U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

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
Structure of HYDRALAZINE

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)

HIDE SMILES / InChI

Description
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

Curator's Comment: some metabolites of hydralazine are known to cross the blood-brain barrier

Originator

Curator's Comment: In 1951 the Hypertension Division at Washington University initiated the use of hydralazine

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
400.0 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Hydralazine Hydrochloride

Approved Use

Severe essential hypertension when the drug cannot be given orally or when there is an urgent need to lower blood pressure.

Launch Date

1985
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
3 μM
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

AUC

ValueDoseCo-administeredAnalytePopulation
407 μM × h
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

T1/2

ValueDoseCo-administeredAnalytePopulation
2 h
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

Funbound

ValueDoseCo-administeredAnalytePopulation
13%
HYDRALAZINE plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse 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
Hypotension
Tachycardia
Chest pain
Sources: Page: p.53, 54
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)
Febrile reaction (rare)
Sources:
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
Glomerulonephritis
Sources: Page: p.2
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
Myocardial infarction
Peripheral neuritis
Sources: Page: p.3
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
Glomerulonephritis
Sources: Page: p.1
AEs

AEs

AESignificanceDosePopulation
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

Overview

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical 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
PubMed

PubMed

TitleDatePubMed
Some side-effects of alpha-methyldopa.
1976 Apr 10
Clinical consequences of polymorphic acetylation of basic drugs.
1977 Sep
Immunological side-effects of antihypertensive drugs.
1979
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
Drug-associated glomerulopathies.
1986
Clinical pharmacology and therapeutic role of prazosin and related alpha-adrenoceptor antagonists.
1986
Therapeutic advantage of converting enzyme inhibitors in arresting progressive renal disease associated with systemic hypertension in the rat.
1986 Jun
Isolated minimal change nephropathy associated with diclofenac.
1987 Jul 18
Hydralazine-induced cholestatic jaundice following liver transplantation.
1989 Jan
Prevention of arterial disease in experimental renal hypertension.
1990 Apr
Changes of atrial natriuretic peptide and its messenger RNA with development and regression of cardiac hypertrophy in renovascular hypertensive rats.
1990 Jan
Acute cocaine toxicity: antagonism by agents interacting with adrenoceptors.
1990 Jun
Hemodynamic effects of adenosine agonists in the conscious spontaneously hypertensive rat.
1990 Sep
Features of the acute hypotensive action of carvedilol and its ameliorating effect on myocardial ischemia.
1991
Renal arteriolar diameters in spontaneously hypertensive rats. Vascular cast study.
1991 Jul
The antihypertensive hydralazine is an efficient scavenger of acrolein.
2000
Drug-associated antineutrophil cytoplasmic antibody-positive vasculitis: prevalence among patients with high titers of antimyeloperoxidase antibodies.
2000 Feb
Nephroprotective effect of treatment with calcium channel blockers in spontaneously hypertensive rats.
2000 Sep
Blood pressure-independent effect of angiotensin AT1 receptor blockade on renal endothelin-1 production in hypertensive uremic rats.
2001 Aug
Persistent cardiovascular effects of chronic renin-angiotensin system inhibition following withdrawal in adult spontaneously hypertensive rats.
2001 Aug
Nifedipine or hydralazine as a first-line agent to control hypertension in severe preeclampsia.
2002 Jan
High-throughput measurement of the Tp53 response to anticancer drugs and random compounds using a stably integrated Tp53-responsive luciferase reporter.
2002 Jun
Contrasting effects of chronic ethanol feeding on centrally and peripherally evoked hypotension in telemetered female rats.
2004 Mar
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
Eukaryotic arylamine N-acetyltransferase. Investigation of substrate specificity by high-throughput screening.
2005 Jan 15
Synthesis and luminescence properties of lanthanide complexes incorporating a hydralazine-derived chromophore.
2005 Jan 7
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
Hydralazine target: from blood vessels to the epigenome.
2006 Feb 28
Antineoplastic effects of the DNA methylation inhibitor hydralazine and the histone deacetylase inhibitor valproic acid in cancer cell lines.
2006 Jan 31
Podocyte injury underlies the glomerulopathy of Dahl salt-hypertensive rats and is reversed by aldosterone blocker.
2006 Jun
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
Patents

Sample Use Guides

In Vivo Use Guide
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
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
Name Type Language
HYDRALAZINE
INN   MI   VANDF   WHO-DD  
INN  
Official Name English
1-HYDRAZINOPHTHALAZINE
Systematic Name English
HYDRALAZINE [MI]
Common Name English
hydralazine [INN]
Common Name English
DIHYDRALAZINE SULFATE, HYDRATED IMPURITY B [EP IMPURITY]
Common Name English
Hydralazine [WHO-DD]
Common Name English
NSC-126699
Code English
HYDRALAZINE [IARC]
Common Name English
HYDRALAZINE [VANDF]
Common Name English
PHTHALAZINE, 1-HYDRAZINO-
Systematic Name English
HIDRAL
Brand Name English
Classification Tree Code System Code
FDA ORPHAN DRUG 334611
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
WHO-ATC C02DB02
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
WHO-ESSENTIAL MEDICINES LIST 12.3
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
FDA ORPHAN DRUG 166703
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
NDF-RT N0000175379
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
WHO-VATC QC02LG02
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
WHO-VATC QC02DB02
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
LIVERTOX NBK548580
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
NCI_THESAURUS C270
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
NDF-RT N0000175564
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
WHO-ATC C02LG02
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
Code System Code Type Description
CAS
86-54-4
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
CHEBI
5775
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
FDA UNII
26NAK24LS8
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
RXCUI
5470
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY RxNorm
DAILYMED
26NAK24LS8
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
IUPHAR
7326
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
NSC
126699
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
LACTMED
Hydralazine
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
PUBCHEM
3637
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
DRUG BANK
DB01275
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
EVMPD
SUB08059MIG
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
EPA CompTox
DTXSID4023129
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
ChEMBL
CHEMBL276832
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
WIKIPEDIA
HYDRALAZINE
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
SMS_ID
100000084193
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
INN
1
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
ECHA (EC/EINECS)
201-680-3
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
MERCK INDEX
m6072
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY Merck Index
NCI_THESAURUS
C62032
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
MESH
D006830
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY
DRUG CENTRAL
1384
Created by admin on Fri Dec 15 15:03:50 GMT 2023 , Edited by admin on Fri Dec 15 15:03:50 GMT 2023
PRIMARY