Do not take this medication with any of the following:
-Avanafil
-Riociguat
-Sildenafil
-Tadalafil
-Vardenafil
This medication may also interact with the following:
-Medications for high blood pressure
-Medications for mental depression
-Other medications for angina or heart failure

They need to know if you have any of these conditions:
-Blood vessel disease
-Heart disease including angina or history of heart attack
-Kidney disease
-Liver disease
-Previous heart attack or heart failure
-Systemic lupus erythematosus (SLE)
-An unusual or allergic reaction to hydralazine, isosorbide dinitrate, other medications, foods, dyes, or preservatives
-Pregnant or trying to get pregnant
-Breast-feeding

Check your heart rate and blood pressure regularly while you are taking this medication. Ask your care team what your heart rate and blood pressure should be and when you should contact them. Tell your care team if you feel your medication is no longer working.
You may get dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medication affects you. To reduce the risk of dizzy or fainting spells, do not sit or stand up quickly, especially if you are an older patient. Alcohol can make you more dizzy, and increase flushing and rapid heartbeats. Avoid alcoholic drinks.
Do not treat yourself for coughs, colds, or pain while you are taking this medication without asking your care team for advice. Some ingredients may increase your blood pressure.

Keep out of the reach of children and pets.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light. Keep container tightly closed. Throw away any unused medication after the expiration date.