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Drug Interactions between dutasteride / tamsulosin and tolazoline

This report displays the potential drug interactions for the following 2 drugs:

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Interactions between your drugs

Moderate

tolazoline tamsulosin

Applies to: tolazoline and dutasteride / tamsulosin

GENERALLY AVOID: Additive pharmacodynamic effects may be expected when relatively selective alpha-1A adrenoreceptor antagonists are coadministered with other alpha-blockers. Clinical data have not been reported, but there may be an increased risk and/or severity of adverse effects related to blockade of alpha-1 adrenergic receptors in the peripheral vasculature such as postural hypotension, dizziness, headache, syncope, priapism, and nasal congestion. These effects have occurred with alpha-1A adrenoreceptor antagonists even when given alone for the treatment of benign prostatic hyperplasia, despite relative selectivity for the 1A subtype of alpha-1 adrenoreceptors located in prostatic and bladder tissues.

MANAGEMENT: The use of relatively selective alpha-1A adrenoreceptor antagonists in combination with other alpha-blockers should be avoided.

References (2)
  1. (2001) "Product Information. Flomax (tamsulosin)." Boehringer-Ingelheim
  2. (2008) "Product Information. Rapaflo (silodosin)." Watson Pharmaceuticals

Drug and food interactions

Moderate

tamsulosin food

Applies to: dutasteride / tamsulosin

ADJUST DOSING INTERVAL: Food may delay the gastrointestinal absorption of tamsulosin. The time to maximum plasma concentration (Tmax) is reached by 4 to 5 hours under fasted conditions and by 6 to 7 hours when tamsulosin is administered with food. The delay in Tmax has the desirable effect of smoothing the tamsulosin plasma concentration profile, thereby reducing fluctuation of the plasma peak and trough concentrations with multiple dosing. Food may also affect the extent of absorption of tamsulosin. It has been reported that taking tamsulosin under fasted conditions results in a 30% increase in bioavailability (AUC) and 40% to 70% increase in peak plasma concentration (Cmax) compared to fed conditions. The effects of food on the pharmacokinetics of tamsulosin are consistent regardless of whether tamsulosin is taken with a light meal or a high-fat meal.

MANAGEMENT: To ensure uniformity of absorption, tamsulosin should be administered approximately one-half hour following the same meal each day.

References (1)
  1. (2001) "Product Information. Flomax (tamsulosin)." Boehringer-Ingelheim

Therapeutic duplication warnings

No warnings were found for your selected drugs.

Therapeutic duplication warnings are only returned when drugs within the same group exceed the recommended therapeutic duplication maximum.

See also

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Drug Interaction Classification

These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication.
Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.
Unknown No interaction information available.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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