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The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse effects (risks) as well as efficacies (benefits). It is important to minimize adverse effects and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment.
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Brand name :
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10% Apresoline powder 'CIBA'
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Active ingredient:
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Hydralazine hydrochloride
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Dosage form:
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white to pale yellowish white powder
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Effects of this medicine
This medicine acts on vascular smooth muscles in peripheral arterioles directly, and dilates blood vessels to lower blood pressure.
It is usually used to treat essential hypertension or hypertension due to toxemia of pregnancy.
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Before using this medicine, be sure to tell your doctor and pharmacist
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If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines.
If you are a patient with ischemic heart disease, heart failure, tachycardia, dissecting aortic aneurysm, acute phase of brain bleeding.
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If you are pregnant or breastfeeding.
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If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)
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Dosing schedule (How to take this medicine)
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Your dosing schedule prescribed by your doctor is << to be written by a healthcare professional>>
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In general, for adults,start with taking 0.1 g (10 mg of the active ingredient) at a time,3-4 times a day. Then the dose is increased stepwise according to the blood pressure response. The maintenance dose for adults is usually 0.2-0.5 g (20-50 mg) at a time, 0.3-2 g (30-200 mg) a day. The dosage should be adjusted according to the age or symptoms.Strictly follow the instructions.
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If you miss a dose, take a dose as soon as possible. However, if it is 3 hours or less before the next dose, skip the missed dose and continue your regular dosing schedule. You should never take two doses at one time.
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If you accidentally take more than your prescribed dose, consult with your doctor or pharmacist.
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Do not stop taking this medicine unless your doctor instructs you to do so.
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Precautions while taking this medicine
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The medicine may cause dizziness etc., since the blood pressure is decreased. Pay attention when you drive a car, or operate dangerous machinery.
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Possible adverse effects of this medicine
The most commonly reported adverse reactions include tachycardia, hot flushes, nausea, vomiting, headache, jaundice, rash ,fever and purpura, etc. If any of these symptoms occur, consult with your doctor or pharmacist.
The symptoms described below are rarely seen as initial symptoms of the adverse effects indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
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erythema, fever, pain in joint or chest[systemic lupus erythematosus-like symptoms]
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cough, easy breathing in upright position, swelling in limbs[congestive heart failure]
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chest pain, pressured feeling in chest, cold sweat[induction of angina attack]
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decrease of urine output, swelling in limbs, loss of appetite[acute renal failure]
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symptoms of anemia, brown urine, bleeding tendency[hemolytic anemia, pancytopenia]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.
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Storage conditions and other information
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Keep out of the reach of children. Store away from direct sunlight, heat and moisture.
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Discard the remainder. Do not store them.
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