Details
Stereochemistry | ACHIRAL |
Molecular Formula | C8H8N4 |
Molecular Weight | 160.1759 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
NNC1=NN=CC2=C1C=CC=C2
InChI
InChIKey=RPTUSVTUFVMDQK-UHFFFAOYSA-N
InChI=1S/C8H8N4/c9-11-8-7-4-2-1-3-6(7)5-10-12-8/h1-5H,9H2,(H,11,12)
DescriptionSources: http://www.drugbank.ca/drugs/DB01275Curator's Comment: Description was created based on several sources, including
https://www.drugs.com/cdi/hydralazine.html
Sources: http://www.drugbank.ca/drugs/DB01275
Curator's Comment: Description was created based on several sources, including
https://www.drugs.com/cdi/hydralazine.html
Hydralazine is a direct-acting vasodilator that is used as an antihypertensive agent. Hydralazine works by relaxing blood vessels (arterioles more than venules) and increasing the supply of blood and oxygen to the heart while reducing its workload. It also functions as an antioxidant. It inhibits membrane-bound enzymes that form reactive oxygen species, such as superoxides. Excessive superoxide counteracts NO-induced vasodilation. Hydralazine is used for the treatment of essential hypertension, alone or as an adjunct. Also for the management of severe hypertension when the drug cannot be given orally or when blood pressure must be lowered immediately, congestive heart failure (in combination with cardiac glycosides and diuretics and/or with isosorbide dinitrate), and hypertension secondary to pre-eclampsia/eclampsia.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/9390968
Curator's Comment: some metabolites of hydralazine are known to cross the blood-brain barrier
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL3437 Sources: http://www.drugbank.ca/drugs/DB01275 |
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Target ID: GO:0070471 Sources: https://www.ncbi.nlm.nih.gov/pubmed/3354891 |
400.0 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | Hydralazine Hydrochloride Approved UseSevere essential hypertension when the drug cannot be given orally or when there is an urgent need to lower
blood pressure. Launch Date1985 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
3 μM EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/6653641 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: HYDRALAZINE |
HYDRALAZINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
407 μM × h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/6653641 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: HYDRALAZINE |
HYDRALAZINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/6653641 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: HYDRALAZINE |
HYDRALAZINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
13% |
HYDRALAZINE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
2000 mg single, oral Overdose Dose: 2000 mg Route: oral Route: single Dose: 2000 mg Co-administed with:: ethanol Sources: |
unhealthy, 27 n = 1 Health Status: unhealthy Condition: Hypertension Age Group: 27 Sex: F Population Size: 1 Sources: |
Disc. AE: Tachycardia... AEs leading to discontinuation/dose reduction: Tachycardia Sources: |
750 mg single, oral Overdose Dose: 750 mg Route: oral Route: single Dose: 750 mg Co-administed with:: clonazepam, p.o(10 mg, single) Sources: Page: p.53, 54 |
unhealthy, 38 n = 1 Health Status: unhealthy Condition: Hypertension Age Group: 38 Sex: F Population Size: 1 Sources: Page: p.53, 54 |
Disc. AE: Lethargy, Hypotension... AEs leading to discontinuation/dose reduction: Lethargy Sources: Page: p.53, 54Hypotension Tachycardia Chest pain |
200 mg 1 times / day multiple, oral (max) Recommended Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Condition: Hypertension Sources: |
Disc. AE: Skin rash, Febrile reaction... AEs leading to discontinuation/dose reduction: Skin rash (rare) Sources: Febrile reaction (rare) |
300 mg 1 times / day multiple, oral Recommended Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: Page: p.2 |
unhealthy Health Status: unhealthy Condition: Hypertension Sources: Page: p.2 |
Disc. AE: Systemic lupus erythematosus synd, Glomerulonephritis... AEs leading to discontinuation/dose reduction: Systemic lupus erythematosus synd Sources: Page: p.2Glomerulonephritis |
300 mg 1 times / day multiple, oral Recommended Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: Page: p.3 |
unhealthy Health Status: unhealthy Condition: Hypertension Sources: Page: p.3 |
Disc. AE: Angina pectoris, Myocardial infarction... AEs leading to discontinuation/dose reduction: Angina pectoris Sources: Page: p.3Myocardial infarction Peripheral neuritis |
40 mg single, intravenous Recommended Dose: 40 mg Route: intravenous Route: single Dose: 40 mg Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Hypertension Sources: Page: p.1 |
Disc. AE: Systemic lupus erythematosus synd, Glomerulonephritis... AEs leading to discontinuation/dose reduction: Systemic lupus erythematosus synd Sources: Page: p.1Glomerulonephritis |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Tachycardia | Disc. AE | 2000 mg single, oral Overdose Dose: 2000 mg Route: oral Route: single Dose: 2000 mg Co-administed with:: ethanol Sources: |
unhealthy, 27 n = 1 Health Status: unhealthy Condition: Hypertension Age Group: 27 Sex: F Population Size: 1 Sources: |
Chest pain | Disc. AE | 750 mg single, oral Overdose Dose: 750 mg Route: oral Route: single Dose: 750 mg Co-administed with:: clonazepam, p.o(10 mg, single) Sources: Page: p.53, 54 |
unhealthy, 38 n = 1 Health Status: unhealthy Condition: Hypertension Age Group: 38 Sex: F Population Size: 1 Sources: Page: p.53, 54 |
Hypotension | Disc. AE | 750 mg single, oral Overdose Dose: 750 mg Route: oral Route: single Dose: 750 mg Co-administed with:: clonazepam, p.o(10 mg, single) Sources: Page: p.53, 54 |
unhealthy, 38 n = 1 Health Status: unhealthy Condition: Hypertension Age Group: 38 Sex: F Population Size: 1 Sources: Page: p.53, 54 |
Lethargy | Disc. AE | 750 mg single, oral Overdose Dose: 750 mg Route: oral Route: single Dose: 750 mg Co-administed with:: clonazepam, p.o(10 mg, single) Sources: Page: p.53, 54 |
unhealthy, 38 n = 1 Health Status: unhealthy Condition: Hypertension Age Group: 38 Sex: F Population Size: 1 Sources: Page: p.53, 54 |
Tachycardia | Disc. AE | 750 mg single, oral Overdose Dose: 750 mg Route: oral Route: single Dose: 750 mg Co-administed with:: clonazepam, p.o(10 mg, single) Sources: Page: p.53, 54 |
unhealthy, 38 n = 1 Health Status: unhealthy Condition: Hypertension Age Group: 38 Sex: F Population Size: 1 Sources: Page: p.53, 54 |
Febrile reaction | rare Disc. AE |
200 mg 1 times / day multiple, oral (max) Recommended Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Condition: Hypertension Sources: |
Skin rash | rare Disc. AE |
200 mg 1 times / day multiple, oral (max) Recommended Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Condition: Hypertension Sources: |
Glomerulonephritis | Disc. AE | 300 mg 1 times / day multiple, oral Recommended Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: Page: p.2 |
unhealthy Health Status: unhealthy Condition: Hypertension Sources: Page: p.2 |
Systemic lupus erythematosus synd | Disc. AE | 300 mg 1 times / day multiple, oral Recommended Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: Page: p.2 |
unhealthy Health Status: unhealthy Condition: Hypertension Sources: Page: p.2 |
Angina pectoris | Disc. AE | 300 mg 1 times / day multiple, oral Recommended Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: Page: p.3 |
unhealthy Health Status: unhealthy Condition: Hypertension Sources: Page: p.3 |
Myocardial infarction | Disc. AE | 300 mg 1 times / day multiple, oral Recommended Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: Page: p.3 |
unhealthy Health Status: unhealthy Condition: Hypertension Sources: Page: p.3 |
Peripheral neuritis | Disc. AE | 300 mg 1 times / day multiple, oral Recommended Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: Page: p.3 |
unhealthy Health Status: unhealthy Condition: Hypertension Sources: Page: p.3 |
Glomerulonephritis | Disc. AE | 40 mg single, intravenous Recommended Dose: 40 mg Route: intravenous Route: single Dose: 40 mg Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Hypertension Sources: Page: p.1 |
Systemic lupus erythematosus synd | Disc. AE | 40 mg single, intravenous Recommended Dose: 40 mg Route: intravenous Route: single Dose: 40 mg Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Hypertension Sources: Page: p.1 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no [IC50 >1000 uM] | ||||
no | ||||
unlikely | ||||
unlikely | ||||
unlikely | ||||
unlikely | ||||
yes [IC50 197 uM] | ||||
yes [Ki 83 uM] | ||||
yes | ||||
yes | ||||
yes | ||||
yes | ||||
yes | ||||
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
Some side-effects of alpha-methyldopa. | 1976 Apr 10 |
|
Clinical consequences of polymorphic acetylation of basic drugs. | 1977 Sep |
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Immunological side-effects of antihypertensive drugs. | 1979 |
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Therapeutic implications of hypertension-induced glomerular injury. Comparison of enalapril and a combination of hydralazine, reserpine, and hydrochlorothiazide in an experimental model. | 1985 Sep 27 |
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Drug-associated glomerulopathies. | 1986 |
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Clinical pharmacology and therapeutic role of prazosin and related alpha-adrenoceptor antagonists. | 1986 |
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Therapeutic advantage of converting enzyme inhibitors in arresting progressive renal disease associated with systemic hypertension in the rat. | 1986 Jun |
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Isolated minimal change nephropathy associated with diclofenac. | 1987 Jul 18 |
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Hydralazine-induced cholestatic jaundice following liver transplantation. | 1989 Jan |
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Prevention of arterial disease in experimental renal hypertension. | 1990 Apr |
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Changes of atrial natriuretic peptide and its messenger RNA with development and regression of cardiac hypertrophy in renovascular hypertensive rats. | 1990 Jan |
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Acute cocaine toxicity: antagonism by agents interacting with adrenoceptors. | 1990 Jun |
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Hemodynamic effects of adenosine agonists in the conscious spontaneously hypertensive rat. | 1990 Sep |
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Features of the acute hypotensive action of carvedilol and its ameliorating effect on myocardial ischemia. | 1991 |
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Renal arteriolar diameters in spontaneously hypertensive rats. Vascular cast study. | 1991 Jul |
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The antihypertensive hydralazine is an efficient scavenger of acrolein. | 2000 |
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Drug-associated antineutrophil cytoplasmic antibody-positive vasculitis: prevalence among patients with high titers of antimyeloperoxidase antibodies. | 2000 Feb |
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Nephroprotective effect of treatment with calcium channel blockers in spontaneously hypertensive rats. | 2000 Sep |
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Blood pressure-independent effect of angiotensin AT1 receptor blockade on renal endothelin-1 production in hypertensive uremic rats. | 2001 Aug |
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Persistent cardiovascular effects of chronic renin-angiotensin system inhibition following withdrawal in adult spontaneously hypertensive rats. | 2001 Aug |
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Nifedipine or hydralazine as a first-line agent to control hypertension in severe preeclampsia. | 2002 Jan |
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High-throughput measurement of the Tp53 response to anticancer drugs and random compounds using a stably integrated Tp53-responsive luciferase reporter. | 2002 Jun |
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Contrasting effects of chronic ethanol feeding on centrally and peripherally evoked hypotension in telemetered female rats. | 2004 Mar |
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Reactivity of hydrazinophthalazine drugs with the lipid peroxidation products acrolein and crotonaldehyde. | 2004 Sep 21 |
|
Calcium channel blockades exhibit anti-inflammatory and antioxidative effects by augmentation of endothelial nitric oxide synthase and the inhibition of angiotensin converting enzyme in the N(G)-nitro-L-arginine methyl ester-induced hypertensive rat aorta: vasoprotective effects beyond the blood pressure-lowering effects of amlodipine and manidipine. | 2005 Aug |
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Eukaryotic arylamine N-acetyltransferase. Investigation of substrate specificity by high-throughput screening. | 2005 Jan 15 |
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Synthesis and luminescence properties of lanthanide complexes incorporating a hydralazine-derived chromophore. | 2005 Jan 7 |
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AT1 receptor blockade is superior to conventional triple therapy in protecting against end-organ damage in Cyp1a1-Ren-2 transgenic rats with inducible hypertension. | 2006 Dec |
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Hydralazine target: from blood vessels to the epigenome. | 2006 Feb 28 |
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Antineoplastic effects of the DNA methylation inhibitor hydralazine and the histone deacetylase inhibitor valproic acid in cancer cell lines. | 2006 Jan 31 |
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Podocyte injury underlies the glomerulopathy of Dahl salt-hypertensive rats and is reversed by aldosterone blocker. | 2006 Jun |
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Hydralazine inhibits rapid acrolein-induced protein oligomerization: role of aldehyde scavenging and adduct trapping in cross-link blocking and cytoprotection. | 2006 Mar |
|
Early and sustained benefit on event-free survival and heart failure hospitalization from fixed-dose combination of isosorbide dinitrate/hydralazine: consistency across subgroups in the African-American Heart Failure Trial. | 2007 Apr 3 |
|
A randomised comparison of hydralazine and mini-bolus diazoxide for hypertensive emergencies in pregnancy: the PIVOT trial. | 2007 Aug |
|
Persistent hypertension and progressive renal injury induced by salt overload after short term nitric oxide inhibition. | 2007 Dec |
|
D-Penicillamine-induced ANCA-associated crescentic glomerulonephritis in Wilson disease. | 2007 Nov |
|
Beneficial effects of the Rho kinase inhibitor Y27632 in murine puromycin aminonucleoside nephrosis. | 2008 |
|
Pharmacologic profiling of human and rat cytochrome P450 1A1 and 1A2 induction and competition. | 2008 Dec |
|
"Pulse" treatment with high-dose angiotensin blocker reverses renal arteriolar hypertrophy and regresses hypertension. | 2009 Jan |
|
4-Hydrazino-2-(methyl-sulfan-yl)-pyrimidine. | 2009 Jan 31 |
|
Hydralazine for essential hypertension. | 2010 Aug 4 |
|
Profiling of a prescription drug library for potential renal drug-drug interactions mediated by the organic cation transporter 2. | 2011 Jul 14 |
|
Angiotensin II-induced vascular endothelial dysfunction through RhoA/Rho kinase/p38 mitogen-activated protein kinase/arginase pathway. | 2011 May |
|
Early treatment with olmesartan prevents juxtamedullary glomerular podocyte injury and the onset of microalbuminuria in type 2 diabetic rats. | 2012 May |
|
Diesel exhaust induced pulmonary and cardiovascular impairment: the role of hypertension intervention. | 2013 Apr 15 |
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/dosage/hydralazine.html
Curator's Comment: can also be used intramuscularly or as a rapid intravenous bolus injection directly into the vein. http://www.accessdata.fda.gov/drugsatfda_docs/label/2013/040136s005lbl.pdf
Initial dose: 10 mg orally 4 times a day for the first 2 to 4 days. Increase to 25 mg orally 4 times a day for the balance of the first week.
For the second and subsequent weeks, increase dosage to 50 mg orally 4 times a day.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/7660828
Hydralazine (0.03-10 mmol.L(-1)) inhibited the activities of both PKA and PKG with IC50 of 1.2 and 2.5 mmol.L(-1), respectively
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Classification Tree | Code System | Code | ||
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FDA ORPHAN DRUG |
334611
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WHO-ATC |
C02DB02
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WHO-ESSENTIAL MEDICINES LIST |
12.3
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FDA ORPHAN DRUG |
166703
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NDF-RT |
N0000175379
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WHO-VATC |
QC02LG02
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WHO-VATC |
QC02DB02
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LIVERTOX |
NBK548580
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NCI_THESAURUS |
C270
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NDF-RT |
N0000175564
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WHO-ATC |
C02LG02
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86-54-4
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5775
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26NAK24LS8
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5470
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26NAK24LS8
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7326
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126699
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Hydralazine
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3637
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DB01275
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SUB08059MIG
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DTXSID4023129
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CHEMBL276832
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HYDRALAZINE
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100000084193
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1
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201-680-3
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m6072
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C62032
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D006830
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1384
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ACTIVE MOIETY
METABOLITE INACTIVE (PARENT)
METABOLITE INACTIVE (PARENT)
METABOLITE INACTIVE (PARENT)
METABOLITE INACTIVE (PARENT)
METABOLITE INACTIVE (PARENT)
SALT/SOLVATE (PARENT)