HydrALAZINE HydrochlorideInjection, USP

“AP” Rated and therapeutically equivalent to Apresoline^®*1
Vial closure is not made with natural rubber latex

	Pack NDC#	Strength	Supplied As	Shelf Pack	Vial Opening Size	Product Info	Availability
	Strength: 20 mg/mL Supplied As: 1 mL Single Dose Vial NDC#: 0517-0901-25	0517-0901-25	20 mg/mL	1 mL Single Dose Vial	25	13 mm	Product Label Full Prescribing Information Safety Data Sheet	In Stock
Shelf Pack 25 Availability In Stock Product Label Full Prescribing Information Safety Data Sheet Preserved with 0.65 mg/mL Methylparaben, 0.35 mg/mL Propylparaben Wholesaler Numbers Cardinal - McKesson 1188150 Morris & Dickson - Case Information Unit of Sale NDC 0517-0901-25 Order Size 25 Case Size 90 Case Per Tier 40 Locate Distributor Receive Availability Emails

^*Apresoline is a registered trademark of Novartis Pharmaceuticals Corp.

^{1. Data on File. Shirley, NY American Regent, Inc.}

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Shirley, NY 11967

P: 631-924-4000
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For intravenous and intramuscular administration

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

IMPORTANT SAFETY INFORMATION

CONTRAINDICATIONS
Hypersensitivity to hydralazine; coronary artery disease; mitral valvular rheumatic heart disease.

WARNINGS
Hydralazine may produce a clinical picture simulating systemic lupus erythematosus, necessitating discontinuation unless the benefit-to-risk determination requires continued antihypertensive therapy with this drug. Symptoms and signs usually regress when the drug is discontinued but residua have been detected many years later.

PRECAUTIONS
General: Myocardial stimulation produced by hydralazine can cause anginal attacks and ECG changes of myocardial ischemia including myocardial infarction.
Use with caution in patients with suspected coronary artery disease or advanced renal damage.

Laboratory Tests: Complete blood counts and antinuclear antibody titer determinations are indicated before and periodically during prolonged therapy.
Blood dyscrasias have been reported. If such abnormalities develop, therapy should be discontinued.

Drug Interactions: MAO inhibitors; other antihypertensive drugs.

Pregnancy: Teratogenic effects. Pregnancy Category C:

There are no adequate and well-controlled studies in pregnant women. Hydralazine should be used during pregnancy only if the expected benefit justifies the potential risk to the fetus.

Nursing Mothers: Hydralazine has been shown to be excreted in breast milk.

Pediatric Use: Safety and effectiveness in pediatric patients have not been established.

ADVERSE REACTIONS
The following adverse reactions are not limited to:
Common: Headache, anorexia, nausea, vomiting, diarrhea, palpitations, tachycardia, angina pectoris.
Less Frequent: Digestive: constipation, paralytic ileus
Cardiovascular: hypotension, paradoxical pressor response, edema
Respiratory: dyspnea
Neurologic: peripheral neuritis; dizziness; tremors; muscle cramps; psychotic reactions characterized by depression, disorientation, or anxiety
Genitourinary: difficulty in urination
Hematologic: blood dyscrasias; lymphadenopathy; splenomegaly
Hypersensitive Reactions: rash, urticaria, pruritus, fever, chills, arthralgia, eosinophilia and rarely, hepatitis
Other: nasal congestion, flushing, lacrimation, conjunctivitis

For additional safety information, please see Full Prescribing Information.

You are encouraged to report Adverse Drug Events to American Regent Inc. at 1-800-734-9236, or to the FDA by visiting www.fda.gov/medwatch or by calling 1-800-FDA-1088.

^{REF-1505 8/2020}