🩺 DRUGS FOR BENIGN PROSTATIC HYPERTROPHY 🏷️ Selective alpha-1 blocker
👨‍⚕️ Clinically Reviewed by: PakistaniBano Medical Editorial Board (Pharm.D Panel)
📅 Reviewed: November 2026 • 🔍 Authority: DRAP / WHO ATC
📦 Formulations, Pack Sizes & Retail Prices Currency: Rs.
Dosage Form Reg. No Pack Size Trade Price (TP) Maximum Retail Price (MRP)
Tab 4mg — 20 Rs.297.00 Rs.350.00

📋 Indications & Clinical Dosage

*Urinary outflow obstruction and symptoms associated with benign prostatic hyperplasia:* Adults: Initially 1 mg once daily, increasing if necessary after 1-2 week to 2 mg once daily, and then 4 mg once daily if required; max 8 mg daily for urinary outflow obstruction & symptoms associated with BPH. *Hypertension:* Adult: Initially 1 mg once daily, may be increased to double the dose every 1-2 week. Max: 8 mg/day. Children: Not recommended.

⛔ Contraindications

History of postural hypotension and micturition syncope.

⚠️ Precautions & Warnings

Care with initial dose (postural hypotension); monitor BP regularly, cataract surgery (risk of intra-operative floppy iris syndrome), elderly, heart failure, pulmonary oedema due to aortic or mitral stenosis, hepatic and renal impairment

🔄 Drug Interactions

Beta-blockers, diuretics, ACE inhibitors, calcium channel blockers, sildenafil, tadalafil, vardenafil.

⚠️ Adverse Reactions / Side Effects

Anxiety, back pain, coughing, dyspnea, fatigue, influenza-like symptoms, myalgia, paraesthesia, sleep disturbance, vertigo, agitation, angina, arthralgia, epistaxis, gout, hypoaesthesia, micturition disturbance, myocardial infarction, tinnitus, tremor, weight changes, angioedema, asthenia, blurred vision, depression, dizziness, drowsiness, dry mouth, erectile disorders, GI disturbances, headache, hypersensitivity, hypotension, intra-operative floppy iris syndrome, oedema, palpitations, postural hypotension, priapism, pruritus, rash, rhinitis, syncope, tachycardia

🤰 Pregnancy & Lactation Safety

Pregnancy Risk:
Risk cannot be ruled out.
Lactation / Breastfeeding:
Contraindicated, avoid

📚 Official Regulatory & Clinical References

  • Drug Regulatory Authority of Pakistan (DRAP): Drug Registration, S.R.O. Price Gazettes & National Essential Medicines List (NEML).
  • World Health Organization (WHO): Collaborating Centre for Drug Statistics Methodology (ATC/DDD Index).
  • Formulary Standards: British National Formulary (BNF) & Pakistan National Formulary (PNF) guidelines.

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