Aliskiren (a-lis-KYE-ren), Valsartan (val-SAR-tan)
Treats high blood pressure. A lower blood pressure will reduce the risk of stroke and heart attack. This medicine is a combination of a renin inhibitor and an angiotensin receptor blocker (ARB).
There may be other brand names for this medicine.
When This Medicine Should Not Be Used
Do not use this medicine if you have had an allergic reaction to aliskiren or valsartan, or if you are pregnant. Do not use this medicine if you have diabetes.
How to Use This Medicine
- Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.
- Take this medicine the same way every day. This means take it at the same time and take it consistently with or without food.
- Carefully follow your doctor's instructions about any special diet.Be sure to drink plenty of fluids if you exercise, sweat more than usual, or have diarrhea or vomiting.
- Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.
If a dose is missed:
- If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose.
How to Store and Dispose of This Medicine
- Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
- Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any outdated medicine or medicine no longer needed.
- Keep all medicine out of the reach of children. Never share your medicine with anyone.
Drugs and Foods to Avoid
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
- Make sure your doctor knows if you are also using cyclosporine (Gengraf®, Neoral®, Sandimmune®), itraconazole (Sporanox®), rifampin (Rifadin®, Rimactane®), ritonavir (Norvir®), other medicines for high blood pressure (such as enalapril, irbesartan, lisinopril, losartan, olmesartan, Accupril®, Avapro®, Benicar®, Cozaar®, Lotrel®, or Zestril®), or certain diuretics or water pills (such as amiloride, spironolactone, triamterene, Aldactone®, Dyrenium®, or Midamor®). Tell your doctor if you are also using an NSAID pain or arthritis medicine, such as aspirin, celecoxib, ibuprofen, naproxen, Advil®, Aleve®, Celebrex®, Ecotrin®, or Motrin®.
- Ask your doctor before you use medicines, supplements, or salt substitutes that contain potassium.
- Alcohol, narcotic pain relievers, or sleeping pills may cause you to feel more lightheaded, dizzy, or faint when used with this medicine. Tell your doctor if you drink alcohol or use pain relievers or sleeping pills.
Warnings While Using This Medicine
- It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant.
- Make sure your doctor knows if you are breastfeeding, or if you have had a recent heart attack. Tell your doctor if you have kidney problems, liver disease, congestive heart failure, low blood pressure, a mineral imbalance (such as high potassium or low sodium in the blood), or a history of upper respiratory surgery.
- This medicine could lower your blood pressure too much and cause you to feel dizzy or lightheaded. Stand or sit up slowly if you are dizzy. This is more likely to happen when you begin to use the medicine. It could also happen if you have diarrhea or vomiting, sweat heavily, or do not drink enough water and become dehydrated. If you faint, call your doctor right away.
- Even if you feel well, do not stop using the medicine without asking your doctor. This medicine will not cure your high blood pressure, but it will help keep it in the normal range. You may have to take blood pressure medicine for the rest of your life.
- Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
Possible Side Effects While Using This Medicine
Call your doctor right away if you notice any of these side effects:
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Blistering, peeling, or red skin rash
- Blood in the urine, lower back pain, side pain, or sharp back pain just below the ribs
- Change in how much or how often you urinate, or painful urination
- Confusion, body weakness, shortness of breath, or numbness or tingling in your hands, feet, or lips
- Fast, slow, pounding, or uneven heartbeat
- Lightheadedness, dizziness, or fainting
If you notice these less serious side effects, talk with your doctor:
If you notice other side effects that you think are caused by this medicine, tell your doctor
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088