Valsartan/hydrochlorothiazide.

Abstract:

:Valsartan/hydrochlorothiazide (HCTZ) combines an angiotensin II AT1 receptor blocker with a thiazide diuretic to produce additive blood pressure reductions without major effects on heart rate. HCTZ did not significantly alter valsartan pharmacokinetics; during combination therapy, HCTZ pharmacokinetics differed from those seen with HCTZ monotherapy. In clinical trials in patients with essential hypertension, adding HCTZ 12.5 or 25 mg/day to valsartan 80 mg/day resulted in a greater blood pressure reduction than increasing the valsartan dosage from 80 to 160 mg/day. The valsartan/HCTZ combination was generally more effective than either drug given alone. Efficacy of the combination was maintained during up to 3 years of treatment. Valsartan/HCTZ was well tolerated in both short and long term trials. The most common adverse events were dizziness, headache and fatigue. The overall incidence of adverse events with the combination was similar to that with placebo. HCTZ-induced hypokalaemia was less common during combination therapy.

journal_name

Drugs

journal_title

Drugs

authors

Langtry HD,McClellan KJ

doi

10.2165/00003495-199957050-00008

subject

Has Abstract

pub_date

1999-05-01 00:00:00

pages

751-5; discussion 756-8

issue

5

eissn

0012-6667

issn

1179-1950

journal_volume

57

pub_type

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