For the quantitative determination of
dihydralazine (1) a derivative with
acetylacetone in
biological material was formed at pH = 4.9, extracted with
n-hexane, and measured gaschromatographically with N-P-FID.
Acid labile 1 was hydrolyzed with HCl (1 mol/l) for 24 h. The detection limit was 25 nmol/l plasma. Kinetic studies were performed in 16 patients with
essential hypertension under steady-state conditions after the oral application of 50 mg 1. The acetylator phenotype was determined with
sulfamethazine. Complete
dihydralazine plasma level-time courses were found in only 5 cases. The concentrations were below the detection limit in 4 patients for the whole period. Only single values could be registered in the remaining patients. Maximal plasma levels of the free (58-314 nmol/l) and
acid labile 1 (147-367 nmol/l) were reached 20-40 min after the application. The elimination half life was 23-47 min for the free 1, 55-92 min for the
acid labile 1. Less than 0.5% of the applied
drug were excreted into the 24 h urine in its free form, about 0.4% as
acid labile derivatives. No correlation could be found between the acetylator phenotype of the patients and the kinetic behaviour of the
drug. Preliminary studies concerning the biliary excretion of 1 after i. m. application in two patients with T-drain showed an accumulation of the free compound with bile/plasma ratios up to 7.4.