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Hydrazine Sulfate Drug Interactions, Uses, Effectiveness, Safety & More

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Interaction report

Drugs that interact with Hydrazine Sulfate

98 medications have a known interaction with Hydrazine Sulfate, graded by severity. Select any drug for the full evidence-based detail.

2,830 drugs
AcarboseGlucobay, Prandase, Precose› AcetohexamideDymelor› AlbiglutideTanzeum› AlogliptinNesina› Alogliptin, MetforminKazano› Alogliptin, PioglitazoneOseni› AmphetamineAdensys XR-ODT, Adzenys ER, Dyanavel XR, Mydayis› Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi› CanagliflozinInvokana› Canagliflozin, MetforminInvokamet› Canagliflozin, Metformin HydrochlorideInvokamet XR› ChlorpropamideChlorpropam, Diabinese› DapagliflozinFarxiga› Dapagliflozin Propanediol, MetforminXigduo XR› Dapagliflozin Propanediol, Saxagliptin HydrochlorideQtern› Dapagliflozin, Metformin Hydrochloride, Saxagliptin HydrochlorideQternmet XR› Dasiglucagon HydrochlorideZegalogue› DulaglutideTrulicity› EmpagliflozinJardiance› Empagliflozin, Linagliptin, Metformin HydrochlorideTrijardy XR› Empagliflozin, MetforminSynjardy› Empagliflozin, Metformin HydrochlorideSynjardy XR› ErtugliflozinSteglatro› Ertugliflozin, Metformin HydrochlorideSegluromet› ExenatideBydureon, Byetta› Exenatide SyntheticBydureon BCISE› GliclazideDiamicron› GlimepirideAmaryl› GlipizideGlucotrol, Glucotrol XL› Glipizide, MetforminMetaglip›
Read The List Like a Pharmacist

What Severity, Likelihood & Evidence Mean

Severity — How Serious It Can Be

  • Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
  • Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
  • Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
  • No known interaction. Checked against our sources with nothing documented — not the same as proven safety.

Likelihood — How Well It’s Documented

  • Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
  • Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
  • Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.

Where This Data Comes From

  • Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
  • Each drug listed above links to the full report for that exact Hydrazine Sulfate combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The big picture

The kinds of drugs Hydrazine Sulfate affects

Every type of medication (drug category) Hydrazine Sulfate is known to interact with. Open any category for the detail — or search your exact drug in the checker above.

All 3 drug categories Hydrazine Sulfate interacts with
Antidiabetes DrugsIsoniazidMonoamine Oxidase Inhibitors (maois)
Antidiabetes Drugs

Theoretically, taking hydrazine sulfate concomitantly with antidiabetes drugs could increase the risk for hypoglycemia.
Animal research shows that hydrazine sulfate lowers blood glucose. Hypoglycemia has also been reported in some patients taking hydrazine sulfate during clinical studies. Monitor blood glucose levels closely.

Likelihood Possible Evidence B
Isoniazid

Theoretically, concurrent use of isoniazid and hydrazine sulfate might increase the risk for liver damage.
Hydrazine sulfate is a metabolite of isoniazid. Animal research shows that hydrazine sulfate might be responsible for isoniazid-induced hepatotoxicity.

Likelihood Possible Evidence D
Monoamine Oxidase Inhibitors (Maois)

Theoretically, concomitant use with other MAOIs might increase the effects and adverse effects associated with MAOIs.
Medications with hydrazine chemical moieties (e.g., phenelzine) are known to inhibit monoamine oxidase. Theoretically, hydrazine sulfate acts as an MAOI.

Likelihood Possible Evidence D
Monograph

Hydrazine Sulfate: Uses, Safety & Side Effects

The bottom line

Hydrazine sulfate is a synthetic industrial chemical that was promoted as an alternative cancer treatment, but well-designed clinical trials found it does not help people with cancer live longer or feel better. It carries real risks, including serious nerve and liver toxicity, and is not approved or recommended for any medical use. Talk with your doctor or pharmacist before considering it.

Part used
Not applicable (synthetic industrial chemical)
Common forms
Capsules, tablets, oral solution, and injectable forms (not legally available as a supplement in the U.S.)
People commonly use it for
  • Cancer-related weight loss (cachexia)
  • Cancer treatment (unproven)
  • Appetite stimulation
  • Improving quality of life in advanced illness

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallBest avoided

Rigorous trials showed no benefit and it can cause serious harm.

PregnancyPossibly Unsafe

When used orally. Hydrazine sulfate has been linked to cases of significant adverse effects including hepatotoxicity, encephalopathy, and death.

Read the full pregnancy detail
BreastfeedingPossibly Unsafe

When used orally. Hydrazine sulfate has been linked to cases of significant adverse effects including hepatotoxicity, encephalopathy, and death.

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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Overview

Hydrazine sulfate is a man-made chemical, not an herb or plant product. The same base chemical, hydrazine, is used in industry for things like rocket fuel, manufacturing, and metal processing. It is a white, crystal-like powder.

Starting in the 1970s, hydrazine sulfate was promoted as an alternative treatment for cancer. The idea was that it might slow down the severe weight loss and muscle wasting (called cachexia) that often happens in people with advanced cancer. It became popular through some clinics and word of mouth, but it was never approved as a medicine in the United States.

Today hydrazine sulfate is not sold as a standard dietary supplement and is not recommended by mainstream cancer organizations. Any product claiming to contain it should be treated with great caution.

How it works

The original theory was that hydrazine sulfate could block a step in the body's metabolism that lets tumors "steal" energy and cause wasting. Supporters thought it might interfere with how the body turns lactate back into glucose (a process called gluconeogenesis), which could in theory reduce weight loss in cancer.

This idea came mostly from laboratory and early research, not from solid proof in people. When tested in real patients, the proposed effect did not translate into longer survival or better health. So while the mechanism sounds plausible on paper, the human evidence did not support it.

Effectiveness

Does Hydrazine Sulfate work?

Evidence overview · 6 uses evaluated
1 Leans ineffective 5 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.
Likely Ineffective Lung cancer
Rating & evidence shown verbatim from Natural Medicines

Taking hydrazine sulfate as an adjunct to chemotherapy is not beneficial for treating non-small cell lung cancer (NSCLC) in most patients.

Also studied for 5 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Brain tumor
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral hydrazine sulfate for brain tumors, there is insufficient reliable information about the clinical effects of hydrazine sulfate for this purpose.

Insufficient Reliable Evidence To Rate Cachexia
Rating & evidence shown verbatim from Natural Medicines

There is limited evidence on the oral use of hydrazine sulfate in patients with cancer- related cachexia.

Insufficient Reliable Evidence To Rate Colorectal cancer
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral hydrazine sulfate is beneficial in patients with colorectal cancer.

Insufficient Reliable Evidence To Rate Hodgkin lymphoma
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral hydrazine sulfate for Hodgkin lymphoma, there is insufficient reliable information about the clinical effects of hydrazine sulfate for this purpose.

Insufficient Reliable Evidence To Rate Neuroblastoma
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral hydrazine sulfate for neuroblastoma, there is insufficient reliable information about the clinical effects of hydrazine sulfate for this purpose.

Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.

Safety & precautions

Hydrazine sulfate is a toxic chemical, and safety is a serious concern. It has been linked to harm of the nervous system (such as numbness, tingling, and weakness in the hands and feet) and the liver (including reports of liver failure). Hydrazine compounds have also raised concerns about being potentially cancer-causing in laboratory studies.

People with cancer, liver disease, kidney problems, or nerve conditions are at especially high risk and should not use it. Because it is not made or sold under reliable quality controls as a supplement, the purity and contents of any product are also uncertain.

Pregnancy and breastfeeding: Avoid hydrazine sulfate completely. It is a toxic industrial chemical with no established safe use, and there is no good evidence it is safe for a developing baby or a nursing infant.

Side effects

Reported side effects include nausea, vomiting, dizziness, drowsiness, and a feeling of unease. More concerning are nerve problems such as tingling, numbness, and muscle weakness, and these can sometimes be long-lasting.

Rare but serious harms have included liver damage and liver failure, which can be life-threatening. Because of these risks and the lack of proven benefit, the potential for harm clearly outweighs any hoped-for upside.

Hydrazine Sulfate: Reported Adverse Effects

Documented safety reports on Hydrazine Sulfate from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Hydrazine sulfate is generally considered unsafe for use. Any benefits of therapy may not outweigh the risk of toxicity.

Most Common Adverse Effects:

Orally: Blurred vision, confusion, dizziness, nausea, vomiting.

Serious Adverse Effects (Rare):

Orally: Encephalopathy, hepatorenal failure.

Reports by condition
Anorexia Gastrointestinal
Cluster headache Neurologic/CNS

Orally, hydrazine sulfate has been reported to cause paresthesia in the upper and lower extremities, tremors, lethargy/somnolence, confusion, convulsions, depression, headache, palpebral tic, slurred speech, hiccup, and vertigo. It has also been reported to cause dizziness, excitement, and polyneuritis.

In one case report, a 71-year-old male developed severe encephalopathy after taking oral hydrazine sulfate 180 mg daily for two weeks followed by 360 mg daily. In another case report, a 40-year-old male who accidentally consumed about 2-3 mL of 80% hydrazine sulfate solution, which he immediately spit out, experienced drowsiness the next day, followed by flapping tremors, bilateral extensor plantar reflex, and encephalopathy.

  1. Ochoa M Jr, Wittes RE, Krakoff IH. Trial of hydrazine sulfate (NSC-150014) in patients with cancer. Cancer Chemother Rep 1975;59:1151-4.
  2. Laszlo, J., Durant, J., and Loeb, V. Clinical pharmacologic study of 1-acetyl-2-picolinoyl hydrazine (NSC- 68626). Cancer Chemother Rep 1969;53(2):131-134.
  3. Reid, F. J. Hydrazine poisoning. Br Med J 11-20-1965;5472:1246.
  4. Wiernikowski, A. and Langer, D. [Acute poisoning with orally ingested hydrazine hydrate]. Polski Tygodnik Lekarski 7-21-1975;30(29):1231-1232.
  5. Filov, V. A., Gershanovich, M. L., Danova, L. A., and Ivin, B. A. Experience of the treatment with Sehydrin (Hydrazine Sulfate, HS) in the advanced cancer patients. Invest New Drugs 1995;13(1):89-97.
  6. Gershanovich, M. L., Danova, L. A., Kondratyev, V. B., Malyugina, L. L., Stukov, A. N., Seitz, J. F., and Filov, V. A. Clinical data on the antitumor activity of hydrazine sulfate. Cancer Treat.Rep. 1976;60(7):933-935.
  7. Gershanovich ML, Danova LA, Ivin BA, Filov VA. Results of clinical study antitumor action of hydrazine sulfate. Nutr Cancer 1981;3:7-12..
  8. Spremulli, E., Wampler, G. L., and Regelson, W. Clinical study of hydrazine sulfate in advanced cancer patients. Cancer Chemother.Pharmacol. 1979;3(2):121-124.
  9. Nagappan, R. and Riddell, T. Pyridoxine therapy in a patient with severe hydrazine sulfate toxicity. Crit Care Med. 2000;28(6):2116-2118.
  10. Kulkarni, S. G. and Nawaz, M. Acute hepatic encephalopathy following hydrazine - hydrate poisoning. J Assoc Physicians India 1982;30(3):171-172.
Dry skin Dermatologic
Hepatic encephalopathy Renal

In one case report, a 55-year-old male with sinus carcinoma developed hepatorenal failure after self-treating with hydrazine sulfate 180 mg daily for approximately four months. Two weeks after discontinuing hydrazine sulfate, the patient presented to the emergency room with rash, pruritus, progressive malaise, and jaundice. The patient developed hepatic encephalopathy, renal failure, and profound coagulopathy, and died after severe gastrointestinal hemorrhage. Autopsy showed autolysis of the kidneys and necrosis of the liver.

  1. Hainer MI, Tsai N, Komura ST, Chiu CL. Fatal hepatorenal failure associated with hydrazine sulfate. Ann Intern Med 2000;133:877-80.
Hypoglycemia Endocrine

Orally, hydrazine sulfate has been associated with one case of hypoglycemia in a patient with alveolar cell carcinoma of the lung.

  1. Spremulli, E., Wampler, G. L., and Regelson, W. Clinical study of hydrazine sulfate in advanced cancer patients. Cancer Chemother.Pharmacol. 1979;3(2):121-124.
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

Dosing

There is no safe or recommended dose of hydrazine sulfate, and it is not approved for medical use. Because it is not a legitimate supplement, no standardized, evidence-based dosing exists.

We do not recommend taking it at all. If you have seen it advertised for cancer or weight loss, please speak with your oncologist, doctor, or pharmacist first so they can guide you toward treatments that are proven and safe.

Pregnancy & Breastfeeding
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

© 2026 Therapeutic Research Center

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

The 18 references that drive our Hydrazine Sulfate monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Chlebowski RT, Bulcavage L, Grosvenor M, et al. Hydrazine sulfate in cancer patients with weight loss. A placebo-controlled clinical experience. Cancer 1987;59:406-10. PubMed
  2. Kaegi E. Unconventional therapies for cancer: 4. Hydrazine sulfate. Task Force on Alternative Therapies of the Canadian Breast Cancer Research Initiative. CMAJ 1998;158:1327-30.
  3. Hainer MI, Tsai N, Komura ST, Chiu CL. Fatal hepatorenal failure associated with hydrazine sulfate. Ann Intern Med 2000;133:877-80. PubMed
  4. Gershanovich ML, Danova LA, Ivin BA, Filov VA. Results of clinical study antitumor action of hydrazine sulfate. Nutr Cancer 1981;3:7-12..
  5. Ochoa M Jr, Wittes RE, Krakoff IH. Trial of hydrazine sulfate (NSC-150014) in patients with cancer. Cancer Chemother Rep 1975;59:1151-4.
  6. Sarich TC, Adams SP, Petricca G, Wright JM. Inhibition of isoniazid-induced hepatotoxicity in rabbits by pretreatment with an amidase inhibitor. J Pharmacol Exp Ther 1999;289:695-702. DOI
  7. Black M, Hussain H. Hydrazine, cancer, the Internet, isoniazid, and the liver. Ann Intern Med 2000;133:911-3. PubMed
  8. Gershanovich, M. L., Danova, L. A., Kondratyev, V. B., Malyugina, L. L., Stukov, A. N., Seitz, J. F., and Filov, V. A. Clinical data on the antitumor activity of hydrazine sulfate. Cancer Treat.Rep. 1976;60(7):933-935.
  9. Nagappan, R. and Riddell, T. Pyridoxine therapy in a patient with severe hydrazine sulfate toxicity. Crit Care Med. 2000;28(6):2116-2118. PubMed
  10. Wiernikowski, A. and Langer, D. [Acute poisoning with orally ingested hydrazine hydrate]. Polski Tygodnik Lekarski 7-21-1975;30(29):1231-1232.
  11. Gold, J. Use of hydrazine sulfate in terminal and preterminal cancer patients: results of investigational new drug (IND) study in 84 evaluable patients. Oncology 1975;32(1):1-10. PubMed
  12. Spremulli, E., Wampler, G. L., and Regelson, W. Clinical study of hydrazine sulfate in advanced cancer patients. Cancer Chemother.Pharmacol. 1979;3(2):121-124. PubMed
  13. Laszlo, J., Durant, J., and Loeb, V. Clinical pharmacologic study of 1-acetyl-2-picolinoyl hydrazine (NSC- 68626). Cancer Chemother Rep 1969;53(2):131-134.
  14. Freese, E., Sklarow, S., and Freese, E. B. DNA damage caused by antidepressant hydrazines and related drugs. Mutat.Res 1968;5(3):343-348. PubMed
  15. Reid, F. J. Hydrazine poisoning. Br Med J 11-20-1965;5472:1246.
Keep reading

This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Pharmacist Counseling Corner

Hydrazine Sulfate: Common Questions

What is Hydrazine Sulfate used for, and does it work?
People use Hydrazine Sulfate for a range of reasons, but according to the Natural Medicines database the current clinical evidence is insufficient to confirm it works for the specific conditions it has been studied for. See the graded list on this page, and talk to your pharmacist or doctor before relying on it for any condition.
Does Hydrazine Sulfate interact with prescription medications?
Yes. We list 98 medications with a known interaction with Hydrazine Sulfate. Use the checker above to see how Hydrazine Sulfate interacts with a specific drug.
How are Hydrazine Sulfate interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Hydrazine Sulfate with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Hydrazine Sulfate interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
Does Hydrazine Sulfate cure cancer?
No. Well-designed clinical trials found it did not help cancer patients live longer or feel better, and it is not an approved or recommended cancer treatment.
Is Hydrazine Sulfate safe to take?
It is considered unsafe. It can cause nerve damage and serious liver problems, and the risks clearly outweigh any unproven benefit.
Can I buy Hydrazine Sulfate as a supplement?
It is not legally sold as a dietary supplement in the U.S. Any product claiming to contain it should be treated with strong caution, since quality and safety are not assured.
Why do people use Hydrazine Sulfate?
It was promoted as an alternative remedy for cancer and cancer-related weight loss, but those claims were not supported by rigorous research.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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