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hydrochlorothiazide and valsartan

Pronunciation: HYE droe klor oh THYE a zide and val SAR tan

Brand: Diovan HCT

Diovan HCT

slide 1 of 20, Diovan HCT,

12.5 mg-80 mg, oval, orange, imprinted with CG, HGH

Image of Diovan HCT
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Diovan HCT

slide 2 of 20, Diovan HCT,

12.5 mg-160 mg, oblong, red, imprinted with CG, HHH

Image of Diovan HCT
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Diovan HCT

slide 3 of 20, Diovan HCT,

25 mg-160 mg, oval, orange, imprinted with NVR, HXH

Image of Diovan HCT
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Diovan HCT

slide 4 of 20, Diovan HCT,

12.5 mg-320 mg, oval, pink, imprinted with NVR, HIL

Image of Diovan HCT
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Diovan HCT

slide 5 of 20, Diovan HCT,

25 mg-320 mg, oval, yellow, imprinted with NVR, CTI

Image of Diovan HCT
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Hydrochlorothiazide-Valsartan

slide 6 of 20, Hydrochlorothiazide-Valsartan,

12.5 mg-160 mg, round, orange, imprinted with M, V22

Image of Hydrochlorothiazide-Valsartan
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Hydrochlorothiazide-Valsartan

slide 7 of 20, Hydrochlorothiazide-Valsartan,

25 mg-160 mg, oval, orange, imprinted with M, V23

Image of Hydrochlorothiazide-Valsartan
slide 7 of 20
    

Hydrochlorothiazide-Valsartan

slide 8 of 20, Hydrochlorothiazide-Valsartan,

12.5 mg-320 mg, oval, orange, imprinted with M, V24

Image of Hydrochlorothiazide-Valsartan
slide 8 of 20
    

Hydrochlorothiazide-Valsartan

slide 9 of 20, Hydrochlorothiazide-Valsartan,

25 mg-320 mg, oval, orange, imprinted with M, V25

Image of Hydrochlorothiazide-Valsartan
slide 9 of 20
    

Hydrochlorothiazide-Valsartan

slide 10 of 20, Hydrochlorothiazide-Valsartan,

25 mg-160 mg, oval, brown, imprinted with VH3

Image of Hydrochlorothiazide-Valsartan
slide 10 of 20
    

Hydrochlorothiazide-Valsartan

slide 11 of 20, Hydrochlorothiazide-Valsartan,

12.5 mg-320 mg, oval, pink, imprinted with VH4, >

Image of Hydrochlorothiazide-Valsartan
slide 11 of 20
    

Hydrochlorothiazide-Valsartan

slide 12 of 20, Hydrochlorothiazide-Valsartan,

12.5 mg-80 mg, oval, orange, imprinted with CG, HGH

Image of Hydrochlorothiazide-Valsartan
slide 12 of 20
    

Hydrochlorothiazide-Valsartan

slide 13 of 20, Hydrochlorothiazide-Valsartan,

12.5 mg-160 mg, oval, red, imprinted with CG, HHH

Image of Hydrochlorothiazide-Valsartan
slide 13 of 20
    

Hydrochlorothiazide-Valsartan

slide 14 of 20, Hydrochlorothiazide-Valsartan,

25 mg-160 mg, oval, brown, imprinted with NVR, HXH

Image of Hydrochlorothiazide-Valsartan
slide 14 of 20
    

Hydrochlorothiazide-Valsartan

slide 15 of 20, Hydrochlorothiazide-Valsartan,

12.5 mg-320 mg, oval, pink, imprinted with NVR, HIL

Image of Hydrochlorothiazide-Valsartan
slide 15 of 20
    

Hydrochlorothiazide-Valsartan

slide 16 of 20, Hydrochlorothiazide-Valsartan,

25 mg-320 mg, oval, yellow, imprinted with NVR, CTI

Image of Hydrochlorothiazide-Valsartan
slide 16 of 20
    

Hydrochlorothiazide-Valsartan

slide 17 of 20, Hydrochlorothiazide-Valsartan,

12.5 mg-160 mg, capsule, brown, imprinted with LU, P12

Image of Hydrochlorothiazide-Valsartan
slide 17 of 20
    

Diovan HCT

slide 18 of 20, Diovan HCT,

12.5 mg-160 mg, oblong, red, imprinted with CG, HHH

Image of Diovan HCT
slide 18 of 20
    

Diovan HCT

slide 19 of 20, Diovan HCT,

25 mg-160 mg, oval, orange, imprinted with NVR, HXH

Image of Diovan HCT
slide 19 of 20
    

Diovan HCT

slide 20 of 20, Diovan HCT,

12.5 mg-80 mg, oval, orange, imprinted with CG, HGH

Image of Diovan HCT
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What is the most important information I should know about hydrochlorothiazide and valsartan?

You should not use this medicine if you are unable to urinate, or if you are allergic to sulfa drugs.

Do not use if you are pregnant. Stop using the medicine and tell your doctor right away if you become pregnant.

If you have diabetes, do not use hydrochlorothiazide and valsartan together with any medication that contains aliskiren (a blood pressure medicine).

What is hydrochlorothiazide and valsartan?

Hydrochlorothiazide is a diuretic (water pill). Valsartan is an angiotensin II receptor blocker (sometimes called an ARB blocker).

Hydrochlorothiazide and valsartan is a combination medicine used to treat high blood pressure (hypertension). Lowering blood pressure may lower your risk of a stroke or heart attack.

Hydrochlorothiazide and valsartan is given after other blood pressure medicines did not work or have stopped working.

Hydrochlorothiazide and valsartan may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking hydrochlorothiazide and valsartan?

You should not use this medicine if you are allergic to valsartan or hydrochlorothiazide, or if you have:

  • decreased urination or are unable to urinate; or
  • an allergy to sulfa drugs.

If you have diabetes, do not use hydrochlorothiazide and valsartan together with any medication that contains aliskiren (a blood pressure medicine).

You may also need to avoid taking hydrochlorothiazide and valsartan with aliskiren if you have kidney disease.

Tell your doctor if you have ever had:

  • an electrolyte imbalance (such as low levels of potassium or magnesium, or high levels of calcium in your blood);
  • liver disease;
  • kidney disease;
  • gallstones;
  • lupus;
  • congestive heart failure;
  • gout, or high levels of uric acid in your blood;
  • asthma or allergies;
  • high cholesterol or triglyceride levels;
  • an allergy to penicillin;
  • glaucoma; or
  • if you are on a low-salt diet.

Do not use if you are pregnant. Stop using the medicine and tell your doctor right away if you become pregnant. Valsartan can cause injury or death to the unborn baby if you take the medicine during your second or third trimester.

You should not breastfeed while using this medicine.

Hydrochlorothiazide and valsartan is not approved for use by anyone younger than 18 years old.

How should I take hydrochlorothiazide and valsartan?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.

You may take this medicine with or without food.

Call your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking this medication, which can lead to severely low blood pressure or a serious electrolyte imbalance.

Your blood pressure will need to be checked often. Your blood and urine may also be tested if you have been vomiting or are dehydrated.

If you need surgery, tell the surgeon ahead of time that you are using hydrochlorothiazide and valsartan.

It may take up to 4 weeks for this medication to control your blood pressure. Keep using this medicine as directed, even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking hydrochlorothiazide and valsartan?

Hydrochlorothiazide may increase your risk of skin cancer. Avoid sunlight or tanning beds. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors. Your doctor may want you to have skin examinations on a regular basis.

Do not use potassium supplements or salt substitutes, unless your doctor has told you to.

Drinking alcohol can further lower your blood pressure and may cause side effects.

Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy.

What are the possible side effects of hydrochlorothiazide and valsartan?

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

In rare cases, hydrochlorothiazide and valsartan can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. Call your doctor right away if you have unexplained muscle pain, tenderness, or weakness especially if you also have fever, unusual tiredness, or dark colored urine.

Call your doctor at once if you have:

  • a light-headed feeling, like you might pass out;
  • eye pain, vision problems;
  • an unusual skin rash;
  • little or no urinating;
  • jaundice (yellowing of the skin or eyes);
  • easy bruising, unusual bleeding;
  • a seizure;
  • kidney problems --little or no urination, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath; or
  • signs of an electrolyte imbalance --dry mouth, increased thirst, confusion, feeling restless, vomiting, muscle pain or weakness, drowsiness, lack of energy, fast heartbeats, decreased urination.

Common side effects include:

  • cold symptoms such as stuffy nose, sneezing, sore throat;
  • dizziness; or
  • headache.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect hydrochlorothiazide and valsartan?

If you also take cholestyramine or colestipol, take your hydrochlorothiazide and valsartan dose 4 hours before or 4 hours after you take the other medicine.

Tell your doctor about all your current medicines. Many drugs can affect hydrochlorothiazide and valsartan, especially:

  • cyclosporine, digoxin, digitalis, lithium, or ritonavir;
  • all your heart or blood pressure medicines;
  • insulin or oral diabetes medicine;
  • a diuretic or "water pill";
  • opioid pain medicine;
  • a sleeping pill;
  • a muscle relaxer;
  • an antibiotic --rifabutin, rifampin, rifamycin, rifapentine;
  • cancer medicine --cyclophosphamide, methotrexate; or
  • NSAIDs (nonsteroidal anti-inflammatory drugs) --aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.

This list is not complete and many other drugs may affect hydrochlorothiazide and valsartan. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Where can I get more information?

Your pharmacist can provide more information about hydrochlorothiazide and valsartan.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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