HomeNDC LookupIngredientsTamsulosin Hydrochloride › 76282-0744-05
Tamsulosin hydrochloride .4 mg Capsule, 500-count — NDC 76282-0744-05 package photo

Tamsulosin hydrochloride .4 mg Capsule, 500-count

by EXELAN PHARMACEUTICALS, INC. · 500 CAPSULE in 1 BOTTLE (76282-744-05)
NDC 76282-0744-05
🏷️ FDA NDC (as labeled) 76282-744-05 billing pads the product segment with a zero
This package
Contains500-count Cost per ea$0.0509 NADAC Per package$25.45 / 500 capsules Pack sizes2 compare ↓
Also priced by: Medicaid pays $0.3298/unit · Part D plans $0.1304/unit — full pricing hub ↓
Also comes in: 90 capsules 76282-0744-90
Rx only Generic On market Non-controlled
🗂️ Data synced Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

🆔 Identity & classification

FDA NDC (as labeled) 76282-744-05
Product NDC 76282-744
11-digit billing NDC 76282074405
NCPDP billing unit EA — each (per item)
RxCUI 863669
UNII 11SV1951MR
Application # ANDA078801
SPL Set ID db6cb771-2cff-40b7-a5ef-ea3cf2a3b461
Established class (EPC) alpha-Adrenergic Blocker
Mechanism of action Adrenergic alpha-Antagonists
DEA schedule Non-controlled
Marketing category ANDA
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2024-03-01
Route ORAL
Dosage form CAPSULE
Substance TAMSULOSIN HYDROCHLORIDE
GPI-14 56852070100110
GCN Seq No 027546
GCN 48191
HICL code 013864
Ingredient (HICL) Tamsulosin Hcl
HIC1 code Q
Therapeutic class — broad (HIC1) Ear/Eye/Nose/Rectum/Topical/Vagina/Other
HIC2 code Q9
Therapeutic class — intermediate (HIC2) Urological Preparations
HIC3 code Q9B
Therapeutic class — specific (HIC3) Benign Prostatic Hypertrophy/Micturition Agents
AHFS code 12:16.04.12
AHFS class Selective Alpha-1-Adrenergic Block.agent
FDB label name TAMSULOSIN HCL 0.4 MG CAPSULE
FDB brand name Tamsulosin Hcl
Legend status F — Federal legend — prescription drug or device
TE code (Orange Book) AB · RLD · RS
Why two NDCs? The FDA registers this code as 76282-744-05 — a 5-3-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the product segment → 76282-0744-05. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

🏷️ RxNorm drug class

This medicine belongs to the alpha-Adrenergic Blocker class.

Pharmacologic class alpha-Adrenergic Blocker
Drug family (ATC) Alpha-adrenoreceptor antagonists
How it works Adrenergic alpha-Antagonists
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

🏭 Manufacturer & labeler

LabelerEXELAN PHARMACEUTICALS, INC.
Application holderSYNTHON BV
FDA applicationANDA078801 (ANDA)
Labeler code76282
First marketedMar 2024
Product typeHuman Prescription Drug
Portfolio78 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

🩺 Clinical

Label name TAMSULOSIN HCL 0.4 MG CAPSULE Ingredient Tamsulosin Hcl
📖 What it is MedlinePlus · NLM

Tamsulosin is used to treat benign prostatic hyperplasia (BPH; enlarged prostate that can cause difficulty urinating, painful urination or increased urinary frequency or urgency). Tamsulosin is in a class of medications called alpha blockers. It works by relaxing the muscles in the prostate and bladder so that urine can flow easily.

Read the full MedlinePlus article ↗
📗 Our plain-language guide HelloPharmacist
  • Tamsulosin is designed to ease the urinary symptoms caused by an enlarged prostate — things like a weak stream, straining to start, or feeling like you haven't fully emptied your b...
  • What exactly is tamsulosin supposed to do for me?
  • Take it once a day, about 30 minutes after the same meal each day — for example, every morning after breakfast. Consistency matters here. Swallow the capsule whole; don't crush, ch...
  • It can, yes — this is one of the more common side effects, and it's worth knowing about upfront. Some men notice reduced ejaculation volume or what's called retrograde ejaculation,...
📖 Read our full Tamsulosin guide →
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

💊 What it looks like

Color green / orange
Shapecapsule
ImprintTSL;0;4
Size19 mm
ScoringNot scored
One label can cover several strengths, so colors may be combined — always confirm a loose pill against the dispensed prescription label or a pharmacist.
Where does this data come from?
Physical description (imprint, shape, color, scoring, coating) from this product’s FDA Structured Product Labeling (SPL), mirrored from DailyMed / openFDA.

🧪 Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.

  • UNII 54S68520I4
    A positively charged chemical form of ammonia, ammonium helps balance the acidity or alkalinity of a medicine and may assist in dissolving or stabilizing other ingredients.
  • UNII 8PJ61P6TS3
    Butyl alcohol is a clear liquid organic solvent derived from petroleum or natural sources. In medicines, it helps dissolve active ingredients and serves as a solvent in liquid formulations and some topical products.
  • UNII 3K9958V90M
    A liquid solvent derived from fermentation or chemical synthesis. In medicines, alcohol dissolves active ingredients, helps preserve the product, and improves how the body absorbs certain drugs.
  • UNII L06K8R7DQK
    A synthetic blue dye approved by the FDA for use in medications and foods. It serves as a colorant to make pills and liquids visually distinct and easier to identify.
  • UNII 1K09F3G675
    Ferric oxide red is an inorganic iron compound used as a colorant in medicines. It gives tablets, capsules, or other dosage forms a red or reddish tint for identification and appearance.
  • UNII EX438O2MRT
    Ferric oxide yellow is a naturally occurring iron compound used as a colorant in medications. It gives tablets, capsules, and other forms a yellow or golden hue for identification and appearance.
  • UNII XM0M87F357
    A dark iron oxide compound that gives medicines their black or dark color. It's used as a colorant in tablets and capsules to help identify the product and make it visually distinctive.
  • UNII 2G86QN327L
    Gelatin is a protein derived from animal collagen, commonly used in medicines as a gelling agent and capsule material. It helps create soft or hard capsule shells that hold and release medication, and can also thicken liquid formulations.
  • UNII ND2M416302
    Isopropyl alcohol is a clear liquid solvent derived from petroleum. In medicines, it dissolves active ingredients and other components, helps the product flow smoothly, and aids in sterilization during manufacturing.
  • UNII NX76LV5T8J
    A synthetic plastic polymer made from methacrylic acid and ethyl acrylate. It's used as a coating or binder to control how and where the medicine dissolves in your digestive system.
  • UNII OP1R32D61U
    Microcrystalline cellulose is a purified form of cellulose, a natural fiber from plant sources. It acts as a binder and filler in tablets and capsules, helping hold ingredients together and give the medicine its shape and size.
  • UNII WZH3C48M4T
    Potassium hydroxide is a strong alkaline chemical used in medicines to adjust and maintain the pH level of liquid formulations, helping keep the product stable and the active ingredients effective.
  • UNII 6DC9Q167V3
    Propylene glycol is a clear liquid derived from petroleum or vegetable sources. It acts as a solvent, humectant, and preservative in medicines, helping dissolve active ingredients and maintain product stability.
  • UNII 46N107B71O
    Shellac is a natural resin secreted by the lac beetle. It's used as a coating on tablets and capsules to control how quickly the medicine dissolves and to improve appearance and stability.
  • UNII 7SEV7J4R1U
    A powder made from a naturally occurring mineral. In medicines, talc works as a glidant and anti-caking agent, helping tablets and capsules flow smoothly during manufacturing and preventing clumping.
  • UNII 15FIX9V2JP
    Titanium dioxide is a bright white mineral powder commonly used as a colorant and opacifying agent. It makes pills and tablets white or lighter in color and helps make coatings non-transparent.
  • UNII 8Z96QXD6UM
    Triethyl citrate is a clear liquid derived from citric acid. It acts as a plasticizer and solvent in tablet coatings and film formulations, helping the coating remain flexible and adhere properly to the medicine.
  • UNII 059QF0KO0R
    Water is a liquid solvent that dissolves and mixes ingredients together in liquid medicines, syrups, and injections. It helps distribute the active drug evenly throughout the product.

18 inactive ingredients listed in the exact product block matched to this NDC.

Where does this data come from?
Data sourced from official FDA Structured Product Labeling (SPL) via DailyMedingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

💲 Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer eaPer package
Retail pharmacies payNADAC · weekly $0.051 $25.45 / 500 capsules
Medicaid paysCMS SDUD · 12 mo $0.3298 $164.90 / 500 capsules
Medicare drug plans payPart D · Q2 2026 $0.1304 $65.20 / 500 capsules
NADAC price history (per ea) — tap or hover for the price & month
Dec 2025 Feb 2026 May 2026 Aug 2026 $0.052 $0.049
▼ Down 1% over the last 9 months.
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

🔁 Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Tamsulosin Hydrochloride .4 mg 00904-7383-61 Major 100 capsules $0.051 AB Availability likely
Tamsulosin Hydrochloride .4 mg 50268-0740-15 AvPAK 50 capsules $0.051 AB Availability likely
Tamsulosin Hydrochloride .4 mg 57237-0014-01 Rising 100 capsules $0.051 AB Availability likely
Tamsulosin Hydrochloride .4 mg 62135-0775-30 Chartwell 30 capsules $0.051 AB Availability likely
Tamsulosin Hydrochloride .4 mg 65862-0598-01 Aurobindo 100 capsules $0.051 Availability likely
Tamsulosin Hydrochloride .4 mg 67877-0450-01 Ascend 100 capsules $0.051 AB Availability likely
Tamsulosin Hydrochloride .4 mg 68084-0299-01 American 100 capsules $0.051 AB Availability likely
Tamsulosin Hydrochloride .4 mg 68382-0132-01 Zydus 100 capsules $0.051 AB Availability likely
Tamsulosin Hydrochloride .4 mg 72603-0115-01 NorthStar 100 capsules $0.051 AB Availability likely
Tamsulosin hydrochloride .4 mgthis 76282-0744-05 EXELAN 500 capsules $0.051 AB Availability likely
Tamsulosin Hydrochloride .4 mg 82009-0025-10 Quallent 1000 capsules $0.051 AB Availability likely
tamsulosin hydrochloride .4 mg 00781-2076-01 Sandoz 100 capsules $0.054 FDA listed +6%
Tamsulosin Hydrochloride .4 mg 00115-8211-01 Amneal 100 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 00615-8055-05 NCS 15 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 33342-0159-07 Macleods 30 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 42291-0989-10 AvKARE 1000 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 43063-0725-30 PD-Rx 30 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 43063-0947-30 PD-Rx 30 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 50090-1846-00 A-S 30 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 50090-3646-00 A-S 30 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 50090-4906-00 A-S 90 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 50090-5553-00 A-S 90 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 50090-6699-00 A-S 30 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 50090-6700-00 A-S 90 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 51407-0879-90 Golden 90 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 51655-0832-52 Northwind 30 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 55154-2142-00 Cardinal 10 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 55154-2636-00 Cardinal 10 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 60760-0598-90 St. 90 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 61919-0703-90 DIRECT 5904900000 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 62756-0160-08 Sun 100 capsules FDA listed
Tamsulosin Hydrochloride .4 mg 63187-0358-07 Proficient 7 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 63187-0371-07 Proficient 7 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 63187-0469-30 Proficient 30 capsules FDA listed
Tamsulosin Hydrochloride .4 mg 63629-4346-01 Bryant 30 capsules AB FDA listed
Tamsulosin hydrochloride .4 mg 63672-0021-09 Synthon 20000 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 65841-0695-01 Zydus 100 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 67046-1015-03 Coupler 30 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 67296-2220-01 Redpharm 7 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 68071-1840-01 NuCare 100 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 68071-2561-01 NuCare 10 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 68071-4443-01 NuCare 10 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 68071-4872-09 NuCare 90 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 68071-5118-01 NuCare 100 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 68788-7050-01 Preferred 100 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 70518-0179-00 REMEDYREPACK 30 capsules AB Discontinued
Tamsulosin Hydrochloride .4 mg 70518-2052-00 REMEDYREPACK 90 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 71205-0217-07 Proficient 7 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 71205-0688-07 Proficient 7 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 71335-0398-01 Bryant 30 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 71335-1538-01 Bryant 30 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 71335-1784-01 Bryant 30 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 71610-0724-30 Aphena 30 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 71610-0738-30 Aphena 30 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 71610-0835-30 Aphena 30 capsules AB FDA listed
Tamsulosin hydrochloride .4 mg 71610-0910-30 Aphena 30 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 72162-2217-05 Bryant 500 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 72162-2502-00 Bryant 1000 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 72162-2509-01 Bryant 100 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 72865-0282-01 XLCare 100 capsules AB FDA listed
tamsulosin hydrochloride .4 mg 72865-0350-05 XLCare 500 capsules AB FDA listed
Tamsulosin Hydrochloride .4 mg 68788-4145-01 Preferred 100 capsules AB FDA listed
About this product: this is a generic version of the medicine. FDA equivalence ratings are shown when available, and other versions are listed above, least expensive first.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
2024
On the market since
Mar 2024
📍
2026
Currently FDA-listed
2 years listed
🔓
·
Generic on the market
this product is a generic
This is a generic drug

This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

🗺️ Medicaid utilization & spend

📍 This exact package only: Medicaid data is reported per full 11-digit NDC — labeler, product and pack size — so every number here is for 76282-0744-05, not the drug overall. Other pack sizes report separately.
💊 Pharmacy benefit only: These are Medicaid outpatient pharmacy claims, billed by NDC. They exclude the medical benefit — clinic- or hospital-administered drugs billed under HCPCS J-codes — so drugs used mostly that way (e.g. Avastin, Lucentis, Keytruda) can look low or missing here. That’s expected, not an error.
📅 Q1 2025 – Q4 2025 · 4 quarters of data
ⓘ The newest quarter is usually incomplete when first published; states restate recent quarters in later CMS releases, so the latest figures typically revise upward. State coverage-policy changes can also shift quarter-to-quarter totals.
Prescriptions last 4 qtrs
4.4K
Units reimbursed last 4 qtrs
187.4K
Gross reimbursed last 4 qtrs
$61.8K
Avg / prescription
$13.92
Avg / unit
$0.3298
Latest quarter Q4 2025
927Rx
Medicaid pays / ea
$0.3298
gross reimbursed
vs
NADAC / ea
$0.0509
acquisition cost
=
Spread
+$0.2789
+548% vs cost
What Medicaid paid per ea (before rebates; includes the pharmacy’s dispensing fee) compared with NADAC — the average price pharmacies pay to buy the drug. A positive spread means Medicaid reimbursed more than the purchase price, before manufacturer rebates.
Fee-for-service vs managed care
45% FFS 55% MCO
Fee-for-service · 2,014 Rx Managed care · 2,429 Rx
State Medicaid map
Alaska: 8,517 units · 1,162 per 100k residents AK Maine: no data reported ME Washington: 8,147 units · 104 per 100k residents WA Idaho: no data reported ID Montana: 625 units · 55.2 per 100k residents MT North Dakota: no data reported ND Minnesota: no data reported MN Wisconsin: 780 units · 13.2 per 100k residents WI Michigan: 7,808 units · 77.8 per 100k residents MI New York: 66,047 units · 337 per 100k residents NY Vermont: no data reported VT New Hampshire: no data reported NH Oregon: no data reported OR Nevada: no data reported NV Wyoming: no data reported WY South Dakota: 1,334 units · 145 per 100k residents SD Iowa: no data reported IA Illinois: 660 units · 5.3 per 100k residents IL Indiana: no data reported IN Ohio: 6,952 units · 59.0 per 100k residents OH Pennsylvania: 8,383 units · 64.7 per 100k residents PA New Jersey: 11,831 units · 127 per 100k residents NJ Massachusetts: no data reported MA California: 15,658 units · 40.2 per 100k residents CA Utah: no data reported UT Colorado: 1,000 units · 17.0 per 100k residents CO Nebraska: no data reported NE Missouri: no data reported MO Kentucky: 5,629 units · 124 per 100k residents KY West Virginia: 940 units · 53.1 per 100k residents WV Virginia: no data reported VA Maryland: 2,629 units · 42.5 per 100k residents MD Connecticut: no data reported CT Rhode Island: no data reported RI Arizona: no data reported AZ New Mexico: no data reported NM Kansas: 296 units · 10.1 per 100k residents KS Arkansas: 1,919 units · 62.6 per 100k residents AR Tennessee: 1,116 units · 15.7 per 100k residents TN North Carolina: no data reported NC South Carolina: no data reported SC Delaware: no data reported DE Oklahoma: 1,618 units · 39.9 per 100k residents OK Louisiana: 1,544 units · 33.8 per 100k residents LA Mississippi: 420 units · 14.3 per 100k residents MS Alabama: no data reported AL Georgia: no data reported GA D.C.: no data reported DC Hawaii: no data reported HI Texas: 1,860 units · 6.1 per 100k residents TX Florida: 3,237 units · 14.3 per 100k residents FL
Units reimbursed · per 100k residents
5.31,162
gray = no data reported
Colors are per 100,000 residents, so big states don’t automatically dominate. Tap or hover a state for its actual totals.
Tap or hover a state
…for its Medicaid breakdown
🏆 Top states by units · per 100k residents
1 Alaska 1,162 /100k
2 New York 337 /100k
3 South Dakota 145 /100k
4 New Jersey 127 /100k
5 Kentucky 124 /100k
6 Washington 104 /100k
7 Michigan 77.8 /100k
8 Pennsylvania 64.7 /100k
National units — by quarter
💵 About the dollar figures: “reimbursed” is what Medicaid paid pharmacies before confidential manufacturer rebates, so the program’s real net cost is lower than these numbers. Fee-for-service and managed-care claims are combined unless split above. Source: CMS State Drug Utilization Data; per-100k rates use 2023 Census population estimates.

💊 Medicaid utilization by pack size

Medicaid (SDUD) totals over the four most recent reported quarters for every package size of this drug — handy when a specific package (e.g. a starter/titration pack) carries little or no Medicaid volume on its own.
90 capsules76282-0744-90 No Medicaid data
Drug total (last 4 qtrs): 4,676 Rx · 195,663 units · $57,786 gross reimbursed
Tap a pack size to open its page. Source: CMS State Drug Utilization Data, last 4 quarters.

🔬 Reported adverse events (FAERS)

Read carefully: FAERS reports are voluntary and unverified. Counts are not incidence, do not establish causation, are subject to reporting bias, and cannot be used to compare one drug to another. Shown for signal context only. Reports for Tamsulosin Hydrochloride — the ingredient across all brands.

Top reported reactions

Fatigue1,552
Dyspnoea1,477
Dizziness1,307
Diarrhoea1,268
Headache991
Fall938
Asthenia923

Reporter sex

21,328 reports
Male · 95%
Female · 5%
Unknown · 0%

Serious outcomes

Death2,262
Disabling709
Reports over time (by year) — tap or hover for the count & year
2019 2021 2023 2026 3,272 0
Most recent year is provisional (FAERS lags ~3 months).
Where does this data come from?
Adverse-event reports from the FDA Adverse Event Reporting System (FAERS) via openFDA. FAERS reports are voluntary and unverified — counts are not incidence and don’t establish causation.

📦 Packaging — all sizes for this product

Package NDCDescription Per unit Per pack Marketing startStatus
76282-0744-05 You're viewing this 500 CAPSULE in 1 BOTTLE (76282-744-05) $0.0509 / ea $25.47 2024-03-01 Active
76282-0744-90 90 CAPSULE in 1 BOTTLE (76282-744-90) $0.0509 / ea $4.58 2025-03-14 Active

You're viewing the largest of 2 pack sizes for this product.

This pack has the lowest per-ea cost of the 2 priced pack sizes ($0.0509 NADAC).

In Medicaid, this is the most-dispensed pack of this product — about 100% of fills over the last four reported quarters. See all packs ↓

Pack size FAQ

What quantity is in NDC 76282-0744-05?
NDC 76282-0744-05 is a 500-count package — 500 capsule in 1 bottle.
What is the difference between NDC 76282-0744-05 and NDC 76282-0744-90?
Both are Tamsulosin hydrochloride .4 mg Capsule — the drug itself is identical. NDC 76282-0744-05 is the 500-count package, while NDC 76282-0744-90 is the 90 capsules package.
What NDC number is used to bill for this package of Tamsulosin hydrochloride .4 mg Capsule?
Bill NDC 76282-0744-05 — the 11-digit billing format is 76282074405. Pharmacy and medical claims use the 11-digit form; the FDA label may print a shorter form of the same code.

Prices are the latest CMS NADAC pharmacy acquisition cost per NDC; per-pack figures are per-unit × pack quantity, shown only when the pack is denominated in the same measure NADAC prices.

📄 Full prescribing information FDA SPL

The complete FDA label for this product — the official prescribing information, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage 77 words

1 INDICATIONS AND USAGE Tamsulosin hydrochloride capsules are indicated for the treatment of the signs and symptoms of benign prostatic hyperplasia (BPH) [see Clinical Studies ( 14 )]. 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 ( 1 ) Tamsulosin hydrochloride capsules are not indicated for the treatment of hypertension ( 1 )

⏱️ Dosage and Administration 216 words

2 DOSAGE AND ADMINISTRATION 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) [see Warnings and Precautions ( 5.2 )] . 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.

0.4mg once daily taken approximately one-half hour following the same meal each day. Tamsulosin hydrochloride capsules should not be crushed, chewed or opened. ( 2 ) Can be increased to 0.8 mg once daily for patients who fail to respond to the 0.4 mg dose after 2 to 4 weeks of dosing ( 2 ) If discontinued or interrupted for several days, therapy should start again with the 0.4 mg once-daily dose ( 2 )

💊 Dosage Forms and Strengths 35 words

3 DOSAGE FORMS AND STRENGTHS Capsule: 0.4 mg, olive green opaque cap and an orange opaque body. The cap is imprinted with the code "TSL 0.4" in black ink. Capsules: 0.4 mg ( 3 )

Contraindications 62 words

4 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 [see Adverse Reactions ( 6.2 )]. Contraindicated in patients known to be hypersensitive to tamsulosin hydrochloride or any component of tamsulosin hydrochloride capsules ( 4 , 6.2 )

⚠️ Warnings and Cautions ~3 min read

5 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 ( 5.1 ) 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. ( 5.2 , 7.1 , 12.3 ) Should not be used in combination with other alpha adrenergic blocking agents ( 5.2 , 7.2 , 12.3 ) Exercise caution with concomitant administration of warfarin ( 5.2 , 7.4 , 12.3 ) Advise patients about the possibility and seriousness of priapism ( 5.3 ) Intraoperative Floppy Iris Syndrome has been observed during cataract and glaucoma surgery in some patients.

Advise patients considering cataract or glaucoma surgery to tell their ophthalmologist that they have taken tamsulosin hydrochloride capsules. ( 5.5 ) Advise patients to be screened for the presence of prostate cancer prior to treatment and at regular intervals afterwards ( 5.4 )

5.1Orthostasis The signs and symptoms of orthostasis (postural hypotension, dizziness, and vertigo) were detected more frequently in tamsulosin hydrochloride capsule-treated patients than in placebo recipients. As with other alpha adrenergic blocking agents there is a potential risk of syncope [see Adverse Reactions ( 6.1 )] . Patients beginning treatment with tamsulosin hydrochloride capsules should be cautioned to avoid situations in which injury could result should syncope occur.

5.2Drug Interactions Tamsulosin is extensively metabolized, mainly by CYP3A4 and CYP2D6. Tamsulosin hydrochloride capsules 0.4 mg should not be used in combination with strong inhibitors of CYP3A4 (e.g., ketoconazole) [see Drug Interactions ( 7.1 ) and Clinical Pharmacology ( 12.3 )] . 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, in patients known to be CYP2D6 poor metabolizers particularly at a dose higher than 0.4 mg (e.g., 0.8 mg) [see Drug Interactions ( 7.1 ) and Clinical Pharmacology ( 12.3 )] .

Tamsulosin hydrochloride capsules should be used with caution in combination with cimetidine, particularly at a dose higher than 0.4 mg (e.g., 0.8 mg) [see Drug Interactions ( 7.1 ) and Clinical Pharmacology ( 12.3 )] . Tamsulosin hydrochloride capsules should not be used in combination with other alpha adrenergic blocking agents [see Drug Interactions ( 7.2 ) and Clinical Pharmacology ( 12.3 )]. Caution is advised when alpha adrenergic blocking agents including tamsulosin hydrochloride are coadministered with PDE5 inhibitors.

Alpha-adrenergic blockers and PDE5 inhibitors are both vasodilators that can lower blood pressure. Concomitant use of these two drug classes can potentially cause symptomatic hypotension [see Drug Interactions ( 7.3 ) and Clinical Pharmacology ( 12.3 )]. Caution should be exercised with concomitant administration of warfarin and tamsulosin hydrochloride capsules [see Drug Interactions ( 7.4 ) and Clinical Pharmacology ( 12.3 )].

5.3Priapism Rarely (probably less than 1 in 50,000 patients), tamsulosin, like other alpha 1 antagonists, has been associated with priapism (persistent painful penile erection unrelated to sexual activity). Because this condition can lead to permanent impotence if not properly treated, patients must be advised about the seriousness of the condition.

5.4Screening for Prostate Cancer Prostate cancer and BPH frequently coexist; therefore, patients should be screened for the presence of prostate cancer prior to treatment with tamsulosin hydrochloride capsules and at regular intervals afterwards.

5.5Intraoperative Floppy Iris Syndrome Intraoperative Floppy Iris Syndrome (IFIS) has been observed dur…

🤒 Adverse Reactions ~3 min read

6 ADVERSE REACTIONS 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 ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Exelan Pharmaceuticals, Inc. at 1-866-604-3268 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

6.1Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reactions rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. The incidence of treatment-emergent adverse events has been ascertained from six short-term U.S. and European placebo-controlled clinical trials in which daily doses of 0.1 to 0.8 mg tamsulosin hydrochloride capsules were used.

These studies evaluated safety in 1783 patients treated with tamsulosin hydrochloride capsules and 798 patients administered placebo. Table 1 summarizes the treatment-emergent adverse events that occurred in ≥2% of patients receiving either tamsulosin hydrochloride capsules 0.4 mg or 0.8 mg and at an incidence numerically higher than that in the placebo group during two 13-week U.S. trials (US92-03A and US93-01) conducted in 1487 men. Table 1: Treatment-Emergent * Adverse Events Occurring in ≥2% of Tamsulosin Hydrochloride Capsules or Placebo Patients in Two U.S.

Short-Term Placebo-Controlled Clinical Studies BODY SYSTEM/ ADVERSE EVENT TAMSULOSIN HYDROCHLORIDE CAPSULES GROUPS PLACEBO 0.4 mg n=502 0.8 mg n=492 n=493 * A treatment-emergent adverse event was defined as any event satisfying one of the following criteria: The adverse event occurred for the first time after initial dosing with double-blind study medication;The adverse event was present prior to or at the time of initial dosing with double-blind study medication and subsequently increased in severity during double-blind treatment; or The adverse event was present prior to or at the time of initial dosing with double-blind study medication, disappeared completely, and then reappeared during double-blind treatment. † Coding preferred terms also include cold, common cold, head cold, flu, and flu-like symptoms. ‡ Coding preferred terms also include nasal congestion, stuffy nose, runny nose, sinus congestion, and hay fever.

BODY AS WHOLE Headache 97 (19.3%) 104 (21.1%) 99 (20.1%) Infection † 45 (9.0%) 53 (10.8%) 37 (7.5%) Asthenia 39 (7.8%) 42 (8.5%) 27 (5.5%) Back pain 35 (7.0%) 41 (8.3%) 27 (5.5%) Chest pain 20 (4.0%) 20 (4.1%) 18 (3.7%) NERVOUS SYSTEM Dizziness 75 (14.9%) 84 (17.1%) 50 (10.1%) Somnolence 15 (3.0%) 21 (4.3%) 8 (1.6%) Insomnia 12 (2.4%) 7 (1.4%) 3 (0.6%) Libido decreased 5 (1.0%) 10 (2.0%) 6 (1.2%) RESPIRATORY SYSTEM Rhinitis ‡ 66 (13.1%) 88 (17.9%) 41 (8.3%) Pharyngitis 29 (5.8%) 25 (5.1%) 23 (4.7%) Cough increased 17 (3.4%) 22 (4.5%) 12 (2.4%) Sinusitis 11 (2.2%) 18 (3.7%) 8 (1.6%) DIGESTIVE SYSTEM Diarrhea 31 (6.2%) 21 (4.3%) 22 (4.5%) Nausea 13 (2.6%) 19 (3.9%) 16 (3.2%) Tooth disorder 6 (1.2%) 10 (2.0%) 7 (1.4%) UROGENITAL SYSTEM Abnormal ejaculation 42 (8.4%) 89 (18.1%) 1 (0.2%) SPECIAL SENSES Blurred vision 1 (0.2%) 10 (2.0%) 2 (0.4%) Signs and Symptoms of Orthostasis In the two U.S. studies, symptomatic postural hypotension was reported by 0.2% of patients (1 of 502) in the 0.4 mg group, 0.4% of patients (2 of 492) in the 0.8 mg group, and by no patients in the placebo group.

Syncope was reported by 0.2% of patients (1 of 502) in the 0.4 mg group, 0.4% of patients (2 of 492) in the 0.8 mg group, and 0.6% of patients (3 of 493) in the placebo group. Dizziness was reported by 15% of patients (75 of 502) in the 0.4 mg group, 17% of patients (84 of 492) in the 0.8 mg group, and 10% of patients (50 of 493) in the pl…

🔄 Drug Interactions ~3 min read

7 DRUG 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). ( 5.2 , 7.1 , 12.3 ) Concomitant use of PDE5 inhibitors with tamsulosin can potentially cause symptomatic hypotension ( 5.2 , 7.3 , 12.3 )

7.1Cytochrome P450 Inhibition Strong and Moderate Inhibitors of CYP3A4 or CYP2D6 Tamsulosin is extensively metabolized, mainly by CYP3A4 and CYP2D6. Concomitant treatment with ketoconazole (a strong inhibitor of CYP3A4) resulted in an increase in the C max and AUC of tamsulosin by a factor of 2.2 and 2.8, respectively [see Warnings and Precautions ( 5.2 ) and Clinical Pharmacology ( 12.3 )] . The effects of concomitant administration of a moderate CYP3A4 inhibitor (e.g., erythromycin) on the pharmacokinetics of tamsulosin hydrochloride capsules have not been evaluated [see Warnings and Precautions ( 5.2 ) and Clinical Pharmacology ( 12.3 )] .

Concomitant treatment with paroxetine (a strong inhibitor of CYP2D6) resulted in an increase in the C max and AUC of tamsulosin by a factor of 1.3 and 1.6, respectively [see Warnings and Precautions ( 5.2 ) and Clinical Pharmacology ( 12.3 )] . A similar increase in exposure is expected in CYP2D6 poor metabolizers (PM) as compared to extensive metabolizers (EM). Since CYP2D6 PMs cannot be readily identified and the potential for significant increase in tamsulosin exposure exists when tamsulosin hydrochloride capsules 0.4 mg are co-administered with strong CYP3A4 inhibitors in CYP2D6 PMs, tamsulosin hydrochloride capsules 0.4 mg should not be used in combination with strong inhibitors of CYP3A4 (e.g., ketoconazole) [see Warnings and Precautions ( 5.2 ) and Clinical Pharmacology ( 12.3 )] .

The effects of concomitant administration of a moderate CYP2D6 inhibitor (e.g., terbinafine) on the pharmacokinetics of tamsulosin hydrochloride capsules have not been evaluated [see Warnings and Precautions ( 5.2 ) and Clinical Pharmacology ( 12.3 )]. The effects of co-administration of both a CYP3A4 and a CYP2D6 inhibitor with tamsulosin hydrochloride capsules have not been evaluated. However, there is a potential for significant increase in tamsulosin exposure when tamsulosin hydrochloride capsules 0.4 mg are co-administered with a combination of both CYP3A4 and CYP2D6 inhibitors [see Warnings and Precautions ( 5.2 ) and Clinical Pharmacology ( 12.3 )].

Cimetidine Treatment with cimetidine resulted in a significant decrease (26%) in the clearance of tamsulosin hydrochloride, which resulted in a moderate increase in tamsulosin hydrochloride AUC (44%) [see Warnings and Precautions ( 5.2 ) and Clinical Pharmacology ( 12.3 )].

7.2Other Alpha Adrenergic Blocking Agents The pharmacokinetic and pharmacodynamic interactions between tamsulosin hydrochloride capsules and other alpha adrenergic blocking agents have not been determined; however, interactions between tamsulosin hydrochloride capsules and other alpha adrenergic blocking agents may be expected [see Warnings and Precautions ( 5.2 ) and Clinical Pharmacology ( 12.3 )].

7.3PDE5 Inhibitors Caution is advised when alpha adrenergic blocking agents including tamsulosin hydrochloride capsules are co-administered with PDE5 inhibitors. Alpha-adrenergic blockers and PDE5 inhibitors are both vasodilators that can lower blood pressure. Concomitant use of these two drug classes can potentially cause symptomatic hypotension [see Warnings and Precautions ( 5.2 ) and Clinical Pharmacology ( 12.3 )].

7.4Warfarin A definitive drug-drug interaction study between tamsulosin hydrochloride and warfarin was not conducted. Results from limited in vitro and in viv…

👥 Use in Specific Populations ~3 min read

8 USE IN SPECIFIC POPULATIONS Pediatric Use: Not indicated for use in pediatric populations ( 8.4 , 12.3 ) Geriatric Use: No overall differences in efficacy or safety vs younger patients, but greater sensitivity of some older adults cannot be ruled out ( 8.5 , 12.3 ) Renal Impairment: Has not been studied in patients with end-stage renal disease ( 8.6 , 12.3 ) Hepatic Impairment: Has not been studied in patients with severe hepatic impairment ( 8.7 , 12.3 )

8.1Pregnancy Risk Summary Tamsulosin hydrochloride capsules are not indicated for use in women. There are no adequate data on the developmental risk associated with the use of tamsulosin hydrochloride capsules in pregnant women. No adverse developmental effects were observed in animal studies in which tamsulosin hydrochloride was administered to rats or rabbits during the period of organogenesis (GD 7 to 17 in the rat and GD 6 to 18 in the rabbit) [see Data] .

In the U.S. general population, the estimated background risk of major birth defects and of miscarriage in clinically recognized pregnancies is 2%–4% and 15%–20%, respectively. Data Administration of tamsulosin hydrochloride to pregnant female rats during the period of organogenesis at dose levels up to approximately 50 times the human therapeutic AUC exposure (300 mg/kg/day) revealed no evidence of harm to the fetus. Administration of tamsulosin hydrochloride to pregnant rabbits during the period of organogenesis at dose levels up to 50 mg/kg/day produced no evidence of fetal harm.

8.2Lactation Tamsulosin hydrochloride capsules are not indicated for use in women. There are no data on the presence of tamsulosin hydrochloride in human milk, the effects of tamsulosin hydrochloride on the breastfed infant, or the effects of tamsulosin hydrochloride on milk production. Tamsulosin hydrochloride is present in the milk of lactating rats [see Data] .

Data Oral administration of radiolabeled tamsulosin hydrochloride to rats demonstrated that tamsulosin hydrochloride and/or its metabolites are excreted into the milk of rats.

8.3Females and Males of Reproductive Potential Infertility Males Abnormal ejaculation including ejaculation failure, ejaculation disorder, retrograde ejaculation, and ejaculation decrease has been associated with tamsulosin hydrochloride capsules [see Adverse Reactions ( 6.1 )]. Studies in rats revealed significantly reduced fertility in males considered to be due to impairment of ejaculation, which was reversible [see Nonclinical Toxicology ( 13.1 )] . Females Tamsulosin hydrochloride capsules are not indicated for use in women.

Female fertility in rats was significantly reduced, considered to be due to impairment of fertilization [see Nonclinical Toxicology ( 13.1 )].

8.4Pediatric Use Tamsulosin hydrochloride capsules are not indicated for use in pediatric populations. Efficacy and positive benefit/risk of tamsulosin hydrochloride was not demonstrated in two studies conducted in patients 2 years to 16 years of age with elevated detrusor leak point pressure (>40 cm H2 O) associated with known neurological disorder (e.g., spina bifida). Patients in both studies were treated on a weight-based mg/kg schema (0.025 mg, 0.05 mg, 0.1 mg, 0.2 mg, or 0.4 mg tamsulosin hydrochloride) for the reduction in detrusor leak point pressure below 40 cm H 2 O.

In a randomized, double-blind, placebo-controlled, 14-week, pharmacokinetic, safety and efficacy study in 161 patients, no statistically significant difference in the proportion of responders was observed between groups receiving tamsulosin hydrochloride and placebo. In an open-label, 12-month safety study, 87 patients were treated with tamsulosin hydrochloride. The most frequently reported adverse events (≥5%) from the pooled data of both studies were urinary tract infection, vomiting, pyrexia, headache, nasopharyngitis, cough, pharyngitis, influenza, diarrhea, abdominal pain, and constipation.

8.5 Geriatric Use Of the total number of subjects (1783) in clinical s…

🤰 Pregnancy 163 words

8.1Pregnancy Risk Summary Tamsulosin hydrochloride capsules are not indicated for use in women. There are no adequate data on the developmental risk associated with the use of tamsulosin hydrochloride capsules in pregnant women. No adverse developmental effects were observed in animal studies in which tamsulosin hydrochloride was administered to rats or rabbits during the period of organogenesis (GD 7 to 17 in the rat and GD 6 to 18 in the rabbit) [see Data] .

In the U.S. general population, the estimated background risk of major birth defects and of miscarriage in clinically recognized pregnancies is 2%–4% and 15%–20%, respectively. Data Administration of tamsulosin hydrochloride to pregnant female rats during the period of organogenesis at dose levels up to approximately 50 times the human therapeutic AUC exposure (300 mg/kg/day) revealed no evidence of harm to the fetus. Administration of tamsulosin hydrochloride to pregnant rabbits during the period of organogenesis at dose levels up to 50 mg/kg/day produced no evidence of fetal harm.

🧒 Pediatric Use 168 words

8.4Pediatric Use Tamsulosin hydrochloride capsules are not indicated for use in pediatric populations. Efficacy and positive benefit/risk of tamsulosin hydrochloride was not demonstrated in two studies conducted in patients 2 years to 16 years of age with elevated detrusor leak point pressure (>40 cm H2 O) associated with known neurological disorder (e.g., spina bifida). Patients in both studies were treated on a weight-based mg/kg schema (0.025 mg, 0.05 mg, 0.1 mg, 0.2 mg, or 0.4 mg tamsulosin hydrochloride) for the reduction in detrusor leak point pressure below 40 cm H 2 O.

In a randomized, double-blind, placebo-controlled, 14-week, pharmacokinetic, safety and efficacy study in 161 patients, no statistically significant difference in the proportion of responders was observed between groups receiving tamsulosin hydrochloride and placebo. In an open-label, 12-month safety study, 87 patients were treated with tamsulosin hydrochloride. The most frequently reported adverse events (≥5%) from the pooled data of both studies were urinary tract infection, vomiting, pyrexia, headache, nasopharyngitis, cough, pharyngitis, influenza, diarrhea, abdominal pain, and constipation.

🧓 Geriatric Use 73 words

8.5Geriatric Use Of the total number of subjects (1783) in clinical studies of tamsulosin, 36% were 65 years of age and over. No overall differences in safety or effectiveness were observed between these subjects and younger subjects, and the other reported clinical experience has not identified differences in responses between the elderly and younger patients, but greater sensitivity of some older individuals cannot be ruled out [see Clinical Pharmacology ( 12.3 )].

🆘 Overdosage 104 words

10 OVERDOSAGE Should overdosage of tamsulosin hydrochloride capsules lead to hypotension [see Warnings and Precautions ( 5.1 ) and Adverse Reactions ( 6.1 )] , support of the cardiovascular system is of first importance. Restoration of blood pressure and normalization of heart rate may be accomplished by keeping the patient in the supine position. If this measure is inadequate, then administration of intravenous fluids should be considered.

If necessary, vasopressors should then be used and renal function should be monitored and supported as needed. Laboratory data indicate that tamsulosin hydrochloride is 94% to 99% protein bound; therefore, dialysis is unlikely to be of benefit.

🧬 Clinical Pharmacology ~3 min read

12 CLINICAL PHARMACOLOGY

12.1Mechanism of Action 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 alpha1 adrenoceptors, which are abundant in the prostate, prostatic capsule, prostatic urethra, and bladder neck. Blockade of these adrenoceptors can cause smooth muscles in the bladder neck and prostate to relax, resulting in an improvement in urine flow rate and a reduction in symptoms of BPH.

Tamsulosin, an alpha 1 adrenoceptor blocking agent, exhibits selectivity for alpha1 receptors in the human prostate. At least three discrete alpha 1 adrenoceptor subtypes have been identified: alpha 1A , alpha 1B , and alpha 1D ; their distribution differs between human organs and tissue. Approximately 70% of the alpha 1 receptors in the human prostate are of the alpha 1A subtype.

Tamsulosin hydrochloride capsules are not intended for use as an antihypertensive drug.

12.2Pharmacodynamics Urologic pharmacodynamic effects have been evaluated in neurologically impaired pediatric patients and in adults with BPH [see Use in Specific Populations ( 8.4 ) and Clinical Studies ( 14 )].

12.3Pharmacokinetics The pharmacokinetics of tamsulosin hydrochloride have been evaluated in adult healthy volunteers and patients with BPH after single and/or multiple administration with doses ranging from 0.1 mg to 1 mg. Absorption Absorption of tamsulosin hydrochloride from tamsulosin hydrochloride capsules 0.4 mg is essentially complete (>90%) following oral administration under fasting conditions. Tamsulosin hydrochloride exhibits linear kinetics following single and multiple dosing, with achievement of steady-state concentrations by the fifth day of once-a-day dosing.

Effect of Food The time to maximum concentration (T max ) is reached by 4 to 5 hours under fasting conditions and by 6 to 7 hours when tamsulosin hydrochloride capsules are administered with food. Taking tamsulosin hydrochloride capsules under fasted conditions results in a 30% increase in bioavailability (AUC) and 40% to 70% increase in peak concentrations (C max ) compared to fed conditions (Figure 1). Figure 1: Mean Plasma Tamsulosin Hydrochloride Concentrations Following Single-Dose Administration of Tamsulosin Hydrochloride Capsules 0.4 mg Under Fasted and Fed Conditions (n=8) The effects of food on the pharmacokinetics of tamsulosin hydrochloride are consistent regardless of whether a tamsulosin hydrochloride capsule is taken with a light breakfast or a high-fat breakfast (Table 2).

Table 2: Mean (± S.D.) Pharmacokinetic Parameters Following Tamsulosin Hydrochloride Capsules 0.4 mg Once Daily or 0.8 mg Once Daily with a Light Breakfast, High-Fat Breakfast or Fasted Pharmacokinetic Parameter 0.4 mg QD to healthy volunteers; n=23 (age range 18–32 years) 0.8 mg QD to healthy volunteers; n=22 (age range 55–75 years) Light Breakfast Fasted Light Breakfast High-Fat Breakfast Fasted C min = observed minimum concentration C max = observed maximum tamsulosin hydrochloride plasma concentration T max = median time-to-maximum concentration T 1/2 = observed half-life AUC τ = area under the tamsulosin hydrochloride plasma time curve over the dosing interval C min (ng/mL) 4.0 ± 2.6 3.8 ± 2.5 12.3 ± 6.7 13.5 ± 7.6 13.3 ±

13.3C max (ng/mL) 10.1 ± 4.8 17.1 ± 17.1 29.8 ± 10.3 29.1 ± 11.0 41.6 ±

15.6C max /C min Ratio 3.1 ± 1.0 5.3 ± 2.2 2.7 ± 0.7 2.5 ± 0.8 3.6 ±

1.1T max (hours) 6.0 4…

🧬 Mechanism of Action ~1 min read

12.1Mechanism of Action 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 alpha1 adrenoceptors, which are abundant in the prostate, prostatic capsule, prostatic urethra, and bladder neck. Blockade of these adrenoceptors can cause smooth muscles in the bladder neck and prostate to relax, resulting in an improvement in urine flow rate and a reduction in symptoms of BPH.

Tamsulosin, an alpha 1 adrenoceptor blocking agent, exhibits selectivity for alpha1 receptors in the human prostate. At least three discrete alpha 1 adrenoceptor subtypes have been identified: alpha 1A , alpha 1B , and alpha 1D ; their distribution differs between human organs and tissue. Approximately 70% of the alpha 1 receptors in the human prostate are of the alpha 1A subtype.

Tamsulosin hydrochloride capsules are not intended for use as an antihypertensive drug.

📦 How Supplied / Storage and Handling 86 words

16 HOW SUPPLIED/STORAGE AND HANDLING Tamsulosin hydrochloride capsules USP, 0.4 mg are supplied in high density polyethylene bottles containing 90, 500 hard gelatin capsules with an olive green opaque cap and an orange opaque body. The cap is imprinted with the code “TSL 0.4” in black ink. Bottle of 90 capsules (NDC 76282-744-90) Bottle of 500 capsules (NDC 76282-744-05) Store at 25°C (77°F); excursions permitted to 15°C–30°C (59°F–86°F) [see USP Controlled Room Temperature].

Keep tamsulosin hydrochloride capsules, USP and all medicines out of reach of children.

📋 Description 155 words

11 DESCRIPTION Tamsulosin hydrochloride is an antagonist of alpha 1A adrenoceptors in the prostate. Tamsulosin hydrochloride is (-)-( R)-5-[2-[[2-( o-Ethoxyphenoxy)ethyl]amino]propyl]-2-methoxybenzenesulfonamide, monohydrochloride. Tamsulosin hydrochloride is a white crystalline powder that melts with decomposition at approximately 230°C.

It is sparingly soluble in water and methanol, slightly soluble in glacial acetic acid and ethanol, and practically insoluble in ether. The empirical formula of tamsulosin hydrochloride is C20H28N2O5S ∙ HCl. The molecular weight of tamsulosin hydrochloride is 444.98.

Its structural formula is: Each tamsulosin hydrochloride capsule for oral administration contains tamsulosin hydrochloride, USP 0.4 mg, and the following inactive ingredients: methacrylic acid copolymer, microcrystalline cellulose, purified water, talc, triethyl citrate, black iron oxide, FD&C Blue No. 2, gelatin, red iron oxide, titanium dioxide, yellow iron oxide and trace amounts of antifoam DC 1510, industrial methylated spirit, lecithin, n-butyl alcohol, dehydrated alcohol, isopropyl alcohol, butyl alcohol, propylene glycol, ammonium, potassium hydroxide and shellac.

Complies with USP Dissolution Test 4. Str.

💬 Information for Patients ~3 min read

PATIENT INFORMATION Tamsulosin hydrochloride capsules USP, 0.4 mg (tam soo' loe sin hye'' droe klor' ide) Read the Patient Information that comes with tamsulosin hydrochloride capsules before you start taking it and each time you refill your prescription. The information may have changed. This leaflet does not take the place of discussions with your doctor about your medical condition or your treatment.

What are Tamsulosin hydrochloride capsules? Tamsulosin hydrochloride capsules are a prescription alpha-blocker medicine used to treat the signs and symptoms of benign prostatic hyperplasia (BPH), a condition your doctor may refer to as an enlarged prostate. Tamsulosin hydrochloride capsules are not for women.

Tamsulosin hydrochloride capsules are not for children. Who should not take Tamsulosin hydrochloride capsules? Do not take tamsulosin hydrochloride capsules if you are allergic to any of its ingredients.

See the end of this leaflet for a complete list of ingredients in tamsulosin hydrochloride capsules. What should I tell my doctor before using tamsulosin hydrochloride capsules? Before taking tamsulosin hydrochloride capsules, tell your doctor about all your medical conditions, including: any kidney or liver problems. any history of low blood pressure. any allergies to sulfa or any other medicines. if you are planning to have cataract or glaucoma surgery.

Tell your doctor about all the medicines you take, including: any prescription medicines, including blood pressure medicines. any non-prescription medicines, including vitamins and herbal supplements. Some of your other medicines may affect the way tamsulosin hydrochloride capsules work. Especially tell your doctor if you take a medicine for high blood pressure.

You should not take tamsulosin hydrochloride capsules if you are already taking certain blood pressure medicines. Know the medicines you take. Keep a list of them and show it to your doctor and pharmacist when you get a new medicine.

How should I take tamsulosin hydrochloride capsules? Take tamsulosin hydrochloride capsules exactly as prescribed by your doctor. Do not crush, chew, or open tamsulosin hydrochloride capsules.

Take tamsulosin hydrochloride capsules one time each day, about 30 minutes after the same meal each day. For example, you may take tamsulosin hydrochloride capsules 30 minutes after dinner each day. If you miss a dose of tamsulosin hydrochloride capsules, take it as soon as you remember.

If you miss your dose for the whole day, continue with your next dose on your regular schedule. Do not take two doses at the same time. If you stop or forget to take tamsulosin hydrochloride capsules for several days, talk with your doctor before starting again.

If you take more tamsulosin hydrochloride capsules than prescribed, call your doctor right away. What are the possible side effects of tamsulosin hydrochloride capsules? Possible side effects of tamsulosin hydrochloride capsules may include: Decreased blood pressure when changing positions .Tamsulosin hydrochloride capsules may cause a sudden drop in blood pressure upon standing, especially after the first dose or when changing doses.

Symptoms may include: fainting dizziness lightheadedness Change positions slowly from lying down to sitting up or from a sitting to a standing position until you learn how you react to tamsulosin hydrochloride capsules. If you begin to feel dizzy, sit or lie down until you feel better. If the symptoms are severe or do not improve, call your doctor.

Allergic reactions. Make your doctor aware of any allergic reactions you may experience while taking tamsulosin hydrochloride capsules. Allergic reactions may include: rash itching hives Rare and more serious allergic reactions may also occur.

Get medical help right away if you have any of the following reactions: swelling of face, tongue, or throat difficulty breathing blistering of the skin A painful erection that will not go away. Tamsulosin hydrochloride capsules can cause a…

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.