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Doxazosin - en alfa-blockerare

Cardura, Doxadura

Take doxazosin once each day. Take your first dose at bedtime.

As your body is getting used to doxazosin you may feel dizzy or light-headed when standing up or sitting up quickly - getting up more slowly will help.

Do not drive and do not use tools or machines if you feel tired or dizzy.

Överblick

  • Doxazosin is an alpha-blocker medicine available as tablets.

  • It treats high blood pressure and prostate gland enlargement.

  • It works by relaxing muscles around the bladder and prostate and widening blood vessels.

  • Take your first dose at bedtime as it can make you feel faint.

  • Avoid alcohol as it can increase side-effects like dizziness.

  • Tell your doctor if you have cataract surgery planned, as doxazosin may cause eye problems.

  • Common side-effects include tiredness, dizziness, headache, and swollen feet or ankles.

About doxazosin

Typ av medicin

An alpha-blocker

Används för

Enlargement of the prostate gland in men; and high blood pressure (hypertension)

Also called (UK)

Cardura® XL; Doxadura®; Larbex®; Raporsin®

Also called (USA)

Cardura®; Cardura® XL

Tillgänglig som

Tablets and modified-release tablets

Doxazosin belongs to a group of medicines known as alpha-blockers. It works by blocking the action of certain nerve impulses. This blocking action is useful in two different medical conditions. It is used to help control the symptoms of prostate gland enlargement, and it also reduces blood pressure in people with högt blodtryck.

The prostate gland commonly becomes larger in older men. Prostate gland enlargement is also called benign prostatic hyperplasia (BPH). It can cause problems with passing urine, such as having to wait before your urine starts to flow, taking longer at the toilet, dribbling urine, and a feeling that your bladder is not quite empty. Doxazosin works by relaxing the muscles around your bladder and prostate so that you can pass urine more easily.

In people with high blood pressure, doxazosin works by relaxing blood vessel walls. This allows blood and oxygen to circulate more freely around your body and lowers your blood pressure.

Doxazosin is available as a standard tablet and also as a modified-release tablet. Modified-release tablets have the letters 'XL' after their brand name - these release doxazosin more slowly and evenly throughout the course of the day.

Before taking doxazosin

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking doxazosin it is important that your doctor knows:

  • Om du är gravid, försöker bli gravid eller ammar.

  • If you ever feel dizzy or faint when you stand up, or if you have ever fainted after passing urine.

  • If you are due to have cataract eye surgery.

  • If you have any problems with the way your liver works.

  • If you have been told you have heart failure.

  • Om du någonsin har haft en allergisk reaktion mot en medicin.

  • Om du tar några andra läkemedel. Detta inkluderar alla läkemedel du tar som finns att köpa utan recept, samt växtbaserade och komplementära läkemedel.

How to take doxazosin

  • Before you start this treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about doxazosin and will provide you with a full list of the side-effects which you may experience from taking it.

  • There are several strengths of doxazosin tablet. When you first start the treatment, your doctor may give you a low dose which will then later be increased. This allows your doctor to make sure that you have the dose that helps your condition and avoids any unwanted symptoms.

  • Your first dose of doxazosin may make you feel faint, so it is important that you take this dose at bedtime. If you feel dizzy or weary, or if you start sweating, remain lying down until these symptoms have gone.

  • Take doxazosin once each day. After your first dose (which should be taken at bedtime), try to take your doses at the same time of day each day - you can generally choose a time of day that suits you. This will help you to avoid missing doses.

  • Swallow the tablet with a drink of water. You can take doxazosin before or after meals.

  • If you have been given modified-release tablets (these have 'XL' after the brand name), these should be swallowed whole. Do not chew or break the tablets to help you swallow.

  • If you forget to take a dose, take it as soon as you remember. If you do not remember until the following day, skip the missed dose - do not take two doses together to make up for a forgotten dose.

Få ut det mesta av din behandling

  • Doxazosin can make you feel dizzy, particularly when you first start taking it. Make sure your reactions are normal before you drive or before using tools or machines which would be dangerous if you are not fully alert.

  • You are advised not to drink alcohol while you are on doxazosin. Alcohol will increase the side-effects of doxazosin, such as feeling faint and dizzy.

  • Försök att hålla dina regelbundna möten med din läkare. Detta är så att din läkare kan följa upp din utveckling.

  • If you are having an operation or medical treatment, tell the person carrying out the treatment that you are taking doxazosin. This is because your blood pressure may drop suddenly if you have an anaesthetic. If you are having cataract surgery, it is particularly important that you tell your eye surgeon that you are on doxazosin. This is because an eye problem known as 'floppy iris syndrome' has developed in some people taking medicines similar to doxazosin, so your doctor may advise you to stop taking it for a short while.

  • If you buy any medicines check with a pharmacist that they are suitable to take with your other medicines. Some anti-inflammatory painkillers (called NSAIDs) can reduce the blood pressure-lowering effect of doxazosin.

Can doxazosin cause problems?

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with doxazosin. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Common

doxazosin side-effects (these affect fewer than 1 in 10 people)


Vad kan jag göra om jag upplever detta?

Feeling tired, dizzy or faint

If any of these happen, do not drive and do not use tools or machines until you feel better. Do not drink alcohol

Headache, other aches and pains

Drink plenty of water and ask your pharmacist to recommend a suitable painkiller. If the aches continue, let your doctor know

Swollen feet or ankles

When you sit down, rest your legs on a low stool

Torr mun

Try sucking sugar-free sweets or chewing sugar-free gum

Feeling sick (nausea), indigestion

Stick to simple foods - avoid rich or spicy meals

Chest and urinary infections, the sensation of having a 'thumping' heart (palpitations), feeling itchy

Om något av dessa blir besvärligt, tala med din läkare

Om du upplever några andra symtom som du tror kan bero på tabletterna, tala med din läkare eller apotekare för vidare råd.

How to store doxazosin

  • Förvara alla läkemedel utom räckhåll och synhåll för barn.

  • Förvara på en sval, torr plats, borta från direkt värme och ljus.

Viktig information om alla läkemedel

Viktig information om alla läkemedel

Ta aldrig mer än den föreskrivna dosen. Om du misstänker att du eller någon annan kan ha tagit en överdos av denna medicin, gå till akutmottagningen på ditt lokala sjukhus. Ta med behållaren, även om den är tom.

Denna medicin är för dig. Ge den aldrig till andra människor även om deras tillstånd verkar vara detsamma som ditt.

Behåll inte föråldrade eller oönskade mediciner. Ta dem till ditt lokala apotek som kommer att ta hand om dem åt dig.

Om du har några frågor om denna medicin, fråga din apotekare.

Rapportera biverkningar av ett läkemedel eller vaccin

Om du upplever biverkningar kan du rapportera dem online via Yellow Card webbplats.

symptomkontroll

Osäker på att blanda mediciner?

Kontrollera möjliga interaktioner mellan läkemedel, kosttillskott och livsmedel innan du tar dem tillsammans.

Vanliga frågor

Can I take doxazosin at a different time of day after the first dose?

Yes, after you take your first dose of doxazosin at bedtime, you can generally choose a time of day that suits you for subsequent doses. The important thing is to try and take your doses at the same time each day to help you remember.

Why is it important to tell my doctor if I faint after passing urine before starting doxazosin?

You should tell your doctor if you ever feel dizzy or faint when standing up, or if you have fainted after passing urine, because doxazosin can sometimes cause faintness or dizziness as a side-effect, particularly when you first start taking it.

What should I do if I forget to take a dose of doxazosin?

If you forget to take a dose, take it as soon as you remember. However, if you don't remember until the following day, you should skip the missed dose. Do not take two doses together to make up for a forgotten dose.

How should I store doxazosin?

Doxazosin should be kept out of the reach and sight of children. Store it in a cool, dry place, away from direct heat and light.

Is it okay to crush or chew modified-release doxazosin tablets?

No, if you have been given modified-release tablets (which have 'XL' after the brand name), they should be swallowed whole. You must not chew or break these tablets.

Vidare läsning och referenser

Om författarenVisa fullständig biografi

Författarbild

Michael Stewart, MRPharmS

Ansvarig för granskning av medicinbroschyrer – Konsult, Apotekare

BPharm (Hons), MRPharmS

Michael är en apotekare som arbetar i Midlands och South Yorkshire med mer än 20 års erfarenhet av att ge råd om läkemedel och medicinska tillstånd. Han har en stark bakgrund inom vårdutbildning och har producerat och levererat utbildningskurser för apoteksteam och personal inom vårdboenden, inklusive sjuksköterskor. Han har också bidragit till apoteksrådgivande styrelser för hantering av mindre allvarliga tillstånd i samhället.

Om recensenten

Författarbild

Sid Dajani

Sultan Dajani tog examen vid London School of Pharmacy 1994 och blev den yngsta valda medlemmen i Royal Pharmaceutical Society-rådet sedan dess grundande 1842.

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Informationen på denna sida är skriven och granskad av kvalificerade kliniker.

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