Phentolamine and Silodosin interaction

Phentolamine and Silodosin: 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 Silodosin label · effective 2026-03-16

Major

Silodosin capsules should not be used in combination with other alpha-blockers.

Warnings and precautionsby drug classView label on DailyMed
Major

However, interactions may be expected, and silodosin capsules should not be used in combination with other alpha-blockers [see DRUG INTERACTIONS (7.3) ].

Warnings and precautionsby drug classView label on DailyMed
Minor

As with other alpha-blockers, there is potential for syncope.

Warnings and precautionsby drug classView label on DailyMed
Minor

Pharmacodynamic Drug-Drug Interactions The pharmacodynamic interactions between silodosin and other alpha-blockers have not been determined.

Warnings and precautionsby drug classView label on DailyMed

From the Phentolamine (Oraverse) label · effective 2018-12-05

Minor

Tachycardia and cardiac arrhythmiasmay occur with the use of phentolamine or other alpha-adrenergic blocking agents.

Warnings and precautionsby drug classView label on DailyMed
Minor

Tachycardia and cardiac arrhythmias may occur with the use of phentolamine or other alpha-adrenergic blocking agents.

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.