Prazosin Overview and Uses
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Questions and Answers

What is the therapeutic class of Prazosin (Minipress)?

  • Antidepressant
  • Antihypertensive (correct)
  • Analgesic
  • Adrenergic-blocking drug
  • What is the pharmacologic class of Prazosin (Minipress)?

    Adrenergic-blocking drug (rest & digest)

    What is the primary expected action of Prazosin (Minipress)?

    Reduce blood pressure by causing rapid decrease in peripheral resistance.

    To avoid severe hypotension, give a low 1st dose of Prazosin (Minipress) and identify its safety during pregnancy as Category ___ or lactation is not established.

    <p>C</p> Signup and view all the answers

    What common side effect is associated with Prazosin (Minipress)?

    <p>Orthostatic hypotension</p> Signup and view all the answers

    What interactions should be avoided when taking Prazosin (Minipress)?

    <p>Concurrent use of antihypertensives, diuretics, and alcohol.</p> Signup and view all the answers

    How often is Prazosin (Minipress) typically administered?

    <p>2-3 times per day.</p> Signup and view all the answers

    What is the mechanism of action of Prazosin (Minipress)?

    <p>Inhibit the sympathetic nervous system.</p> Signup and view all the answers

    What is a primary use of Prazosin (Minipress)?

    <p>Hypertension</p> Signup and view all the answers

    Match the following side effects with their corresponding descriptions:

    <p>Dizziness = Feeling of light-headedness Drowsiness = Increased fatigue or sleepiness Dry mouth = Reduced saliva production Palpitations = Irregular heartbeats</p> Signup and view all the answers

    What test results can be falsely elevated by Prazosin (Minipress)?

    <p>Urinary metabolites of vanillylmandelic acid (VMA) and norepinephrine.</p> Signup and view all the answers

    What is the treatment for overdose of Prazosin (Minipress)?

    <p>Administration of fluid expanders or vasopressors.</p> Signup and view all the answers

    Study Notes

    Prazosin (Minipress) Overview

    • Prazosin is classified as an antihypertensive medication, primarily used to lower blood pressure.
    • It is an adrenergic-blocking drug that promotes the "rest & digest" state of the body.

    Expected Actions & Uses

    • Functions as a selective alpha1-adrenergic antagonist, blocking norepinephrine on vascular smooth muscle of arterioles and veins.
    • Major action includes a rapid decrease in peripheral resistance, effectively lowering blood pressure without significantly impacting cardiac output or heart rate.
    • Less reflex tachycardia compared to other antihypertensive medications.
    • Commonly used in combination with beta-blockers or diuretics to enhance antihypertensive effects.

    Administration Alerts

    • Begin with a low first dose to prevent severe hypotension.
    • Safety during pregnancy is categorized as Category C; effects during lactation are not established.

    Side Effects

    • Orthostatic hypotension, requiring caution in administration timing (preferably at bedtime).
    • Possible dizziness or lightheadedness.
    • Reflex tachycardia may occur due to rapid blood pressure drops.
    • Alpha blockade can lead to nasal congestion.

    Drug Interactions

    • Concurrent use with other antihypertensives and diuretics may lead to dangerously low blood pressure.
    • Alcohol consumption is advised against while taking this medication.

    Medication Administration

    • Prazosin has a short half-life, necessitating administration two to three times per day for optimal effect.

    Mechanism of Action

    • Inhibits the sympathetic nervous system, facilitating vasodilation and blood pressure reduction.

    Primary Uses

    • Indicated for hypertension, dysthymias, angina, heart failure, benign prostate hypertrophy, and narrow-angle glaucoma.

    Adverse Effects

    • Common adverse reactions include dizziness, drowsiness, headaches, fatigue, palpitations, and dry mouth.

    Test Results

    • Increases urinary metabolites of vanillylmandelic acid (VMA) and norepinephrine; may lead to false positives when screening for pheochromocytoma (adrenal tumor).

    Treatment of Overdose

    • Overdose can result in hypotension. Treatment includes fluid expanders like normal saline or vasopressors such as dopamine or dobutamine to stabilize blood pressure.

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    Description

    This quiz covers the overview of Prazosin (Minipress), its action as an antihypertensive medication, and its expected uses. Learn about its selective alpha1-adrenergic antagonist properties, administration alerts, and potential side effects. Test your knowledge on this important medication!

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