure and Raynaud syndrome.[7] It is taken by mouth.[6]

Common side effects include dizziness, sleepiness, nausea, and heart palpitations.[6] Serious side effects may include low blood pressure with standing and depression.[6][7] Prazosin is a non-selective inverse agonist of the α1-adrenergic receptors.[6] It works to decrease blood pressure by dilating blood vessels and helps with an enlarged prostate by relaxing the outflow of the bladder.[6] How it works in PTSD is not entirely clear.[6]

Prazosin was patented in 1965 and came into medical use in 1974.[8] It is available as a generic medication.[6] In 2021, it was the 183rd most commonly prescribed medication in the United States, with more than 2 million prescriptions.[9][10]

  1. ^ "Prazosin (Minipress) Use During Pregnancy". Drugs.com. 26 November 2019. Retrieved 30 January 2020.
  2. ^ "Hypovase Tablets 0.5mg - Summary of Product Characteristics (SmPC)". (emc). 26 April 2021. Retrieved 5 February 2023.
  3. ^ "Minipress- prazosin hydrochloride capsule". DailyMed. 19 July 2021. Retrieved 5 February 2023.
  4. ^ a b c "Prazosin". drugs.com. Retrieved 15 March 2020.
  5. ^ Packer M, Meller J, Gorlin R, Herman MV (March 1979). "Hemodynamic and clinical tachyphylaxis to prazosin-mediated afterload reduction in severe chronic congestive heart failure". Circulation. 59 (3): 531–539. doi:10.1161/01.cir.59.3.531. PMID 761333.
  6. ^ a b c d e f g h i j "Prazosin Hydrochloride Monograph for Professionals". Drugs.com. American Society of Health-System Pharmacists. Retrieved 18 March 2019.
  7. ^ a b British national formulary : BNF 76 (76 ed.). Pharmaceutical Press. 2018. p. 766. ISBN 9780857113382.
  8. ^ Fischer J, Ganellin CR (2006). Analogue-based Drug Discovery. John Wiley & Sons. p. 455. ISBN 9783527607495.
  9. ^ "The Top 300 of 2021". ClinCalc. Archived from the original on 15 January 2024. Retrieved 14 January 2024.
  10. ^ "Prazosin - Drug Usage Statistics". ClinCalc. Retrieved 14 January 2024.

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Prazosin

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Prazosin, sold under the brand name Minipress among others, is a medication used to treat high blood pressure, symptoms of an enlarged prostate, and nightmares...

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Alpha blocker

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Selective α1-adrenergic receptor antagonists include: Alfuzosin Doxazosin Prazosin (inverse agonist) Tamsulosin Terazosin Silodosin Selective α2-adrenergic...

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Sympatholytic

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nightmares. Prazosin is an α1-blocker that acts as an inverse agonist at α1-adrenergic receptors. Raskind and colleagues studied the efficacy of prazosin for...

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Hottentotta tamulus

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Scorpion antivenom has little effect in clinical treatment but application of prazosin reduces the mortality rate to less than 4%. As in other scorpions, the...

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Raynaud syndrome

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prescribed aspirin. Sympatholytic agents, such as the alpha-adrenergic blocker prazosin, may provide temporary relief to secondary Raynaud's phenomenon. Angiotensin...

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Nightmare disorder

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efficient is an alpha-blocker, Prazosin, which reduces tone during sleep by blocking noradrenergic receptors. Prazosin would significantly decrease the...

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Anxiolytic

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include propranolol, oxprenolol, and metoprolol. The alpha-1 antagonist prazosin could be effective for PTSD. The alpha-2 agonists clonidine and guanfacine...

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Himmatrao Bawaskar

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January 2011). "Efficacy and safety of scorpion antivenom plus prazosin compared with prazosin alone for venomous scorpion (Mesobuthus tamulus) sting: randomised...

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Veratraldehyde

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of some pharmaceutical drugs including amiquinsin, hoquizil, piquizil, prazosin, quinazoline, tiapamil, toborinone, verazide, and vetrabutine.[citation...

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Rilmenidine

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g., hydroxynefazodone, nefazodone, trazodone, triazoledione) Piperoxan Prazosin Quinazosin Quinidine Silodosin Spegatrine Spiperone Talipexole Tamsulosin...

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Pulse pressure

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clonidine (a central α2-agonist), diltiazem (a calcium channel blocker), and prazosin (an α1-blocker) on pulse pressure and found that, after one year of treatment...

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ATC code C02

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Moxonidine C02AC06 Rilmenidine C02BA01 Trimetaphan C02BB01 Mecamylamine C02CA01 Prazosin C02CA02 Indoramin C02CA03 Trimazosin C02CA04 Doxazosin C02CA06 Urapidil...

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Treatments for PTSD

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Louis A. Faillace, MD, Department of Psychiatry and Behavioral Sciences. Prazosin, an alpha-adrenoceptor antagonist, is often prescribed, particularly for...

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Nightmare

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and the degree to which exposure therapy is included in the protocol". Prazosin (alpha-1 blocker) appears useful in decreasing the number of nightmares...

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Feline lower urinary tract disease

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and/or anti-inflammatory medication together with anti-spasm drugs such as prazosin. The key difference between the two types of episodes will be that a blocked...

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Neurochemistry

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effective medication to help alleviate nightmares associated with PTSD is Prazosin. International Society for Neurochemistry List of neurochemists Molecular...

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Hypertensive urgency

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include: captopril, labetalol, amlodipine, felodipine, isradipine, and prazosin. Sublingual nifedipine is not recommended in hypertensive urgencies. This...

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Tamsulosin

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monitored carefully while taking tamsulosin. Alpha blockers, including prazosin, terazosin, doxazosin, or tamsulosin, do not appear to affect all-cause...

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List of psychotropic medications

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treat seizures. Melatonin – a hypnotic used to treat insomnia Minipress (prazosin) – atypical psychotropic used to treat PTSD Neurontin (gabapentin) – an...

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Parasympathomimetic drug

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antagonist) Metoprolol (β-receptor antagonist) Atenolol (β1 antagonist) Prazosin (α1 antagonist) Oxymetazoline (partial α2 adrenergic agonist) Sympathomimetic...

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LSD

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g., hydroxynefazodone, nefazodone, trazodone, triazoledione) Piperoxan Prazosin Quinazosin Quinidine Silodosin Spegatrine Spiperone Talipexole Tamsulosin...

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Psychiatry

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Quetiapine Flupentixol Sympatholytics (Antiadrenergics) Alpha-1 blockers (e.g., prazosin) Alpha-2 agonists (e.g., clonidine, dexmedetomidine, guanfacine) Beta blockers...

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Synephrine

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found to be competitively antagonized by prazosin (a standard α1 antagonist) and ketanserin, with prazosin being the more potent antagonist (pA2 = 9...

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Vascular smooth muscle

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the normal blood pressure. Antagonists of alpha-1 receptors (doxazosin, prazosin) cause vasodilation (a decrease in vascular smooth muscle tone with increase...

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Risperidone

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g., hydroxynefazodone, nefazodone, trazodone, triazoledione) Piperoxan Prazosin Quinazosin Quinidine Silodosin Spegatrine Spiperone Talipexole Tamsulosin...

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Autonomic dysreflexia

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may be effective in reducing attacks. Prophylactic use of nifedipine, prazosin, and terazosin has also been reported to prevent attacks. Topical analgesics...

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