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Drug interactions

Dextroamphetamine + Hydralazine

Severity: Moderate

Dextroamphetamine and Hydralazine: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Dextroamphetamine raises blood pressure and heart rate and can oppose the antihypertensive effect of hydralazine. Reflex tachycardia from hydralazine may also add to stimulant effects.

What this interaction means in plain words

Dextroamphetamine and Hydralazine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Dextroamphetamine belongs to Central Nervous System; Hydralazine belongs to Cardiovascular.

Evidence level: Low

Why it happens

Pharmacodynamic antagonism: sympathomimetic-induced vasoconstriction and cardiac stimulation oppose vasodilation.

What to do

Monitor blood pressure and heart rate and adjust the antihypertensive regimen if control is lost.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Dextroamphetamine with Hydralazine?

MediHelp rates the interaction as moderate. Dextroamphetamine and Hydralazine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Dextroamphetamine raises blood pressure and heart rate and can oppose the antihypertensive effect of hydralazine. Reflex tachycardia from hydralazine may also add to stimulant effects.

How serious is the interaction between Dextroamphetamine and Hydralazine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure and heart rate and adjust the antihypertensive regimen if control is lost.

What other medicines interact with Hydralazine?

MediHelp also lists interactions of Hydralazine with, for example, Amifostine, Aceclofenac, Acemetacin. The full list is on the Hydralazine page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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