What is the recommended dosage of hydrazine for medical treatment?

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Critical Warning: Hydrazine vs. Hydralazine Confusion

You are asking about HYDRAZINE, which is NOT a medication—it is an industrial chemical and known carcinogen with NO approved medical use. The evidence provided relates to HYDRALAZINE, a blood pressure medication with an entirely different chemical structure and purpose.

Hydrazine: Industrial Chemical, NOT a Drug

  • Hydrazine is a toxic industrial chemical used in rocket fuel and chemical synthesis, NOT approved for any medical treatment 1
  • The U.S. EPA, Department of Health and Human Services, and International Agency for Research on Cancer classify hydrazine as a possible human carcinogen 1
  • Chronic exposure causes liver cancer in both rats and mice, along with kidney and nasal lesions 2
  • Historical cancer studies showed hydrazine produced liver tumors even at maximum tolerable doses given lifelong 3

No Medical Dosing Exists

  • There is NO safe or recommended medical dosage for hydrazine
  • A 1979 cancer study attempted to use hydrazine sulfate (60 mg capsules 1-4 times daily) in terminal cancer patients, but found no tumor response and only brief subjective benefit in 3 of 25 patients 4
  • Despite claims in the 1980s about anticachexia effects, hydrazine sulfate never gained FDA approval for any indication 5

Common Dangerous Mix-Up

If you meant to ask about HYDRALAZINE (the blood pressure medication):

  • Hydralazine for heart failure: Start 37.5 mg three times daily, target 75 mg three times daily (combined with isosorbide dinitrate) 6, 7
  • Hydralazine for acute hypertension: 10-20 mg IV or 25-50 mg oral 8, 6
  • Maximum daily dose should remain under 300 mg 6

The FDA label 9 you referenced is for hydroxyzine (an antihistamine), NOT hydrazine or hydralazine—this represents a third distinct medication.

References

Research

The question of carcinogenic effects of hydrazine.

Experimental pathology, 1988

Research

Clinical study of hydrazine sulfate in advanced cancer patients.

Cancer chemotherapy and pharmacology, 1979

Research

Hydrazine sulfate: a current perspective.

Nutrition and cancer, 1987

Guideline

Oral Hydralazine Dosing Guidelines

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Hydralazine Use in Heart Failure with Reduced Ejection Fraction

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

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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