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Two medicines, side by side

Doxazosin vs clonidine

Doxazosin and clonidine are both labeled for high blood pressure. Drugs@FDA records approvals of doxazosin since 1990 and of clonidine since 1974. Pharmacies paid $0.0752 per doxazosin mesylate 1 mg tablet and $0.0241 per clonidine HCl 0.1 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Clonidine's other strengths are brand-only: $1.53 per mL (Javadin 0.02 mg/mL solution). In FDA's classes, doxazosin is an alpha-adrenergic blocker and clonidine a central alpha-2 adrenergic agonist.

Check it at the source: the doxazosin FDA label on DailyMed (effective October 15, 2023); the clonidine FDA label on DailyMed (effective March 30, 2026).

Highlights of the doxazosin record

Doxazosin (Cardura) · label of October 15, 2023

Used for

From the label: indications

CARDURA is an alpha 1 adrenergic antagonist indicated for: • Signs and symptoms of Benign Prostatic Hyperplasia (BPH) ( 1.1 ) • Treatment of Hypertension ( 1.2 ) 1.1 Benign Prostatic Hyperplasia (BPH) CARDURA is indicated for the treatment of the signs and symptoms of BPH. 1.2 Hypertension CARDURA is indicated for the treatment of hypertension, to lower blood pressure. […]

On the market

Earliest approval on file
November 2, 1990
Generic labelers
29 labelers
Pharmacy cost
$0.0752 per tablet

Supply and safety

Shortage
No current entry
Recalls
11

Highlights of the clonidine record

Clonidine (Catapres) · label of March 30, 2026

Used for

From the label: indications

Clonidine hydrochloride tablets are indicated in the treatment of hypertension. Clonidine hydrochloride tablets may be employed alone or concomitantly with other antihypertensive agents.

On the market

Earliest approval on file
September 3, 1974
Generic labelers
43 labelers
Pharmacy cost
$0.0241 per tablet

Supply and safety

Shortage
No current entry
Recalls
16

Source: FDA drug labels via openFDA (Doxazosin label of October 15, 2023, Clonidine label of March 30, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do doxazosin and clonidine differ on the record?

In FDA's classes, doxazosin is an alpha-adrenergic blocker and clonidine a central alpha-2 adrenergic agonist.

Half-life, in each label's words: Doxazosin, “Excretion Plasma elimination of doxazosin is biphasic, with a terminal elimination half-life of about 22 hours.”; Clonidine, “Following intravenous administration, clonidine displays biphasic disposition with a distribution half-life of about 20 …”

Generics: doxazosin since 2000; clonidine since 1986 (Drugs@FDA).

DoxazosinClonidine
Labeled forEnlarged prostate (BPH), High blood pressureHigh blood pressure, ADHD, Pain
Pharmacologic classalpha-Adrenergic BlockerCentral alpha-2 Adrenergic Agonist
How it works (label)Benign Prostatic Hyperplasia (BPH) The symptoms associated with benign prostatic hyperplasia (BPH), such as urinary frequency, nocturia, weak stream, hesitancy, and incomplete emptying are related to two components, anatomical (static) and …n/a
Half-life (label)Excretion Plasma elimination of doxazosin is biphasic, with a terminal elimination half-life of about 22 hours.Following intravenous administration, clonidine displays biphasic disposition with a distribution half-life of about 20 minutes and an elimination half-life ranging from 12 to 16 hours.
Earliest approval on file (Drugs@FDA)November 2, 1990September 3, 1974
First generic approvedOctober 18, 2000July 1, 1986
Generic labelers (NDC)29 labelers43 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0752 per tablet (Doxazosin mesylate 1 mg tablet)$0.0241 per tablet (Clonidine HCl 0.1 mg tablet)
12-month price change-10%-3%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded1116
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)35,89157,116
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

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