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Alpha-1 blocker, blocks alpha receptors and it relaxes the smooth muscles in the bladder. It helps the urine to flow smoothly and it can lessen the pain caused by the bladder pressing on the prostate. [44] [45] Selective alpha-1 blockers are better tolerated than non-selective alpha blockers in the body and therefore works better on BPH. [2]
Acepromazine (antipsychotic, secondary mechanism) Alfuzosin (used in benign prostatic hyperplasia) Arotinolol; Carvedilol (used in congestive heart failure; it is a non-selective beta blocker) Chlorpromazine (antipsychotic and powerful antihypertensive) Doxazosin (used in hypertension and benign prostatic hyperplasia) Indoramin
Brexpiprazole (Lu AF41156, OPC-34712; Rexulti) – atypical antipsychotic / 5-HT 1A, D 2 and D 3 receptor partial agonist and 5-HT 2A, 5-HT 2B, 5-HT 7, α 1-adrenergic, α 2-adrenergic, and H 1 receptor antagonist [12]
When the term "alpha blocker" is used without further qualification, it can refer to an α 1 blocker, an α 2 blocker, a nonselective blocker (both α 1 and α 2 activity), or an α blocker with some β activity. [2] However, the most common type of alpha blocker is usually an α 1 blocker. Non-selective α-adrenergic receptor antagonists include:
Tiotixene, or thiothixene is a typical antipsychotic agent currently sold under the brand name Navane which is predominantly utilised to treat acute and chronic schizophrenia. [2] Beyond its primary indication , it can exhibit a variety of effects common to neuroleptic drugs including anxiolytic , anti-depressive, and anti-aggressive properties.
As alpha 1 blocker will dilate blood vessels, it lowers the blood pressure. [3] Thus, it contraindicate to patients with a history of orthostatic hypotension and in current use of phosphodiesterase inhibitors. [3] Moreover, alpha 1 blocker should not be given to patients with heart failure since it expands blood volume. [13]
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