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Hydrogen Cyanide

  • Prescription medicine
  • Prescription only
  • Identity checked
  • Sources last checked 2026-09-04

This page shows what was measured, who it was measured in, and what that does not settle.

What Hydrogen Cyanide does in the body

Acute heart failure to reduce, left ventricular end-diastolic pressure, pulmonary capillary wedge pressure, peripheral vascular resistance

From the FDA-approved label: Sodium nitroprusside interacts with oxyhemoglobin to produce methemoglobin, cyanide, and nitric oxide (NO). NO then reacts with guanylate cyclase in vascular smooth muscle to produce cGMP that reduces intracellular calcium concentrations resulting in relaxation of vascular smooth muscle and consequent dilatation of peripheral arteries and veins. , uterus, duodenum) is not affected. Sodium nitroprusside is more active on veins than on arteries, but this selectivity is much less marked than that of nitroglycerin.

What happened in people

RNAWiki has not yet published a reviewed conclusion for this use.

A fixed RNAWiki sentence

Where this came from

Wording RNAWiki always uses, not a finding about this substance.

No reviewed claim names a result for any goal on this record.

No source is stored against this line.

The limit that matters most

Not recorded.

Where it acts
Not recorded.
Kind of result
No result is published, so no kind of result applies yet
Supervision
RNAWiki has not recorded a supervision or regulatory status for this substance.

What the registries record it as

  • The substance registry classes this as chemical.

    FDA substance registry · EAO03PE1TC · read 2026-08-29

Where each sentence above came from

No recorded sentence describes the change this makes in a way that stands on its own. The page opens with what it is taken for instead, and the recorded explanation follows below.

Shown as the opening line on this page.

No statement of the main limit is recorded.

The four opening statements run to 105 words.

Words this page uses

Four words worth knowing first

Chosen from what this page shows, with each one explained before the word it depends on.

Biomarker

A biomarker is a number from a test that stands in for something about health.

A picture of it, and where the picture fails

A biomarker is like a fuel gauge.

Where that stops being true. A gauge is wired to the tank. Many biomarkers are only loosely tied to health.

What people get wrong. A better number is read as a better life. Several medicines improved a number and helped nobody.

A measurable indicator used as a substitute for a clinical outcome of interest.

Stand-in result

A stand-in result is a number measured because the real result takes too long.

A picture of it, and where the picture fails

It is like judging a journey by the speedometer rather than by arriving.

Where that stops being true. Speed does predict arrival. Many stand-in results do not predict the real one.

What people get wrong. A stand-in result is often reported as the result itself.

A surrogate endpoint substituted for a clinical endpoint, valid only where the substitution has been shown to hold.

What happened in peopleRead from sources, not yet reviewed

What was measured, goal by goal

One row for each goal a registered study measured something for. One column for each kind of thing that could be measured.

Registered studies list 40 outcome measures that RNAWiki could read. A registered study says what someone planned to measure. It does not say what they found. 0 of the matched studies tested this substance, and 0 posted a result.

There is no single score. A strong test result and a weak life result are different facts.

Goals down the side, kinds of measurement across the top. Each cell says what kind of thing was registered, not what was found.
GoalLife outcomeWhat a body can doHow a person feelsA test resultA step in the bodyHarmsHow longWho was studied
MoodNothing in the sources checkedNo registered study lists a life outcome for this goal.Nothing in the sources checkedNo registered study lists a performance measure for this goal.Waiting for a reviewer1 registered symptom measure.Nothing in the sources checkedNo registered study lists a test result for this goal.Nothing in the sources checkedNo registered study lists a body-step measure for this goal.Not recordedHarms were not a registered measure for this goal.Not recordedNo finished study window is recorded.Waiting for a reviewerWho was studied is listed further down the page.
Which registered measures put each goal on this table
Mood
montgomery asberg depression rating scale

Sorted by fixed word lists, version v1. A name the rules do not recognise stays unsorted rather than moving to the nearest column.

What each mark on this table means
Nothing in the sources checked
No registered study lists a life outcome for this goal.
Waiting for a reviewer
1 registered symptom measure.
Not recorded
Harms were not a registered measure for this goal.

What happened in peopleRead from sources, not yet reviewed

What happened in people

Each card is one study: the exact question it asked, who was in it, and whether it showed what it set out to show.

Combined death and disability

The study did not show it

Who was studied
NCT01422616
How many people
4587
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
Living longer, or avoiding a major event
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Injection

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Coronary artery flow using thrombolysis in myocardial infarction (TIMI) flow grade

The study did not show it

Who was studied
NCT03406832
How many people
1000
Study design
Not applicable
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Injection

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Coronary artery flow using thrombolysis in myocardial infarction (TIMI) flow grade after stent implantation

The study did not show it

Who was studied
NCT03406819
How many people
1000
Study design
Not applicable
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Injection

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Modified Rankin scale value

The study did not show it

Who was studied
NCT04892511
How many people
814
Study design
Phase 4
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Injection

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Incidence of death, stroke, MI and renal dysfunction

The study did not show it

Who was studied
NCT00093912
How many people
739
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
Living longer, or avoiding a major event
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Injection

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Change in Limb Blood Flow

The study did not show it

Who was studied
NCT02966665
How many people
420
Study design
Phase 1
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Injection

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot
What we know
RNAWiki holds 6 written-up human studies for this substance, each with the question it asked.
How we know it
Each card names the study, the number of people and what the study set out to measure.
What this does not prove
These summaries were written by a person and have not been signed off as reviewed claims.
Why it matters
A study that failed is as informative as one that worked, and both are here.
What we still do not know
No reviewed claim exists, so no exact population, effect size or interval is published yet.

What happened in peopleRead from sources, not yet reviewed

How close this is to real life

The top step is something a person would feel or care about. The bottom is a guess from software. Filled steps are where evidence exists for this substance.

  1. Living longer, or avoiding a major event Evidence recorded. Death, a heart attack, a stroke, a hospital stay.2 registered measures of this kind. 2 written-up studies measured this and did not show a benefit.
  2. What a body can do day to day No evidence recorded. Walking, dressing, breathing, recovering.No registered study measures this.
  3. Measured performance No evidence recorded. How much was lifted, how far was run, how fast.No registered study measures this.
  4. Symptoms and quality of life Evidence recorded. Pain, tiredness, mood, sleep, as the person rated it.1 registered measure of this kind.
  5. A number that stands in for health Evidence recorded. Cholesterol, blood sugar, bone density. A stand-in, not the thing itself.2 registered measures of this kind.
  6. A step measured inside a person Evidence recorded. Something measured in human tissue or human cells.1 registered measure inside human tissue.
  7. Animals No evidence recorded. Mice, rats, dogs. Useful for ideas, not proof about people.No animal record is stored.
  8. Cells in a dish Evidence recorded. Cells or chemistry on a bench, far from a whole body.Stored mechanism abstracts describe steps measured in cells or tissue.
  9. A guess from software No evidence recorded. Nobody measured it. RNAWiki never publishes one as a finding.RNAWiki stores no prediction for this record. Software can suggest a link. RNAWiki does not publish one as a finding.

Higher on these steps means closer to something a person would feel. It does not mean better done.

What it would be like to takeRead from sources, not yet reviewed

Felt, measured, or meaningful

Three different things that get called the same word. Registered studies measured all three, and mixing them is how a blood test becomes a health claim.

Felt

Things a person could notice without a test.

  • montgomery asberg depression rating scale

Measured

Things only a test, a scale or a device shows.

  • cerebral saturation
  • plasma levels of cytokines
  • serum troponin t release

Meaningful

Things that change how a life goes, not only a number.

  • incidence of death stroke mi and renal dysfunction
  • rate of major adverse cardiac events

A registered study says what someone planned to measure. It does not say what they found. A number moving is not the same as a life going better. The two are shown apart here.

Felt, but not shown to help. A person notices a change. No study showed it leads anywhere good.

Measured, but not felt. A number moves. The person notices nothing. Both can be true.

Measured, but not shown to matter. A number moves in the good direction. Nobody showed that lives went better.

Matters, but takes years. The result that counts may take longer than anyone would keep watching.

Names that fit none of the three (34)
  • arterial pressure from the baseline map
  • amplitude of the vasomotor response to stimuli
  • forearm blood flow after tetraethylammonium administration
  • free t3
  • muscle protein synthesis
  • optic disc blood flow
  • cardiac output
  • apelin mediated vasodilatation
  • mixed muscle fractional synthesis rate
  • choroidal thickness
  • bprs
  • panss negative subscale
  • cardiac index
  • baseline systolic diastolic and mean blood pressures
  • baseline sympathetic nerve activity
  • muscle sympathetic nerve activity
  • arrhythmia incidence
  • hypotension incidence
  • contrast enhanced ultrasonography
  • coronary timi frame count after stent implantation

These are harms, study-process measures, or names the rules did not recognise. They are shown rather than dropped.

What it would be like to takeRead from sources, not yet reviewed

How long anything takes

Nine different lengths of time that get confused with each other. None of them is worked out from another.

  1. Before anything is noticed. RNAWiki does not store this separately, and never works it out from another figure on this page.

  2. Before a test result moves. RNAWiki does not store this separately, and never works it out from another figure on this page.

  3. Before performance moves. RNAWiki does not store this separately, and never works it out from another figure on this page.

  4. How long the result was watched. No finished study window is recorded for a study that tested this substance.

  5. How long people took it. How long people actually took it is not stored. The study window is not the same thing.

  6. How long people were followed. Follow-up length is not stored separately. It is never read off the study window, which would be a different thing.

  7. How fast the body clears it. 3 days

    Read from the label, which states: “Thallium-201 ( 201 Tl) Radioactive thallium ( 201 Tl) has a physical half-life of 3 days with electron and photon emissions with a gamma energy peak at 167.4 keV.”

  8. How long effects linger. RNAWiki does not store this separately, and never works it out from another figure on this page.

  9. Beyond the studies. Nothing is recorded about the long term.

    The longest finished study sets the edge of what anyone measured.

A study window is not how long people took it, and neither is how long they were followed. Where RNAWiki holds only one of the three, it shows one.

What is missing or unclearRead from sources, not yet reviewed

Were people like you studied?

RNAWiki cannot tell whether a study fits you. It can show who was in it, and where the result stops carrying.

Who was studied

People similar to this profile were included.

  • Sodium nitroprusside is a direct acting vasodilator indicated for: • Immediate reduction of blood pressure ( 1.1 ) • Producing controlled hypotension to reduce bleeding during surgery. ( 1.2 ) • Treatment of acute heart failure to reduce left ventricular end-diastolic pressure, pulmonary capillary wedge pressure, peripheral vascular resistance and mean arterial blood pressure.

Who is missing from the studies

  • Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What the label states about particular groups

  • On pediatric, the label states: “Efficacy in the pediatric population was established based on adult trials and supported by the dose-ranging trial (Study 1) and an open label trial of at least 12 hour infusion at a rate that achieved adequate MAP control (Study 2) with pediatric patients on sodium nitroprusside.”

    US prescribing information · 6f02e4ac-5f7c-4003-b9b7-283f489cddb0 · read 2026-08-30

  • On people who are pregnant, the label states: “Risk Summary Based on animal data and mechanism of action, sodium nitroprusside may lead to cyanide exposure and potential adverse effects in the fetus [see Clinical Pharmacology ( 12.3 ) and Clinical Considerations ] .”

    US prescribing information · 6f02e4ac-5f7c-4003-b9b7-283f489cddb0 · read 2026-08-30

  • On people who are breastfeeding, the label states: “Risk Summary There is no information about the presence of sodium nitroprusside in human milk, the effects on the breastfed infant, or the effects on milk production.”

    US prescribing information · 6f02e4ac-5f7c-4003-b9b7-283f489cddb0 · read 2026-08-30

Where the result stopped carrying

  • This is a scope explorer, not a diagnosis engine.
  • It shows who was studied so you can see whether people similar to you were included.

RNAWiki cannot tell whether a study fits you. It can show who was in it.

What it would be like to takeRead from sources, not yet reviewed

Why it might seem to do nothing

A real effect and a noticed effect are different things. These are the recorded reasons the two come apart.

It was studied for a different goal

The studies measured something else entirely.

On this record: Some registered studies measured things that match no goal on this page.

It was studied in different people

The people in the studies were not much like the reader.

On this record: Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

The evidence may simply be wrong

Small early studies often do not hold up.

On this record: RNAWiki has not yet published a reviewed conclusion for this use.

Other reasons RNAWiki checked and found nothing for (10)
A different form was studied
The studied form is not the form on the shelf. Nothing in this record points to this reason.
There was nothing to correct
Where a level is already normal, topping it up may change nothing. Nothing in this record points to this reason.
Something else had to happen too
In the studies it was paired with training, a diet or another treatment. Nothing in this record points to this reason.
The change is too small to feel
A real change can still sit below what a person notices. Nothing in this record points to this reason.
Day-to-day swing hides it
Sleep, food, stress and time of day move most numbers more than this would. Nothing in this record points to this reason.
Not enough time yet
The studies ran longer than the person has waited. Nothing in this record points to this reason.
It was not taken as studied
Missed days change the result, and studies count them. Nothing in this record points to this reason.
Something else changed at the same time
Two changes at once cannot be told apart afterwards. Nothing in this record points to this reason.
The product may not be what it says
Contents of a sold product are not always what the label states. Nothing in this record points to this reason.
No recorded reason
RNAWiki has nothing stored that would explain it. Nothing in this record points to this reason.

None of these is a reason to take more. Taking more is not a step this page ever suggests.

What it would be like to takeRead from sources, not yet reviewed

What taking it involves

The recorded facts about getting hold of it and using it. Nothing here is a suggestion about what you should do.

How it is supplied

Prescription only

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

Read from the recorded approval status.

No source is stored against this line.

Form and route

Injection

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form and route recorded on this substance.

No source is stored against this line.

Who oversees it

RNAWiki has not recorded a supervision or regulatory status for this substance.

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

No register row and no identity class settled the question.

No source is stored against this line.

What is in the pack

Sold as injectable, solution, injection, solution, injection, given by the injection, intravenous route.

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

Recorded notes on how this is sold and what that means for what is in the pack.

No source is stored against this line.

Where it is registered

Regulatory records are listed in the technical disclosure at the foot of this page.

Counted from records

Where this came from

A count of rows RNAWiki holds. It describes our records, not your body.

Register entries are stored per jurisdiction and shown with their dates.

No source is stored against this line.

Why people stop

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

No record of why people stopped taking it is stored for this substance.

No source is stored against this line.

What it would be like to takeNothing found in the sources checked

What can go wrong

Sorted by where each line came from. A regulator's label and a report somebody sent in are not the same kind of fact.

Nothing found in the sources checked

No harm is recorded against this substance in the sources RNAWiki checked. Finding nothing is not the same as showing there is nothing.

The sources listed were searched and held nothing. That is not the same as nothing existing.

Over a long time. No completed tested study window is recorded, so long-term effects are not established by the registry record.

Groups the studies covered thinly. Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What is missing or unclearRead from sources, not yet reviewed

Does the exact form matter?

Evidence belongs to the exact thing that was tested. A different salt, a different mixture or a different preparation is a different question.

The form that was studied

Injection

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form used in the studies cited on this page.

No source is stored against this line.

What is sold

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

Nothing further is recorded about which forms are sold.

No source is stored against this line.

What is recorded as being sold

  • 34 products list this as an active ingredient in the United States drug directory. 34 of them contain it and nothing else.

    FDA National Drug Code directory · 75907-290 · read 2026-08-29

  • They are sold as injection, injection, solution, injection, solution, concentrate and powder, taken intravenous.

    FDA National Drug Code directory · 75907-290 · read 2026-08-29

  • The regulator's established pharmacologic class for it is vasodilation [pe] and vasodilator [epc].

    FDA National Drug Code directory · 75907-290 · read 2026-08-29

  • 17 published labels name it as an active ingredient. 17 of them describe this substance alone, which is where its own label text on this page comes from.

    US prescribing information · 2122b9c1-0af4-493b-82cc-63eee02f987f · read 2026-08-29

  • Those labels are classed as human prescription drug.

    US prescribing information · 2122b9c1-0af4-493b-82cc-63eee02f987f · read 2026-08-29

  • sodium nitroprusside in 0.9% sodium chloride is intravenous at 3 DOSAGE FORMS AND STRENGTHS Injection: 50 mg/100 mL of 0.9% sodium chloride (0.5 mg/mL), 20 mg/100 mL of 0.9% sodium chloride (0.2 mg/mL), and 10 mg/50 mL of 0.9% sodium chloride (0.2 mg/mL)., recorded as fda label in effect 2023-11-15 in the United States.

    US prescribing information · 6f02e4ac-5f7c-4003-b9b7-283f489cddb0 · read 2026-08-30

Evidence carries across two names for one substance. It does not carry across a salt, a mirror form or a mixture.

What it would be like to takeRead from sources, not yet reviewed

What you could measure

This one is decided with a clinician, so this section holds questions to ask rather than a plan to run.

RNAWiki could not confidently classify this substance, so no self-experiment plan is offered.

Questions worth asking

  • Which of the trials of Hydrogen Cyanide studied people like me?
  • What was measured, and for how long?
  • Was the result a laboratory value or a health outcome?
  • What would we watch for, and when would we stop?

Tracking can show whether something changed for you. It cannot show what caused it.

RNAWiki records evidence. It does not say whether this substance is right for you.

What is missing or unclearRead from sources, not yet reviewed

What nobody knows yet

Open questions, each with why it is open and what would close it.

Missing populations

Which groups were under-represented in the studies has not been recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing long-term data

No completed tested study window is recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

No reviewed conclusion

RNAWiki has not yet published a reviewed conclusion for this use.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing interaction studies

No interaction was found in the registers checked. Not finding one is not the same as showing there is none.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Formulation uncertainty

Several salts, forms or products of Hydrogen Cyanide are recorded. Results from one form may not transfer to another.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Mechanism not reviewed

No reviewed mechanism story exists for this substance.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

What happened in peopleRead from sources, not yet reviewed

Check any of this yourself

Every line above traced back to the study it came from. This is the technical layer, and the vocabulary changes here.

How many documents were read

  • 16 documents were read for this substance.

    RNAWiki source record

  • 14 of them state the same halfLife, and they agree.

    RNAWiki source record

Where else this substance is registered

FDA substance identifier (UNII)
EAO03PE1TC
RxNorm concept
240793

Checks this page had to pass

  • Passed

    Identity resolved

    no open identity hold

  • Passed

    No unresolved merge across substance families

    no quarantine open

  • Passed

    Every public sentence names a source

    The opening statement carries the origin: Written into the record, not signed off.

  • Not passed

    Trial roles classified for highlighted evidence

    No registered study is classified as testing this substance.

  • Passed

    No internal keys in reader text

    enforced by the copy-contract test over the rendered page

  • Not passed

    Safety mode resolved

    No register row and no identity class settled the question.

  • Passed

    Canonical metadata present

    slug and display name present

What is missing or unclearRead from sources, not yet reviewed

How this medicine reached us

Kept near the foot of the page. A historical event moves up only when it changes something about this substance today.

What the approval register records

  • 29 approved applications cover products containing this substance. The earliest was NDA017546, approved 19740510 to ROCHE.

    Drugs@FDA application register · NDA017546 · read 2026-08-29

  • Marketing status on the register: discontinued and prescription.

    Drugs@FDA application register · NDA017546 · read 2026-08-29

  • The earliest marketing start date recorded for a listed product is 20091019.

    FDA National Drug Code directory · 75907-290 · read 2026-08-29

What is missing or unclearRead from sources, not yet reviewed

What to learn next

Ordered by what would most change how you read this page, starting with what is easiest to misunderstand.

This order is fixed in code and does not count clicks or time on the page.

What is not here

5 questions this page could not answer

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The record as stored

The full record, for auditing

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Recorded evidence blocks (11)

What did Hydrogen Cyanide's largest trial (1000 people) and its longest (13 years) measure?


1000 people in Hydrogen Cyanide's largest registered study, 13 years in its longest registered window, measuring Plasma levels of cytokines. ClinicalTrials.gov · 2026-09-01

13 na, 12 phase2, 10 phase1, 7 na or unstated, 5 phase4, 4 early phase1, 3 phase3; NCT00152724; 2008-11. Last human test completed 2024, NCT06374836.

Interpretation These counts include studies where Hydrogen Cyanide was a comparison treatment, a background treatment or an exposure in an observational study, and the longest window may be a planned end date. Trial roles have not yet been classified for this record.

Show the evidence
  • na
    13
  • phase2
    12
  • phase1
    10
  • na or unstated
    7
  • phase4
    5
  • early phase1
    4
2 more recorded rows
  • phase3
    3
  • Last recorded human test NCT06374836
    2024-10-31

recorded 2026-09-01 · last checked 2026-09-04

Hydrogen Cyanide was tested only in human — what did it show?


human: biomarker (52): the rungs where Hydrogen Cyanide has a recorded finding. Europe PMC and ClinicalTrials.gov · organism ladder · 2026-09-01

Interpretation Plasma levels of cytokines — the recorded outcome words.

Yeast C. elegans Drosophila Mouse Rat Dog Non-human primate Human biomarker
Show the evidence
  • human NCT00580905
    biomarker; Plasma levels of cytokines; 52

recorded 2026-09-01 · last checked 2026-09-04

10 of Hydrogen Cyanide's trials stopped: futility/efficacy, accrual/recruitment, funding/business, other?


futility/efficacy (1), accrual/recruitment (6), funding/business (1) and other (2): Hydrogen Cyanide's stop wording, clustered. ClinicalTrials.gov · 2026-09-01

"Limited clinical staff"; 10 of 52 registered studies

Show the evidence

Trial

  • NCT00166166
    terminated; "Limited clinical staff"
  • NCT00580905
    terminated; "Not enough volunteer recruited before funding could be secured."
  • NCT01048125
    terminated; "Due to difficulty in recruitment and resource restraints"
  • NCT02767024
    withdrawn; "No patients enrolled"
  • NCT03446612
    terminated; "The study is terminated due to feasibility in recruitment."
  • NCT03743103
    terminated; "Low enrollement"
4 further recorded trials
  • NCT03953326
    terminated; "Futility in recruitment"
  • NCT03972683
    withdrawn; "no participants enrolled"
  • NCT04001647
    terminated; "IRB approval has been withdrawn"
  • NCT04986072
    terminated; "Difficulty with recruiting subjects for the study"

recorded 2026-09-01 · last checked 2026-09-04

Human studies of Hydrogen Cyanide used Sodium Nitroprusside IV infusion 0.3 mcg/kg/ min — over how long?


Human studies of Hydrogen Cyanide used "Sodium Nitroprusside IV infusion 0.3 mcg/kg/ min". ClinicalTrials.gov · 2026-09-01

4 recorded entries; human; IV; also "Sodium Nitroprusside IV infusion 1 mcg/kg/ min", "Sodium Nitroprusside IV infusion 2 mcg/kg/ min", "Sodium Nitroprusside IV infusion 3 mcg/kg/ min"

Show the evidence

human

  • NCT00135668
    IV; Sodium Nitroprusside IV infusion 0.3 mcg/kg/ min
  • NCT00135668
    IV; Sodium Nitroprusside IV infusion 1 mcg/kg/ min
  • NCT00135668
    IV; Sodium Nitroprusside IV infusion 2 mcg/kg/ min
  • NCT00135668
    IV; Sodium Nitroprusside IV infusion 3 mcg/kg/ min

recorded 2026-09-01 · last checked 2026-09-04

Hydrogen Cyanide's half-life is 3 days — which schedules were studied?


3 days, the half-life Hydrogen Cyanide's label states. openfda-label · baa68c79-5f3d-468a-a510-58b9e978cd50 · 2026-08-30

Show the evidence
  • half life
    3 days; Thallium-201 ( 201 Tl) Radioactive thallium ( 201 Tl) has a physical half-life of 3 days with electron and photon emissions with a gamma energy peak at 167.4 keV.

recorded 2026-08-30 · last checked 2026-09-04

Could one person measure Hydrogen Cyanide's effect on incidence of death stroke mi and renal dysfunction?


Incidence of death stroke mi and renal dysfunction: measured in Hydrogen Cyanide's trials.

Interpretation incidence of death stroke mi and renal dysfunction is the recorded endpoint.

Show the evidence

biomarkers

  • incidence of death stroke mi and renal dysfunction; 2026-09-01
  • arterial pressure from the baseline map; 2026-09-01
  • amplitude of the vasomotor response to stimuli; 2026-09-01
  • forearm blood flow after tetraethylammonium administration; 2026-09-01
  • cerebral saturation; 2026-09-01
  • plasma levels of cytokines; 2026-09-01
14 more recorded rows
  • biomarkers
    rate of major adverse cardiac events; 2026-09-01
  • biomarkers
    free t3; 2026-09-01
  • biomarkers
    muscle protein synthesis; 2026-09-01
  • biomarkers
    optic disc blood flow; 2026-09-01
  • biomarkers
    cardiac output; 2026-09-01
  • biomarkers
    apelin mediated vasodilatation; 2026-09-01
  • biomarkers
    mixed muscle fractional synthesis rate; 2026-09-01
  • biomarkers
    choroidal thickness; 2026-09-01
  • biomarkers
    bprs; 2026-09-01
  • biomarkers
    panss negative subscale; 2026-09-01
  • biomarkers
    cardiac index; 2026-09-01
  • biomarkers
    baseline systolic diastolic and mean blood pressures; 2026-09-01
  • biomarkers
    baseline sympathetic nerve activity; 2026-09-01
  • biomarkers
    muscle sympathetic nerve activity; 2026-09-01
  • half life
    2026-09-04; halfLife; 3 days; 2026-08-30
  • human trials at or under30
    26
  • smallest human trial
    0; NCT02767024; PHASE4; the smallest recorded human enrolment at or below 30; the registry states no direction of its result; WITHDRAWN

Which of amplitude of the vasomotor response to stimuli, aortic stiffness and apelin mediated vasodilatation did Hydrogen Cyanide's trials measure?


amplitude of the vasomotor response to stimuli, aortic stiffness and apelin mediated vasodilatation lead 40 outcome terms across Hydrogen Cyanide's trials. ClinicalTrials.gov · 2026-09-01

forearm blood flow after tetraethylammonium administration, cerebral saturation, plasma levels of cytokines, rate of major adverse cardiac events, free t3 and muscle protein synthesis follow.

Show the evidence
  • incidence of death stroke mi and renal dysfunction
    1
  • arterial pressure from the baseline map
    1
  • amplitude of the vasomotor response to stimuli
    1
  • forearm blood flow after tetraethylammonium administration
    1
  • cerebral saturation
    1
  • plasma levels of cytokines
    1
14 more recorded rows
  • rate of major adverse cardiac events
    1
  • free t3
    1
  • muscle protein synthesis
    1
  • optic disc blood flow
    1
  • cardiac output
    1
  • apelin mediated vasodilatation
    1
  • mixed muscle fractional synthesis rate
    1
  • choroidal thickness
    1
  • bprs
    1
  • panss negative subscale
    1
  • cardiac index
    1
  • baseline systolic diastolic and mean blood pressures
    1
  • baseline sympathetic nerve activity
    1
  • muscle sympathetic nerve activity
    1

recorded 2026-09-01 · last checked 2026-09-04

Which of Hydrogen Cyanide's 6 ongoing trials reports first?


6 registered trials of Hydrogen Cyanide are open; earliest completion 2026-12. ClinicalTrials.gov · 2026-09-01

Change in Muscle Sympathetic Nerve Activity (MSNA); Contrast Enhanced-Ultrasonography (CEU); latest 2031-12

Show the evidence

Trial

  • NCT02560805
    "Role of Sympathetic Overactivity and Angiotensin II in PTSD and CV"; n 134; "Change in Muscle Sympathetic Nerve Activity (MSNA)"; 2027-03-30
  • NCT03318094
    "Role of Sympathetic Vasoconstriction on Insulin-Mediated Microvascular Recruitment and Glucose Uptake in Obesity"; n 36; "Contrast Enhanced-Ultrasonography (CEU)"; 2027-11-30
  • NCT05193968
    "Hot Flashes and Neurovascular Function in Women"; n 120; "Compare microvascular function in women with low and high frequency hot flashes"; 2026-12
  • NCT06043310
    "Estrogen and Microvascular Function"; n 45; "Change in blood vessel dilation"; 2031-12
  • NCT06443151
    "Role of Endothelial Function in SCI CVD Risk"; n 60; "Endothelium-dependent vasodilation"; 2027-03-30
  • NCT06520982
    "Early Neurovascular Adaptations in Aging Women"; n 64; "Magnitude of forearm blood flow"; 2028-06-30

recorded 2026-09-01 · last checked 2026-09-04

Which 20 trials of Hydrogen Cyanide posted no result?


Posted no result
20 of 20 completed trials
Registrations
NCT00810381, NCT00093912, NCT00226096, NCT00152724, NCT00901719 and NCT01548612, and 14 more
Completion dates
oldest 1999-06; newest 2023-07-26
Show the evidence

Trial

  • NCT00810381
    1999-06
  • NCT00093912
    2006-11
  • NCT00226096
    2007-09
  • NCT00152724
    2008-11
  • NCT00901719
    2010-05
  • NCT01548612
    2010-12
14 further recorded trials
  • NCT00621816
    2011-01
  • NCT00535808
    2011-03
  • NCT01248091
    2011-07
  • NCT00590070
    2011-09
  • NCT01125943
    2011-11
  • NCT00690534
    2012-08
  • NCT00891696
    2015-03
  • NCT02123069
    2018-03-01
  • NCT03680573
    2018-05-05
  • NCT03480945
    2019-07-31
  • NCT03738943
    2021-06-01
  • NCT04928183
    2022-05-18
  • NCT05525416
    2023-02-05
  • NCT03679780
    2023-07-26

At the median, Hydrogen Cyanide's trials enrolled 33 people — anything larger?


Median enrolment
33
Largest enrolment
1000
Registered trials counted
52

What is recorded about Hydrogen Cyanide and mTOR?


"Also, serum iron, ferroptosis events, apoptosis, histology, T lymphocyte percentage, ferroptosis-, Nrf2/HO-1-, and PI3K/AKT/mTOR signaling-related targets in primary megakaryocytes of AA mice with iron overload were assessed by commercial kits, TUNEL staining, hematoxylin and eosin (H&E) staining, Prussian blue staining, flow cytometer,…" — where Hydrogen Cyanide and mTOR appear together. Europe PMC · pathway abstract search · 2023-04-05

mTOR, autophagy; PMID 37023700, 32254706

Show the evidence
  • mTOR PMID 37023700
    "Also, serum iron, ferroptosis events, apoptosis, histology, T lymphocyte percentage, ferroptosis-, Nrf2/HO-1-, and PI3K/AKT/mTOR signaling-related targets in primary megakaryocytes of AA mice with iron overload were assessed by commercial kits, TUNEL staining, hematoxylin and eosin (H&E) staining, Prussian blue staining, flow cytometer, and qRT-PCR analysis, respectively."
  • autophagy PMID 32254706
    "Inspired by the fact that autophagy is essential for cell survival in response to harmful stresses, a near-infrared (NIR) light responsive chloroquine (CQ, a well-known autophagy inhibitor) delivery system, consisting of phase-changing material (1-tetradecanol, PCM) and hollow mesoporous Prussian blue nanoparticles (HMPBs), is reported here to deliver CQ to the tumor region to augment the…"

recorded 2023-04-05 · last checked 2026-09-04

Where it is registered
Identifiers, relations and other names

The exact record

ChEMBL id
CHEMBL2096629
PubChem CID
61711
CAS number
14038-43-8
RxCUI
539399
InChIKey
LELOWRISYMNNSU-UHFFFAOYSA-N
Also called
Ferric Ferrocyanide
Trade name
Radiogardase, Hydrocyanicum Acidum, Mercurius Cyanatus, Kali Cyanatum, Kali Ferrocyanatum, Nitropress, Nipride Rtu, Nipride
Salt form
PRUSSIAN BLUE INSOLUBLE CAPSULES, Potassium Ferrocyanide Trihydrate, Nipride Rtu in Sodium Chloride 0.9%, Sodium Nitroprusside in 0.9% Sodium Chloride, Nitropress / Nipride Rtu in Sodium Chloride 0.9% / Sodium Nitroprusside in 0.9% Sodium Chloride / Nipride Rtu / Nipride
Also called
Ferric Hexacyanoferrate, Mercuric Cyanide, Potassium Cyanide, Potassium Ferrocyanide, Sodium Nitroprusside, AC (CHEMICAL WARFARE AGENT), EVERCYN, FORMIC ANAMMONIDE, HYDROCYANICUM ACIDUM [HPUS], HYDROGEN CYANIDE [HSDB], HYDROGEN CYANIDE [ISO], HYDROGEN CYANIDE [MI]
Component
Ferric Ferrocyanide
Sources (9)

Sources

  • ClinicalTrials.gov clinicaltrials.gov ·
  • ClinicalTrials.gov ClinicalTrials.gov API v2 snapshot 2026-09-01T09:00:05 ·
  • this record's own fields 2,3,5 ·
  • Europe PMC dose-response search ·
  • Europe PMC pathway abstract search ·
  • Europe PMC search ·
3 more sources

ChEMBL ATC CC BY-SA · ClinicalTrials.gov — US Government work · Europe PMC — metadata only, under the recorded legal gate · derived from this page's own recorded fields; no external licence · mixed register set; per-register licences in docs/specs/corpus-20k-sources.md · openFDA / DailyMed — US Government work

How these records are assembled · Which registers were checked

Index-quality checks
  • identity passed: no open identity hold
  • required summary fields resolved: 4 required field(s) not terminal: Why people use it, Best-supported result, Biggest unanswered question, Human evidence
  • public claims reviewed: 0 reviewed claim(s); drafts are never rendered
  • source coverage passed: 9 source rows
  • no critical contamination: no quarantine open
  • canonical metadata passed: slug and display name present
  • no raw internal fields: enforced by the copy-contract test over the rendered page

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