What is the mechanism of action of prazosin?
Prazosin is a competitive alpha-1 adrenergic receptor blocker. By blocking alpha-1 receptors on muscle cesll that surround blood vessels, prazosin causes vasodilation (widening) of the blood vessels, and consequently decreases the resistance of blood flow.
Can prazosin treat BPH?
Prazosin is not recommended as a treatment for BPH by the American Urological Association. However, several controlled clinical trials are available on the use of prazosin as a treatment for BPH in doses ranging from 1 to 9 mg/day with 2 mg twice a day being most common.
Why is tamsulosin preferred over prazosin in BPH?
Tamsulosin and prazosin are both effective in palliating symptoms of women with voiding dysfunction and improving their urodynamic parameters. Tamsulosin may be the preferred drug to prescribe because of its more amenable side effect profile and greater patient satisfaction.
What is the difference between terazosin and prazosin?
Terazosin however, differs from prazosin in that its water solubility is 25 times greater than that of prazosin and its elimination half-life is about three times that of prazosin. Greater water solubility facilitates intravenous formulation, and longer half-life allows once-daily administration of terazosin.
Mechanism of action Prazosin is an α 1 -blocker that acts as an inverse agonist at alpha-1 adrenergic receptors, including α1A-, α1B-, and α1D-receptor subtypes. These receptors are found on vascular smooth muscle, where they are responsible for the vasoconstrictive action of norepinephrine.
How is Prazosin used to treat benign prostatic hyperplasia?
Prazosin and its analogues are also effective in treating benign prostatic hyperplasia caused by the blocking of the α 1 -adrenergic receptors associated with smooth muscle of the bladder neck and prostate. This action reduces pressure on the urethra and improves urine flow.
How does prazosin work in dogs with renal hypertension?
Prazosin is effective in reducing mean arterial blood pressure in some dogs with renal hypertension. Prazosin acts primarily by blocking α1 -adrenergic receptors but also peripherally inhibits phosphodiesterase. Since prazosin does not block α 2 -adrenergic receptors, noradrenaline (norepinephrine) release is still controlled via negative feedback.
Which is better doxazosin or terazosin for BPH?
According to 1 study, dosage-conversion from doxazosin to terazosin results in similar or better control of symptoms in most (83%) patients with BENIGN PROSTATIC HYPERPLASIA (BPH).