Pharm

Direct Acting Vasodilator

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Direct Acting Vasodilator, Hydralazine, Apresoline, Diazoxide, Hyperstat, BiDil

  • Direct Acting Vasodilators IV
  1. Hydralazine (Apresoline)
    1. Dose: 10-40 mg IV/IM q4-6h
  2. Hydralazine with Isosorbide Dinitrate 37.5/20 (BiDil)
    1. Dose: 1-2 tablets PO tid
    2. For Class III CHF patients (esp. African American)
    3. Very expensive: $400/month
    4. Generic Drugs separately are $60/month
  3. Diazoxide (Hyperstat)
    1. Dose: 1-3 mg/kg up to 150 mg IV q5-15 min
  4. Nitroprusside Sodium (Nipride)
  5. Minoxidil (Loniten)