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Hydralazine HCl 1 mg/mL Oral Suspension

Hydralazine HCl 1 mg/mL Oral Suspension is a liquid dosage form where hydralazine hydrochloride is uniformly dispersed in a liquid medium, ensuring a homogeneous mixture for precise administration. This formulation is primarily used to manage hypertension, helping to lower blood pressure and reduce the risk of complications associated with high blood pressure. It is also utilized in the treatment of heart failure, aiding in the improvement of cardiac output and alleviating symptoms associated with this condition.

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Hydralazine Hydrochloride
Suspension
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Formula Information

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Hydralazine Hydrochloride 1 mg/mL Oral Suspension is a customized liquid medication formulated to manage hypertension, specifically high blood pressure. Hydralazine is a direct-acting vasodilator that works by relaxing the smooth muscles in the blood vessels, leading to the dilation of arteries and arterioles. This action decreases peripheral resistance and lowers blood pressure, making it an effective treatment option for patients with essential hypertension or hypertensive emergencies.

This oral suspension provides an alternative for patients who have difficulty swallowing tablets or require precise dosing adjustments, such as pediatric patients or those with dysphagia. By providing the medication in a liquid form, it ensures that patients receive accurate dosages tailored to their specific needs. The 1 mg/mL concentration allows for flexible dosing regimens, facilitating titration to achieve optimal blood pressure control.

The formulation of Hydralazine HCl in an oral suspension involves dispersing the active ingredient uniformly throughout a liquid medium, resulting in a homogeneous mixture. This ensures consistent delivery of the medication with each dose. The suspension should be shaken well before each use to maintain uniformity and accuracy of dosing.

Patients using this medication may experience side effects such as headache, tachycardia, palpitations, nausea, and flushing due to its vasodilatory effects. It is important for prescribers to monitor blood pressure and heart rate regularly and adjust the dosage as necessary. In some cases, hydralazine may cause a lupus-like syndrome with prolonged use at high doses; therefore, patients should be instructed to report any unusual symptoms, such as joint pain or fever.

For prescribers, it is important to consider potential drug interactions. Hydralazine may enhance the hypotensive effects of other antihypertensive agents and should be used cautiously in combination therapy. Additionally, patients with conditions such as coronary artery disease or rheumatic heart disease require careful monitoring due to the risk of exacerbating angina or myocardial ischemia.

Storage of the Hydralazine HCl 1 mg/mL Oral Suspension should be in a tightly closed container, protected from light, and kept at room temperature unless otherwise specified. The stability of the compounded suspension may vary, and it is recommended to follow guidelines for beyond-use dating as per USP standards or as advised by the pharmacist.

This compounded formulation is prepared by our skilled pharmacists to meet the specific needs of patients when commercial products are unavailable or unsuitable. By offering this personalized medication, we aim to improve adherence and therapeutic outcomes for patients requiring

Drug Interactions

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Hydralazine HCl 1 mg/mL Oral Suspension is a liquid dosage form designed to provide a homogeneous mixture for administration, ensuring consistent dosing and ease of use, particularly for patients who may have difficulty swallowing tablets or capsules. This formulation is primarily used in the management of hypertension, helping to lower blood pressure by relaxing the blood vessels so that blood can flow more easily. It may also be used in the treatment of heart failure and other conditions as determined by a healthcare provider.

When considering the use of Hydralazine HCl 1 mg/mL Oral Suspension, it is crucial to be aware of potential drug interactions that could affect the efficacy and safety of the treatment. Hydralazine can interact with a variety of medications, which may lead to increased side effects or reduced therapeutic effects. Patients and prescribers should be particularly cautious when Hydralazine is used in conjunction with other antihypertensive agents, as this can lead to an additive effect, resulting in hypotension (abnormally low blood pressure). Regular monitoring of blood pressure is recommended to adjust dosages accordingly.

Concomitant use of Hydralazine with monoamine oxidase inhibitors (MAOIs) can lead to an enhanced hypotensive effect. Therefore, it is advised to avoid this combination or proceed with caution under close medical supervision. Additionally, non-steroidal anti-inflammatory drugs (NSAIDs) may reduce the antihypertensive effect of Hydralazine, potentially necessitating dosage adjustments or alternative pain management strategies.

Patients taking beta-blockers or other medications that affect heart rate should be monitored closely, as Hydralazine can cause reflex tachycardia, which may be exacerbated by these drugs. Furthermore, the use of Hydralazine with tricyclic antidepressants can increase the risk of orthostatic hypotension, a condition where blood pressure drops significantly upon standing, leading to dizziness or fainting.

It is also important to consider the interaction of Hydralazine with alcohol, which can enhance the blood pressure-lowering effects and increase the risk of side effects such as dizziness or fainting. Patients should be advised to limit alcohol consumption while taking this medication.

For patients with renal impairment, the clearance of Hydralazine may be reduced, necessitating careful monitoring and potential dosage adjustments to avoid accumulation and toxicity. Additionally, prescribers should be aware of the potential for Hydralazine to cause drug-induced lupus erythematosus, particularly in patients receiving long-term therapy, and monitor for symptoms accordingly.

As with any medication, it is essential for patients to inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs, supplements, and herbal products, to assess for potential interactions. If you have any questions or concerns regarding the use of Hydralazine HCl 1 mg/mL Oral Suspension and its interactions, please reach out to us at Bayview Pharmacy for further assistance and guidance.

How Does it Work

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Hydralazine HCl 1 mg/mL Oral Suspension is a liquid dosage form designed to provide a precise and uniform delivery of hydralazine hydrochloride, an antihypertensive medication. This formulation is particularly beneficial for patients who have difficulty swallowing tablets or require flexible dosing adjustments. The suspension ensures that the active ingredient, hydralazine HCl, is evenly distributed throughout the liquid medium, allowing for consistent dosing with each administration.

Hydralazine works primarily by exerting a direct vasodilatory effect on the smooth muscles of the blood vessels, particularly the arterioles. This action results in the relaxation and widening of the blood vessels, which in turn reduces peripheral vascular resistance. By decreasing the resistance against which the heart must pump, hydralazine effectively lowers blood pressure and reduces the workload on the heart. This mechanism is particularly useful in managing hypertension, a condition characterized by persistently elevated blood pressure levels that can lead to serious cardiovascular complications if left untreated.

In addition to its role in treating hypertension, hydralazine is also used in the management of heart failure, particularly in patients who may not respond adequately to other treatments. By reducing afterload, hydralazine helps improve cardiac output and alleviates symptoms associated with heart failure, such as shortness of breath and fatigue. The oral suspension form allows for easy titration of doses, which is crucial in tailoring treatment to the individual needs of patients, especially those with complex medical conditions or those who are sensitive to medication adjustments.

For prescribers, the hydralazine HCl 1 mg/mL Oral Suspension offers a versatile option for patients requiring individualized dosing regimens. The liquid form facilitates administration in pediatric, geriatric, and other patient populations who may have difficulty with solid dosage forms. It also allows for precise dose adjustments, which can be critical in achieving optimal therapeutic outcomes while minimizing potential side effects.

Patients using this formulation should be aware of the importance of adhering to their prescribed dosing schedule and should be instructed on how to properly measure and administer the suspension. It is also important for patients to monitor their blood pressure regularly and report any unusual symptoms or side effects to their healthcare provider promptly.

If you have any questions or need further information about Hydralazine HCl 1 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation or its use in treating hypertension and heart failure.

Other Uses

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Hydralazine HCl 1 mg/mL Oral Suspension is primarily used for the management of hypertension, particularly in patients who require a liquid formulation due to difficulty swallowing tablets or capsules. However, beyond its primary indication, this formulation may have other potential uses that could be beneficial in specific clinical scenarios. One such use is in the management of heart failure, particularly in patients who are intolerant to other standard heart failure medications. Hydralazine, when used in combination with nitrates, has been shown to improve survival in certain populations with heart failure, especially in those who may not respond adequately to other therapies.

Additionally, hydralazine may be considered in the treatment of hypertensive emergencies, where rapid blood pressure reduction is necessary, and oral administration is feasible. The liquid suspension form allows for precise dosing adjustments, which can be particularly advantageous in pediatric or geriatric populations where dosing flexibility is crucial. Furthermore, there is some evidence to suggest that hydralazine may have a role in managing pulmonary hypertension, although this is not a standard use and should be considered on a case-by-case basis, often in consultation with a specialist.

For patients with specific genetic backgrounds, such as those with certain polymorphisms affecting drug metabolism, hydralazine may offer a more tailored approach to blood pressure management. It is important for prescribers to consider the individual patient's overall health status, concomitant medications, and potential for adverse effects when considering hydralazine for off-label uses. Patients and healthcare providers should engage in thorough discussions about the potential benefits and risks associated with using hydralazine for these alternative indications.

As always, if you have any questions or need further information about the use of Hydralazine HCl 1 mg/mL Oral Suspension for conditions beyond its primary indications, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support tailored to your specific needs.

Frequently Asked Questions

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What is Hydralazine HCl 1 mg/mL Oral Suspension?

Hydralazine HCl 1 mg/mL Oral Suspension is a liquid dosage form where hydralazine hydrochloride is uniformly dispersed in a liquid medium, creating a homogeneous mixture for easy administration.

What is the purpose of Hydralazine HCl in this formulation?

Hydralazine HCl is used to treat high blood pressure by relaxing blood vessels, allowing blood to flow more easily, and reducing the workload on the heart.

How should I store Hydralazine HCl 1 mg/mL Oral Suspension?

Store the suspension at room temperature, away from direct sunlight and moisture. Ensure the bottle is tightly closed when not in use.

How do I properly administer this oral suspension?

Shake the bottle well before each use to ensure the medication is evenly distributed. Use a proper measuring device to ensure accurate dosing.

Can I mix this suspension with food or drinks?

Consult your healthcare provider before mixing the suspension with food or drinks to ensure it does not affect the medication's efficacy.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Hydralazine HCl Oral Suspension?

Common side effects may include headache, dizziness, or nausea. If you experience severe side effects such as chest pain or difficulty breathing, seek medical attention immediately.

Can children use Hydralazine HCl 1 mg/mL Oral Suspension?

This medication should only be used in children if prescribed by a healthcare provider. Dosage and administration should be carefully followed as directed by the provider.

Is it safe to use this suspension during pregnancy?

Consult your healthcare provider before using this medication during pregnancy to weigh the potential benefits and risks.

What should I do in case of an overdose?

In case of an overdose, seek immediate medical attention or contact a poison control center. Symptoms of overdose may include severe dizziness, fainting, or a rapid heartbeat.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.