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Prescribing Information
CARDURA® XL (doxazosin mesylate extended release tablets)
Overdosage
Return to the CARDURA XL Product Center

There is no experience with CARDURA XL overdosage. Overdosage experience with the doxazosin IR is limited. Two adolescents who each intentionally ingested 40 mg doxazosin IR with diclofenac or paracetamol were treated with gastric lavage with activated charcoal and made full recoveries. A two-year-old child who accidentally ingested 4 mg doxazosin IR was treated with gastric lavage and remained normotensive during the five-hour emergency room observation period. A six-month-old child accidentally received a crushed 1 mg tablet of doxazosin IR and was reported to have been drowsy. A 32-year-old female with chronic renal failure, epilepsy and depression intentionally ingested 60 mg doxazosin IR (blood level 0.9 μg/mL; normal values in hypertensives=0.02 μµg/mL); death was attributed to a grand mal seizure resulting from hypotension. A 39-year-old female who ingested 70 mg doxazosin IR, alcohol and Dalmane® (flurazepam) developed hypotension which responded to fluid therapy.

The most likely manifestation of overdosage would be hypotension, for which the usual treatment would be intravenous infusion of fluid, keeping the patient in the supine position, and in certain circumstances, the administration of vasopressors. As doxazosin is highly protein bound, dialysis would not be indicated.


CARDURA XL Safety Information
 

Important Safety Information

CARDURA XL is contraindicated in patients with a known sensitivity to other quinazolines (eg, prazosin, terazosin), doxazosin, or any of the inert ingredients. Postural hypotension with or without symptoms (eg, dizziness) may develop within a few hours following administration of CARDURA XL. However, infrequently, symptomatic postural hypotension has also been reported more than a few hours after dosing.

As with other alpha blockers, there is a potential for syncope, especially after the initial dose or after an increase in dosage strength. Patients should be warned of the possible occurrence of such events and should avoid situations where injury could result should syncope occur. Prior to commencing therapy with CARDURA XL, carcinoma of the prostate should be ruled out. Intraoperative floppy iris syndrome (IFIS) has been observed during cataract surgery in some patients on or previously treated with alpha1 blockers.

Caution should be used when administering CARDURA XL to patients with preexisting severe gastrointestinal tract narrowing, chronic constipation, or evidence of mild or moderate hepatic dysfunction. Use in patients with severe hepatic impairment is not recommended.

The most commonly reported adverse events occurring in >2% of patients were: headache, dizziness, respiratory tract infection, asthenia, and back pain.

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