Hydralazine Injection

— THERAPEUTIC CATEGORIES —
  • Hypertension

Hydralazine Injection Generic Name & Formulations

General Description

Hydralazine (as HCl) 20mg/mL; IM or IV inj; contains parabens.

Pharmacological Class

Vasodilator.

How Supplied

Contact supplier.

Hydralazine Injection Indications

Indications

Severe essential hypertension when oral therapy not feasible or there is an urgent need to lower blood pressure.

Hydralazine Injection Dosage and Administration

Adult

Monitor BP closely. 20–40mg; repeat as needed. Advanced renal damage: reduce dose.

Children

Not recommended; doses of 1.7–3.5mg/kg per day in 4–6 divided doses have been used.

Hydralazine Injection Contraindications

Contraindications

Coronary artery disease. Mitral valve disease.

Hydralazine Injection Boxed Warnings

Not Applicable

Hydralazine Injection Warnings/Precautions

Warnings/Precautions

Suspected coronary artery disease. Cerebrovascular accidents. Aortic aneurysm. Increased intracranial pressure. Renal disease. Treat paresthesias and/or numbness with pyridoxine. Discontinue if blood dyscrasias occur. Obtain CBC and ANA titer periodically; consider discontinuing if SLE occurs. Surgery. Pregnancy (Cat.C). Nursing mothers.

Hydralazine Injection Pharmacokinetics

See Literature

Hydralazine Injection Interactions

Interactions

Caution with MAOIs. Profound hypotension with potent parenteral antihypertensives (eg, diazoxide). Antagonized by NSAIDs. May block epinephrine.

Hydralazine Injection Adverse Reactions

Adverse Reactions

Headache, anorexia, GI disturbances, palpitations, edema, flushing, nasal congestion, lacrimation, rash, tachycardia, angina, orthostatic hypotension, blood dyscrasias, peripheral neuritis, SLE.

Hydralazine Injection Clinical Trials

See Literature

Hydralazine Injection Note

Notes

Formerly known under the brand names Apresoline (inj, tabs); Dralzine (tabs).

Hydralazine Injection Patient Counseling

See Literature