Hydralazine
Apresazide, Apresoline, Apresoline-esidrix, Bidil, Cam-ap-es, Dralserp, Dralzine, Hydra-zide, Hydrap-es, Hydroserpine (r), Ser-a-gen, Ser-ap-es, Serpasil-apresoline, Unipres (hydralazine) is a small molecule pharmaceutical. Hydralazine was first approved as Apresoline on 1982-01-01. It is used to treat heart failure, malignant hypertension, and pulmonary hypertension in the USA.
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Commercial
Trade Name
FDA
EMA
Combinations
Bidil (generic drugs available since 1982-01-01, discontinued: Apresazide, Apresoline-esidrix, Cam-ap-es, Dralserp, Hydra-zide, Hydrap-es, Hydroserpine (r), Ser-a-gen, Ser-ap-es, Serpasil-apresoline, Unipres)
Drug Products
FDA
EMA
New Drug Application (NDA)
New Drug Application (NDA)
Abbreviated New Drug Application (ANDA)
Abbreviated New Drug Application (ANDA)
Hydralazine hydrochloride
Tradename | Company | Number | Date | Products |
---|---|---|---|---|
APRESOLINE | Novartis | N-008303 DISCN | 1982-01-01 | 5 products, RLD |
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Hydralazine hydrochloride
+
Hydrochlorothiazide
Tradename | Company | Number | Date | Products |
---|---|---|---|---|
APRESOLINE-ESIDRIX | Novartis | N-012026 DISCN | 1982-01-01 | 1 products |
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Hydralazine hydrochloride
+
Hydrochlorothiazide
+
Reserpine
Tradename | Company | Number | Date | Products |
---|---|---|---|---|
SER-AP-ES | Novartis | N-012193 DISCN | 1982-01-01 | 1 products |
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Hydralazine hydrochloride
+
Isosorbide dinitrate
Tradename | Company | Number | Date | Products |
---|---|---|---|---|
BIDIL | Azurity | N-020727 RX | 2005-06-23 | 1 products, RLD, RS |
Hydralazine hydrochloride
+
Reserpine
Tradename | Company | Number | Date | Products |
---|---|---|---|---|
SERPASIL-APRESOLINE | Novartis | N-009296 DISCN | 1982-01-01 | 2 products |
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Labels
FDA
EMA
Brand Name | Status | Last Update |
---|---|---|
bidil | New Drug Application | 2021-01-26 |
hydralazine hydrochloride | ANDA | 2023-05-30 |
Indications
FDA
EMA
Indication | Ontology | MeSH | ICD-10 |
---|---|---|---|
heart failure | EFO_0003144 | D006333 | I50 |
malignant hypertension | EFO_1001031 | D006974 | — |
pulmonary hypertension | EFO_0001361 | D006976 | I27.20 |
Agency Specific
FDA
EMA
No data
Patent Expiration
No data
ATC Codes
C: Cardiovascular system drugs
— C02: Antihypertensives
— C02D: Arteriolar smooth muscle, agents acting on
— C02DB: Hydrazinophthalazine derivatives acting on arteriolar smooth muscle
— C02DB02: Hydralazine
— C02L: Antihypertensives and diuretics in combination
— C02LG: Hydrazinophthalazine derivatives and diuretics
— C02LG02: Hydralazine and diuretics
HCPCS
Code | Description |
---|---|
J0360 | Injection, hydralazine hcl, up to 20 mg |
Clinical
Clinical Trials
38 clinical trials
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Indications Phases 4
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Hypertension | D006973 | EFO_0000537 | I10 | 1 | 1 | — | 3 | 5 | 10 |
Heart failure | D006333 | EFO_0003144 | I50 | 1 | 2 | 2 | 2 | — | 6 |
Type 2 diabetes mellitus | D003924 | EFO_0001360 | E11 | — | — | — | 1 | — | 1 |
Systolic heart failure | D054143 | EFO_1001207 | I50.20 | — | — | — | 1 | — | 1 |
Mitral valve insufficiency | D008944 | HP_0001653 | — | — | — | 1 | — | 1 | |
Chronic kidney failure | D007676 | EFO_0003884 | N18.6 | — | — | — | 1 | — | 1 |
Indications Phases 3
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Uterine cervical neoplasms | D002583 | — | 1 | 2 | — | — | 3 | ||
Pregnancy-induced hypertension | D046110 | O13 | — | 1 | 1 | — | — | 2 | |
Ovarian neoplasms | D010051 | EFO_0003893 | C56 | — | — | 1 | — | — | 1 |
Alzheimer disease | D000544 | EFO_0000249 | F03 | — | — | 1 | — | — | 1 |
Cardio-renal syndrome | D059347 | — | — | 1 | — | — | 1 | ||
Left ventricular dysfunction | D018487 | — | — | 1 | — | — | 1 |
Indications Phases 2
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Stroke | D020521 | EFO_0000712 | I63.9 | — | 2 | — | — | 1 | 3 |
Cerebral hemorrhage | D002543 | — | 2 | — | — | 1 | 3 | ||
Blood pressure | D001794 | EFO_0004325 | — | 1 | — | — | — | 1 | |
Cardiovascular diseases | D002318 | EFO_0000319 | I98 | — | 1 | — | — | — | 1 |
Vascular diseases | D014652 | EFO_0004264 | I77 | — | 1 | — | — | — | 1 |
Heart diseases | D006331 | EFO_0003777 | I51.9 | — | 1 | — | — | — | 1 |
Pre-eclampsia | D011225 | EFO_0000668 | O14 | — | 1 | — | — | — | 1 |
Drug-related side effects and adverse reactions | D064420 | T88.7 | — | 1 | — | — | — | 1 | |
Neoplasms | D009369 | C80 | — | 1 | — | — | — | 1 | |
Breast neoplasms | D001943 | EFO_0003869 | C50 | 1 | 1 | — | — | — | 1 |
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Indications Without Phase
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Intracranial hemorrhages | D020300 | EFO_0000551 | I62 | — | — | — | — | 1 | 1 |
Epidemiology
Epidemiological information for investigational and approved indications
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Drug
General
Drug common name | HYDRALAZINE |
INN | hydralazine |
Description | Hydralazine is the 1-hydrazino derivative of phthalazine; a direct-acting vasodilator that is used as an antihypertensive agent. It has a role as an antihypertensive agent and a vasodilator agent. It is a member of phthalazines, an azaarene, an ortho-fused heteroarene and a member of hydrazines. |
Classification | Small molecule |
Drug class | antihypertensives (hydrazine-phthalazines); antiarrhythmic/antianginal/antihypertensive agents, phthalazine like structure |
Image (chem structure or protein) | |
Structure (InChI/SMILES or Protein Sequence) | NNc1nncc2ccccc12 |
Identifiers
PDB | — |
CAS-ID | 86-54-4 |
RxCUI | 5470 |
ChEMBL ID | CHEMBL276832 |
ChEBI ID | 5775 |
PubChem CID | 3637 |
DrugBank | DB01275 |
UNII ID | 26NAK24LS8 (ChemIDplus, GSRS) |
Target
Agency Approved
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Alternate
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Variants
Clinical Variant
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Financial
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Trends
PubMed Central
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Safety
Black-box Warning
No Black-box warning
Adverse Events
Top Adverse Reactions
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151 adverse events reported
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