Alpha-1 adrenergic blockers

Compare the named medicines in this source-linked class directory.

Membership describes a named action or a component of a combination. A medicine may appear in several families. Medicines in one family are not automatically interchangeable; this is a study directory, not a prescribing guide.

Tamsulosin
Carvedilol

This medicine has additional actions; this family describes only one of them.

Doxazosin
TerazosinTezruly
Labetalol

This medicine has additional actions; this family describes only one of them.

Generic names and pronunciation

Tamsulosin · tam-SOO-loe-sin
Carvedilol · KAR-ve-dil-ol
Doxazosin · dox-AY-zoe-sin
Terazosin · ter-AY-zoe-sin
Labetalol · la-BET-a-lol

Pronunciation is shown for the US English generic name.

Body system and related classes

Body systems: Genitourinary · Cardiovascular

How each medicine works

Tamsulosin — Blocks alpha-1 adrenoceptors with selectivity for receptors in the human prostate. Relaxation of prostate and bladder-neck smooth muscle improves urine flow and BPH symptoms.
Carvedilol — Racemic mixture: nonselective beta-blockade from the S(-) enantiomer and alpha-1 blockade from both enantiomers; no intrinsic sympathomimetic activity.
Doxazosin — Selectively blocks postjunctional alpha-1 receptors, lowering urethral resistance and systemic vascular resistance.
Terazosin — Alpha-1 adrenoceptor antagonist; relaxes smooth muscle, easing the dynamic component of BPH outlet obstruction.
Labetalol — Combines selective competitive alpha1 blockade with nonselective competitive beta blockade.

Each summary is the mechanism line from the medicine’s study card.

What each medicine is used for

Tamsulosin — Benign prostatic hyperplasia (signs and symptoms)
Carvedilol — Mild-to-severe chronic heart failure of ischemic or cardiomyopathic origin, usually with other heart-failure medicines; Reduction of cardiovascular mortality in clinically stable survivors of acute myocardial infarction with LVEF at or below 40%; Essential hypertension
Doxazosin — Benign prostatic hyperplasia (signs/symptoms); Hypertension
Terazosin — Signs and symptoms of benign prostatic hyperplasia in adult men; Hypertension in adults
Labetalol — Hypertension in adults

Each list is the uses line from the medicine’s study card.

Telling these medicines apart

Medicines in this class: 5

Also in other drug classes: Carvedilol (Beta-adrenergic blockers) · Labetalol (Beta-adrenergic blockers)

By body system: Genitourinary (Tamsulosin, Doxazosin, Terazosin) · Cardiovascular (Carvedilol, Labetalol)

Carvedilol — Also blocks beta receptors; membership in the alpha-1 class does not imply a single mechanism.

Labetalol — Also blocks beta receptors; membership in the alpha-1 class does not imply a single mechanism.

Listed on more than one card in this class

Used for

Hypertension in adults · 2/5: Terazosin, Labetalol

Common side effects

Dizziness · 4/5: Tamsulosin, Carvedilol, Doxazosin, Labetalol

Fatigue · 3/5: Carvedilol, Doxazosin, Labetalol

Asthenia · 2/5: Tamsulosin, Terazosin

Hypotension · 2/5: Carvedilol, Doxazosin

Warnings

Intraoperative floppy iris syndrome · 2/5: Tamsulosin, Doxazosin

Postural hypotension / syncope · 2/5: Doxazosin, Labetalol

An item counts as shared only when both cards use the same wording. If a card does not list an item, that is not a statement that the effect never occurs.