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. Author manuscript; available in PMC: 2021 Sep 14.
Published in final edited form as: Am J Nephrol. 2020 Sep 14;51(10):764–776. doi: 10.1159/000510433

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.
a

Intermediate acetylators have one copy of a reduced functioning allele.

b

Fast acetylators have no copies of a reduced functioning allele.

c

Slow acetylators have two copies of a reduced functioning allele.