Does Tamsulosin Interact With Warfarin?
(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.
Severity: Major
Severity basis: warnings section (keywords: should not be used). Combining Tamsulosin (Alpha-1 blocker (BPH)) and Warfarin (Vitamin K antagonist anticoagulant) is classified as a major interaction.
What to Do
The label advises avoiding this combination or using it only under close medical supervision. Talk to your prescriber or pharmacist before combining them.
How This Interaction Works
Interactions like this one can happen when two medicines have overlapping effects, or when one changes how the other is absorbed, broken down, or cleared from the body. Tamsulosin is a alpha-1 blocker (bph) and Warfarin is a vitamin k antagonist anticoagulant; together they are documented as a major interaction. How much this matters depends on your dose, your other medications, and your overall health.
If You Take Both Medications
If you have been prescribed both Tamsulosin and Warfarin, do not start, stop, or change either medication on your own — some medicines are unsafe to stop suddenly. Tell your prescriber and pharmacist that you take both so they can decide whether the combination is right for you, adjust the dose, monitor you more closely, or suggest an alternative.
From the FDA Label
(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.
Source: FDA structured product labeling (set_id 00097e78-9c04-4e62-8260-ddb50e9a6a93).
Check these against your full medication list in our free Interaction Checker
Frequently Asked Questions
Can you take Tamsulosin and Warfarin together?
Tamsulosin and Warfarin have a documented major interaction. The label advises avoiding this combination or using it only under close medical supervision. Talk to your prescriber or pharmacist before combining them.
How serious is the Tamsulosin and Warfarin interaction?
It is classified as a major interaction, based on the FDA label's warnings section (keywords: should not be used). A major interaction can cause serious harm and often calls for a change in therapy or close monitoring.
What should I do if I'm taking both Tamsulosin and Warfarin?
If you have been prescribed both Tamsulosin and Warfarin, do not start, stop, or change either medication on your own — some medicines are unsafe to stop suddenly. Tell your prescriber and pharmacist that you take both so they can decide whether the combination is right for you, adjust the dose, monitor you more closely, or suggest an alternative.
This information is educational — not medical advice.
This page is provided for general educational purposes and summarizes publicly available data from sources such as the U.S. Food & Drug Administration. It is not a substitute for the judgment of a licensed clinician and should not be used to start, stop, or change any medication. It may be incomplete or out of date, and individual circumstances vary. Always talk with your prescriber or pharmacist about your specific medications and health conditions. If you think you may have a medical emergency, call 911.
Other Tamsulosin Interactions
Other Warfarin Interactions
- Warfarin + Fluoxetine(major)
- Warfarin + Rifampin(major)
- Warfarin + Adalimumab(moderate)
- Warfarin + Aripiprazole(moderate)
- Warfarin + Azithromycin(moderate)
- Warfarin + Carbamazepine(moderate)
- Warfarin + Carbidopa Levodopa(moderate)
- Warfarin + Celecoxib(moderate)
- Warfarin + Citalopram(moderate)
- Warfarin + Clarithromycin(moderate)
- Warfarin + Desvenlafaxine(moderate)
- Warfarin + Dulaglutide(moderate)
- Warfarin + Edoxaban(moderate)
- Warfarin + Escitalopram(moderate)
- Warfarin + Fluconazole(moderate)
- Warfarin + Gemfibrozil(moderate)
- Warfarin + Indomethacin(moderate)
- Warfarin + Itraconazole(moderate)
- Warfarin + Ketorolac(moderate)
- Warfarin + Meloxicam(moderate)
- Warfarin + Methimazole(moderate)
- Warfarin + Modafinil(moderate)
- Warfarin + Naproxen(moderate)
- Warfarin + Paroxetine(moderate)
- Warfarin + Phenytoin(moderate)
- Warfarin + Raloxifene(moderate)
- Warfarin + Rivaroxaban(moderate)
- Warfarin + Tirzepatide(moderate)
- Warfarin + Trazodone(moderate)
- Warfarin + Valproic Acid(moderate)
- Warfarin + Acetaminophen(minor)
- Warfarin + Acyclovir(minor)
- Warfarin + Allopurinol(minor)
- Warfarin + Alprazolam(minor)
- Warfarin + Amiodarone(minor)
- Warfarin + Amlodipine(minor)
- Warfarin + Apixaban(minor)
- Warfarin + Aspirin(minor)
- Warfarin + Atomoxetine(minor)
- Warfarin + Atorvastatin(minor)
- Warfarin + Azathioprine(minor)
- Warfarin + Ciprofloxacin(minor)
- Warfarin + Clopidogrel(minor)
- Warfarin + Cyclosporine(minor)
- Warfarin + Dabigatran(minor)
- Warfarin + Dapagliflozin(minor)
- Warfarin + Dexamethasone(minor)
- Warfarin + Diclofenac(minor)
- Warfarin + Diltiazem(minor)
- Warfarin + Duloxetine(minor)
- Warfarin + Enoxaparin(minor)
- Warfarin + Famotidine(minor)
- Warfarin + Finasteride(minor)
- Warfarin + Ibuprofen(minor)
- Warfarin + Ketoconazole(minor)
- Warfarin + Lansoprazole(minor)
- Warfarin + Levofloxacin(minor)
- Warfarin + Lovastatin(minor)
- Warfarin + Metronidazole(minor)
- Warfarin + Mirtazapine(minor)
- Warfarin + Montelukast(minor)
- Warfarin + Olanzapine(minor)
- Warfarin + Omeprazole(minor)
- Warfarin + Oseltamivir(minor)
- Warfarin + Pantoprazole(minor)
- Warfarin + Pioglitazone(minor)
- Warfarin + Prednisone(minor)
- Warfarin + Propranolol(minor)
- Warfarin + Ramipril(minor)
- Warfarin + Rosuvastatin(minor)
- Warfarin + Sertraline(minor)
- Warfarin + Simvastatin(minor)
- Warfarin + Sucralfate(minor)
- Warfarin + Tadalafil(minor)
- Warfarin + Tramadol(minor)
- Warfarin + Varenicline(minor)
- Warfarin + Venlafaxine(minor)
- Warfarin + Verapamil(minor)