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Hydralazine HCl 10mg/ml Oral Suspension

Hydralazine HCl 10mg/ml Oral Suspension, expertly compounded at Bayview Pharmacy, offers a customized treatment for hypertension, heart failure, and CKD.
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Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Hydralazine Hydrochloride
Suspension
65adb4cc14df6c6cd895b7ae

Formula Information

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Hydralazine HCl 10mg/ml Oral Suspension is a specially compounded medication designed to manage hypertension (high blood pressure). This liquid dosage form ensures that the active ingredient, hydralazine hydrochloride, is uniformly dispersed throughout the liquid medium, creating a homogeneous mixture that is easy to administer, especially for patients who may have difficulties swallowing tablets or capsules. Hydralazine works by relaxing the blood vessels, allowing them to dilate, which in turn reduces the pressure within the vessels and improves the flow of blood.

For patients, it is important to understand that consistent use of hydralazine as prescribed is crucial for managing blood pressure effectively. The oral suspension form should be shaken well before each use to ensure the medication is properly mixed. It is also important to adhere to the prescribed dosing schedule and not to discontinue the medication without consulting a healthcare provider, as abrupt cessation can lead to rebound hypertension. Patients should be aware of potential side effects, which may include headache, dizziness, or palpitations, and should report any severe or persistent adverse reactions to their healthcare provider.

Prescribers opting for Hydralazine HCl 10mg/ml Oral Suspension should consider the patient's overall medication regimen, as hydralazine may interact with other drugs. Additionally, dose adjustments may be necessary based on the patient's response to therapy and any concurrent medical conditions. Regular monitoring of blood pressure and possible side effects is recommended to ensure optimal treatment outcomes. This formulation is particularly useful for patients with specific swallowing difficulties, those requiring a precise dose adjustment, or for pediatric and geriatric populations.

At Bayview Pharmacy, we are committed to providing high-quality, customized medications to meet the unique needs of each patient. Our team of compounding pharmacists is available to answer any questions and provide guidance on the use of Hydralazine HCl 10mg/ml Oral Suspension. We work closely with prescribers to ensure that the formulation is tailored to the patient's specific needs. If you have any questions or require further information about this formulation, please do not hesitate to reach out to us.

Drug Interactions

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Hydralazine HCl is an antihypertensive medication that works by relaxing the muscles in the walls of the blood vessels, which helps to lower blood pressure. It is used in the treatment of high blood pressure (hypertension) and sometimes in the management of heart failure. When considering the use of hydralazine HCl 10mg/ml oral suspension, it is important to be aware of potential drug interactions that may affect the efficacy of the medication or increase the risk of adverse effects.

Hydralazine should be used with caution in combination with other blood pressure-lowering medications, as the additive effect may cause excessive hypotension. This includes diuretics, beta-blockers, calcium channel blockers, ACE inhibitors, and angiotensin receptor blockers. Close monitoring of blood pressure is recommended when initiating or adjusting the dose of hydralazine in combination with these medications.

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen may reduce the antihypertensive effects of hydralazine. Patients should be advised to use NSAIDs cautiously and to inform their healthcare provider if they are taking these medications regularly.

Hydralazine may interact with monoamine oxidase inhibitors (MAOIs), leading to a risk of hypertensive crisis. A careful assessment of the patient's medication history is necessary before prescribing hydralazine to avoid this potentially life-threatening interaction.

Alcohol may potentiate the vasodilatory effect of hydralazine, leading to further lowering of blood pressure and increased risk of dizziness or fainting. Patients should be counseled on the risks of consuming alcohol while taking this medication.

Hydralazine may also interact with drugs that affect hepatic metabolism, such as inhibitors or inducers of cytochrome P450 enzymes. For example, drugs that inhibit CYP2D6, such as certain antidepressants and antipsychotics, may increase hydralazine levels and its effects, while inducers such as rifampin may decrease its efficacy.

It is also important to note that hydralazine can cause a lupus-like syndrome, and this risk may be increased when used in combination with other drugs known to induce lupus erythematosus.

Patients should be advised to inform their healthcare providers of all medications, supplements, and herbal products they are taking to ensure safe and appropriate use of hydralazine HCl oral suspension. Regular monitoring of blood pressure and other clinical parameters is essential to adjust the dose accordingly and to detect any adverse effects or interactions early.

If you have any questions or require further information regarding the use of hydralazine HCl 10mg/ml oral suspension, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing comprehensive support to both patients and prescribers.

How Does it Work

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Hydralazine HCl 10mg/ml Oral Suspension is a liquid medication specifically designed to manage hypertension, which is high blood pressure. This medication works by directly relaxing the blood vessels, making it easier for the heart to pump blood around the body, thereby reducing blood pressure. Hydralazine is classified as a vasodilator. It achieves its effect by interfering with calcium ion release within the cells of the vascular smooth muscle, which is essential for the muscle to contract. By preventing this contraction, hydralazine causes the dilation of the arteries and arterioles.

The oral suspension form of Hydralazine HCl is particularly beneficial for patients who may have difficulty swallowing tablets or capsules, such as children or the elderly, or for those who require a precise dosage that is not available in a standard pill. The 10mg/ml concentration allows for easy dose adjustment to meet the specific needs of the patient. The suspension is prepared by dispersing the hydralazine hydrochloride powder uniformly throughout a suitable liquid medium, which often contains suspending agents to ensure the drug remains evenly distributed and does not settle at the bottom of the container.

When taken as directed, this formulation can help to control chronic hypertension, which, if left untreated, can lead to serious health complications such as heart disease, stroke, and kidney failure. It is important to note that while hydralazine helps to control high blood pressure, it is not a cure for the condition. Patients are often advised to take this medication alongside lifestyle changes, such as diet and exercise, and may also be prescribed other medications as part of a comprehensive treatment plan.

For prescribers, it is crucial to monitor the patient's blood pressure regularly to ensure the medication is having the desired effect. Dosage adjustments may be necessary based on the patient's response to treatment and any side effects they may experience. As with any medication, there are potential side effects with hydralazine, including headache, dizziness, and palpitations, which should be discussed with patients before initiating therapy.

If you have any questions about Hydralazine HCl 10mg/ml Oral Suspension or its use in treating hypertension, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to effectively manage your patients' health conditions.

Other Uses

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While hydralazine hydrochloride is most commonly prescribed for its antihypertensive effects, intended to manage high blood pressure and to treat hypertension-related conditions, the oral suspension form at a 10mg/ml concentration may also have alternative uses in clinical practice. In some instances, hydralazine HCl oral suspension may be considered in the management of certain types of heart failure, specifically in combination with nitrates for heart failure with reduced ejection fraction. It has been found to decrease afterload, thereby potentially improving cardiac output in patients with this condition.

Additionally, there may be off-label applications of hydralazine HCl oral suspension. For example, it has been used in the treatment of hypertensive crises, although intravenous administration is typically preferred for immediate blood pressure control. In certain cases, the oral suspension may be used when intravenous administration is not possible, or in settings where long-term, consistent dosing is required, and adherence is a concern. The accurate, lower-dosage formulation may also be valuable for pediatric patients who require blood pressure management and cannot swallow tablets.

It is also important to note that the oral suspension formulation allows for titration to the specific needs of patients who may metabolize the drug differently, such as the elderly, or those with renal or hepatic impairment, who often require adjusted dosage regimens. In settings where patient compliance is critical, the oral liquid form can be more easily ingested by patients with difficulty swallowing pills or those who require enteral feeding tubes.

Beyond these applications, research into additional uses of hydralazine HCl continues, and practitioners may discover new therapeutic opportunities. It is imperative that any alternative use of hydralazine HCl 10mg/ml oral suspension be clinically justified and undertaken with careful patient monitoring, due to the potential for adverse reactions and the necessity of dosage adjustments specific to the individual's response and tolerance to the medication.

For detailed information regarding the compounding, indications, dosing, and administration of hydralazine HCl oral suspension, as well as its potential other uses outside of the treatment of high blood pressure and heart failure, please reach out to us. Our team at Bayview Pharmacy is dedicated to providing in-depth knowledge and guidance to ensure safe and appropriate use of compounded medications for various patient needs.

Frequently Asked Questions

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What is Hydralazine HCl 10mg/ml Oral Suspension?

Hydralazine HCl 10mg/ml Oral Suspension is a liquid medication used to treat high blood pressure. It contains the active ingredient Hydralazine hydrochloride at a concentration of 10 milligrams per milliliter. The medication is prepared in a way that ensures the active ingredient is uniformly dispersed throughout the liquid medium, providing a consistent dose with each administration.

How should I take Hydralazine HCl Oral Suspension?

The suspension should be taken orally, as directed by your physician. It's important to shake the bottle well before each use to ensure that the active ingredient is evenly distributed. The prescribed dose should be measured accurately with a medical-grade syringe or a dosing cup.

Can I mix the Hydralazine HCl Oral Suspension with foods or beverages?

It is not recommended to mix the medication with food or beverages unless advised by a healthcare professional. Taking the suspension on its own ensures the proper dosage is administered and absorption is not affected.

What should I do if I miss a dose?

If you miss a dose of Hydralazine HCl Oral Suspension, take it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose and return to your regular dosing schedule. Do not double up on doses to make up for a missed one.

How do I store Hydralazine HCl Oral Suspension?

Hydralazine HCl Oral Suspension should be stored at controlled room temperature, away from light and moisture. Be sure to keep the bottle tightly closed and out of reach of children and pets. Refer to the product label or ask your pharmacist for the exact storage requirements.

Are there any side effects associated with taking this medication?

As with any medication, taking Hydralazine HCl Oral Suspension may cause side effects. Common side effects can include headache, dizziness, loss of appetite, nausea, or diarrhea. If you experience any severe side effects or signs of an allergic reaction, contact your physician promptly.

Can I drive or operate heavy machinery after taking Hydralazine HCl Oral Suspension?

Hydralazine HCl can cause dizziness, so it is advisable to know how you react to the medication before you drive or operate heavy machinery. If you feel dizzy or lightheaded after taking it, avoid engaging in activities that require full attention until you feel safe to do so.

Are there any interactions with other medications I should be aware of?

Hydralazine HCl Oral Suspension can interact with other medications, supplements, or herbal products you may be taking. It is important to inform your healthcare provider of all medicines you are currently taking to avoid potential interactions.

Is Hydralazine HCl Oral Suspension suitable for children?

Whether Hydralazine HCl Oral Suspension is suitable for children depends on a physician's assessment. If deemed suitable, the physician will determine the appropriate dosage based on the child's weight, age, and medical conditions.

What should I do if I take too much Hydralazine HCl Oral Suspension?

If you suspect an overdose of Hydralazine HCl Oral Suspension, seek emergency medical attention immediately. Overdosing on this medication can lead to severe health complications, so prompt action is essential.

Can I stop taking Hydralazine HCl Oral Suspension if I feel better?

You should not stop taking Hydralazine HCl Oral Suspension without consulting your healthcare provider, even if you feel better. Abrupt cessation of the medication can lead to a rebound effect, potentially worsening your condition.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Related Formulas

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.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NY, NJ, NH, FL, and ME. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Hydralazine HCl 10mg/ml Oral Suspension
Suspension
30 mL
controlled

Take orally