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Data updated: Jun 28, 2026

ISOSORBIDE DINITRATE AND HYDRALAZINE HYDROCHLORIDE (hydralazine hydrochloride) · INGENUS PHARMS LLC

Cardiovascular Approved 2022-04-06

Isosorbide dinitrate and hydralazine hydrochloride is indicated as an adjunct to standard therapy for the treatment of heart failure in self-identified black patients. It is used to improve survival, prolong the time to heart failure-related hospitalization, and improve patient-reported functional status. There is limited clinical experience regarding its use in patients with NYHA class IV heart failure.

Source: FDA Label • Nitrate Vasodilator

How ISOSORBIDE DINITRATE AND HYDRALAZINE HYDROCHLORIDE Works

The exact mechanism underlying the clinical benefits of this combination in heart failure has not been fully established. Isosorbide dinitrate is a vasodilator that affects both arteries and veins by releasing nitric oxide, which activates guanylyl cyclase and leads to vascular smooth muscle relaxation. Hydralazine hydrochloride is a selective arterial vasodilator. Evidence suggests that hydralazine may also mitigate the development of nitrate tolerance, potentially preserving the long-term efficacy of the isosorbide dinitrate component.

Source: FDA Label
2
Indications
--
Phase 3 Trials
4
Years on Market

Details

Status
Prescription
First Approved
2022-04-06
Routes
ORAL
Dosage Forms
TABLET

ISOSORBIDE DINITRATE AND HYDRALAZINE HYDROCHLORIDE Approval History

2023
2024
2025
2026
Original
New Indication
New Form
Label Update
3 FDA actions from 2022 to 2024
Jan 2024 SUPPL
Mfg · Manufacturing (CMC)
Jan 2024 ORIGINAL
Update
Apr 2022 ORIGINAL
Update

What ISOSORBIDE DINITRATE AND HYDRALAZINE HYDROCHLORIDE Treats

1 indications

ISOSORBIDE DINITRATE AND HYDRALAZINE HYDROCHLORIDE is approved for 1 conditions since its original approval in 2022. These indications span multiple therapeutic areas including oncology, immunology, and more.

Source: FDA Label

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Trial Timeline

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

ISOSORBIDE DINITRATE AND HYDRALAZINE HYDROCHLORIDE FDA Label Details

Indications & Usage

Isosorbide dinitrate and hydralazine hydrochloride tablets is a combination of isosorbide dinitrate, a nitrate vasodilator, and hydralazine hydrochloride, an arteriolar vasodilator, indicated for: ● the treatment of heart failure as an adjunct therapy to standard therapy in self-identified black patients to improve survival, prolong time to hospitalization for heart failure and to improve patient-reported functional status Limitations of use: ● There is little experience in patients with NYHA class IV heart failure 1.1 Treatment of Heart Failure in Self-identified Black Patients Isosorbide din...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.