Management Suggestion

a-Adrenergic antagonist




Start with lowest effective dose, give doses at bedtime, and slowly up-titrate at 0,5-to 1-week intervals to a full therapeutic dose, if using immediate-release terazosin or doxazosin Use tamsulosin, silociosin, extended-release doxazosin, or alfuzosin, as alternatives to immediate-release products particularly in patients taking other antihypertensives Educate the patient that this is a common adverse effect;

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