Can Hydralazine cause sinus congestion, headache, chills and dizziness?

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• Yes, these are the side effects of Hydralazine. In my opinion, 25 mg thrice a day is a high dose. The tachycardia and dizziness are also because of excess diuresis by Hydralazine. Discuss with your doctor regarding changing the dose to 25 mg once a day.

• Take plenty of water with a little salt, or take an oral rehydrating solution (ORS) containing electrolytes. You will get relieved within 48 hours after stopping Hydralazine.

For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician

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• You can take tablet Xanax 0.5 mg. It will not lower your blood pressure but will decrease your heart rate.

• For the headache and nasal congestion, you can take, tablet Sumo cold (a combination of Cetirizine, Paracetamol, and Phenylephrine) or tablet Sinarest (a combination of Paracetamol, Caffeine, and Phenylephrine).

For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician

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• The headache is due to Hydralazine, but the sinus congestion may not be due to that. I think you should wait until the effect of the tablet wears off.

• Regarding your blood pressure, you should take tablet Metoprolol 50 mg extended release tablet in the morning, if there are no contraindications and you can continue taking Quinalapril in the evening.

• Exercise is definitely key to reduce your blood pressure. Also, take a low salt diet. Your goal should be to maintain your BP below 140/90, rather than expecting it to reach 120/80.

For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician

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• The chills may be less likely due to a sinus infection, and more likely because of an excess diuresis due to Hydralazine.

• Clear discharge can be present in a viral infection. So, you can start above mentioned tablets. If you still get the chills and sinus discharge 24 hours after starting the tablets, then you may need to take antibiotics.

For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician