Doxazosin
alpha-Adrenergic Blocker — CARDIOVASCULAR SYSTEM
Also known as: doxazosin mesilate, doxazosin mesylate, doxazosine
Data last refreshed: (DrugCentral release 2024-11-01)
Key facts
Doxazosin is an ofp drug in the alpha-Adrenergic Blocker class catalogued in DrugCentral. It was first approved by the FDA in 1990. Its mechanism of action is classified as Adrenergic alpha-Antagonists. DrugCentral lists 17 molecular targets, including Adra1b, ADRA1B and ADRA1D. Recorded indications include Benign prostatic hyperplasia and Hypertensive disorder.
- Approval status: ofp (first approved 1990 by the FDA).
- Drug class: alpha-Adrenergic Blocker.
- Mechanism of action: Adrenergic alpha-Antagonists.
- Molecular targets: Adra1b, ADRA1B, ADRA1D and Adra1a (17 listed in DrugCentral).
- Indications: Benign prostatic hyperplasia and Hypertensive disorder.
- ATC code: C02CA04 (Alpha-adrenoreceptor antagonists).
- Molecular formula: C23H25N5O5; molecular weight 451.48 g/mol.
Indications & contraindications
Drug–disease relationships curated by DrugCentral (OMOP / SNOMED concepts).
Indications (2)
- Benign prostatic hyperplasia
- Hypertensive disorder
Contraindications (11)
- Cataract surgery
- Chronic idiopathic constipation
- Disease of liver
- Hepatic failure
- Intraoperative floppy iris syndrome
- Low blood pressure
- Orthostatic hypotension
- Priapism
- Pyloric obstruction
- Stenosis of intestine
- Syncope
Mechanism & targets
| Mechanism of action (MoA) | Adrenergic alpha-Antagonists |
|---|---|
| Established pharmacologic class | alpha-Adrenergic Blocker |
Molecular targets (17)
| Target | Gene | Action | Activity |
|---|---|---|---|
| Alpha-1B adrenergic receptor | Adra1b | unknown | Ki 9.38 |
| Alpha-1B adrenergic receptor | ADRA1B | antagonist | Ki 9.10 |
| Alpha-1D adrenergic receptor | ADRA1D | antagonist | Ki 8.85 |
| Alpha-1A adrenergic receptor | Adra1a | unknown | IC50 8.81 |
| Alpha-1A adrenergic receptor | ADRA1A | antagonist | Ki 8.80 |
| 5-hydroxytryptamine receptor 4 | HTR4 | unknown | Ki 6.90 |
| Sodium-dependent dopamine transporter | SLC6A3 | unknown | Ki 6.83 |
| 5-hydroxytryptamine receptor 2B | HTR2B | unknown | Ki 6.63 |
| Alpha-2C adrenergic receptor | ADRA2C | unknown | Ki 6.55 |
| 5-hydroxytryptamine receptor 2C | HTR2C | unknown | Ki 6.54 |
| Potassium voltage-gated channel subfamily H member 2 | KCNH2 | unknown | IC50 6.23 |
| Alpha-2A adrenergic receptor | ADRA2A | unknown | Ki 6.14 |
| Sodium-dependent serotonin transporter | SLC6A4 | unknown | Ki 5.84 |
| Beta-2 adrenergic receptor | ADRB2 | unknown | Ki 5.72 |
| Interstitial collagenase | MMP1 | unknown | IC50 5.24 |
| Multidrug resistance protein 1 | ABCB1 | unknown | Ki 5.00 |
| HLA class I histocompatibility antigen, A-3 alpha chain | HLA-A | unknown | Kd 4.80 |
Regulatory approvals (1)
| Date | Agency | Marketed as | Applicant | Orphan |
|---|---|---|---|---|
| 1990-11-02 | FDA | — | PFIZER |
ATC classification
| ATC code | Therapeutic hierarchy |
|---|---|
C02CA04 | CARDIOVASCULAR SYSTEM › ANTIHYPERTENSIVES › ANTIADRENERGIC AGENTS, PERIPHERALLY ACTING › Alpha-adrenoreceptor antagonists |
G04CA55 | GENITO URINARY SYSTEM AND SEX HORMONES › UROLOGICALS › DRUGS USED IN BENIGN PROSTATIC HYPERTROPHY › Alpha-adrenoreceptor antagonists |
Reported adverse-event signals
Strongest FDA FAERS disproportionality signals (log-likelihood ratio). A signal is a statistical association in spontaneous reports, not proof that the drug causes the event.
| MedDRA term | LLR |
|---|---|
| Syncope | 426.8 |
| Spirometry abnormal | 413.5 |
| Conjunctivitis allergic | 410.8 |
| Mite allergy | 401.7 |
| Dust allergy | 397.5 |
| Mycotic allergy | 394.4 |
| Arteriosclerosis | 354.0 |
| Normochromic normocytic anaemia | 332.6 |
| Hyperkalaemia | 299.8 |
| Arteriosclerosis coronary artery | 281.1 |
| Pulmonary vasculitis | 280.4 |
| Hypertensive crisis | 276.4 |
Chemical structure
Full physicochemical, ADMET and 3D-structure analysis of Doxazosin is on its molecule page.
| Molecular formula | C23H25N5O5 |
|---|---|
| Molecular weight | 451.48 g/mol |
| CAS number | 74191-85-8 |
| InChIKey | RUZYUOTYCVRMRZ-UHFFFAOYSA-N |
| PubChem CID | 3157 |
Frequently asked questions
Answers are generated from the structured data on this page, not written by hand.
What is Doxazosin used for?
DrugCentral lists the following indications for Doxazosin: Benign prostatic hyperplasia and Hypertensive disorder.
How does Doxazosin work?
Doxazosin is classified as Adrenergic alpha-Antagonists; its molecular targets in DrugCentral include Adra1b, ADRA1B (antagonist), ADRA1D (antagonist) and Adra1a.
When was Doxazosin first approved?
Doxazosin was first approved by the FDA in 1990.
What drug class does Doxazosin belong to?
Doxazosin is in the alpha-Adrenergic Blocker class.
What is the chemical formula of Doxazosin?
Doxazosin has the molecular formula C23H25N5O5 and a molecular weight of 451.48 g/mol.
Browse: all drugs starting with D · drug guides by category · protein targets A–Z.
Sources
- DrugCentral drug card 954 — structure, indications, targets, approvals, pharmacologic classes (CC BY-SA 4.0)
- ChEMBL CHEMBL1200561 — compound record and bioactivity
- PubChem CID 3157 — chemical identifiers
- DrugBank DB00590 — drug record
- FDA UNII NW1291F1W8 — substance identity
- DailyMed: FDA labels for Doxazosin — current prescribing information (label search)
- UniProt P35368 (ADRA1B) — target protein
- UniProt P25100 (ADRA1D) — target protein
- UniProt P35348 (ADRA1A) — target protein
- UniProt Q01959 (SLC6A3) — target protein
- UniProt P41595 (HTR2B) — target protein
- UniProt P18825 (ADRA2C) — target protein
- FDA Adverse Event Reporting System (openFDA FAERS) — adverse-event signals, as aggregated by DrugCentral
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