This leaflet summarizes the most important information about diovan. Diovan diovan may diovan hct cause the following serious s ide effects diovan diovan : Injury or generic name for diovan death to dosage an unborn baby. If you take too much diovan, call your doctor or Poison Control Center, or go to the nearest hospital emergency room. Do not diovan use potassium supplements or salt substitutes while you are taking Diovan, unless your doctor has told you. Other diovan adverse reactions with an incidence greater than diovan 1 and greater than placebo included diovan side effects headache NOS, nausea, renal impairment NOS, syncope, blurred vision, upper abdominal pain and vertigo. Post-Myocardial Infarction The VALsartan In Acute myocardial iNfarcTion diovan trial (valiant) was a randomized, controlled, multinational, double-blind diovan study dosage in diovan 14,703 patients with acute myocardial infarction and either heart failure (signs, symptoms or radiological evidence) or left ventricular systolic dysfunction (ejection fraction. Warning: fetal toxicity When pregnancy is detected, discontinue Diovan dosage as soon as possible. Valsartan does dosage not accumulate appreciably in plasma following repeated administration. The population studied was 69 male, 94 Caucasian, and 53 were 65 years of age or older. Did you experience many side effects while taking this diovan drug? No data are available in pediatric patients either undergoing diovan hct dialysis or with a glomerular filtration rate 30 mL/min/1.73. The most common s ide effects of diovan us ed to treat people with high blood dosage pres s ure include: headache dizziness flu symptoms tiredness stomach (abdominal) pain Side effects were generally mild and brief. Diovan is part of the drug class: Diovan may cause the following serious side effects: Injury or death to an unborn baby.. In controlled trials, the antihypertensive effect of once-daily valsartan 80 mg was similar to that of once-daily enalapril 20 mg or once-daily lisinopril. Active ingredient: valsartan Inactive ingredients: colloidal silicon dioxide, crospovidone, hydroxypropyl methylcellulose, iron oxides (yellow, black and/or red magnesium stearate, microcrystalline cellulose, polyethylene glycol 8000, and titanium dioxide From Heart Health Resources Featured Centers Health Solutions From Our Sponsors Report. Call your doctor right away if you have diovan unexplained muscle pain, tenderness, or weakness especially if you also have fever, unusual tiredness, and dark colored urine. Keep using dosage this medicine as directed, even if you feel well. The largest and most consistent cardiovascular outcome benefit has been a reduction in the risk of stroke, but reductions diovan dosage in myocardial infarction and cardiovascular mortality also have been seen regularly. In vitro metabolism studies involving recombinant CYP 450 enzymes indicated that the CYP 2C9 isoenzyme is responsible for the formation dosage of valeryl-4-hydroxy valsartan. The recommended dose range of Diovan in pediatrics 6 to 16 years of age.3 mg/kg once daily to a maximum.7 mg/kg (up to 160 mg) once daily. Patient Counseling Information Information For dosage Patients Advise the patient to read the FDA-approved patient labeling ( patient information ). When the suspension is replaced by a tablet, the dose of valsartan may have to be increased. If your child switches diovan between taking the tablet and the suspension, your doctor will adjust the dose as needed. High Blood Pres s ure (Hypertens ion). Prematurity, intrauterine growth retardation, and patent ductus arteriosus have been reported, although it is not clear whether these occurrences were due to exposure to the drug. Add dosage 80 mL of Ora- Sweet SF* oral sweetening vehicle to the bottle and shake the suspension for at least 10 seconds to disperse the ingredients. However, significant decreases in fetal weight, pup birth weight, pup survival rate, and slight delays in developmental milestones were observed in studies in which diovan parental rats were treated dosage dosage with valsartan at oral, maternally toxic (reduction in body weight gain. What are the ingredients in diovan? You may find that your blood pressure starts to lower within the first 2 weeks, but you may not notice the full effects of the medication for up to 4 weeks. Heart Failure Diovan is indicated for the treatment of heart failure (nyha class II-IV). How was your experience with Diovan? Patients with heart failure or post- myocardial infarction patients given Diovan commonly have some reduction in blood pressure, but discontinuation of therapy because of continuing symptomatic hypotension usually dosage is not necessary when dosing instructions are followed. It is not known whether valsartan passes into breast milk or if it could harm a nursing baby. Tell your doctor about all your current medicines and any you start diovan or stop using during your treatment with Diovan, especially: cyclosporine; a diuretic (water pill lithium; dosage rifampin; ritonavir; or nsaids (nonsteroidal anti-inflammatory drugs)-aspirin, ibuprofen (Advil, Motrin naproxen (Aleve celecoxib, diovan diclofenac, indomethacin, meloxicam, and others. Diovan belongs to a group of drugs dosage called angiotensin II receptor antagonists, which help blood vessels to relax. To make sure Diovan is safe for you, tell your doctor if you have: kidney disease (or if you are on diovan dialysis liver disease; a heart condition, other than one being treated with valsartan; if you are. Some antihypertensive drugs have smaller blood pressure effects (as monotherapy) in black patients, and many antihypertensive drugs have additional approved indications and effects (e.g., on angina, heart failure, or diabetic kidney disease). In a 129-patient trial limited to patients who had had dry cough when they had previously received ACE inhibitors, the incidences of cough in patients who received valsartan, hctz, or lisinopril were 20, 19, and 69 respectively (p.001). Preparation Of Suspension (For 160 mL Of A 4 mg/mL Suspension) Add 80 mL of Ora-Plus* oral suspending vehicle to an amber glass bottle containing 8 Diovan 80 mg tablets, and shake for a minimum of 2 minutes. Drugs diovan acting directly diovan on the renin-angiotensin system can cause fetal and neonatal morbidity and death when administered to pregnant women. Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus. Diovan (valsartan) is an angiotensin II receptor antagonist. If symptomatic hypotension or renal dysfunction occurs, consideration should be given to a dosage reduction. These effects are usually reversible. For dosage more information about diovan, ask your pharmacist or doctor, visit m on the Internet, or call. After 1 month of treatment with valsartan (the active ingredient contained in Diovan) this patient developed pruritic erythematous skin changes, diovan nausea, jaundice, right subcostal abdominal pain, elevated liver enzymes, and mild hepatomegaly. If inadvertent exposure occurs during the second trimester, ultrasound examination of fetal renal function and skull is recommended. Specifically, the drug is prescribed to people who have problems with the functioning of their left ventricle, the chamber of your heart that pumps blood out to the rest of your body. This leaflet does not take the place of talking with your doctor about your medical condition or treatment. Drug trade name: Diovan, category: Angiotensin II receptor blocker. 7 of placebo patients. Diovan Side Effects: Diovan has few side effects discussed below: Runny or stuffy nose, a sore throat and cough. Seek emergency medical attention or call the Poison Help line. Before taking Diovan, talk to your doctor if you: Have diabetes and are taking Tekturna (aliskiren) at the same time. You should not drink alcohol while using this drug because it can increase your risk of side effects. Pregnancy Female patients of childbearing age should be told about the consequences of exposure to Diovan during pregnancy. All patients received standard drug therapy for heart failure, frequently as multiple medications, which could include diovan diuretics, digitalis, beta-blockers. For children ages 6 to 16, the recommended Diovan dosage is based on weight. Depressed level of consciousness, circulatory collapse and shock have been reported. Currently, Diovan is only available in tablet form, which was approved by the FDA in 2001. There was essentially no change in heart rate in valsartan-treated patients in controlled trials. If you find these symptoms, seek medical help. Diovan was excreted in the milk of lactating rats; however, animal breast milk drug levels may not accurately reflect human breast milk levels. Whether this difference has clinical relevance is not yet known. Discuss treatment options with women planning diovan hct to become pregnant. Infants with histories of in utero exposure to an angiotensin II receptor antagonist should be closely observed for hypotension, oliguria, and hyperkalemia. Dosage reduction and/or discontinuation of Diovan may be required see adverse reactions. Medicines that lower your blood pressure lower your chance of having a stroke or heart attack. Do not take other medicines unless they have been discussed with your doctor. Diovan dosing information, usual Adult Dose for Congestive Heart Failure: Initial dose: 40 dosage mg orally twice a day. Angioedema causes swelling of the face, lips, tongue and/or throat, and may cause difficulty breathing. Keep a list of your medicines with you to show to your doctor and pharmacist when a new medicine is prescribed. If you take too much Diovan, call your doctor or Poison Control Center, or go to the nearest hospital emergency room. Store diovan tablets at room temperature between 59 to 86F (15C to 30C). Other medical conditions you may have. If you do not have a dose-measuring device, ask your pharmacist for one. When pregnancy is detected, discontinue Diovan as soon as possible see Use In Specific Populations. Urogenital dosage : Impotence, other reported events seen less frequently in clinical trials included chest pain, syncope, anorexia, vomiting, and angioedema. Valsartan prevents blood vessels from narrowing, lowers blood pressure as well as improves blood flow.
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Your doctor or pharmacist will know what medicines are safe to hct take together. Discuss treatment options with women planning to become pregnant. (See also Warning section.) It is unknown if valsartan passes into diovan breast milk. The primary treatment is to discontinue hct hydrochlorothiazide as rapidly as possible. Food decreases the exposure (as measured by AUC) to valsartan by about diovan diovan 40 and peak plasma concentration (Cmax) by about. Store in diovan a diovan dry place. Blockade of the renin-angiotensin system with ACE inhibitors, which inhibit the biosynthesis of angiotensin II from angiotensin I, is widely used in the treatment of hypertension. When pregnancy is detected, discontinue Diovan HCT as soon as possible see Use in Specific Populations. Antidiabetic medicines including insulin narcotic pain medicines sleeping pills lithium, a medicine used in some types of depression ( Eskalith, Lithobid, Lithium Carbonate, Lithium Citrate) aspirin or other medicines called non-steroidal anti-inflammatory Drugs (nsaids like ibuprofen or naproxen digoxin. Hydrochlorothiazide binds to albumin (40 to 70) and distributes into erythrocytes. Closely observe infants with histories of in utero exposure to Diovan HCT for hypotension, oliguria, and hyperkalemia see Use in Specific Populations. The adverse reaction information from clinical trials does, however, provide a basis for identifying the adverse events that appear to be related to drug use and for approximating rates. There were no diovan reported cases of syncope in either treatment group. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Because many drugs are excreted into human milk and because of the potential for adverse reactions in nursing infants from Diovan HCT, a decision should be made whether to discontinue nursing or discontinue the drug, taking into account. Based on the preclinical safety and human pharmacokinetic studies, there is no indication of any adverse interaction between valsartan and hydrochlorothiazide. 2.1 General Considerations, the usual starting dose is Diovan HCT 160/12.5 mg diovan once daily. These doses in mice and rats are about.6 and 6 times, respectively, the mrhd on a mg/m basis. High blood pressure diovan makes the heart work harder to pump blood throughout the body and causes hct damage to the blood vessels. The decision to use a combination as initial therapy should be individualized and should be shaped by considerations such as baseline blood pressure, the target goal, and the incremental likelihood of achieving goal with a combination compared to monotherapy. If you are taking a salt substitute that has potassium in it, a potassium-sparing diuretic, or a potassium product, talk with your doctor. Be ready to tell or show what was taken, how much, and when it happened. One of the medicines in diovan HCT can cause eye problems that may lead to vision loss. The overall response to the combination was similar for black and non-black patients.
Diovan side effects
The table shows the percentage of patients discontinued in the valsartan and side captopriltreated groups in the Valsartan in Acute Myocardial Infarction Trial (valiant) side with a rate of at effects least.5 in either of the treatment groups. These groups include people with: (The side effects of lisinopril discussed below are not a complete list of reported side effects. You may have very effects low blood pressure while taking valsartan. Common side effects may include: This is not a complete list of side effects and others may occur. There were no reported cases of syncope in either treatment group. Patients should be asked to report pregnancies to their physicians as soon as possible. Effects on Mortality Amongst Subgroups in valiant There were no clear differences in all-cause mortality based on age, gender, race, or baseline therapies, as shown in the figure above. Nursing Mothers It is not known whether Diovan is excreted in human milk. Store diovan tablets at room temperature between 59 to 86F (15C to 30C). Shake this diovan liquid well just before you measure a dose. Check side with your doctor immediately if any of the following side effects occur while taking valsartan: Less Common, bloody urine cold sweats confusion decreased frequency or amount of urine difficult breathing dizziness, faintness, effects or lightheadedness when getting up from a lying. Drinking alcohol can further lower your blood pressure and may increase certain side effects of valsartan. Some of the dosage forms listed on this page may not apply to the brand name Diovan. Waeber B, Burnier M, Nussberger J, Brunner HR "Experience with angiotensin II antagonists in hypertensive patients." Clin Exp Pharmacol Physiol 23 ( Suppl (1996 s142-6. Closely monitor blood pressure, renal function and electrolytes in patients on Diovan and other agents that affect the RAS. Not all possible interactions are listed in this medication guide. In controlled clinical trials, discontinuation of therapy due to side effects was required.3 of valsartan-hydrochlorothiazide patients and.1 of placebo patients. It is also used in adults to treat heart failure, and to lower the risk of death diovan after a heart attack. What is the most important information I should know about diovan? Creatinine/Blood Urea Nitrogen (BUN Minor elevations in creatinine and BUN occurred in 2 and 15 respectively, of patients taking Diovan HCT and.4 and 6 respectively, given placebo in controlled clinical trials Hemoglobin and Hematocrit : Greater than 20 decreases. Patients may be uptitrated within 7 days to 40 mg twice daily, with subsequent titrations to a target maintenance dose of 160 mg twice daily, as tolerated side by the patient. Captopril (N4,909) (N4,909) Valsartan Captopril. Patients were randomized within 12 hours to 10 days after the onset of myocardial infarction symptoms to one of three treatment groups: valsartan (titrated from 20 or 40 mg twice daily to the highest tolerated dose. Warnings Precautions warnings Included as part of the "precautions" effects Section precautions Fetal Toxicity Pregnancy Category D Use of drugs that act on the renin- angiotensin system during the second and third trimesters of pregnancy reduces fetal renal function and increases. You should not breast-feed while using this medicine. If high blood pressure is not treated, it can lead to stroke, heart attack, heart failure, kidney failure and vision problems. McInnes GT "Clinical advantage of valsartan." Cardiology 91 (1999 14-8. Effects were generally consistent across subgroups defined by age and gender effects for the population of patients not receiving an ACE inhibitor. Call your doctor if you get swelling in your feet, ankles, or hands, or unexplained effects weight gain. The population studied was 80 male, 46 65 years or older and 89 Caucasian. Talk to your doctor or pharmacist before you start taking any new medicine. In pooled, randomized, controlled trials of Diovan that included a total of 140 blacks and 830 whites, valsartan and an ACE-inhibitor control were generally at least as effective in blacks as whites. About 93 of patients received concomitant ACE inhibitors.