II. Mechanism
- Direct vasodilators relax vascular Smooth Muscle
- One mechanism of vasodilation is mediated by nitric oxide in the vascular endothelium
III. Medications: Direct Acting Vasodilators IV
-
Hydralazine (Apresoline)
- Dose: 10-40 mg IV/IM q4-6h
-
Hydralazine with Isosorbide Dinitrate 37.5/20 (BiDil)
- Dose: 1-2 tablets orally three times daily
- For Class III CHF patients (esp. African American)
- Very expensive: $400/month
- Generic Drugs separately are $60/month
- Diazoxide (Hyperstat)
- Dose: 1-3 mg/kg up to 150 mg IV q5-15 min
- Nitroprusside Sodium (Nipride)
- Minoxidil (Loniten)
- Fenoldopam (Corlopam)
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Related Studies
diazoxide (on 11/23/2022 at Medicaid.Gov Survey of pharmacy drug pricing) | ||
DIAZOXIDE 50 MG/ML ORAL SUSP | Generic | $7.19 per ml |