Hydrazine Sulfate Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Hydrazine Sulfate interacts with medications. The heart of this page is the interaction list — every drug Hydrazine Sulfate is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Hydrazine Sulfate is, what people use it for and how strong the evidence is, its safety and side effects, and answers to the questions we’re asked most — written and reviewed by the clinical staff at HelloPharmacist. It’s educational information from our licensed clinical databases, not medical advice, and we don’t sell or endorse products. Our editorial policy
Check Hydrazine Sulfate against your medication
Add one medicationDrugs 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.
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Tell us the medications you take and we’ll check each one against Hydrazine Sulfate using our pharmacist-reviewed interaction data.
AI summaries are generated from our Hydrazine Sulfate interaction data for education only — always confirm with your pharmacist. How we use AI
No drugs match “”.
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 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.
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.
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.
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.
Hydrazine Sulfate: Uses, Safety & Side Effects
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.)
- 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.
Rigorous trials showed no benefit and it can cause serious harm.
When used orally. Hydrazine sulfate has been linked to cases of significant adverse effects including hepatotoxicity, encephalopathy, and death.
Read the full pregnancy detailWhen used orally. Hydrazine sulfate has been linked to cases of significant adverse effects including hepatotoxicity, encephalopathy, and death.
Read the full breastfeeding detailPregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
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.
Does Hydrazine Sulfate work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
Likely Ineffective Lung cancer
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
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
There is limited evidence on the oral use of hydrazine sulfate in patients with cancer- related cachexia.
Insufficient Reliable Evidence To Rate Colorectal cancer
It is unclear if oral hydrazine sulfate is beneficial in patients with colorectal cancer.
Insufficient Reliable Evidence To Rate Hodgkin lymphoma
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
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.
Anorexia Gastrointestinal
Orally, hydrazine sulfate has been reported to cause nausea and vomiting in numerous clinical studies. It has also been reported to cause anorexia, pyrosis, diarrhea, constipation, distorted taste, and hunger.
- 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.
- 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.
- 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.
- 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.
- Gershanovich ML, Danova LA, Ivin BA, Filov VA. Results of clinical study antitumor action of hydrazine sulfate. Nutr Cancer 1981;3:7-12..
- Ochoa M Jr, Wittes RE, Krakoff IH. Trial of hydrazine sulfate (NSC-150014) in patients with cancer. Cancer Chemother Rep 1975;59:1151-4.
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.
- Ochoa M Jr, Wittes RE, Krakoff IH. Trial of hydrazine sulfate (NSC-150014) in patients with cancer. Cancer Chemother Rep 1975;59:1151-4.
- 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.
- Reid, F. J. Hydrazine poisoning. Br Med J 11-20-1965;5472:1246.
- Wiernikowski, A. and Langer, D. [Acute poisoning with orally ingested hydrazine hydrate]. Polski Tygodnik Lekarski 7-21-1975;30(29):1231-1232.
- 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.
- 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.
- Gershanovich ML, Danova LA, Ivin BA, Filov VA. Results of clinical study antitumor action of hydrazine sulfate. Nutr Cancer 1981;3:7-12..
- 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.
- Nagappan, R. and Riddell, T. Pyridoxine therapy in a patient with severe hydrazine sulfate toxicity. Crit Care Med. 2000;28(6):2116-2118.
- 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
Orally, hydrazine sulfate has been reported to cause dry skin and transient pruritus.
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.
Hypoglycemia Endocrine
Orally, hydrazine sulfate has been associated with one case of hypoglycemia in a patient with alveolar cell carcinoma of the lung.
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.
Hydrazine Sulfate & Pregnancy
Hydrazine Sulfate & Breastfeeding
© 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.
- 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
- 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.
- Hainer MI, Tsai N, Komura ST, Chiu CL. Fatal hepatorenal failure associated with hydrazine sulfate. Ann Intern Med 2000;133:877-80. PubMed
- Gershanovich ML, Danova LA, Ivin BA, Filov VA. Results of clinical study antitumor action of hydrazine sulfate. Nutr Cancer 1981;3:7-12..
- Ochoa M Jr, Wittes RE, Krakoff IH. Trial of hydrazine sulfate (NSC-150014) in patients with cancer. Cancer Chemother Rep 1975;59:1151-4.
- 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
- Black M, Hussain H. Hydrazine, cancer, the Internet, isoniazid, and the liver. Ann Intern Med 2000;133:911-3. PubMed
- 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.
- Nagappan, R. and Riddell, T. Pyridoxine therapy in a patient with severe hydrazine sulfate toxicity. Crit Care Med. 2000;28(6):2116-2118. PubMed
- Wiernikowski, A. and Langer, D. [Acute poisoning with orally ingested hydrazine hydrate]. Polski Tygodnik Lekarski 7-21-1975;30(29):1231-1232.
- 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
- 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
- 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.
- 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
- Reid, F. J. Hydrazine poisoning. Br Med J 11-20-1965;5472:1246.
- Kulkarni, S. G. and Nawaz, M. Acute hepatic encephalopathy following hydrazine - hydrate poisoning. J Assoc Physicians India 1982;30(3):171-172.
- 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. PubMed
- Suzuki, H., Tominaga, T., Mizuno, H., Kouno, M., Suzuki, M., Kato, Y., Sato, A., Okabe, K., Uchikoshi, T., Maezono, K., and . Ethanol and hydrazine sulfate induced chronic hepatic injury in rats: the curative effect of administration of glucogenic amino
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
Hydrazine Sulfate: Common Questions
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