Irbesartan Dosage, Side Effects
Irbesartan dosage, side effects:
Generic Name: Irbesartan
Drug Class: Angiotensin II Receptor Blocker (ARB)
Brand Names
Irbesartan is sold under various brand names worldwide, including:
United States & Canada
- Avapro (primary brand name in the US, Canada, and many countries)
Europe & Other Regions
- Aprovel (common in the UK, France, and other European countries)
- Karvea (Australia, some European markets)
- Irbetan (some countries)
- Irovel (India, some Asian markets)
- Irbepress (alternative brand in certain regions)
Approved Uses
- Hypertension (High Blood Pressure) – Lowers blood pressure by blocking angiotensin II.
- Diabetic Nephropathy (Kidney Protection in Type 2 Diabetes) – Helps slow kidney damage in patients with diabetes and high blood pressure.
Dosage Forms
- Tablets: Typically available in 75 mg, 150 mg, and 300 mg strengths.
Key Features
- Does not require activation by the liver (unlike some other ARBs).
- Long half-life (~11–16 hours), allowing once-daily dosing.
- Minimal interaction with food, can be taken with or without meals.
Side Effects
Common:
- Dizziness, fatigue, headache
- Mild gastrointestinal issues (nausea, diarrhea)
Serious (rare):
- High potassium levels (hyperkalemia)
- Kidney function changes
- Severe allergic reactions (angioedema—rare but possible)
Contraindications & Warnings
- Pregnancy (Category D): Can harm or kill the fetus; contraindicated.
- Renal Impairment: Dose adjustment may be needed in severe kidney disease.
- Hyperkalemia Risk: Caution with potassium-sparing diuretics or potassium supplements.
Notable Drug Interactions
- NSAIDs (e.g., ibuprofen, naproxen): May reduce effectiveness and increase kidney risk.
- Lithium: Increased lithium toxicity risk.
- Diuretics (e.g., hydrochlorothiazide): Enhanced blood pressure-lowering effect.
Conclusion
Irbesartan is a widely used ARB for hypertension and diabetic kidney protection, marketed under names like Avapro, Aprovel, and Karvea. It is generally well-tolerated but requires monitoring in certain high-risk patients.