Irbesartan/Hctz Online

How and where to order Irbesartan with Hydrochlorothiazide (Avalide) 150 mg / 12.5 mg tablets or capsules online on the National Board of Anesthesiology, Inc. website:

Shop:	DFH PHARMACY - 10% discount coupon DFH10
Stores:	PHARMA DOCTOR
Prices:	from $1.11 per pill
Forms:	Avalide (Irbesartan, Hctz) 150 mg / 12.5 mg tablets
Quantity:	30-270 pills
Type:	Irbesartan/HCT brand, Avalide generic
Payment:	Visa, Mastercard, AmEx, Bitcoin
Delivery:	Standard airmail and trackable courier service
Shipping:	Worldwide, including USA, UK, Europe, Canada, Australia

Indications and usage:

Avalide is a combination of irbesartan, an angiotensin II receptor antagonist, and hydrochlorothiazide, a thiazide diuretic, indicated for hypertension:

In patients not adequately controlled with monotherapy.

As initial therapy in patients likely to need multiple drugs to achieve their blood pressure goals.

Dosage and administration:

General considerations

Maximum effects within 2 to 4 weeks after dose change.

Renal impairment: not recommended for patients with severe renal impairment (creatinine clearance < 30 mL/min).

Hypertension

Initiate with 150/12.5 mg. Titrate to 300/12.5 mg then 300/25 mg if needed.

Replacement therapy: may be substituted for titrated components.

Dosage forms and strengt:

Avalide tablets containing:

75 mg irbesartan and 12.5 mg hydrochlorothiazide.

150 mg irbesartan and 12.5 mg hydrochlorothiazide.

300 mg irbesartan and 12.5 mg hydrochlorothiazide.

300 mg irbesartan and 25 mg hydrochlorothiazide.

Overdosage:

Irbesartan

No data are available in regard to overdosage in humans. However, daily doses of 900 mg for 8 weeks were well tolerated. The most likely manifestations of overdosage are expected to be hypotension and tachycardia; bradycardia might also occur from overdose.

Irbesartan is not removed by hemodialysis.

To obtain up-to-date information about the treatment of overdosage, a good resource is a certified regional Poison Control Center. In managing overdose, consider the possibilities of multiple-drug interactions, drug-drug interactions, and unusual drug kinetics in the patient.

Laboratory determinations of serum levels of irbesartan are not widely available, and such determinations have, in any event, no established role in the management of irbesartan overdose.

Acute oral toxicity studies with irbesartan in mice and rats indicated acute lethal doses were in excess of 2000 mg/kg, about 25-fold and 50-fold the MRHD (300 mg) based on body surface area.

Hydrochlorothiazide

The most common signs and symptoms of overdose observed in humans are those caused by electrolyte depletion (hypokalemia, hypochloremia, hyponatremia) and dehydration resulting from excessive diuresis. If digitalis has also been administered, hypokalemia may accentuate cardiac arrhythmias. The degree to which hydrochlorothiazide is removed by hemodialysis has not been established. The oral LD50 of hydrochlorothiazide is greater than 10 g/kg in both mice and rats.

Contraindications:

Hypersensitivity to any component of this product.

Anuria.

Hypersensitivity to sulfonamide-derived drugs.

Do not coadminister aliskiren with Avalide in patients with diabetes.

Warnings and precautions:

Hypotension: correct volume depletion prior to administration of Avalide.

Impaired renal function.

Thiazide diuretics may cause an exacerbation or activation of systemic lupuserythematosus.

Acute angle-closure glaucoma, acute myopia, and choroidal effusion.

Adverse reactions, side effects:

Most common adverse events ( >= 5% on combined irbesartan with hydrochlorothiazide pills and more often than on placebo) are dizziness, fatigue, and musculoskeletal pain.

To report suspected side effects of Avalide (Irbesartan, Hctz) tablets contact Sanofi pharmaceutical company or your local FDA.

Drug interactions:

NSAIDs and selective COX-2 inhibitors: can reduce diuretic, natriuretic of diuretic, may lead to increased risk of renal impairment and reduced antihypertensive effect. Monitor renal function periodically.

Dual blockade of the renin-angiotensin system: increased risk of renal impairment, hypotension, and hyperkalemia.

Antidiabetic drugs: dosage adjustment of antidiabetic may be required.

Cholestyramine and colestipol: reduced absorption of thiazides.

Lithium: increases in serum lithium concentrations and lithium toxicity.

Carbamazepine: increased risk of hyponatremia.

Related medications:

Misoprostol 200 mg tablets

Valsartan (Diovan)

Use in specific populations:

Lactation: potential for adverse effects in infant.

Patient counseling information:

Pregnancy

Tell female patients of childbearing age about the consequences of exposure to Avalide (Irbesartan, Hydrochlorothiazide) during pregnancy. Discuss treatment options with women planning to become pregnant. Ask patients to report pregnancies to their physician as soon as possible.

Symptomatic hypotension

Tell patients using Avalide that they may feel lightheaded, especially during the first days of use. Tell patients to inform their physician if they feel lightheaded or faint. Tell the patient, if fainting occurs, stop using this medication and contact the prescribing doctor.

Tell patients using Irbesartan/Hctz tablets that getting dehydrated can lower their blood pressure too much and lead to lightheadedness and possible fainting. Dehydration may occur with excessive sweating, diarrhea, or vomiting and with not drinking enough liquids.

Potassium supplements

Advise patients not to use potassium supplements or salt substitutes containing potassium without consulting their healthcare provider.

Acute angle-closure glaucoma, acute myopia, and choroidal effusion

Advise patients to discontinue Avalide and seek immediate medical attention if they experience symptoms of acute angle-closure glaucoma, acute myopia, and choroidal effusion.

Non-melanoma skin cancer

Instruct patients taking hydrochlorothiazide to protect skin from the sun and undergo regular skin cancer screening.

Where to buy hydrochlorothiazide with irbesartan online:

To purchase Avalide (Irbesartan, Hydrochlorothiazide) tablets from reliable online pharmacies and drugstores at low prices please use resources described above on this webpage.

Here is a list of popular medications containing irbesartan with hydrochlorothiazide as main active pharmaceutical ingredients; their trade names, forms, doses, companies - manufacturers, distributors, suppliers, researchers and developers:

Trade name of the drug	Pharmaceutical forms and doses	Companies
Avalide	Tablets; Oral; Hydrochlorothiazide 12.5 mg; Irbesartan 75 mg Tablets; Oral; Hydrochlorothiazide 12.5 mg; Irbesartan 150 mg Tablets; Oral; Hydrochlorothiazide 12.5 mg; Irbesartan 300 mg Tablets; Oral; Hydrochlorothiazide 25 mg; Irbesartan 300 mg	Sanofi Bristol-Myers Squibb
Avapro HCT	Tablets; Oral; Hydrochlorothiazide 12.5 mg; Irbesartan 150 mg Tablets; Oral; Hydrochlorothiazide 12.5 mg; Irbesartan 300 mg	Bristol-Myers Squibb
CoAprovel	Tablets, Film-Coated; Oral; Hydrochlorothiazide 12.5 mg; Irbesartan 150 mg Tablets, Film-Coated; Oral; Hydrochlorothiazide 12.5 mg; Irbesartan 300 mg Tablets, Film-Coated; Oral; Hydrochlorothiazide 25 mg; Irbesartan 150 mg Tablets, Film-Coated; Oral; Hydrochlorothiazide 25 mg; Irbesartan 300 mg	Sanofi Bristol-Myers Squibb DKSH IDS Group Metro Drug Distribution The Glory Medicina Zuellig Pharma
Co-Irbesartan	Tablets, Film-Coated; Oral; Hydrochlorothiazide 12.5 mg; Irbesartan 150 mg Tablets, Film-Coated; Oral; Hydrochlorothiazide 12.5 mg; Irbesartan 300 mg Tablets, Film-Coated; Oral; Hydrochlorothiazide 25 mg; Irbesartan 300 mg	Sandoz
Irbesartan HCT	Tablets, Film-Coated; Oral; Hydrochlorothiazide 12.5 mg; Irbesartan 150 mg Tablets, Film-Coated; Oral; Hydrochlorothiazide 12.5 mg; Irbesartan 300 mg	Actavis
Irbesartan HCTZ	Tablets; Oral; Hydrochlorothiazide 12.5 mg; Irbesartan 150 mg Tablets; Oral; Hydrochlorothiazide 12.5 mg; Irbesartan 300 mg Tablets; Oral; Hydrochlorothiazide 25 mg; Irbesartan 300 mg	Pro Doc
Irovel-H	Tablets; Oral; Hydrochlorothiazide 12.5 mg; Irbesartan 150 mg	Sun Pharmaceutical Industries Sin Byu Gyun Trading
Karvezide	Tablets; Oral; Hydrochlorothiazide 12.5 mg; Irbesartan 150 mg Tablets; Oral; Hydrochlorothiazide 12.5 mg; Irbesartan 300 mg	Bristol-Myers Squibb Lek Sanofi