U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry RACEMIC
Molecular Formula C23H25N5O5.ClH
Molecular Weight 487.936
Optical Activity ( + / - )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of DOXAZOSIN HYDROCHLORIDE

SMILES

Cl.COC1=CC2=NC(=NC(N)=C2C=C1OC)N3CCN(CC3)C(=O)C4COC5=CC=CC=C5O4

InChI

InChIKey=AQAZIYFEPYHLHC-UHFFFAOYSA-N
InChI=1S/C23H25N5O5.ClH/c1-30-18-11-14-15(12-19(18)31-2)25-23(26-21(14)24)28-9-7-27(8-10-28)22(29)20-13-32-16-5-3-4-6-17(16)33-20;/h3-6,11-12,20H,7-10,13H2,1-2H3,(H2,24,25,26);1H

HIDE SMILES / InChI
Doxazosin mesylate is a quinazoline compound sold by Pfizer under the brand name CARDURA. CARDURA is indicated for the treatment of both the urinary outflow obstruction and obstructive and irritative symptoms associated with BPH: obstructive symptoms (hesitation, intermittency, dribbling, weak urinary stream, incomplete emptying of the bladder) and irritative symptoms (nocturia, daytime frequency, urgency, burning). CARDURA may be used in all BPH patients whether hypertensive or normotensive. In patients with hypertension and BPH, both conditions were effectively treated with CARDURA monotherapy. CARDURA provides rapid improvement in symptoms and urinary flow rate in 66–71% of patients. CARDURA is also indicated for the treatment of hypertension. CARDURA may be used alone or in combination with diuretics, beta-adrenergic blocking agents, calcium channel blockers, or angiotensin-converting enzyme inhibitors. Doxazosin acts by inhibiting the postsynaptic alpha(1)-adrenoceptors on vascular smooth muscle. This inhibits the vasoconstrictor effect of circulating and locally released catecholamines (epinephrine and norepinephrine), resulting in peripheral vasodilation.

Originator

Curator's Comment: # Pfizer

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
CARDURA

Approved Use

INDICATIONS AND USAGE A. Benign Prostatic Hyperplasia (BPH). CARDURA is indicated for the treatment of both the urinary outflow obstruction and obstructive and irritative symptoms associated with BPH: obstructive symptoms (hesitation, intermittency, dribbling, weak urinary stream, incomplete emptying of the bladder) and irritative symptoms (nocturia, daytime frequency, urgency, burning). CARDURA may be used in all BPH patients whether hypertensive or normotensive. In patients with hypertension and BPH, both conditions were effectively treated with CARDURA monotherapy. CARDURA provides rapid improvement in symptoms and urinary flow rate in 66–71% of patients. Sustained improvements with CARDURA were seen in patients treated for up to 14 weeks in double-blind studies and up to 2 years in open-label studies. B. Hypertension. CARDURA is also indicated for the treatment of hypertension. CARDURA may be used alone or in combination with diuretics, beta-adrenergic blocking agents, calcium channel blockers, or angiotensin-converting enzyme inhibitors.

Launch Date

1990
Primary
CARDURA

Approved Use

INDICATIONS AND USAGE A. Benign Prostatic Hyperplasia (BPH). CARDURA is indicated for the treatment of both the urinary outflow obstruction and obstructive and irritative symptoms associated with BPH: obstructive symptoms (hesitation, intermittency, dribbling, weak urinary stream, incomplete emptying of the bladder) and irritative symptoms (nocturia, daytime frequency, urgency, burning). CARDURA may be used in all BPH patients whether hypertensive or normotensive. In patients with hypertension and BPH, both conditions were effectively treated with CARDURA monotherapy. CARDURA provides rapid improvement in symptoms and urinary flow rate in 66–71% of patients. Sustained improvements with CARDURA were seen in patients treated for up to 14 weeks in double-blind studies and up to 2 years in open-label studies. B. Hypertension. CARDURA is also indicated for the treatment of hypertension. CARDURA may be used alone or in combination with diuretics, beta-adrenergic blocking agents, calcium channel blockers, or angiotensin-converting enzyme inhibitors.

Launch Date

1990
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
9.7 ng/mL
1 mg single, oral
dose: 1 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
DOXAZOSIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
13.6 ng/mL
1 mg 1 times / day steady-state, oral
dose: 1 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
DOXAZOSIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
14.3 ng/mL
1 mg 1 times / day steady-state, oral
dose: 1 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
DOXAZOSIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
151.7 ng/mL
16 mg 1 times / day steady-state, oral
dose: 16 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
DOXAZOSIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
42.3 ng/mL
4 mg 1 times / day steady-state, oral
dose: 4 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
DOXAZOSIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
65.5 ng/mL
8 mg 1 times / day steady-state, oral
dose: 8 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
DOXAZOSIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
162 ng × h/mL
1 mg single, oral
dose: 1 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
DOXAZOSIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
268 ng × h/mL
1 mg 1 times / day steady-state, oral
dose: 1 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
DOXAZOSIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
12.9 h
1 mg single, oral
dose: 1 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
DOXAZOSIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
15 h
1 mg 1 times / day steady-state, oral
dose: 1 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
DOXAZOSIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
11.9 h
1 mg 1 times / day steady-state, oral
dose: 1 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
DOXAZOSIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
11.6 h
16 mg 1 times / day steady-state, oral
dose: 16 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
DOXAZOSIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
12.8 h
4 mg 1 times / day steady-state, oral
dose: 4 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
DOXAZOSIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
8.3 h
8 mg 1 times / day steady-state, oral
dose: 8 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
DOXAZOSIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
60 mg single, oral
Overdose
Dose: 60 mg
Route: oral
Route: single
Dose: 60 mg
Sources:
healthy, 19 years
n = 1
Health Status: healthy
Age Group: 19 years
Sex: F
Population Size: 1
Sources:
Disc. AE: Sinus tachycardia...
AEs leading to
discontinuation/dose reduction:
Sinus tachycardia (1 patient)
Sources:
16 mg single, oral (max)
Highest studied dose
Dose: 16 mg
Route: oral
Route: single
Dose: 16 mg
Sources:
unhealthy, adult
n = 665
Health Status: unhealthy
Condition: Hypertension
Age Group: adult
Sex: unknown
Population Size: 665
Sources:
DLT: Postural edema...
Dose limiting toxicities:
Postural edema (2.7%)
Sources:
4 mg 1 times / day steady, oral
Recommended
Dose: 4 mg, 1 times / day
Route: oral
Route: steady
Dose: 4 mg, 1 times / day
Sources:
healthy, adult
n = 35
Health Status: healthy
Age Group: adult
Sex: unknown
Population Size: 35
Sources:
Disc. AE: Orthostatic dizziness...
AEs leading to
discontinuation/dose reduction:
Orthostatic dizziness (1 patient)
Sources:
16 mg 1 times / day steady, oral (max)
Highest studied dose
Dose: 16 mg, 1 times / day
Route: oral
Route: steady
Dose: 16 mg, 1 times / day
Sources:
unhealthy, mean 59 years
n = 97
Health Status: unhealthy
Condition: Hypertension
Age Group: mean 59 years
Sex: M+F
Population Size: 97
Sources:
Disc. AE: Fatigue, Urinary incontinence...
Other AEs: Rhinitis...
AEs leading to
discontinuation/dose reduction:
Fatigue (3 patients)
Urinary incontinence (2 patients)
Other AEs:
Rhinitis (1 patient)
Sources:
8 mg 1 times / day steady, oral
Dose: 8 mg, 1 times / day
Route: oral
Route: steady
Dose: 8 mg, 1 times / day
Sources:
unhealthy
n = 22
Health Status: unhealthy
Condition: cocaine dependence
Population Size: 22
Sources:
Other AEs: Nausea, Constipation...
Other AEs:
Nausea (below serious, 2 patients)
Constipation (below serious, 1 patient)
Allergy (below serious, 1 patient)
Dizziness (below serious, 1 patient)
Numbness (below serious, 1 patient)
Sources:
AEs

AEs

AESignificanceDosePopulation
Sinus tachycardia 1 patient
Disc. AE
60 mg single, oral
Overdose
Dose: 60 mg
Route: oral
Route: single
Dose: 60 mg
Sources:
healthy, 19 years
n = 1
Health Status: healthy
Age Group: 19 years
Sex: F
Population Size: 1
Sources:
Postural edema 2.7%
DLT
16 mg single, oral (max)
Highest studied dose
Dose: 16 mg
Route: oral
Route: single
Dose: 16 mg
Sources:
unhealthy, adult
n = 665
Health Status: unhealthy
Condition: Hypertension
Age Group: adult
Sex: unknown
Population Size: 665
Sources:
Orthostatic dizziness 1 patient
Disc. AE
4 mg 1 times / day steady, oral
Recommended
Dose: 4 mg, 1 times / day
Route: oral
Route: steady
Dose: 4 mg, 1 times / day
Sources:
healthy, adult
n = 35
Health Status: healthy
Age Group: adult
Sex: unknown
Population Size: 35
Sources:
Rhinitis 1 patient
16 mg 1 times / day steady, oral (max)
Highest studied dose
Dose: 16 mg, 1 times / day
Route: oral
Route: steady
Dose: 16 mg, 1 times / day
Sources:
unhealthy, mean 59 years
n = 97
Health Status: unhealthy
Condition: Hypertension
Age Group: mean 59 years
Sex: M+F
Population Size: 97
Sources:
Urinary incontinence 2 patients
Disc. AE
16 mg 1 times / day steady, oral (max)
Highest studied dose
Dose: 16 mg, 1 times / day
Route: oral
Route: steady
Dose: 16 mg, 1 times / day
Sources:
unhealthy, mean 59 years
n = 97
Health Status: unhealthy
Condition: Hypertension
Age Group: mean 59 years
Sex: M+F
Population Size: 97
Sources:
Fatigue 3 patients
Disc. AE
16 mg 1 times / day steady, oral (max)
Highest studied dose
Dose: 16 mg, 1 times / day
Route: oral
Route: steady
Dose: 16 mg, 1 times / day
Sources:
unhealthy, mean 59 years
n = 97
Health Status: unhealthy
Condition: Hypertension
Age Group: mean 59 years
Sex: M+F
Population Size: 97
Sources:
Allergy below serious, 1 patient
8 mg 1 times / day steady, oral
Dose: 8 mg, 1 times / day
Route: oral
Route: steady
Dose: 8 mg, 1 times / day
Sources:
unhealthy
n = 22
Health Status: unhealthy
Condition: cocaine dependence
Population Size: 22
Sources:
Constipation below serious, 1 patient
8 mg 1 times / day steady, oral
Dose: 8 mg, 1 times / day
Route: oral
Route: steady
Dose: 8 mg, 1 times / day
Sources:
unhealthy
n = 22
Health Status: unhealthy
Condition: cocaine dependence
Population Size: 22
Sources:
Dizziness below serious, 1 patient
8 mg 1 times / day steady, oral
Dose: 8 mg, 1 times / day
Route: oral
Route: steady
Dose: 8 mg, 1 times / day
Sources:
unhealthy
n = 22
Health Status: unhealthy
Condition: cocaine dependence
Population Size: 22
Sources:
Numbness below serious, 1 patient
8 mg 1 times / day steady, oral
Dose: 8 mg, 1 times / day
Route: oral
Route: steady
Dose: 8 mg, 1 times / day
Sources:
unhealthy
n = 22
Health Status: unhealthy
Condition: cocaine dependence
Population Size: 22
Sources:
Nausea below serious, 2 patients
8 mg 1 times / day steady, oral
Dose: 8 mg, 1 times / day
Route: oral
Route: steady
Dose: 8 mg, 1 times / day
Sources:
unhealthy
n = 22
Health Status: unhealthy
Condition: cocaine dependence
Population Size: 22
Sources:
Overview

Overview

OverviewOther

Other InhibitorOther SubstrateOther Inducer








Drug as perpetrator​Drug as victimTox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
PubMed

PubMed

TitleDatePubMed
Effects of two atypical neuroleptics, olanzapine and risperidone, on the function of the urinary bladder and the external urethral sphincter in anesthetized rats.
2001
Recent clinical trial highlights in hypertension.
2001 Apr
Meta-analysis of studies using selective alpha1-blockers in patients with hypertension and type 2 diabetes.
2001 Dec
5alpha-reductase inhibitors: what role should they play?
2001 Dec
Terazosin, doxazosin, and prazosin: current clinical experience.
2001 Dec
Operational aspects of terminating the doxazosin arm of The Antihypertensive and Lipid Lowering Treatment to Prevent Heart Attack Trial (ALLHAT).
2001 Feb
[Bilateral pheochromocytoma: laparoscopic surgery in 2 cases].
2001 Jan
Safety and availability of doxazosin in treating hypertensive patients with chronic renal failure.
2001 Jul
Antihypertensive effect of alpha- and beta-adrenergic blockade in obese and lean hypertensive subjects.
2001 Jul
[Doxazosin and soluble guanylate cyclase in a rat model of hypertension].
2001 Jul
Doxazosin added to single-drug therapy in hypertensive patients with benign prostatic hypertrophy.
2001 Jul-Aug
Low-dose alpha/beta blockade in the treatment of essential hypertension.
2001 Jun
US FDA weighs options for warning on antihypertensive drug.
2001 Jun 2
The release of the substrate for xanthine oxidase in hypertensive patients was suppressed by angiotensin converting enzyme inhibitors and alpha1-blockers.
2001 Mar
Doxazosin, an alpha1-adrenergic antihypertensive agent, decreases serum oxidized LDL.
2001 Mar
Update in pharmacologic treatment of hypertension.
2001 May
Effect of antihypertensive therapy on renal artery structure in type 2 diabetic rats with hypertension.
2001 May
Effects of blood pressure lowering with amlodipine or lisinopril on vascular structure of the common carotid artery.
2001 Nov
The choice of antihypertensive drugs in patients with erectile dysfunction.
2002
Acute effects of serotonin on rat bladder contractility.
2002
[Doxazosin, of modified liberation, in hemodialyzed patients].
2002 Apr
Efficacy and safety of doxazosin for perioperative management of patients with pheochromocytoma.
2002 Aug
Two-drug therapy is best for symptomatic prostate enlargement: combination should change clinical practice.
2002 Aug
Effect of doxazosin on stretch-activated adenosine triphosphate release in bladder urothelial cells from patients with benign prostatic hyperplasia.
2002 Aug
Critical evaluation of the problem of chronic urinary retention after orthotopic bladder substitution in women.
2002 Aug
Microalbuminuria reduction with valsartan in patients with type 2 diabetes mellitus: a blood pressure-independent effect.
2002 Aug 6
Differential actions of naftopidil, doxazosin and nifedipine on platelet thromboxane generation and platelet-derived growth factor efflux in vitro.
2002 Aug-Sep
Low-dose doxazosin improved aortic stiffness and endothelial dysfunction as measured by noninvasive evaluation.
2002 Jan
Stroke associated with alpha blocker therapy for benign prostatic hypertrophy.
2002 Jan
Treatment of hypertension in the elderly.
2002 Jan-Feb
alpha-Adrenoceptor antagonists in the treatment of benign prostate hyperplasia.
2002 Jul
Successful blood pressure control in the African American Study of Kidney Disease and Hypertension.
2002 Jul 22
Doxazosin, an inferior antihypertensive agent?
2002 Jun
A postmarketing, open-label study to evaluate the tolerability and effectiveness of replacing standard-formulation doxazosin with doxazosin in the gastrointestinal therapeutic system formulation in adult patients with hypertension.
2002 May
Alpha1-adrenoceptor antagonists radiosensitize prostate cancer cells via apoptosis induction.
2002 May-Jun
Doxazosin and congestive heart failure.
2002 May-Jun
Premature termination of clinical trials--lessons learned.
2002 May-Jun
Relationship of antihypertensive treatment regimens and change in blood pressure to risk for heart failure in hypertensive patients randomly assigned to doxazosin or chlorthalidone: further analyses from the Antihypertensive and Lipid-Lowering treatment to prevent Heart Attack Trial.
2002 Sep 3
Patents

Patents

Sample Use Guides

Usual Adult Dose for Hypertension Initial dose: 1 mg orally once a day. Maintenance dose: 1 to 16 mg orally once a day. Usual Adult Dose for Benign Prostatic Hyperplasia Initial dose: Immediate-release: 1 mg orally once a day. Extended-release: 4 mg orally once a day with breakfast Maintenance dose: Immediate-release: 1 to 8 mg orally once a day. Extended-release: 4 to 8 mg orally once a day with breakfast. Depending on the patient's symptomatic response and tolerability, the dose may be increased to 8 mg (the maximum recommended dose). The recommended titration interval is 3 to 4 weeks.
Route of Administration: Oral
In Vitro Use Guide
Ring segments of splanchnic, peripheral, coronary, pulmonary and uterine conduit arteries obtained during surgery were studied in tissue baths. Resistance arteries dissected from various sites were studied in a myograph. Both conduit and resistance vessels contracted in response to the alpha 1-agonist phenylephrine (10(-7) to 10(-4) mol/l), an effect that was antagonized by the alpha 1-antagonist doxazosin (10(-8) to 10(-6) mol/l).
Name Type Language
DOXAZOSIN HYDROCHLORIDE
Common Name English
PIPERAZINE, 1-(4-AMINO-6,7-DIMETHOXY-2-QUINAZOLINYL)-4-((2,3-DIHYDRO-1,4-BENZODIOXIN-2-YL)CARBONYL)-, MONOHYDROCHLORIDE
Common Name English
METHANONE, (4-(4-AMINO-6,7-DIMETHOXY-2-QUINAZOLINYL)-1-PIPERAZINYL)(2,3-DIHYDRO-1,4-BENZODIOXIN-2-YL)-, HYDROCHLORIDE (1:1)
Systematic Name English
Code System Code Type Description
EPA CompTox
DTXSID00469077
Created by admin on Sat Dec 16 11:26:37 GMT 2023 , Edited by admin on Sat Dec 16 11:26:37 GMT 2023
PRIMARY
CAS
70918-01-3
Created by admin on Sat Dec 16 11:26:37 GMT 2023 , Edited by admin on Sat Dec 16 11:26:37 GMT 2023
PRIMARY
FDA UNII
Y9EDC2483R
Created by admin on Sat Dec 16 11:26:37 GMT 2023 , Edited by admin on Sat Dec 16 11:26:37 GMT 2023
PRIMARY
PUBCHEM
11591230
Created by admin on Sat Dec 16 11:26:37 GMT 2023 , Edited by admin on Sat Dec 16 11:26:37 GMT 2023
PRIMARY
CAS
105314-71-4
Created by admin on Sat Dec 16 11:26:37 GMT 2023 , Edited by admin on Sat Dec 16 11:26:37 GMT 2023
NON-SPECIFIC STOICHIOMETRY