Table 3.
Hydralazine Dosing Recommendations for the Indication of Resistant Hypertension
NAT2 Status | Recommendation |
---|---|
Intermediatea or Fastb Acetylator | Predicted to have reduced hydralazine efficacy; consider a 50–100% higher starting dose of hydralazine for patients with resistant hypertension. Limit total daily hydralazine dose to 300 mg daily. |
Slow Acetylatorc | Predicated to have increased hydralazine levels, which may lead to increased efficacy and/or adverse effects. Use caution with total daily hydralazine doses of 200 mg or more. |
Intermediate acetylators have one copy of a reduced functioning allele.
Fast acetylators have no copies of a reduced functioning allele.
Slow acetylators have two copies of a reduced functioning allele.