Name Aliskiren + Hydrochlorothiazide
Classes Cardiovascular Agent
Antihypertensive
Antihypertensive Combination
Diseases Cardiovascular Disease
Hypertension (High Blood Pressure)

Aliskiren + Hydrochlorothiazide

Aliskiren + Hydrochlorothiazide is a combination of renin inhibitor and thiazide diuretic. Aliskiren inhibits the enzyme renin, thereby reducing the conversion of angiotensinogen to angiotensin I. Hydrochlorothiazide is a thiazide diuretic that inhibits sodium reabsorption in the distal convoluted tubules of the kidney, promoting diuresis and reducing blood volume.

 

  • Aliskiren + Hydrochlorothiazide is indicated for the treatment of hypertension (high blood pressure) in patients who require combination therapy.
  • It may be used as initial therapy in patients likely to need multiple drugs to achieve blood pressure goals.Initial dose: 150 mg-12.5 mg or 150 mg-25 mg once daily

    Maximum dose: Aliskiren-hydrochlorothiazide 300/25 mg orally daily
  • The usual adult dosage for aliskiren + hydrochlorothiazide is  150 mg-12.5 mg or 150 mg-25 mg once daily
  • Maximum dose: Aliskiren + hydrochlorothiazide 300/25 mg orally daily

 

Adverse reactions associated with Aliskiren + Hydrochlorothiazide include-

  • Hypotension (low blood pressure)
  • Hyperkalemia (high potassium levels)
  • Dizziness
  • Headache
  • Fatigue
  • Diarrhea
  • Cough
  • Nausea
  • Abdominal pain
  • Nasopharyngitis (inflammation of the nose and throat)

 

  • Hypotension: Aliskiren + Hydrochlorothiazide can cause symptomatic hypotension, particularly in patients with volume depletion.
  • Hyperkalemia: Monitoring of potassium levels is recommended, especially in patients with renal impairment or diabetes.
  • Renal impairment: Aliskiren + Hydrochlorothiazide is not recommended in patients with severe renal impairment or on dialysis.
  • Fetal toxicity: Aliskiren can cause fetal harm when administered to pregnant women. It should be discontinued as soon as pregnancy is detected.
  • Electrolyte abnormalities: Regular monitoring of electrolytes, including sodium, potassium, and magnesium, is advised.

 

Contraindication

Aliskiren + Hydrochlorothiazide is contraindicated in-

 

Aliskiren + Hydrochlorothiazide is contraindicated in patients with hereditary or idiopathic angioedema-