Bpcare-160 Tablet

Angiotensin II receptor blocker (ARB) for:

• High blood pressure (adults and children 6–18 years)
• Heart failure (when ACE inhibitors are not tolerated)
• After heart attack with left ventricular dysfunction

Hypertension (adults): 80 mg once daily, increased to 160 mg and up to 320 mg once daily.

Heart failure: 40 mg twice daily, increased every 2 weeks to 80–160 mg twice daily (max 320 mg/day).

After heart attack: 20 mg twice daily, increased to 160 mg twice daily.

Children 6–18 years (hypertension): under 35 kg 40 mg; 35–80 kg 80 mg; 80–160 kg 160 mg once daily.

• With or without food; full effect in 2–4 weeks.

• Pregnancy (2nd and 3rd trimesters)
• Severe liver impairment, biliary cirrhosis, cholestasis
• Use with aliskiren in diabetes or eGFR < 60
• Allergy to valsartan

Common: dizziness, low blood pressure (especially heart failure), tiredness, raised potassium, raised creatinine.

Rare: angioedema, kidney impairment, rash, low sodium, raised liver enzymes.

• Check potassium and kidney function, especially in kidney disease, heart failure, elderly.
• Correct dehydration/salt depletion before starting.
• Renal artery stenosis: risk of kidney failure.

Do not use in pregnancy — stop as soon as pregnancy is known (fetal kidney damage). Not recommended while breastfeeding.

• Potassium supplements, potassium-sparing diuretics, trimethoprim (high potassium)
• ACE inhibitors, aliskiren (dual blockade — avoid)
• NSAIDs (reduced effect, kidney injury)
• Lithium (raised levels)

Low blood pressure, dizziness, fast or slow heartbeat. Lie flat; seek medical care.

Store below 30°C, protected from moisture.