Hydralazine (Apresoline)

Cardiology (Direct Vasodilator)

Dosing & Administration

Adult Dose

10-20 mg IV every 4-6 hours PRN. PO: 25-100 mg QID.

Pediatric Dose

0.1-0.2 mg/kg IV every 4-6 hours.

Renal Adjustment

Increase dosing interval in severe impairment.

Hepatic Adjustment

No adjustment necessary.

Safety & Special Populations

Pregnancy Category

C (Widely used in pregnancy for pre-eclampsia).

Lactation Safety

Compatible.

Contraindications & Adverse Effects

Contraindications

  • Coronary artery disease (relative)
  • Mitral valvular rheumatic heart disease

Common Adverse Effects

  • Drug-induced Lupus (SLE)
  • Reflex tachycardia
  • Headache