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Indications ⬇

REMS


Unlabeled Use:
  • New York Heart Associated Class III or IV HF with reduced ejection fraction (in combination with isosorbide dinitrate).

Contraind./Precautions ⬆ ⬇

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects ⬆ ⬇

CV: tachycardia, angina, arrhythmia, edema, orthostatic hypotension

Derm: rash

GI: diarrhea, nausea, vomiting

MS: arthralgias, arthritis

Neuro: dizziness, drowsiness, headache, peripheral neuropathy

Misc: drug-induced lupus syndrome

Interactions ⬆ ⬇

Drug-drug:

Availability ⬆ ⬇

(Generic available)

Route/Dosage ⬆ ⬇

Action ⬆ ⬇

  • Direct-acting peripheral arteriolar vasodilator.
Therapeutic effects:
  • Lowering of BP in hypertensive patients and decreased afterload in patients with HF.

Classifications ⬆ ⬇

Therapeutic Classification: antihypertensives

Pharmacologic Classification: vasodilators

Pharmacokinetics ⬆ ⬇

Absorption: Rapidly absorbed following oral administration; well absorbed from IM sites. IV administration results in complete bioavailability.

Distribution: Widely distributed.

Metabolism/Excretion: Mostly metabolized by the GI mucosa and liver by N-acetyltransferase (rate of acetylation is genetically determined [slow acetylators have ↑ hydralazine levels and ↑ risk of toxicity; fast acetylators have ↓ hydralazine levels and ↓ response]).

Half-Life: 2–8 hr.

Canadian Brand Names ⬆ ⬇

Apresoline

Time/Action Profile ⬆ ⬇

( antihypertensive effect)

ROUTEONSETPEAKDURATION
PO45 min2 hr2–4 hr
IM10–30 min1 hr3–8 hr
IV5–20 min15–30 min2–6 hr

Patient/Family Teaching ⬆ ⬇

Pronunciation ⬆ ⬇

hye-DRAL-a-zeen

Code ⬆

NDC Code