Valsartan And Sacubitril

Therapeutic Group

Angiotensin-ii Antagonists, Combinations

Indication Dosage

Symptomatic Chronic Heart Failure With Reduced Ejection Fraction (patient Not Taking An Ace Inhibitor Or Angiotensin Ii Receptor Antagonist, Or Stabilised On Low Doses Of Any Of These Agents): 

  • Adult: Initially 26/24 Mg Twice Daily For 3-4 Weeks, Increased If Tolerated To 51/49 Mg Twice Daily For 3-4 Weeks, Then Increased If Tolerated To 103/97 Mg Twice Daily 

Symptomatic Chronic Heart Failure With Reduced Ejection Fraction (patient Stabilised On An Ace Inhibitor Or Angiotensin Ii Receptor Antagonist): 

  • Adult: Initially 51/49 Mg Twice Daily For 2-4 Weeks, Increased If Tolerated To 103/97 Mg Twice Daily, Consider A Starting Dose Of 26/24 Mg If Systolic Blood Pressure Less Than 110mmhg

Content

  • Tab 24 /26mg: Sacubitril 24mg /valsartan 26mg,
  • Tab 49 /51mg: Sacubitril 49mg /valsartan 51mg,
  • Tab 97 /103mg: Sacubitril 97mg /valsartan 103mg

Pregnancy

Contraindicated In Pregnancy.

Stability

  • Angiotensin II Receptor Antagonists

Contra Indications

  • Severe Hepatic Impairment, Concomitant Use Of Ace Inhibitor; Separate Administration By 36 Hours, Systolic Blood Pressure Less Than 100 Mmhg

Precautions

  • Severe Hepatic Impairment, Concomitant Use Of Ace Inhibitor; Separate Administration By 36 Hours, Systolic Blood Pressure Less Than 100 Mmhg

Lactation

  • Caution Advised

Side Effects

  • Anaemia
  • Diarrhoea
  • Gastritis
  • Hypoglycaemia
  • Hypokalaemia
  • Nausea
  • Vertigo Hypersensitivity Reactions
  • Renal Impairment