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Prazosin

  • Prescription medicine
  • Prescription only
  • Identity checked
  • Sources last checked 2026-09-04

This page shows what was measured, who it was measured in, and what that does not settle.

What Prazosin does in the body

Hypertension, to lower blood pressure

From the FDA-approved label: The exact mechanism of the hypotensive action of prazosin is unknown. Prazosin causes a decrease in total peripheral resistance and was originally thought to have a direct relaxant action on vascular smooth muscle. Recent animal studies, however, have suggested that the vasodilator effect of prazosin is also related to blockade of postsynaptic alpha-adrenoceptors. The results of dog forelimb experiments demonstrate that the peripheral vasodilator effect of prazosin is confined mainly to the level of the resistance vessels (arterioles). Unlike conventional alpha-blockers, the antihypertensive action of prazosin is usually not accompanied by a reflex tachycardia.

What happened in people

RNAWiki has not yet published a reviewed conclusion for this use.

A fixed RNAWiki sentence

Where this came from

Wording RNAWiki always uses, not a finding about this substance.

No reviewed claim names a result for any goal on this record.

No source is stored against this line.

The limit that matters most

Not recorded.

Where it acts
Not recorded.
Kind of result
No result is published, so no kind of result applies yet
Supervision
RNAWiki has not recorded a supervision or regulatory status for this substance.

What the registries record it as

  • The substance registry classes this as chemical.

    FDA substance registry · X0Z7454B90 · read 2026-08-29

Where each sentence above came from

No recorded sentence describes the change this makes in a way that stands on its own. The page opens with what it is taken for instead, and the recorded explanation follows below.

Shown as the opening line on this page.

No statement of the main limit is recorded.

The four opening statements run to 116 words.

Words this page uses

Four words worth knowing first

Chosen from what this page shows, with each one explained before the word it depends on.

Stand-in result

A stand-in result is a number measured because the real result takes too long.

A picture of it, and where the picture fails

It is like judging a journey by the speedometer rather than by arriving.

Where that stops being true. Speed does predict arrival. Many stand-in results do not predict the real one.

What people get wrong. A stand-in result is often reported as the result itself.

A surrogate endpoint substituted for a clinical endpoint, valid only where the substitution has been shown to hold.

Enzyme

An enzyme is a protein that speeds up one chemical change.

A picture of it, and where the picture fails

An enzyme is like a machine on a production line doing one cut.

Where that stops being true. A machine is switched on and off by a person. Enzymes are controlled by the cell.

What people get wrong. Enzymes are thought to be used up. They are not; they work again and again.

A catalytic protein that lowers the activation energy of a specific reaction.

Receptor

A receptor is a part of a cell that a signal fits into.

A picture of it, and where the picture fails

A receptor is like a lock waiting for one key.

Where that stops being true. A lock either opens or does not. A receptor can be half-triggered, or worn out.

What people get wrong. Fitting a receptor is read as causing a benefit. It causes a step, and nothing more.

A protein that binds a specific ligand and converts that binding into a cellular response.

Pathway

A pathway is a chain of steps inside a cell, each one setting off the next.

A picture of it, and where the picture fails

A pathway is like a row of dominoes.

Where that stops being true. Dominoes fall one way. Pathways loop back and can switch themselves off.

What people get wrong. Changing one step is read as changing the outcome. Other steps often absorb it.

An ordered series of molecular interactions producing a defined cellular change.

What happened in peopleRead from sources, not yet reviewed

What was measured, goal by goal

One row for each goal a registered study measured something for. One column for each kind of thing that could be measured.

Registered studies list 36 outcome measures that RNAWiki could read. A registered study says what someone planned to measure. It does not say what they found. 0 of the matched studies tested this substance, and 0 posted a result.

There is no single score. A strong test result and a weak life result are different facts.

Goals down the side, kinds of measurement across the top. Each cell says what kind of thing was registered, not what was found.
GoalLife outcomeWhat a body can doHow a person feelsA test resultA step in the bodyHarmsHow longWho was studied
SleepNothing in the sources checkedNo registered study lists a life outcome for this goal.Nothing in the sources checkedNo registered study lists a performance measure for this goal.Waiting for a reviewer2 registered symptom measure.Nothing in the sources checkedNo registered study lists a test result for this goal.Nothing in the sources checkedNo registered study lists a body-step measure for this goal.Not recordedHarms were not a registered measure for this goal.Not recordedNo finished study window is recorded.Waiting for a reviewerWho was studied is listed further down the page.
Healthy ageingWaiting for a reviewer3 registered study measure of this kind. No reviewed result yet.Nothing in the sources checkedNo registered study lists a performance measure for this goal.Nothing in the sources checkedNo registered study lists a symptom measure for this goal.Nothing in the sources checkedNo registered study lists a test result for this goal.Nothing in the sources checkedNo registered study lists a body-step measure for this goal.Not recordedHarms were not a registered measure for this goal.Not recordedNo finished study window is recorded.Waiting for a reviewerWho was studied is listed further down the page.
MoodNothing in the sources checkedNo registered study lists a life outcome for this goal.Nothing in the sources checkedNo registered study lists a performance measure for this goal.Nothing in the sources checkedNo registered study lists a symptom measure for this goal.Nothing in the sources checkedNo registered study lists a test result for this goal.Nothing in the sources checkedNo registered study lists a body-step measure for this goal.Not recordedHarms were not a registered measure for this goal.Not recordedNo finished study window is recorded.Waiting for a reviewerWho was studied is listed further down the page.
Which registered measures put each goal on this table
Sleep
pittsburgh sleep quality index; sleep time; insomnia severity index
Healthy ageing
all cause hospitalization or all cause mortality; all cause mortality; mortality
Mood
depression

Sorted by fixed word lists, version v1. A name the rules do not recognise stays unsorted rather than moving to the nearest column.

What each mark on this table means
Nothing in the sources checked
No registered study lists a life outcome for this goal.
Waiting for a reviewer
2 registered symptom measure.
Not recorded
Harms were not a registered measure for this goal.

What happened in peopleRead from sources, not yet reviewed

What happened in people

Each card is one study: the exact question it asked, who was in it, and whether it showed what it set out to show.

To evaluate the impact of circadian time of treatment in cardiovascular, cerebrovascular, metabolic, and renal risk assessment.

The study did not show it

Who was studied
NCT00741585
How many people
21983
Study design
Phase 4
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Medical Therapy of Prostatic Symptoms

The study did not show it

Who was studied
NCT00021814
How many people
3407
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Prognostic value of ABPM, impact of changes in ambulatory BP and impact of circadian time of antihypertensive treatment in cardiovascular, cerebrovascular and renal risk assessment.

The study did not show it

Who was studied
NCT00295542
How many people
3344
Study design
Phase 4
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

"Number of Participants With Overall Fatal and Non-fatal, Major Adverse Cardiovascular Events (MACEs)"

The study did not show it

Who was studied
NCT00535925
How many people
850
Study design
Phase 4
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Change From Baseline PTSD Checklist- Civilian (PCL-C) Over the Course of the Year After Injury

The study did not show it

Who was studied
NCT02655354
How many people
635
Study design
Not applicable
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

brain natriuretic peptide and the urinary albumin excretion/creatinine ratio at 6 months

The study did not show it

Who was studied
NCT00285519
How many people
600
Study design
Phase 4
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot
What we know
RNAWiki holds 6 written-up human studies for this substance, each with the question it asked.
How we know it
Each card names the study, the number of people and what the study set out to measure.
What this does not prove
These summaries were written by a person and have not been signed off as reviewed claims.
Why it matters
A study that failed is as informative as one that worked, and both are here.
What we still do not know
No reviewed claim exists, so no exact population, effect size or interval is published yet.

What happened in peopleRead from sources, not yet reviewed

How close this is to real life

The top step is something a person would feel or care about. The bottom is a guess from software. Filled steps are where evidence exists for this substance.

  1. Living longer, or avoiding a major event Evidence recorded. Death, a heart attack, a stroke, a hospital stay.4 registered measures of this kind. No reviewed result.
  2. What a body can do day to day No evidence recorded. Walking, dressing, breathing, recovering.No registered study measures this.
  3. Measured performance No evidence recorded. How much was lifted, how far was run, how fast.No registered study measures this.
  4. Symptoms and quality of life Evidence recorded. Pain, tiredness, mood, sleep, as the person rated it.6 registered measures of this kind.
  5. A number that stands in for health Evidence recorded. Cholesterol, blood sugar, bone density. A stand-in, not the thing itself.2 registered measures of this kind.
  6. A step measured inside a person Evidence recorded. Something measured in human tissue or human cells.A human record sits on the stored organism ladder.
  7. Animals Evidence recorded. Mice, rats, dogs. Useful for ideas, not proof about people.Stored records in Mouse, Rat, Dog. A result in animals says what to test next. It does not say what happens in people.
  8. Cells in a dish Evidence recorded. Cells or chemistry on a bench, far from a whole body.Stored mechanism abstracts describe steps measured in cells or tissue.
  9. A guess from software No evidence recorded. Nobody measured it. RNAWiki never publishes one as a finding.RNAWiki stores no prediction for this record. Software can suggest a link. RNAWiki does not publish one as a finding.

Higher on these steps means closer to something a person would feel. It does not mean better done.

What it would be like to takeRead from sources, not yet reviewed

Felt, measured, or meaningful

Three different things that get called the same word. Registered studies measured all three, and mixing them is how a blood test becomes a health claim.

Felt

Things a person could notice without a test.

  • clinical global impression of change
  • pittsburgh sleep quality index
  • quality of life
  • insomnia severity index
  • neuropsychiatric inventory
  • alcohol craving

Measured

Things only a test, a scale or a device shows.

  • decrease in supine systolic blood pressure
  • urinary sodium excretion rate

Meaningful

Things that change how a life goes, not only a number.

  • death
  • all cause hospitalization or all cause mortality
  • all cause mortality
  • mortality

A registered study says what someone planned to measure. It does not say what they found. A number moving is not the same as a life going better. The two are shown apart here.

Felt, but not shown to help. A person notices a change. No study showed it leads anywhere good.

Measured, but not felt. A number moves. The person notices nothing. Both can be true.

Measured, but not shown to matter. A number moves in the good direction. Nobody showed that lives went better.

Matters, but takes years. The result that counts may take longer than anyone would keep watching.

Names that fit none of the three (24)
  • depression
  • sleep time
  • caps recurrent distressing dreams item
  • psqi
  • symptoms improvement
  • drinking days
  • clinician administered ptsd scale
  • alcohol consumption
  • drinking days per week
  • heavy drinking days per week
  • young mania rating scale
  • heavy drinking days
  • headache frequency
  • endothelial function
  • spatial attentional resource allocation task reaction time
  • spatial attentional resource allocation task omission errors
  • rapid visual information processing task hit rate
  • rapid visual information processing task reaction time
  • change detection task accuracy
  • change detection reaction time

These are harms, study-process measures, or names the rules did not recognise. They are shown rather than dropped.

What is missing or unclearRead from sources, not yet reviewed

Were people like you studied?

RNAWiki cannot tell whether a study fits you. It can show who was in it, and where the result stops carrying.

Who was studied

People similar to this profile were included.

  • 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.

Who is missing from the studies

  • Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What the label states about particular groups

  • On people who are pregnant, the label states: “Usage in Pregnancy: Pregnancy Category C.”

    US prescribing information · 4870ed0b-abde-5ae5-e063-6394a90ad0ba · read 2026-08-30

  • On people who are breastfeeding, the label states: “Usage in Children: Safety and effectiveness in children have not been established.”

    US prescribing information · 4870ed0b-abde-5ae5-e063-6394a90ad0ba · read 2026-08-30

Where the result stopped carrying

  • This is a scope explorer, not a diagnosis engine.
  • It shows who was studied so you can see whether people similar to you were included.

RNAWiki cannot tell whether a study fits you. It can show who was in it.

What it would be like to takeRead from sources, not yet reviewed

Why it might seem to do nothing

A real effect and a noticed effect are different things. These are the recorded reasons the two come apart.

It was studied for a different goal

The studies measured something else entirely.

On this record: Some registered studies measured things that match no goal on this page.

It was studied in different people

The people in the studies were not much like the reader.

On this record: Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

The evidence may simply be wrong

Small early studies often do not hold up.

On this record: RNAWiki has not yet published a reviewed conclusion for this use.

Other reasons RNAWiki checked and found nothing for (10)
A different form was studied
The studied form is not the form on the shelf. Nothing in this record points to this reason.
There was nothing to correct
Where a level is already normal, topping it up may change nothing. Nothing in this record points to this reason.
Something else had to happen too
In the studies it was paired with training, a diet or another treatment. Nothing in this record points to this reason.
The change is too small to feel
A real change can still sit below what a person notices. Nothing in this record points to this reason.
Day-to-day swing hides it
Sleep, food, stress and time of day move most numbers more than this would. Nothing in this record points to this reason.
Not enough time yet
The studies ran longer than the person has waited. Nothing in this record points to this reason.
It was not taken as studied
Missed days change the result, and studies count them. Nothing in this record points to this reason.
Something else changed at the same time
Two changes at once cannot be told apart afterwards. Nothing in this record points to this reason.
The product may not be what it says
Contents of a sold product are not always what the label states. Nothing in this record points to this reason.
No recorded reason
RNAWiki has nothing stored that would explain it. Nothing in this record points to this reason.

None of these is a reason to take more. Taking more is not a step this page ever suggests.

What it would be like to takeRead from sources, not yet reviewed

What taking it involves

The recorded facts about getting hold of it and using it. Nothing here is a suggestion about what you should do.

How it is supplied

Prescription only

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

Read from the recorded approval status.

No source is stored against this line.

Form and route

Oral

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form and route recorded on this substance.

No source is stored against this line.

Who oversees it

RNAWiki has not recorded a supervision or regulatory status for this substance.

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

No register row and no identity class settled the question.

No source is stored against this line.

What is in the pack

Sold as capsule, tablet, extended release, given by the oral route.

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

Recorded notes on how this is sold and what that means for what is in the pack.

No source is stored against this line.

Where it is registered

Regulatory records are listed in the technical disclosure at the foot of this page.

Counted from records

Where this came from

A count of rows RNAWiki holds. It describes our records, not your body.

Register entries are stored per jurisdiction and shown with their dates.

No source is stored against this line.

Why people stop

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

No record of why people stopped taking it is stored for this substance.

No source is stored against this line.

What it would be like to takeNothing found in the sources checked

What can go wrong

Sorted by where each line came from. A regulator's label and a report somebody sent in are not the same kind of fact.

Nothing found in the sources checked

No harm is recorded against this substance in the sources RNAWiki checked. Finding nothing is not the same as showing there is nothing.

The sources listed were searched and held nothing. That is not the same as nothing existing.

Reports sent to a regulator

  • These are reports people sent to a regulator. They do not show the medicine caused the reaction.
  • Nobody counted how many people took the medicine and reported nothing.
  • The same event can be reported more than once, and many reports are incomplete.
  • News coverage, lawsuits and new warnings change how often people report.
  • A count is not a rate and not a risk.

Prazosin appears in spontaneous reports to regulators. Across the 10 most-reported reaction terms, 354 reaction mentions were counted. One report can name several reactions.

The recorded terms (10)
  • hypotension — 80 reaction mentions
  • dizziness — 43 reaction mentions
  • drug hypersensitivity — 37 reaction mentions
  • syncope — 36 reaction mentions
  • drug interaction — 30 reaction mentions
  • acute kidney injury — 28 reaction mentions
  • fall — 28 reaction mentions
  • sinus bradycardia — 26 reaction mentions
  • toxicity to various agents — 24 reaction mentions
  • atrioventricular block first degree — 22 reaction mentions
  • open-targets-adr · recorded 2026-06-24 · a recorded source, not a stored snapshot

Over a long time. No completed tested study window is recorded, so long-term effects are not established by the registry record.

Groups the studies covered thinly. Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What is missing or unclearRead from sources, not yet reviewed

Does the exact form matter?

Evidence belongs to the exact thing that was tested. A different salt, a different mixture or a different preparation is a different question.

The form that was studied

Oral

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form used in the studies cited on this page.

No source is stored against this line.

What is sold

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

Nothing further is recorded about which forms are sold.

No source is stored against this line.

What is recorded as being sold

  • 123 products list this as an active ingredient in the United States drug directory. 123 of them contain it and nothing else.

    FDA National Drug Code directory · 71610-980 · read 2026-08-29

  • They are sold as capsule, powder and tablet, taken oral.

    FDA National Drug Code directory · 71610-980 · read 2026-08-29

  • The regulator's established pharmacologic class for it is adrenergic alpha-antagonists [moa] and alpha-adrenergic blocker [epc].

    FDA National Drug Code directory · 71610-980 · read 2026-08-29

  • 70 published labels name it as an active ingredient. 70 of them describe this substance alone, which is where its own label text on this page comes from.

    US prescribing information · 4870ed0b-abde-5ae5-e063-6394a90ad0ba · read 2026-08-29

  • Those labels are classed as human prescription drug.

    US prescribing information · 4870ed0b-abde-5ae5-e063-6394a90ad0ba · read 2026-08-29

  • Prazosin Hydrochloride is oral at HOW SUPPLIED Prazosin Hydrochloride Capsules USP, 1 mg are yellow opaque cap and yellow opaque body, hard gelatin capsule shell imprinted “PRA” on cap and “1” on the body filled with white to off white granules., recorded as fda label in effect 2026-01-15 in the United States.

    US prescribing information · 4870ed0b-abde-5ae5-e063-6394a90ad0ba · read 2026-08-30

  • Recorded price in US: 0.08498–0.12929 USD per one unit as the pricing file counts it — a tablet, capsule, patch or single item, across 71 priced products whose strengths and pack forms differ, as of 2026-08-26, paid by retail pharmacies buying the product, as surveyed by the Centers for Medicare & Medicaid Services. It is not a list price, an insurance price, or what anyone pays at a counter..

    Recorded source · 2026-08-26 · read 2026-08-28

Evidence carries across two names for one substance. It does not carry across a salt, a mirror form or a mixture.

What it would be like to takeRead from sources, not yet reviewed

What you could measure

This one is decided with a clinician, so this section holds questions to ask rather than a plan to run.

RNAWiki could not confidently classify this substance, so no self-experiment plan is offered.

Questions worth asking

  • Which of the trials of Prazosin studied people like me?
  • What was measured, and for how long?
  • Was the result a laboratory value or a health outcome?
  • What would we watch for, and when would we stop?

Tracking can show whether something changed for you. It cannot show what caused it.

RNAWiki records evidence. It does not say whether this substance is right for you.

What is missing or unclearRead from sources, not yet reviewed

What nobody knows yet

Open questions, each with why it is open and what would close it.

Missing populations

Which groups were under-represented in the studies has not been recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing long-term data

No completed tested study window is recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

No reviewed conclusion

RNAWiki has not yet published a reviewed conclusion for this use.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing interaction studies

No interaction was found in the registers checked. Not finding one is not the same as showing there is none.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Formulation uncertainty

Several salts, forms or products of Prazosin are recorded. Results from one form may not transfer to another.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Mechanism not reviewed

No reviewed mechanism story exists for this substance.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

What happened in peopleRead from sources, not yet reviewed

Check any of this yourself

Every line above traced back to the study it came from. This is the technical layer, and the vocabulary changes here.

Where else this substance is registered

FDA substance identifier (UNII)
X0Z7454B90
RxNorm concept
198141

Checks this page had to pass

  • Passed

    Identity resolved

    no open identity hold

  • Passed

    No unresolved merge across substance families

    no quarantine open

  • Passed

    Every public sentence names a source

    The opening statement carries the origin: Written into the record, not signed off.

  • Not passed

    Trial roles classified for highlighted evidence

    No registered study is classified as testing this substance.

  • Passed

    No internal keys in reader text

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What is missing or unclearRead from sources, not yet reviewed

How this medicine reached us

Kept near the foot of the page. A historical event moves up only when it changes something about this substance today.

What the approval register records

  • 30 approved applications cover products containing this substance. The earliest was NDA017442, approved 19760623 to PFIZER.

    Drugs@FDA application register · NDA017442 · read 2026-08-29

  • Marketing status on the register: discontinued and prescription.

    Drugs@FDA application register · NDA017442 · read 2026-08-29

  • The earliest marketing start date recorded for a listed product is 19890228.

    FDA National Drug Code directory · 71610-980 · read 2026-08-29

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What to learn next

Ordered by what would most change how you read this page, starting with what is easiest to misunderstand.

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What is not here

6 questions this page could not answer

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Recorded evidence blocks (13)

What did Prazosin's largest trial (22213 people) and its longest (16 years) measure?


22213 people in Prazosin's largest registered study, 16 years in its longest registered window, measuring All-Cause-Hospitalization or All-Cause Mortality. ClinicalTrials.gov · 2026-09-01

19 na, 17 phase2, 11 phase1, 10 phase4, 4 phase3, 1 early phase1, 1 na or unstated; NCT00223717; 2017-01; no ageing endpoint recorded. Last human test completed 2026, NCT07231978.

Interpretation These counts include studies where Prazosin was a comparison treatment, a background treatment or an exposure in an observational study, and the longest window may be a planned end date. Trial roles have not yet been classified for this record.

Show the evidence
  • na
    19
  • phase2
    17
  • phase1
    11
  • phase4
    10
  • phase3
    4
  • early phase1
    1
2 more recorded rows
  • na or unstated
    1
  • Last recorded human test NCT07231978
    2026-04-30

recorded 2026-09-01 · last checked 2026-09-04

From mouse to human: where has Prazosin shown lifespan?


mouse: mechanism-only, rat: mechanism-only, dog: mechanism-only and human: lifespan (59): the rungs where Prazosin has a recorded finding. Europe PMC and ClinicalTrials.gov · organism ladder · 2026-09-01

Interpretation All-Cause-Hospitalization or All-Cause Mortality — the recorded outcome words.

Yeast C. elegans Drosophila Mouse mechanism-onlyRat mechanism-onlyDog mechanism-onlyNon-human primate Human lifespan
Show the evidence
  • mouse
    mechanism-only
  • rat
    mechanism-only
  • dog
    mechanism-only
  • human NCT04467931
    lifespan; All-Cause-Hospitalization or All-Cause Mortality; 59

recorded 2026-09-01 · last checked 2026-09-04

12 of Prazosin's trials stopped: safety, accrual/recruitment, funding/business, other?


safety (1), accrual/recruitment (5), funding/business (2) and other (4): Prazosin's stop wording, clustered. ClinicalTrials.gov · 2026-09-01

"Insufficient Enrollment"; 12 of 59 registered studies

Show the evidence

Trial

  • NCT00183430
    terminated; "Insufficient Enrollment"
  • NCT00202449
    terminated; "recruitment difficulties"
  • NCT00240227
    terminated; "Experimental procedure did not induce sufficient craving to determine any possible effect of medication."
  • NCT00890643
    withdrawn; "Primary investigator left VA employment"
  • NCT01621165
    withdrawn; "unable to recruit subjects given short length of stay in hospital"
  • NCT03010995
    withdrawn; "Study discontinued due to lack of study funding."
6 further recorded trials
  • NCT03221751
    terminated; "staffing issues and COVID"
  • NCT03416569
    withdrawn; "Unanticipated staff changes are preventing completion within funding period."
  • NCT03894345
    suspended; "COVID-19"
  • NCT03997864
    withdrawn; "COVID recruitment issues"
  • NCT04365257
    terminated; "Lack of recruitment"
  • NCT05189977
    terminated; "The decision to terminate the trial early was not based on safety concerns. The trial was terminated early due to some implausible blood pressure values being captured, which was the primary endpoint of the study."

recorded 2026-09-01 · last checked 2026-09-04

Human studies of Prazosin used Prazosin HCl 2mg — over how long?


Human studies of Prazosin used "Prazosin HCl 2mg". ClinicalTrials.gov · 2026-09-01

6 recorded entries; human; capsule; also "Minipress 2 mg capsule.", "Prazosin HCl 1 mg", "Minipress 1 mg capsule."

Show the evidence

human

  • NCT04967443
    Prazosin HCl 2mg
  • NCT04967443
    capsule; Minipress 2 mg capsule.
  • NCT04967443
    Prazosin HCl 1 mg
  • NCT04967443
    capsule; Minipress 1 mg capsule.
  • NCT04967443
    Prazosin HCl 5 mg
  • NCT04967443
    capsule; Minipress 5 mg capsule.

recorded 2026-09-01 · last checked 2026-09-04

More Prazosin was worse in human: at what point?


U-shaped in human: "Prazosin decreased female responses to male starling song in a linear dose-response fashion; whereas, it affected responses to purple martin song in a U-shaped dose-response fashion." Europe PMC · dose-response search · 2026-05-19

5 recorded sentences naming Prazosin; U-shaped, dose-response, biphasic

Show the evidence
  • U-shaped PMID 21463661
    "Prazosin decreased female responses to male starling song in a linear dose-response fashion; whereas, it affected responses to purple martin song in a U-shaped dose-response fashion."

dose-response

  • PMID 42154104
    "The experimental design consisted of: 1) establishing a dose-response relationship for insulin (2.5, 5, and 10 ng), followed by 2) investigating potential interactions between insulin (10 ng) and selective adrenergic receptor antagonists including prazosin (α<sub>1</sub>, 10 nmol), yohimbine (α<sub>2</sub>, 13 nmol), metoprolol (β<sub>1</sub>, 24 nmol), ICI 118,551 (β<sub>2</sub>, 5 nmol), and…"
  • PMID 37045561
    "Cumulative dose-response curves for TMA and TMAO were obtained before and after incubation with atropine, yohimbine, prazosin, indomethacin, verapamil, and Ca<sup>+2</sup> -free Krebs-Henselite solution."
  • PMID 32453770
    "A contractile response was observed in both canine uterine and testicular arteries to epinephrine and phenylephrine, and prazosin caused a dose-dependent parallel rightward shift in the phenylephrine dose-response curve (pA2 values of 7.97 and 8.39, respectively)."
  • biphasic PMID 31669796
    "The biphasic nerve-mediated contraction was elicited by ATP and noradrenaline as NF449 (10 μM) and prazosin (100 nM) completely prevented the respective peaks."

recorded 2026-05-19 · last checked 2026-09-04

Could one person measure Prazosin's effect on clinical global impression of change?


Clinical global impression of change: measured in Prazosin's trials.

Interpretation clinical global impression of change is the recorded endpoint.

Show the evidence

biomarkers

  • clinical global impression of change; 2026-09-01
  • pittsburgh sleep quality index; 2026-09-01
  • depression; 2026-09-01
  • quality of life; 2026-09-01
  • sleep time; 2026-09-01
  • decrease in supine systolic blood pressure; 2026-09-01
14 more recorded rows
  • biomarkers
    caps recurrent distressing dreams item; 2026-09-01
  • biomarkers
    insomnia severity index; 2026-09-01
  • biomarkers
    psqi; 2026-09-01
  • biomarkers
    symptoms improvement; 2026-09-01
  • biomarkers
    drinking days; 2026-09-01
  • biomarkers
    clinician administered ptsd scale; 2026-09-01
  • biomarkers
    alcohol consumption; 2026-09-01
  • biomarkers
    neuropsychiatric inventory; 2026-09-01
  • biomarkers
    drinking days per week; 2026-09-01
  • biomarkers
    heavy drinking days per week; 2026-09-01
  • biomarkers
    young mania rating scale; 2026-09-01
  • biomarkers
    heavy drinking days; 2026-09-01
  • biomarkers
    alcohol craving; 2026-09-01
  • biomarkers
    urinary sodium excretion rate; 2026-09-01
  • human trials at or under30
    24
  • Not recorded for this substance
    a recorded half-life
  • smallest human trial
    0; NCT00890643; NA; the smallest recorded human enrolment at or below 30; the registry states no direction of its result; WITHDRAWN

Which of alcohol consumption, alcohol craving and all cause hospitalization or all cause mortality did Prazosin's trials measure?


alcohol consumption, alcohol craving and all cause hospitalization or all cause mortality lead 36 outcome terms across Prazosin's trials. ClinicalTrials.gov · 2026-09-01

Interpretation quality of life, sleep time, decrease in supine systolic blood pressure, caps recurrent distressing dreams item, insomnia severity index and psqi follow.

Show the evidence
  • clinical global impression of change
    1
  • pittsburgh sleep quality index
    1
  • depression
    1
  • quality of life
    1
  • sleep time
    1
  • decrease in supine systolic blood pressure
    1
14 more recorded rows
  • caps recurrent distressing dreams item
    1
  • insomnia severity index
    1
  • psqi
    1
  • symptoms improvement
    1
  • drinking days
    1
  • clinician administered ptsd scale
    1
  • alcohol consumption
    1
  • neuropsychiatric inventory
    1
  • drinking days per week
    1
  • heavy drinking days per week
    1
  • young mania rating scale
    1
  • heavy drinking days
    1
  • alcohol craving
    1
  • urinary sodium excretion rate
    1

recorded 2026-09-01 · last checked 2026-09-04

Which of Prazosin's 4 ongoing trials reports first?


4 registered trials of Prazosin are open; earliest completion 2026-12-31. ClinicalTrials.gov · 2026-09-01

Change in total PTSD Checklist for DSM 5 (PCL5) score; Percent Heavy Drinking Days; latest 2027-06-30

Show the evidence

Trial

  • NCT03539614
    "Predicting Responses to PTSD Treatment With Iris and Cardiovascular Tests"; n 87; "Change in total PTSD Checklist for DSM 5 (PCL5) score"; 2026-12-31
  • NCT04793685
    "Prazosin for Alcohol Use Disorder With Withdrawal Symptoms"; n 150; "Percent Heavy Drinking Days"; 2027-06-30
  • NCT06629077
    "Brain Blood Vessel Responses to Changes in Blood Flow"; n 36; "Change in blood flow"; 2027-01
  • NCT06629090
    "Brain Blood Vessel Responses to Changes in Blood Flow: Younger Cohort"; n 36; "Change in blood velocity"; 2027-05

recorded 2026-09-01 · last checked 2026-09-04

Which 12 trials of Prazosin posted no result?


Posted no result
12 of 12 completed trials
Registrations
NCT00450164, NCT00108420, NCT00167687, NCT00148837, NCT00487032 and NCT00261729, and 6 more
Completion dates
oldest 2004-06; newest 2022-01-31
Show the evidence

Trial

  • NCT00450164
    2004-06
  • NCT00108420
    2007-03
  • NCT00167687
    2007-10
  • NCT00148837
    2008-12
  • NCT00487032
    2009-05
  • NCT00261729
    2009-12
6 further recorded trials
  • NCT00175682
    2011-07-28
  • NCT02193256
    2015-06
  • NCT00223717
    2017-01
  • NCT02431936
    2019-04-16
  • NCT04467931
    2020-12-31
  • NCT04108104
    2022-01-31

At the median, Prazosin's trials enrolled 36 people — anything larger?


Median enrolment
36
Largest enrolment
22213
Registered trials counted
58

What do 354 spontaneous reports say about Prazosin — and not say?


These are reports people sent to a regulator. They do not show the medicine caused the reaction. Nobody counted how many people took the medicine and reported nothing. The same event can be reported more than once, and many reports are incomplete. News coverage, lawsuits and new warnings change how often people report. A count is not a rate and not a risk.

Prazosin appears in spontaneous reports to regulators. Across the 10 most-reported reaction terms, 354 reaction mentions were counted: hypotension 80; dizziness 43; drug hypersensitivity 37; syncope 36. open-targets-adr · CHEMBL1558 · 2026-06-24

Show the evidence
  • hypotension
    80
  • dizziness
    43
  • drug hypersensitivity
    37
  • syncope
    36
  • drug interaction
    30
  • acute kidney injury
    28
4 more recorded rows
  • fall
    28
  • sinus bradycardia
    26
  • toxicity to various agents
    24
  • atrioventricular block first degree
    22

recorded 2026-06-24 · last checked 2026-09-04

Was Prazosin studied with exercise?


exercise is named in Prazosin's label sentences: "In a double-blinded, counterbalanced, randomized and placebo-controlled design, nine healthy participants performed a maximal-exercise test, and two 30 min sessions of semi-recumbent cycling exercise at 50% peak output following either placebo or α<sub>1</sub> -adrenergic blockade (prazosin; 0.05…" openfda-label+europepmc · 2016-12-29

1 recorded statement; exercise

Show the evidence
  • exercise
    In a double-blinded, counterbalanced, randomized and placebo-controlled design, nine healthy participants performed a maximal-exercise test, and two 30 min sessions of semi-recumbent cycling exercise at 50% peak output following either placebo or α<sub>1</sub> -adrenergic blockade (prazosin; 0.05 mg kg<sup> -1</sup> ).

recorded 2016-12-29 · last checked 2026-09-04

What is recorded about Prazosin and mTOR?


"The activation of PI3K/Akt/mTOR signaling pathway was significantly suppressed by prazosin via reducing the phosphorylation of Akt and mTOR." — where Prazosin and mTOR appear together. Europe PMC · pathway abstract search · 2020-01-17

mTOR, AMPK, autophagy, NAD+; PMID 31954876, 21614555, 11287819, 16113694

Show the evidence

mTOR

  • PMID 31954876
    "The activation of PI3K/Akt/mTOR signaling pathway was significantly suppressed by prazosin via reducing the phosphorylation of Akt and mTOR."
  • PMID 31954876
    "These results highlight an anti-cancer activity of prazosin on AML by inhibiting the PI3K/Akt/mTOR pathway and targeting TNS1."
  • PMID 21614555
    "Western blot analysis of phosphorylated proteins showed that exposure to prazosin increased the levels of phospho-p53 and phospho-adenosine monophosphate-activated protein kinase (AMPK) but dramatically decreased the levels of phospho-mammalian target of rapamycin (mTOR), phospho-protein kinase B (Akt), and phospho-ribosomal protein S6 kinase (p70S6K)."
  • AMPK PMID 21614555
    "Western blot analysis of phosphorylated proteins showed that exposure to prazosin increased the levels of phospho-p53 and phospho-adenosine monophosphate-activated protein kinase (AMPK) but dramatically decreased the levels of phospho-mammalian target of rapamycin (mTOR), phospho-protein kinase B (Akt), and phospho-ribosomal protein S6 kinase (p70S6K)."

autophagy

  • PMID 21614555
    "Furthermore, although pretreatments with the pharmacological autophagy inhibitor 3-methyladenine and the p53 inhibitor pifithrin-α suppressed prazosin-induced AVO formation, they did not reverse prazosin-induced decline in cell viability but enhanced prazosin-induced caspase-3 activation."
  • PMID 21614555
    "From these results we suggest that prazosin induces autophagic cell death via a p53-mediated mechanism."
  • PMID 21614555
    "When the autophagy pathway was inhibited, prazosin still induced programmed cell death, at least in part through apoptotic caspase-3 cascade enhancement."

NAD+

  • PMID 11287819
    "To address this controversy, we evaluated the effects of two vasoactive compounds, alpha(1)-adrenoceptor antagonist prazosin and antioxidant DL-alpha-lipoic acid, as well as sorbitol dehydrogenase inhibitor (SDI-157) and aldose reductase inhibitor (sorbinil) on retinal free mitochondrial and cytosolic NAD+/NADH ratios in streptozotocin-diabetic rats."
  • PMID 16113694
    "Except in the thoracic aortas of alpha(1BD)-KO mice, the competitive antagonist prazosin inhibited the contraction response to NAd with high affinity."
  • AMPK PMID 15127134
    "With beta-AR activation by ISO or NE (pretreated with a selective blocker of the alpha(1)-adrenoceptor prazosin) for 48 h, both the glucose uptake and AMPK phosphorylation increased significantly compared with unstimulated cardiomyocytes."
  • NAD+ PMID 9650801
    "Spiperone and methiothepin inhibited the 3H-NAD-299 accumulation at 10 micromol/kg s.c. The alpha1-adrenoceptor antagonist, prazosin at 2 micromol/kg s.c. increased significantly the specific accumulation of 3H-NAD-299."

recorded 2020-01-17 · last checked 2026-09-04

Where it is registered
Identifiers, relations and other names

The exact record

ChEMBL id
CHEMBL1558
PubChem CID
68546
CAS number
19237-84-4
RxCUI
203210
InChIKey
IENZQIKPVFGBNW-UHFFFAOYSA-N
Also called
PRAZOSIN HYDROCHLORIDE, Prazosina, Prazosine, alpress, MINIZIDE COMPONENT PRAZOSIN HYDROCHLORIDE, PIPERAZINE, 1-(4-AMINO-6,7-DIMETHOXY-2-QUINAZOLINYL)-4-(2-FURANYLCARBONYL)-, MONOHYDROCHLORIDE, PRAZOSIN HYDROCHLORIDE [EP IMPURITY], PRAZOSIN HYDROCHLORIDE [EP MONOGRAPH], PRAZOSIN HYDROCHLORIDE [HSDB], PRAZOSIN HYDROCHLORIDE [JAN], PRAZOSIN HYDROCHLORIDE [MART.]
Trade name
Alphavase 0.5, Alphavase 1, Alphavase 2, Alphavase 5, Hypovase, Hypovase b.d., Kentovace, Minipress, Minipress xl
Development code
CP-12,299-1, CP-12299-1, NSC-292810, CP-122991
Salt form
Prazosin hcl, Prazosin hydrochloride component of minizide, Prazosin Hydrochloride / Minipress / Minipress Xl
Sources (11)

Sources

  • ClinicalTrials.gov clinicaltrials.gov ·
  • ClinicalTrials.gov ClinicalTrials.gov API v2 snapshot 2026-09-01T09:00:05 ·
  • this record's own fields 2,3,5 ·
  • Europe PMC dose-response search ·
  • Europe PMC pathway abstract search ·
  • Europe PMC search ·
5 more sources

ClinicalTrials.gov — US Government work · Europe PMC — metadata only, under the recorded legal gate · Open Targets 26.06 — CC0 · derived from this page's own recorded fields; no external licence · mixed register set; per-register licences in docs/specs/corpus-20k-sources.md · openFDA / DailyMed — US Government work

How these records are assembled · Which registers were checked

Index-quality checks
  • identity passed: no open identity hold
  • required summary fields resolved: 5 required field(s) not terminal: Why people use it, Best-supported result, Most important common problem, Biggest unanswered question, Human evidence
  • public claims reviewed: 0 reviewed claim(s); drafts are never rendered
  • source coverage passed: 11 source rows
  • no critical contamination: no quarantine open
  • canonical metadata passed: slug and display name present
  • no raw internal fields: enforced by the copy-contract test over the rendered page

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