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Two medicines, side by side

Prazosin vs amlodipine

Prazosin and amlodipine are both labeled for high blood pressure. Drugs@FDA records approvals of prazosin since 1976 and of amlodipine since 1992. Pharmacies paid $0.0842 per prazosin 1 mg capsule and $0.0102 per amlodipine besylate 5 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, prazosin is an alpha-adrenergic blocker and amlodipine a calcium channel blocker.

Check it at the source: the prazosin FDA label on DailyMed (effective March 6, 2026); the amlodipine FDA label on DailyMed (effective February 15, 2023).

Highlights of the prazosin record

Prazosin (Minipress) · label of March 6, 2026

Used for

From the label: indications

Prazosin hydrochloride capsules are indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. These benefits have been seen in controlled trials of antihypertensive drugs from a wide variety of pharmacologic classes, including this drug. […]

On the market

Earliest approval on file
June 23, 1976
Generic labelers
33 labelers
Pharmacy cost
$0.0842 per capsule

Supply and safety

Shortage
A presentation being discontinued
Recalls
10

Highlights of the amlodipine record

Amlodipine (Norvasc) · label of February 15, 2023

Used for

From the label: indications

NORVASC is a calcium channel blocker and may be used alone or in combination with other antihypertensive and antianginal agents for the treatment of: • Hypertension ( 1.1 ) o NORVASC is indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. […]

On the market

Earliest approval on file
July 31, 1992
Generic labelers
42 labelers
Pharmacy cost
$0.0102 per tablet

Supply and safety

Shortage
No current entry
Recalls
30

Source: FDA drug labels via openFDA (Prazosin label of March 6, 2026, Amlodipine label of February 15, 2023); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do prazosin and amlodipine differ on the record?

In FDA's classes, prazosin is an alpha-adrenergic blocker and amlodipine a calcium channel blocker.

Generics: prazosin since 1988; amlodipine since 2005 (Drugs@FDA).

PrazosinAmlodipine
Labeled forHigh blood pressureHigh blood pressure, Angina, Heart attack and coronary artery disease
Pharmacologic classalpha-Adrenergic BlockerCalcium Channel Blocker, Dihydropyridine Calcium Channel Blocker
How it works (label)n/aAmlodipine is a dihydropyridine calcium antagonist (calcium ion antagonist or slow‑channel blocker) that inhibits the transmembrane influx of calcium ions into vascular smooth muscle and cardiac muscle.
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)June 23, 1976July 31, 1992
First generic approvedSeptember 12, 1988October 3, 2005
Generic labelers (NDC)33 labelers42 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0842 per capsule (Prazosin 1 mg capsule)$0.0102 per tablet (Amlodipine besylate 5 mg tablet)
12-month price change-20%-10%
Boxed warningNoNo
Shortage nowA presentation being discontinuedNo current entry
Recalls recorded1030
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)7,384409,186
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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