Co SARTOVAL. 160 mg. 25 mg. 28 tablets
Both substances help control high blood pressure .
Co-SARTOVAL. 160 mg. / 25 mg. 28 tablets
WHAT CO - SARTOVAL AND WHAT IT IS USED FOR ?
Co- Sartoval tablets contain two active substances called valsartan and hydrochlorothiazide.
Both substances help control high blood pressure ( hypertension).
Valsartan belongs to the class of drugs known as " angiotensin II receptor antagonist " that support the control of high blood pressure . Angiotensin II is a substance in the body , which constricts blood vessels , thereby decreasing blood pressure . Valsartan works by blocking the effect of angiotensin II. Consequently, the blood vessels relax and blood pressure is lowered.
Hydrochlorothiazide belongs to a group of medicines called thiazide diuretics ( also known as " water pills " ) . Hydrochlorothiazide increases urine output , which also lowers blood pressure.
Co - Sartoval used for the treatment of high blood pressure which is not well controlled by each of the substances alone.
High blood pressure increases the workload of the heart and the arteries. If not treated , it can damage the blood vessels of the brain, heart and kidneys, and can lead to stroke, heart failure or kidney failure. High blood pressure increases the risk of heart attack . The decrease in blood pressure to normal values reduces the risk of developing these diseases.
2 . BEFORE premiums CO - SARTOVAL .
Do not take Co- Sartoval :
if you are allergic (hypersensitive ) to valsartan , hydrochlorothiazide , sulfonamide derivatives or any of the other ingredients of this medicine ;
if you are pregnant after 3 months ( it is also better to avoid the use of Co- Sartoval during early pregnancy - see pregnancy ) ;
if you have severe liver disease ;
if you have severe kidney disease ;
if you can not urine ;
If you are treated with artificial kidney;
if the amount of potassium or sodium in your body is lower than normal, or the level of calcium in the blood is higher than normal, in spite of the treatment performed ;
if you have gout.
If any of these apply to you , do not take this medicine and talk to your doctor.
Take special care with co- Sartoval :
if you are taking potassium- sparing medicines , potassium supplements , salt substitutes containing potassium , or other drugs that increase potassium levels in the blood such as heparin. Your doctor regularly to monitor the levels of potassium in your blood ;
if you have low potassium levels in the blood ;
if you have severe diarrhea or vomiting ;
if you are taking high doses of water pills (diuretics ) ;
if you have severe heart disease ;
if you have narrowing of the renal artery ;
if you have recently received a new kidney ;
if you suffer from aldosteronism - a disease in which your adrenal glands make too much of the hormone aldosterone. In this case the use of the Co- sartoval not recommended ;
if you have liver or kidney disease ;
if fever, rash and joint pain , which may be symptoms of systemic lupus erythematosus ( SLE , autoimmune disease ) ;
if you have diabetes , gout, high levels of cholesterol or triglycerides in the blood ;
if you have had allergic reactions to other medicines that lower blood pressure than drug class ( angiotensin II receptor blockers ), or if you have an allergy or asthma ;
may cause increased skin sensitivity to sun .
Not recommended for use Co- Sartoval in children and adolescents.
You should tell your doctor if you are (or might become) pregnant. Co- Sartoval not recommended for use in early pregnancy, and must not be taken if you are pregnant after 3 months , as it can seriously harm your baby if used at that stage (see section "Pregnancy and breast-feeding " ) .
Taking other medicines:
Please tell your doctor if you are taking or have recently taken any other medicines , including medicines obtained without a prescription.
The effect of treatment can be changed if the Co- Sartoval taken with certain other medicines , including medicines obtained without a prescription. You may need dose adjustment to take some precautions, or in some cases to stop taking one of the medications. This is particularly useful for the following medications :
Lithium, a medicine used for treatment of certain psychotic disorders ;
medicines that affect or may be affected by the level of potassium in the blood such as digoxin , a drug to control heart rhythm , some antipsychotic drugs ;
drugs that may increase the amount of potassium in your blood, such as potassium supplements , potassium-containing salt substitutes , potassium-sparing drugs , heparin ;
drugs that may decrease the amount of potassium in the blood such as corticosteroids , some laxatives
diuretics (water tablets) , medicines for gout such as allopurinol, vitamin D and calcium - containing additives , drugs for diabetes (oral agents or insulin) ;
other medicines that lower blood pressure such as beta- blockers or methyldopa, or drugs that constrict blood vessels and stimulate the heart to adrenaline or noradrenaline ;
drugs that enhance blood glucose as diazoxide ;
drugs for the treatment of cancer such as cyclophosphamide or methotrexate ;
drugs for arthritis;
muscle relaxants like tubocurarine ;
anticholinergic drugs such as atropine or biperiden ;
amantadine (a medicine for the prevention of influenza)
cholestyramine and colestipol ( medicines for the treatment of high levels of fats in the blood ) ;
cyclosporin , a medicine used for organ transplantation to prevent organ rejection ;
anesthetics and sedatives ;
carbamazepine , a medicine used for the treatment of seizures.
Taking Co- Sartoval with food and drink :
You can take Co- Sartoval with or without food.
Avoid drinking alcohol before checking with your doctor. Alcohol can lower your blood pressure more and / or create a risk of dizziness or fainting .
Pregnancy and lactation
Ask your doctor or pharmacist before taking any medicine .
Tell your doctor if you think you are (or might become) pregnant. Your doctor will advise you to stop taking Co- Sartoval before you become pregnant or as soon as you become pregnant and will advise you to take another medicine instead of Co- Sartoval . Co- Sartoval not recommended in early pregnancy, and must be taken after the third month of pregnancy because it may cause serious harm to your baby if used after the third month of pregnancy.
Tell your doctor if you are breast-feeding or breast-feeding. Co- Sartoval not recommended to be taken by mothers who are breastfeeding and your doctor may choose another treatment for you if you wish to breast-feed , especially if the child is a newborn or preterm .
Driving and using machines
Before driving the vehicle , use tools or operate machinery, or perform other activities that require alertness , you should know that the Co- Sartoval can affect you . Like many other medicines used to treat high blood pressure, Co- Sartoval accident can cause dizziness and can impair your ability to concentrate
[80 mg/12.5 mg] Important information about some of the ingredients of Co- Sartoval
Co- Sartoval contain Sunset Yellow FCF/E110 / and can cause allergic reactions.
3 . HOW TO CO - SARTOVAL ?
Always take Co- Sartoval exactly as your doctor tells you . This will help you to get the best results and lower the risk of side effects. If you are not sure, ask your doctor or pharmacist.
People with high blood pressure often do not notice any signs of this problem. Many may feel quite normal. This makes it important for you to see your doctor regularly , even if you feel better.
Your doctor will tell you exactly how many tablets Co- Sartoval taking . Depending on how you respond to treatment, your doctor may suggest a higher or lower dose.
The usual dose of Co- Sartoval is one tablet daily .
Do not change your dose or stop taking the tablets without first talking to your doctor with your doctor.
The medicine should be taken at the same time each day , usually in the morning .
You can take Co- Sartoval with or without food.
Swallow the tablets with a glass of water .
If you take a larger dose of Co- Sartoval necessary
If you get severe dizziness and / or fainting , lie down immediately and call your doctor. If you accidentally took too many tablets , contact your doctor , pharmacist or hospital .
If you forget to take Co- Sartoval
If you miss a dose, take it together soon as you remember . However, if it is almost time for your next dose , skip the missed . Do not take a double dose to make up for a missed dose.
If you stop taking Co- Sartoval
Stopping the use of Co- Sartoval can aggravate your blood pressure. Do not stop taking your medicine unless your doctor has advised ,
If you have any further questions on the use of this product , ask your doctor or pharmacist.
4 . POSSIBLE SIDE EFFECTS
Like all medicines, Co- Sartoval can cause side effects, although not everybody gets them .
Side effects may occur with certain frequencies, which are defined as follows:
very common: affects more than 1 user in 10;
common: affects 1 to 10 users in 100 ;
uncommon ; affects 1 to 10 users in 1000 ;
rare: affects 1 to 10 users in 10,000 ;
very rare: affects less than 1 user in 10 000 ;
Not known : estimates of frequency can not be made from the available data .
Some side effects can be serious and require immediate medical attention.
Immediately call your doctor if you experience symptoms of angioedema , such as:
swelling of the face , tongue or pharynx ;
difficulty in swallowing ;
hives and difficulty breathing.
Other side effects are:
low blood pressure ;
dehydration ( with symptoms of thirst, dry mouth and tongue , often urination , dark colored urine , dry skin ) ; muscle pain ;
tiredness , tingling or numbness ;
blurred vision ;
noise ( buzzing or ringing ) in the ears .
difficulty breathing ;
a greatly reduced amount of urine ;
low sodium in the blood ( which can cause tiredness , confusion, muscle twitching and / or in severe cases convulsions) ;
low levels of potassium in the blood ( sometimes with muscle weakness, muscle spasms , irregular heartbeat ) ;
low level of white blood cells in the blood ( with symptoms such as fever , skin infections , sore throat or mouth ulcers due to infections , weakness ) ;
bilirubin levels increase in the blood ( which can, in severe cases, cause yellowing of the skin or eyes ) ;
the level of blood urea nitrogen and creatinine increases ( which may indicate impaired renal function) ;
elevated level of uric acid in the blood ( which, in severe cases, may cause the occurrence of gout ) ;
Syncope ( fainting ) .
The following adverse reactions have been reported for products containing valsartan or hydrochlorothiazide alone:
feeling dizzy ;
skin rash with or without itching, accompanied by some of the following signs or symptoms : fever , muscle pain , swollen lymph nodes and / or flu-like syndrome ;
rash rozovocherveni spots , fever , itching (symptoms of inflammation of blood vessels) ;
low platelet count (sometimes unusual bleeding or easy bruising ) ;
high levels of potassium in the blood ( sometimes with muscle spasms , irregular heartbeat ) ;
allergic reactions ( with symptoms such as rash , itching, hives, difficulty breathing or swelling , dizziness ) ;
swelling of the face and throat , rash and itching;
elevated liver function tests ;
decreased hemoglobin and decreased number of red blood cells ( which, together , in severe cases unlocks anemia) ;
renal failure ;
low sodium in the blood ( which can cause tiredness , confusion, muscle twitching and / or seizures in severe cases ) .
itchy rash and other types of rash ;
decreased appetite ;
mild nausea and vomiting ;
fainting, lightheadedness upon standing;
swelling and blistering of the skin (due to increased sensitivity to sunlight) ;
constipation , discomfort in the stomach or intestines, liver problems (yellowing of the skin or eyes) ;
irregular heartbeat ;
sleep disorders ;
sad mood (depression) ;
low platelets ( sometimes bleeding or bruising under the skin) .
inflammation of blood vessels with symptoms such as rash, purple spots , fever ;
itching or redness of the skin;
blistering of lips, eyes or mouth ;
rash on the face accompanied by joint pain ;
fever ( cutaneous lupus erythematosus ) ;
severe diarrhea , the absence or low levels of various types of blood cells;
severe allergic reactions;
difficulty breathing ;
pulmonary infection , shortness of breath .
If any of the side effects gets serious, or you notice other effects not listed in this leaflet , please tell your doctor or pharmacist.
5 . HOW TO STORE CO - SARTOVAL
Keep out of reach of children.
Do not use Co- Sartoval after the expiry date stated on the pack . Godrost term of the last day of that month.
Do not store above 30 ° C.
Do not use Co- Sartoval if the package is damaged or has signs of tampering.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required . These measures will help to protect the environment.
6 . FURTHER INFORMATION
What does co- Sartoval
The active substances are valsartan and hydrochlorothiazide. Each tablet contains 80/160 mg valsartan and 12.5 / 25 mg hydrochlorothiazide.
Other ingredients are: silica, colloidal anhydrous, sodium starch glycolate ( type A), crospovidone , microcrystalline cellulose, corn starch and magnesium stearate.