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Molecule

Tamsulosin

Also known as tamsulosin hydrochloride
Available on requestNephrology and urology
Presentations
1
Brands
0
Manufacturers
0
Available from stock
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Tamsulosin is an alpha-adrenergic blocker indicated for the treatment of the signs and symptoms of benign prostatic hyperplasia (BPH), among other approved uses. It is available as capsules for oral use. MedsAcross supplies Tamsulosin for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Alpha-Adrenergic Blocker, Adrenergic alpha-Antagonists
ATC classification
G04CA02 Tamsulosin · Urology medicines, subgroup G04C, subgroup G04CA
US FDA first approval
15 April 1997
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Capsule
Identifiers
UNII G3P28OML5IRxCUI 77492CAS 106133-20-4DrugBank DB00706Q418480

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

Tamsulosin hydrochloride capsules are indicated for the treatment of the signs and symptoms of benign prostatic hyperplasia (BPH). Tamsulosin hydrochloride capsules are not indicated for the treatment of hypertension. Tamsulosin hydrochloride capsules are an alpha 1 adrenoceptor antagonist indicated for treatment of the signs and symptoms of benign prostatic hyperplasia.

Source: US FDA prescribing information

How it works

The symptoms associated with benign prostatic hyperplasia (BPH) are related to bladder outlet obstruction, which is comprised of two underlying components: static and dynamic. The static component is related to an increase in prostate size caused, in part, by a proliferation of smooth muscle cells in the prostatic stroma. However, the severity of BPH symptoms and the degree of urethral obstruction do not correlate well with the size of the prostate. The dynamic component is a function of an increase in smooth muscle tone in the prostate and bladder neck leading to constriction of the bladder outlet. Smooth muscle tone is mediated by the sympathetic nervous stimulation of alpha 1 adrenoceptors, which are abundant in the prostate, prostatic capsule, prostatic urethra, and bladder neck.

Source: US FDA prescribing information

Dosing overview

Tamsulosin hydrochloride capsules 0.4 mg once daily is recommended as the dose for the treatment of the signs and symptoms of BPH. It should be administered approximately one-half hour following the same meal each day. Tamsulosin hydrochloride capsules should not be crushed, chewed or opened. For those patients who fail to respond to the 0.4 mg dose after 2 to 4 weeks of dosing, the dose of tamsulosin hydrochloride capsules can be increased to 0.8 mg once daily. Tamsulosin hydrochloride capsules 0.4 mg should not be used in combination with strong inhibitors of CYP3A4 (e.g., ketoconazole). If tamsulosin hydrochloride capsules administration is discontinued or interrupted for several days at either the 0.4 mg or 0.8 mg dose, therapy should be started again with the 0.4 mg once-daily dose. 0.4 mg once daily taken approximately one-half hour following the same meal each day.

Source: US FDA prescribing information

Contraindications

Tamsulosin hydrochloride capsules are contraindicated in patients known to be hypersensitive to tamsulosin hydrochloride or any component of tamsulosin hydrochloride capsules. Reactions have included skin rash, urticaria, pruritus, angioedema, and respiratory symptoms. Contraindicated in patients known to be hypersensitive to tamsulosin hydrochloride or any component of tamsulosin hydrochloride capsules

Source: US FDA prescribing information

Warnings and precautions

Advise patients about the possibility of symptoms related to postural hypotension and to avoid situations where injury could result should syncope occur. Should not be used in combination with strong inhibitors of CYP3A4. Use with caution in combination with moderate inhibitors of CYP3A4, with strong or moderate inhibitors of CYP2D6, in patients known to be CYP2D6 poor metabolizers, or in combination with other cytochrome P450 inhibitors. Should not be used in combination with other alpha adrenergic blocking agents. Exercise caution with concomitant administration of warfarin. Advise patients about the possibility and seriousness of priapism. Intraoperative Floppy Iris Syndrome has been observed during cataract and glaucoma surgery in some patients.

Source: US FDA prescribing information

Side effects

The most common adverse events (≥2% of patients and at a higher incidence than placebo) with the 0.4 mg dose or 0.8 mg dose were headache, dizziness, rhinitis, infection, abnormal ejaculation, asthenia, back pain, diarrhea, pharyngitis, chest pain, cough increased, somnolence, nausea, sinusitis, insomnia, libido decreased, tooth disorder, and blurred vision

Source: US FDA prescribing information

Interactions

Tamsulosin hydrochloride capsules 0.4 mg should not be used with strong inhibitors of CYP3A4 (e.g., ketoconazole). Tamsulosin hydrochloride capsules should be used with caution in combination with moderate inhibitors of CYP3A4 (e.g., erythromycin), in combination with strong (e.g., paroxetine) or moderate (e.g., terbinafine) inhibitors of CYP2D6, or in patients known to be CYP2D6 poor metabolizers, particularly at a dose higher than 0.4 mg (e.g., 0.8 mg). Concomitant use of PDE5 inhibitors with tamsulosin can potentially cause symptomatic hypotension

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

1 presentations of Tamsulosin, sorted by availability.

MedicineManufacturerRegisterAvailability
Tamsulosin 0.4 mg capsuleOralGeneric name—US FDAAvailable on request

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 15 April 1997Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Tamsulosin in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Tamsulosin available for export from India?

Yes, on request. MedsAcross lists 1 presentations of Tamsulosin and sources them for licensed hospitals, importers and physicians against valid import documents.

Is Tamsulosin approved by the US FDA?

Yes. The US FDA first approved Tamsulosin on 15 April 1997, according to Drugs@FDA.

Does Tamsulosin need cold chain shipping?

No listed presentation of Tamsulosin is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Tamsulosin in?

Tamsulosin is classified under ATC code G04CA02 (Tamsulosin).

References

  1. Tamsulosin hydrochloride prescribing information (Synthon). U.S. National Library of Medicine, DailyMed. Retrieved 27 October 2026

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