What are the recommended doses of hydrazine (a toxic substance) in infants?

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Last updated: May 14, 2025View editorial policy

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From the FDA Drug Label

For symptomatic relief of anxiety and tension associated with psychoneurosis and as an adjunct in organic disease states in which anxiety is manifested: ... : children under 6 years, 50 mg daily in divided doses As a sedative when used as a premedication and following general anesthesia: ... and 0. 6 mg/kg in children

  • Infant dosing: The label provides dosing information for children under 6 years, which may include infants.
  • Hydrazine dose in infants: 0.6 mg/kg can be used for sedation in children, which may be applicable to infants. However, for other indications, a fixed dose of 50 mg daily in divided doses is recommended for children under 6 years, which may not be suitable for all infants due to varying weights. 1

From the Research

Hydrazine is not a medication used in infants and is actually a highly toxic chemical compound primarily used as a rocket propellant and in industrial applications. It is not approved for medical use in infants or any human patients. If you are asking about a medication for infants, there may be confusion with a different drug name.

Key Points to Consider

  • Hydralazine (not hydrazine) is a vasodilator sometimes used to treat hypertension in pediatric patients, including infants in certain circumstances.
  • For hydralazine in infants, the typical dosing is 0.1-0.5 mg/kg/dose given every 6-8 hours, with careful blood pressure monitoring, as noted in general medical practice 2.
  • Treatment should only be initiated by a pediatrician or neonatologist, as dosing must be individualized based on the infant's weight, age, kidney function, and blood pressure response.
  • Side effects may include tachycardia, fluid retention, and feeding difficulties.
  • Hydralazine works by directly relaxing arterial smooth muscle, leading to vasodilation and reduced blood pressure.
  • Never administer any medication to an infant without specific medical direction from a qualified healthcare provider, emphasizing the importance of professional guidance in medical treatment 3, 4.

Relevant Considerations

  • The provided studies do not directly address the use of hydrazine in infants but highlight its toxic nature and industrial applications 5, 6.
  • The focus should always be on approved medications and treatments, with hydralazine being a relevant example for infant hypertension under medical supervision.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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