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Two medicines, side by side

Prazosin vs terazosin

Prazosin and terazosin are both labeled for high blood pressure. Drugs@FDA records approvals of prazosin since 1976 and of terazosin since 1987. Pharmacies paid $0.0842 per prazosin 1 mg capsule and $0.106 per terazosin 2 mg capsule (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like.

Check it at the source: the prazosin FDA label on DailyMed (effective March 6, 2026); the terazosin FDA label on DailyMed (effective May 5, 2026).

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 terazosin record

Terazosin (Hytrin) · label of May 5, 2026

Used for

From the label: indications

Terazosin capsules are indicated for the treatment of symptomatic benign prostatic hyperplasia (BPH). There is a rapid response, with approximately 70% of patients experiencing an increase in urinary flow and improvement in symptoms of BPH when treated with terazosin capsules. […]

On the market

Earliest approval on file
August 7, 1987
Generic labelers
21 labelers
Pharmacy cost
$0.106 per capsule

Supply and safety

Shortage
No current entry
Recalls
2

Source: FDA drug labels via openFDA (Prazosin label of March 6, 2026, Terazosin label of May 5, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do prazosin and terazosin differ on the record?

Both are in FDA's class alpha-adrenergic blockers.

Generics: prazosin since 1988; terazosin since 1998 (Drugs@FDA).

PrazosinTerazosin
Labeled forHigh blood pressureEnlarged prostate (BPH), High blood pressure
Pharmacologic classalpha-Adrenergic Blockeralpha-Adrenergic Blocker
How it works (label)n/an/a
Half-life (label)n/aThe plasma levels peak about one hour after dosing, and then decline with a half-life of approximately 12 hours.
Earliest approval on file (Drugs@FDA)June 23, 1976August 7, 1987
First generic approvedSeptember 12, 1988March 30, 1998
Generic labelers (NDC)33 labelers21 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0842 per capsule (Prazosin 1 mg capsule)$0.106 per capsule (Terazosin 2 mg capsule)
12-month price change-20%-13%
Boxed warningNoNo
Shortage nowA presentation being discontinuedNo current entry
Recalls recorded102
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)7,3848,843
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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