Avanafil and Dutasteride and tamsulosin interaction

Avanafil and Dutasteride and tamsulosin: both prescribing labels describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Avanafil label · effective 2025-12-17

Moderate

• 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 )

Warnings and precautionsby drug classView label on DailyMed
Moderate

Caution is advised when PDE5 inhibitors are co-administered with alpha-blockers.

Warnings and precautionsby drug classView label on DailyMed
Moderate

Consideration should be given to the following: • Patients should be stable on alpha-blocker therapy prior to initiating treatment with a PDE5 inhibitor.

Warnings and precautionsby drug classView label on DailyMed
Moderate

Patients who demonstrate hemodynamic instability on alpha-blocker therapy alone are at increased risk of symptomatic hypotension with concomitant use of PDE5 inhibitors.

Warnings and precautionsby drug classView label on DailyMed
Moderate

• In those patients who are stable on alpha-blocker therapy, PDE5 inhibitors should be initiated at the lowest dose (Avanafil 50 mg).

Warnings and precautionsby drug classView label on DailyMed

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

Moderate

Exercise caution with concomitant use of phosphodiesterase-5 (PDE-5) inhibitors, as this may increase the risk of hypotension.

Warnings and precautionsby drug classView label on DailyMed
Moderate

Phosphodiesterase-5 (PDE-5) Inhibitors Caution is advised when alpha-adrenergic–antagonist-containing products, including JALYN, are coadministered with PDE-5 inhibitors.

Warnings and precautionsby drug classView label on DailyMed
Minor

Alpha-adrenergic antagonists and PDE-5 inhibitors are both vasodilators that can lower blood pressure.

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.