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Written By
Sakshi Anil More
B. Pharm

Reviewed By
Dr. Tejashwin Adiga
MBBS
Last updated : 31 Mar 2026 | 09:30 AM (IST)

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Quick Summary
HYDRALAZINE
Last updated on 31 Mar 2026 | 09:30 AM (IST)
HYDRALAZINE
Background and Date of approval HYDRALAZINE
Hydralazine belongs to the class of drugs known as vasodilators.
Uses of HYDRALAZINE
Hydralazine dissolves blood clots and restores blood flow in conditions such as acute ischemic stroke, acute myocardial infarction (heart attack), and pulmonary embolism.
How is HYDRALAZINE administered?
Hydralazine is used as a tablet. Swallow with a whole glass of water. Your healthcare professional will determine the specific dosage and administration guidelines based on your condition and needs.
Side Effects of HYDRALAZINE
Common side effects of hydralazine include headache, dizziness, flushing (reddening of the skin), rapid heartbeat, and nausea. More serious side effects may include lupus-like symptoms such as joint pain and skin rashes, severe chest pain, a significant drop in blood pressure leading to lightheadedness, and potential allergic reactions marked by swelling of the face, lips, or throat.
Warnings
Hydralazine can cause a significant drop in blood pressure, which may lead to symptoms like dizziness, lightheadedness, and fainting. It has been associated with a lupus-like syndrome, which can cause joint pain, fever, skin rashes, and other autoimmune-like symptoms. This medication can sometimes cause fluid retention, leading to swelling in the legs, ankles, or feet. It can have effects on the heart, including increasing the heart rate and potentially causing arrhythmias (irregular heartbeats). Rarely, hydralazine has been linked to peripheral neuropathy, a condition affecting the nerves outside the brain and spinal cord. This medication might worsen certain types of glaucoma due to its potential to increase intraocular pressure
Precautions
Exercise caution with hydralazine due to potential blood pressure drops causing dizziness, monitor lupus-like symptoms, consult for heart/liver/kidney conditions, limit alcohol intake, seek medical advice if pregnant/breastfeeding, avoid tasks needing alertness if experiencing drowsiness, and maintain open communication with a healthcare provider.
Word of Advice
Be cautious of its potential to lower blood pressure, leading to dizziness and fainting; rise slowly from positions to avoid sudden drops in blood pressure. Refrain from alcohol consumption while using hydralazine to prevent intensifying side effects. Those with autoimmune disorders should monitor for lupus-like symptoms. Individuals with heart, liver, or kidney conditions should consult their healthcare provider for proper monitoring and potential dosage adjustments. may influence blood glucose levels in diabetes patients, requiring careful monitoring. Pregnant, breastfeeding, or planning individuals should consult their healthcare provider before use. Be mindful of potential drowsiness, dizziness, and impaired coordination, avoiding tasks requiring full alertness. Regularly assess how your body responds to it and promptly communicate any concerns to your healthcare provider.
Frequently Asked Questions
Q1.
What should I do if I miss a dose of hydralazine?
If you miss a dose, take it as soon as you remember. However, if it's close to the time for your next dose, skip the missed dose and resume your regular schedule.
Q2.
Can hydralazine be used in children?
Hydralazine is typically not used in children except in specific cases and under medical supervision. Pediatric dosages and use should be discussed with a healthcare provider.
Q3.
How long does it take for hydralazine to start working?
The onset of action can vary, but you might notice some effects within hours to a few days of starting hydralazine. However, it may take several weeks to reach its full effectiveness.
Q4.
Can hydralazine interact with other medications?
Yes, hydralazine can interact with other medications, including antihypertensive drugs and drugs that affect blood pressure. Inform your healthcare provider about all medications you're taking.
Q5.
Can hydralazine be taken during pregnancy?
Hydralazine's use during pregnancy should be discussed with a healthcare provider. The potential benefits and risks to the mother and the fetus will be considered.
Q6.
What should I do if I experience side effects from hydralazine?
Contact your healthcare provider if you experience any side effects, especially severe or concerning ones. They can advise you on managing them or adjusting your treatment plan.
Q7.
Can hydralazine be stopped abruptly?
It's generally not recommended to stop hydralazine abruptly. Your healthcare provider will guide you on discontinuing the medication safely if needed.
References
- KD Tripathi, Essentials of Medical Pharmacology, Antihypertensive drugs, 7th edition, 2013, 566.
- Amdipharm UK Limited, Electronic medicines compendium (emc), [Revised on July 2019] [ Accessed on 21st March 2022], https://www.medicines.org.uk/emc/files/pil.6707.pdf
Disclaimer
The drug information on this page is not a substitute for medical advice, it is meant for educational purposes only. For further details, consult your doctor about your medical condition to know if you can receive this treatment.






