Hydralazine 25mg

Generic For: Apresoline

Hydralazine 25mg (brand name Apresoline) is a prescription vasodilator used to treat essential hypertension, either alone or with other blood pressure medications. It works by relaxing the blood vessels so blood can flow more easily. After a licensed provider reviews your prescription, your order ships directly from a licensed U.S. pharmacy.

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Buy Hydralazine 25mg Online

A vasodilator antihypertensive for high blood pressure and, with nitrates, certain cases of heart failure

Hydralazine 25mg Quick Facts

Drug classVasodilator antihypertensive
TreatsHigh blood pressure, essential hypertension, adjunct in heart failure (with nitrates)
FormTablet
Typical dosingTake by mouth as directed by physician.
Prescription requiredYes — prescription only

What Is Hydralazine 25mg?

Hydralazine is a prescription medication that lowers blood pressure by directly relaxing the smooth muscle in the walls of small arteries. This widening of blood vessels reduces the resistance the heart must pump against, which lowers blood pressure. It is FDA-approved for essential hypertension and may be used alone or alongside other antihypertensive medicines. Hydralazine 25mg tablets are the generic form of the brand Apresoline.

What Does Hydralazine 25mg Treat?

Essential hypertension (high blood pressure)
Hypertension not controlled by other medications, as add-on therapy
Severe hypertension requiring combination therapy
Heart failure, in combination with isosorbide dinitrate (off-label per prescriber guidance)

Hydralazine 25mg Dosage

Initiate: 10 mg by mouth 4 times daily for the first 2-4 days.
Increase to 25 mg by mouth 4 times daily for the remainder of the first week.
Week 2 and after: 50 mg by mouth 4 times daily; adjust to lowest effective maintenance dose.

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Hydralazine 25mg Side Effects

Common side effects

  • Headache
  • Rapid heartbeat (tachycardia)
  • Palpitations
  • Loss of appetite
  • Nausea or vomiting
  • Diarrhea
  • Dizziness
  • Flushing

Serious side effects

Stop taking this medication and seek medical attention right away if you experience:

  • Chest pain or worsening angina
  • Lupus-like syndrome (joint pain, fever, rash, fatigue)
  • Numbness or tingling in hands or feet (peripheral neuritis)
  • Unexplained fever, sore throat, or unusual bruising (blood disorders)
  • Fainting or severe drop in blood pressure
  • Swelling, rapid weight gain, or shortness of breath

Warnings & Interactions

May cause a drug-induced lupus-like syndrome, especially at higher doses or with long-term use
Contraindicated in coronary artery disease and mitral valvular rheumatic heart disease
May cause reflex tachycardia and can provoke angina or myocardial ischemia
Peripheral neuritis may occur; pyridoxine (vitamin B6) may be recommended
Additive blood pressure lowering with other antihypertensives, diuretics, and MAO inhibitors
Do not stop abruptly without medical guidance; blood pressure may rise
Periodic blood counts and ANA testing may be advised during prolonged therapy

Tell your prescriber about all medications, supplements, and health conditions before starting hydralazine 25mg.

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Frequently Asked Questions

What is hydralazine used for?

Hydralazine is FDA-approved to treat essential hypertension (high blood pressure), either alone or with other blood pressure medications. Prescribers may also use it with isosorbide dinitrate for certain patients with heart failure. Your provider will determine whether it is appropriate for you.

How does hydralazine work?

Hydralazine is a direct vasodilator, meaning it relaxes the muscles in the walls of small arteries. This widens the vessels, reduces resistance to blood flow, and lowers blood pressure.

Do I need a prescription for hydralazine?

Yes. Hydralazine 25mg is a prescription-only medication in the United States. A valid prescription from a licensed healthcare provider is required before we can dispense it.

How does ordering and shipping work?

After you place your order, a licensed provider or pharmacist reviews your prescription and health information. Once approved, your medication is filled and shipped from a licensed U.S. pharmacy directly to your address.

What are the common side effects of hydralazine?

The most common side effects include headache, rapid heartbeat, palpitations, nausea, dizziness, and flushing. Many effects lessen as your body adjusts, but contact your provider if they persist or worsen.

Can I stop taking hydralazine suddenly?

Do not stop hydralazine without talking to your prescriber, as your blood pressure may rise. Your provider can advise whether a gradual dose adjustment or an alternative medication is appropriate.

Is hydralazine the same as Apresoline?

Yes. Hydralazine is the generic name for the brand-name medication Apresoline. Generic hydralazine contains the same active ingredient and is held to the same FDA standards.