Apresoline should be taken exactly as prescribed by your doctor. Here are some general guidelines:
Take as directed: Apresoline should be orally administered with or without food. The tablets must not be crushed nor chewed. Medication is taken with full glass water.
It must be used on the same day at a set time to help remember when it needs to be taken. The Apresoline dose should be taken as soon as one remembers if it is near the time for the next dose. Do not double the dose.
Regular monitoriong of blood pressure is another important aspect for ensuring if Apresoline is supposed to work that way; the dose administered is accordingly appropriate.
Alcohol be avoided: The effect enhancing the blood pressure-lowering effect of Apresoline is alcohol. So when on this drug, an individual should be cautious over alcohol intake.
Dietary and exercise activities: Balanced diet and routine physical workout can help one improve efficiency of Apresoline used while treating hypertension.
Apresoline, or hydralazine, works by dilating the blood vessels, which are the arteries, thereby reducing the overall blood pressure. Here’s how it works:
Hydralazine directly acts on the smooth muscle cells within the walls of the blood vessels, causing these smooth muscles to relax. Relaxation of the smooth muscles results in vasodilation, or widening of the arteries, which further decreases blood pressure.
Reduced Cardiac Workload: As the blood vessels relax and dilate, the heart doesn’t have to pump as hard to force blood through the body. This reduces the workload on the heart and improves blood flow to different organs.
Improved Blood Flow: Through vasodilation, Apresoline can also enhance blood flow to specific areas, such as the kidneys and brain, which may be helpful in certain conditions like heart failure.
All these activities cause blood pressure to decrease, and in some cases, improve heart performance.
As with any drug, Apresoline may cause side effects. Not everyone will suffer from them. The most common side effects are:
- Dizziness or lightheadedness
- Headache
- Nausea or vomiting
- Fatigue
- Fast or irregular heartbeat
Serious side effects, although rare, can include:
- Chest pain
- Severe dizziness or fainting
- Swelling of the ankles or feet
- Lupus-like symptoms (e.g., joint pain, rash, fever)
- Hypotension (very low blood pressure)
If any of these serious side effects occur, seek medical attention immediately.
Before taking Apresoline, consider the following warnings and precautions:
Heart disease: Apresoline should be used with caution in people with heart diseases such as coronary artery disease or valvular heart disease because the drug may increase the rate of heart.
Kidney or liver disease: If you have liver or kidney problems, Apresoline may need to be used with caution, and the dosage may need to be adjusted.
Pregnancy and lactation: Apresoline falls in category C, which indicates its use is to be considered if it is clearly needed. There is no information available whether the drug passes into the breast milk; hence consult your doctor if you are pregnant or nursing.
Autoimmune disorders: Apresoline causes lupus-like condition and, hence, should be taken cautiously in patients who have had an autoimmune disease previously.
Apresoline interacts with several drugs, and this may either alter the effect of the drug or raise the risk of side effects. Some of the interactions include:
Beta-adrenergic blocking agents (such as propranolol). With concomitant use with Apresoline, beta blockers could be expected to heighten the risk of blood pressure and heart rate hypotension.
The common initiating dose of Apresoline is 10 mg to 25 mg given 2-4 times a day for hypertension. The dose can be escalated as the patient’s condition dictates the need for medication. A maintenance dose often ranges between 100 mg to 200 mg daily. Dosage for heart failure may vary and is adjusted as needed by the physician.
Apresoline is available only by prescription. This drug should be consulted with a doctor for the appropriate dosage and whether it will be the best treatment for your condition. Your physician will also check your blood pressure and watch for other side effects during treatment.