Alfuzosin (alfuzosin HCl)
Last reviewed · Source: First Databank (FDB) drug data
Overview
Alfuzosin is an alpha1-adrenergic blocking agent that exhibits selectivity for alpha1-adrenergic receptors in the lower urinary tract (e.g., bladder base, bladder neck, prostate, prostatic capsule, prostatic urethra).
Alfuzosin hydrochloride, a quinazoline-derivative alpha1-adrenergic blocking agent, is structurally and pharmacologically related to doxazosin, prazosin, and terazosin and pharmacologically related to tamsulosin. Alfuzosin is a non-subtype-specific alpha1-adrenergic blocking agent that exhibits selectivity for alpha1-adrenergic receptors in the lower urinary tract (e.g., bladder base, bladder neck, prostate, prostatic capsule, prostatic urethra). Blockade of these adrenoreceptors can cause relaxation of smooth muscle in the bladder neck and prostate, resulting in improvement in urine flow and a reduction in symptoms of benign prostatic hyperplasia (BPH).
Such effects generally are achieved with alfuzosin hydrochloride dosages that do not have clinically important effects on blood pressure or heart rate.
Alfuzosin is extensively metabolized in the liver via oxidation, O-demethylation, and/or N-dealkylation, principally by the cytochrome P-450 (CYP) 3A4 isoenzyme, to form pharmacologically inactive metabolites. Alfuzosin is not an inhibitor of CYP isoenzymes 1A2, 2A6, 2C9, 2C19, 2D6, or 3A4 nor an inducer of CYP isoenzymes 1A, 2A6, or 3A4.
USES: Alfuzosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night).
Alfuzosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure.
Generic name: alfuzosin HCl
Pronunciation: (al-FUE-zoe-sin)
Reference product & biosimilars
No reference, biosimilar or interchangeable associated with this drug.
Today’s intelligence on Alfuzosin
Indications
The following indications are listed for Alfuzosin:
- Benign Prostatic Hyperplasia With Lower Urinary Tract Symptom
Also known as: Symptomatic Benign Prostatic Hyperplasia, Symptomatic Benign Prostatic Hypertrophy, Symptomatic Bph, Symptomatic Prostatic Hypertrophy.
Dosing
No dosing information is available for this tab.
No dosing information is available for this tab.
No dosing information is available for this tab.
No dosing information is available for this tab.
Drug interactions
There is no enhanced messaging for this drug.
There are no contraindication interactions for this drug.
There are no severe interactions for this drug.
There are no moderate interactions for this drug.
Contraindications
Moderate or severe hepatic impairment (Child-Pugh class B or C).
Concomitant use with potent inhibitors of cytochrome P-450 (CYP) isoenzyme 3A4 (e.g., itraconazole, ketoconazole, ritonavir). (See Drug Interactions.)
Known hypersensitivity to alfuzosin hydrochloride or any ingredient in the formulation.
There are no contraindication contraindications for this drug.
There are no severe contraindications for this drug.
There are no moderate contraindications for this drug.
Adverse reactions
Adverse effects reported in 2% or more of patients receiving alfuzosin and at an incidence higher than that reported with placebo include dizziness, upper respiratory tract infection, headache, and fatigue.
There are no severe adverse reactions for this drug.
There are no less severe adverse reactions for this drug.
Precautions
No enhanced messaging available.
Alfuzosin is not intended for use in children.
Category B. (See Users Guide) Alfuzosin is not intended for use in women.
Alfuzosin is not intended for use in women.
When the total number of patients studied in clinical trials of alfuzosin is considered, 48% were 65 years of age or older, while 11% were 75 years of age or older. Although no overall differences in efficacy or safety were observed between geriatric and younger patients, and other clinical experience revealed no evidence of age-related differences, the possibility that some older patients may exhibit increased sensitivity to the drug cannot be ruled out.
ICD codes
No ICD codes are available for this drug.
Formulary status
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Last reviewed · Source: First Databank (FDB) drug data
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