Phentolamine interactions

Phentolamine (OraVerse, Regitine), an alpha blocker has 47 documented interactions across the FDA labels and fact sheets we index: 8 major, 28 moderate, 10 minor, and 1 where a label reports no significant interaction. Each entry below quotes the sentence behind it. This drug page is a starting point, not a verdict for your situation.

Interactions from the label

Major interactions (8)

  • Alfuzosinalpha blockerMajor

    Should not be used in combination with other alpha adrenergic antagonists ( 5.4 , 7.2 ) (Alfuzosin label, Warnings and precautions)

  • Dutasteride and tamsulosin5-alpha reductase inhibitorMajor

    Do not use JALYN with other alpha-adrenergic antagonists, as this may increase the risk of hypotension. (Dutasteride and tamsulosin label, Warnings and precautions)

  • IloperidoneantipsychoticMajor

    Avoid coadministration of FANAPT with alpha-adrenergic blocking agents and adjust medications that affect blood pressure as needed [see Warnings and Precautions (5.7) ] . (Iloperidone label, Drug interactions)

  • Itraconazoleazole antifungalMajor

    …that Affect Concomitant Drug Concentrations Concomitant Drug Within Class Prevention or Management Drug Interactions with TOLSURA that Increase Concomitant Drug Concentrations and May Increase Risk of Adverse Reactions Associated with the Concomitant Drug Alpha Blockers Alfuzosin Silodosin Tamsulosin Not recommended during and 2 weeks after TOLSURA treatment. (Itraconazole label, Drug interactions)

  • PhenelzineMAO inhibitorMajor

    (The dosage reported for phentolamine is 5 mg intravenously.) Care should be taken to administer this drug slowly in order to avoid producing an excessive hypotensive effect. (Phenelzine label, Warnings)

  • Silodosinalpha blockerMajor

    Silodosin capsules should not be used in combination with other alpha-blockers. (Silodosin label, Warnings and precautions)

  • TadalafilPDE5 inhibitorMajor

    CIALIS is not recommended in combination with alpha-blockers for the treatment of BPH because efficacy of the combination has not been adequately studied and because of the risk of blood pressure lowering. (Tadalafil label, Warnings and precautions)

  • Tamsulosinalpha blockerMajor

    • Should not be used in combination with other alpha adrenergic blocking agents ( 5.2 , 7.2 , 12.3 ) (Tamsulosin label, Warnings and precautions)

Moderate interactions (28)

  • Articaine and epinephrinelocal anestheticModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • AvanafilPDE5 inhibitorModerate

    • Use of avanafil with alpha-blockers, other antihypertensives, or substantial amounts of alcohol (greater than 3 units) may lead to hypotension ( 2.3 , 5.6 , 5.7 ) (Avanafil label, Warnings and precautions)

  • Bupivacainelocal anestheticModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • Bupivacaine and epinephrinelocal anestheticModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • Chloroprocainelocal anestheticModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • Cocainelocal anestheticModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • Desfluranegeneral anestheticModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • Doxazosinalpha blockerModerate

    As with other alpha-blockers, there is a potential for syncope, especially after the initial dose or after an increase in dosage strength. (Doxazosin label, Warnings and precautions)

  • EpinephrinesympathomimeticModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • Etomidategeneral anestheticModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • GlucagonModerate

    If the patient develops a substantial increase in blood pressure and a previously undiagnosed pheochromocytoma is suspected, 5 to 10 mg of phentolamine mesylate, administered intravenously, has been shown to be effective in lowering blood pressure. (Glucagon label, Warnings and precautions)

  • Isofluranegeneral anestheticModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • KetamineCNS depressantModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • Ketoconazoleazole antifungalModerate

    Alpha Blockers tamsulosin Analgesics methadone alfentanil, buprenorphine IV and sublingual, fentanyl, oxycodone, sufentanil Methadone: The potential increase in plasma concentrations of methadone when coadministered with ketoconazole tablets may increase the risk of serious cardiovascular events including QT prolongation and torsade de pointes, or respiratory… (Ketoconazole label, Drug interactions)

  • Lidocainelocal anestheticModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • Lidocaine and epinephrinelocal anestheticModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • Lidocaine and prilocainelocal anestheticModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • Mepivacainelocal anestheticModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • MethohexitalbarbiturateModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • MetyrosineModerate

    Intraoperative Effects While the preoperative use of metyrosine capsules in patients with pheochromocytoma is thought to decrease intraoperative problems with blood pressure control, metyrosine does not eliminate the danger of hypertensive crises or arrhythmias during manipulation of the tumor, and the alpha-adrenergic blocking drug, phentolamine, may be needed. (Metyrosine label, Warnings)

  • Nifedipinedihydropyridine calcium channel blockerModerate

    Central Alpha1-Blockers Doxazosin: Healthy volunteers participating in a multiple dose doxazosin-nifedipine interaction study received 2 mg doxazosin q.d. alone or combined with 20 mg nifedipine ER b.i.d. Co-administration of nifedipine resulted in a decrease in AUC and C max of doxazosin to 83% and 86% of the values in the absence of nifedipine, respectively. (Nifedipine label, Drug interactions)

  • Prilocaine and epinephrinelocal anestheticModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • PropofolCNS depressantModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • Propranololbeta blockerModerate

    Alpha Blockers: Co-administration of beta-blockers with alpha-blocker (e.g., prazosin) has been associated with prolongation of first dose hypotension and syncope. (Propranolol label, Drug interactions)

  • Ropivacainelocal anestheticModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • Sevofluranegeneral anestheticModerate

    Lidocaine and Epinephrine When OraVerse was administered as an intraoral submucosal injection 30 minutes after injection of a local anesthetic, 2% lidocaine HCl with 1:100,000 epinephrine, the lidocaine concentration increased immediately after OraVerse intraoral injection. (Phentolamine label, Drug interactions)

  • SildenafilPDE5 inhibitorModerate

    Caution is advised when SILDENAFIL ORAL FILM is co-administered with alpha-blockers or antihypertensives. (Sildenafil label, Warnings and precautions)

  • VardenafilPDE5 inhibitorModerate

    Alpha-Blockers : Caution is advised when PDE5 inhibitors are co-administered with alpha-blockers. (Vardenafil label, Warnings and precautions)

Minor mentions (10)

  • Carvedilolbeta blockerMinor

    Tachycardia and cardiac arrhythmiasmay occur with the use of phentolamine or other alpha-adrenergic blocking agents. (Phentolamine label, Warnings and precautions)

  • Clonidinealpha-adrenergic agonistMinor

    If rebound hypertension occurs, reverse hypertensive crisis with oral clonidine or IV phentolamine. (Clonidine label, Warnings and precautions)

  • Esmololbeta blockerMinor

    Use in Patients with Pheochromocytoma If BREVIBLOC injection is used in the setting of pheochromocytoma, give it in combination with an alpha-blocker, and only after the alpha-blocker has been initiated. (Esmolol label, Warnings and precautions)

  • Labetalolbeta blockerMinor

    Tachycardia and cardiac arrhythmiasmay occur with the use of phentolamine or other alpha-adrenergic blocking agents. (Phentolamine label, Warnings and precautions)

  • Metoprololbeta blockerMinor

    Pheochromocytoma: Initiate therapy with an alpha blocker. (Metoprolol label, Warnings and precautions)

  • Pheochromocytoma: First initiate therapy with an alpha blocker. (Metoprolol and hydrochlorothiazide label, Warnings and precautions)

  • Midodrinealpha-adrenergic agonistMinor

    Alpha-adrenergic blocking agents, such as prazosin, terazosin, and doxazosin, can antagonize the effects of midodrine hydrochloride. (Midodrine label, Drug interactions)

  • Phenoxybenzaminealpha blockerMinor

    Tachycardia and cardiac arrhythmiasmay occur with the use of phentolamine or other alpha-adrenergic blocking agents. (Phentolamine label, Warnings and precautions)

  • Prazosinalpha blockerMinor

    Tachycardia and cardiac arrhythmiasmay occur with the use of phentolamine or other alpha-adrenergic blocking agents. (Phentolamine label, Warnings and precautions)

  • Terazosinalpha blockerMinor

    Tachycardia and cardiac arrhythmiasmay occur with the use of phentolamine or other alpha-adrenergic blocking agents. (Phentolamine label, Warnings and precautions)

No significant interaction reported (1)

  • Dutasteride5-alpha reductase inhibitorNo interaction

    Alpha-adrenergic Antagonists The administration of dutasteride capsules in combination with tamsulosin or terazosin has no effect on the steady-state pharmacokinetics of either alpha-adrenergic antagonist. (Dutasteride label, Drug interactions)

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Not medical advice. Severity reflects the label's wording, not your circumstances. A "major" flag can be routine under supervision and a "minor" one can matter at high doses. Ask a pharmacist.