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Drug interactions

Dobutamine + Hydralazine

Severity: Moderate

Dobutamine 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

Dobutamine increases cardiac output and may add to hydralazine's vasodilation and reflex tachycardia. Net effects on blood pressure can vary, and the two drugs have partly opposing actions.

What this interaction means in plain words

Dobutamine 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.

Dobutamine belongs to Cardiovascular; Hydralazine belongs to Cardiovascular.

Evidence level: Low

Why it happens

Pharmacodynamic interaction between beta-1 mediated inotropy and chronotropy and direct arteriolar vasodilation.

What to do

Monitor blood pressure, heart rate and rhythm during dobutamine infusion. Titrate each agent to hemodynamic goals.

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 Dobutamine with Hydralazine?

MediHelp rates the interaction as moderate. Dobutamine 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. Dobutamine increases cardiac output and may add to hydralazine's vasodilation and reflex tachycardia. Net effects on blood pressure can vary, and the two drugs have partly opposing actions.

How serious is the interaction between Dobutamine 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, heart rate and rhythm during dobutamine infusion. Titrate each agent to hemodynamic goals.

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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