Alfuzosin and Dutasteride and tamsulosin interaction

Alfuzosin and Dutasteride and tamsulosin: both prescribing labels flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Alfuzosin (Uroxatral) label · effective 2024-12-05

Major

Should not be used in combination with other alpha adrenergic antagonists ( 5.4 , 7.2 )

Warnings and precautionsby drug classView label on DailyMed
Major

Other alpha adrenergic antagonists: UROXATRAL is an alpha adrenergic antagonist and should not be used in combination with other alpha adrenergic antagonist [see Drug Interactions (7.2) ].

Warnings and precautionsby drug classView label on DailyMed
Major

However, interactions may be expected, and UROXATRAL should not be used in combination with other alpha adrenergic antagonists [see Warnings and Precautions (5.4) ].

Drug interactionsby drug classView label on DailyMed
Minor

As with other alpha adrenergic antagonists, there is a potential for syncope.

Warnings and precautionsby drug classView label on DailyMed
Minor

Priapism Rarely (probably less than 1 in 50,000), alfuzosin, like other alpha adrenergic antagonists, has been associated with priapism (persistent painful penile erection unrelated to sexual activity).

Warnings and precautionsby drug classView label on DailyMed

From the Dutasteride and tamsulosin (Jalyn) label · effective 2026-03-09

Major

Do not use JALYN with other alpha-adrenergic antagonists, as this may increase the risk of hypotension.

Warnings and precautionsby drug classView label on DailyMed
Major

Other Alpha-adrenergic Antagonists Tamsulosin-containing products, including JALYN, should not be coadministered with other alpha-adrenergic antagonists because of the increased risk of symptomatic hypotension.

Warnings and precautionsby drug classView label on DailyMed
Moderate

Orthostatic Hypotension As with other alpha-adrenergic antagonists, orthostatic hypotension (postural hypotension, dizziness, and vertigo) may occur in patients treated with tamsulosin-containing products, including JALYN, and can result in syncope.

Warnings and precautionsby drug classView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.