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Cardura 4 mg XL tab

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Medication Name: Cardura 4 mg XL tablets
Active Ingredient: Doxazosin mesylate 4 mg (extended-release)
Drug Class: Alpha-1 adrenergic blocker


Indications:

Cardura XL is used for:

  1. Hypertension (high blood pressure) – lowers blood pressure by relaxing blood vessels.

  2. Benign prostatic hyperplasia (BPH) – relieves urinary symptoms caused by an enlarged prostate, such as:

    • Difficulty starting urination

    • Weak urine stream

    • Frequent or urgent urination


Mechanism of Action:

Doxazosin blocks alpha-1 adrenergic receptors in:

  • Blood vessels → causes vasodilation, reducing blood pressure.

  • Prostate and bladder neck → relaxes smooth muscles, improving urine flow in BPH.

Extended-release (XL) form: provides steady blood levels over 24 hours, allowing once-daily dosing with reduced fluctuations and fewer side effects.


Dosage and Administration:

  • Usual dose: 4 mg once daily, preferably in the morning or evening as prescribed.

  • Take exactly as prescribed, do not crush, chew, or split the XL tablet.

  • Dose may be adjusted by the physician based on blood pressure response or BPH symptom relief.

  • Can be taken with or without food.


Side Effects:

  • Dizziness or lightheadedness (especially when standing)

  • Fatigue or drowsiness

  • Headache

  • Swelling of legs or feet (edema)

  • Nasal congestion

  • Palpitations

  • Rarely, fainting or severe drop in blood pressure


Warnings and Precautions:

  • First-dose hypotension: risk of sudden drop in blood pressure, especially after the first dose; stand up slowly.

  • Use caution if you have: liver disease, heart disease, or low blood pressure.

  • Inform your doctor about other medications that may lower blood pressure.

  • Not suitable for crushing or splitting, as this destroys the extended-release mechanism.


Storage:

Store below 25°C, in a dry place away from direct sunlight.

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