Sabitar 49 mg+51 mg (Tablet)

Unit Price: ৳ 80.00 (2 x 10: ৳ 1,600.00)
Strip Price: ৳ 800.00

Medicine Details

Indications

  • Reduces risk of cardiovascular death
  • Reduces hospitalization for heart failure
  • Treatment for symptomatic heart failure
  • Administered in conjunction with other therapies
  • Replacement for ACE inhibitor or other ARB

Pharmacology

  • Contains neprilysin inhibitor and angiotensin receptor blocker
  • Inhibits neprilysin via LBQ657
  • Blocks angiotensin II type-1 receptor via valsartan
  • Increases levels of peptides degraded by neprilysin
  • Simultaneously inhibits effects of angiotensin II

Dosage & Administration

  • Recommended starting dose for adults
  • Dose adjustment for patients not taking ACEi or ARB
  • Dose adjustment for severe renal impairment
  • Recommended dose for pediatric patients
  • Dose titration for pediatric patients based on weight

Interaction

  • Should not be used with ACEi
  • Avoid use with aliskiren in diabetes
  • Interaction with potassium-sparing diuretics
  • Interaction with NSAIDs
  • Increased risk of lithium toxicity

Contraindications

  • Hypersensitivity to any component
  • History of angioedema related to previous ACEi or ARB therapy
  • Concomitant use of ACE inhibitors
  • Concomitant use of aliskiren in diabetes

Side Effects

  • Angioedema
  • Hypotension
  • Impaired renal function
  • Hyperkalemia
  • Cough
  • Dizziness

Pregnancy & Lactation

  • Safety and effectiveness not established in pediatric patients less than 1 year
  • No relevant pharmacokinetic differences in elderly patients
  • No dose adjustment required in mild hepatic impairment
  • Not recommended in severe hepatic impairment
  • No dose adjustment required in mild to moderate renal impairment

Precautions & Warnings

  • May cause angioedema
  • May lower blood pressure
  • Requires monitoring of serum creatinine
  • Requires monitoring of serum potassium
  • Dosage reduction or interruption may be required

Use in Special Populations

  • Safety and effectiveness not established in pediatric patients
  • No relevant pharmacokinetic differences in elderly patients
  • Dose adjustment for severe renal impairment
  • Dose adjustment for moderate hepatic impairment
  • Not recommended in severe hepatic impairment

Overdose Effects

  • Limited data available on overdosage
  • Hypotension is a likely result of overdosage
  • Symptomatic treatment should be provided
  • Unlikely to be removed by hemodialysis

Storage Conditions

  • Keep in a dry place
  • Store below 30°C
  • Protect from moisture
  • Keep out of the reach of children

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