Arbitain Plus 75
12.5mg+75mgRx৳ 6/unit
Pack: ৳ 6
৳ 6/unit
Pack: ৳ 6
At a glance
Hydrochlorothiazide + Irbesartan combination is used for the treatment of hypertension in patients for whom combination therapy is appropriate.
Indications
- Hypertension (high blood pressure) - in patients for whom combination therapy is appropriate
Pharmacology
Irbesartan selectively blocks the AT1 receptor of angiotensin II, inhibiting vasoconstriction and aldosterone secretion. Hydrochlorothiazide inhibits Na+/Cl- reabsorption in the distal convoluted tubule, increasing sodium and chloride excretion, which reduces plasma volume and activates the renin-aldosterone system.
Dosage
Adult Dose:
- Initial: 150 mg/12.5 mg once daily
- May titrate up to 300 mg/25 mg once daily after 1-2 weeks if needed
- Maximum dose: 300 mg/25 mg once daily
Special Populations:
- Renal Impairment (CrCl >30 mL/min): Follow usual regimen
- Hepatic Impairment: No dosage adjustment necessary
Side effects
Common Side Effects:
- Dizziness
- Nausea
- Taste change
- Upset stomach
- Diarrhea
- Weakness
- Headache
- Decreased blood pressure
- Glucose intolerance
- Increased blood uric acid
- Electrolyte imbalance
Gastrointestinal: Anorexia, gastric irritation, vomiting, diarrhea, constipation, pancreatitis
CNS: Dizziness, vertigo, headache, yellow vision
Cardiovascular: Arrhythmia, hypotension, bradycardia, syncope
Use in pregnancy
Use in Pregnancy: Unsafe during pregnancy; in the second and third trimesters, irbesartan can cause injury or death to the developing baby; contraindicated in pregnancy.
Precautions & warnings
Precautions:
- Hydrochlorothiazide + Irbesartan may decrease alertness, affect vision or make you feel sleepy and dizzy; do not drive if these symptoms occur
- May cause dehydration; drink plenty of fluids; inform doctor if extreme thirst, very dry mouth or muscle weakness develops
- May cause dizziness; get up slowly when rising from a sitting or lying position
- Not safe during pregnancy and breastfeeding
- Changes in renal function may occur due to renin-angiotensin-aldosterone system inhibition; monitor renal function and potassium
- Caution in heart failure or ventricular dysfunction
Overdose effects
Overdose: Irbesartan: Hypotension and tachycardia may occur; bradycardia may occur; not removed by hemodialysis. Hydrochlorothiazide: Electrolyte depletion (hypokalemia, hypochloremia) and dehydration; hypokalemia with digitalis may accentuate cardiac arrhythmias; symptomatic treatment.
Storage conditions
Store below 30°C temperature, away from light & moisture; keep out of reach of children.