WHAT IS AZMARDA 200MG?
AZMARDA 200MG contains two active substances, sacubitril and valsartan which is a medicine known as angiotensin receptor neprilysin inhibitor
WHAT AZMARDA 200MG IS USED FOR?
AZMARDA 200MG is used to treat a type of long-term heart failure in adults
This type of heart failure occurs when the heart is weak and cannot pump enough blood to the lungs and the rest of the body
WARNING & PRECAUTION:
TALK TO DOCTOR
Tell your doctor before taking AZMARDA 200MG, if you:
Are allergic to sacubitril, valsartan or any of the other ingredients of this medicine
Or a member of your family have ever had a reaction called angioedema (swelling of the face, lips, tongue and/or throat, difficulties in breathing)
Have diabetes or impaired kidney function
Have severe liver disease
Are suffering from dehydration
PREGNANCY & BREAST FEEDING
This medicine is not recommended in early pregnancy and must not be taken when more than 3 months pregnant, as it may cause serious harm to your baby if it is used after the third month of pregnancy
AZMARDA 200MG is not recommended for mothers who are breastfeeding
Tell your doctor if you are pregnant or breastfeeding
CHILDREN & ADOLESCENTS
This medicine is not for use in children (aged below 18 years). This is because it has not been studied in this age group
DRIVING & USING MACHINES
Before you drive a vehicle, use tools or operate machines, or carry out other activities that require concentration, make sure you know how AZMARDA 200MG affects you
If you feel dizzy or very tired while taking this medicine, do not drive a vehicle, cycle or use any tools or machines
Tell your doctor, if you are taking, have recently taken or might take any other medicines.
This is particularly important for the following medicines:
Other medicines used to treat heart failure or lower blood pressure, such as angiotensin receptor blockers or aliskiren
Some medicines known as statins that are used to lower high cholesterol levels
Sildenafil, a medicine used to treat erectile dysfunction or lung hypertension
Medicines that increase the amount of potassium in the blood. These include potassium supplements, salt substitutes containing potassium, potassium-sparing medicines and heparin
Painkillers of the type called non-steroidal anti-inflammatory medicines (NSAIDs) or selective cyclooxygenase-2 (Cox-2) inhibitors
Lithium, a medicine used to treat some types of psychiatric illness
Furosemide, a medicine belonging to the type known as diuretics, which are used to increase the amount of urine you produce
Nitroglycerine, a medicine used to treat angina
Some types of antibiotics (rifamycin group), ciclosporin (used to prevent rejection of transplanted organs) or antivirals such as ritonavir (used to treat HIV/AIDS)
Metformin, a medicine used to treat diabetes
DIRECTIONS & FOR USE:
Always take this medicine exactly as your doctor has told you
You will usually start by taking 24 mg/26 mg or 49 mg/51 mg twice a day (one tablet in the morning and one tablet in the evening). Your doctor will decide your exact starting dose based on which medicines you have been taking previously
Your doctor will then adjust the dose depending on how you respond to the treatment until the best dose for you is found
The usual recommended target dose is 97 mg/103 mg twice a day (one tablet in the morning and one tablet in the evening)
Swallow the tablet with a glass of water.
You can take AZMARDA 200MG with or without food.
If you take more AZMARDA 200MG
If you have accidentally taken too many AZMARDA 200MG or if someone else has taken your tablets, contact your doctor immediately.
If you forget to take AZMARDA 200MG
It is advisable to take your medicine at the same time each day. However, if you forget to take a dose, you should simply take the next one at the scheduled time. Do not take a double dose to make up for a forgotten tablet.
If you stop taking AZMARDA 200MG
Stopping your treatment with AZMARDA 200MG may cause your condition to get worse. Do not stop taking your medicine unless your doctor tells you to.
SIDE EFFECTS OF AZMARDA 200MG:
• Swelling of the face, lips, tongue and/or throat difficulties in breathing or swallowing. These may be signs of angioedema
• Diarrhoea, nausea, tiredness
• Low level of red blood cells (shown in a blood test)
• Low level of potassium in the blood (shown in a blood test)
• Headache, fainting, weakness
• Low blood pressure (dizziness, light-headedness) when switching from sitting or lying to standing position
• Gastritis (stomach pain, nausea)
• Spinning sensation
• Low level of sugar in the blood (shown in a blood test)
• Low blood pressure
• High level of potassium in the blood (shown in a blood test)
• Decreased renal function (renal impairment)
• Allergic reaction with rash and itching
• Dizziness when switching from sitting to standing position
Keep this medicine out of reach of children
Do not use this medicine after the expiry date
Store at room temperature (15-25°C)
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