Product image of Irbesartan/Hydrochloorthiazide Xiromed (Hydrochlorothiazide, Irbesartan) supplied by GNH India

Irbesartan/Hydrochloorthiazide Xiromed

Active Ingredient:
Hydrochlorothiazide, Irbesartan
Origin:
EU

Irbesartan/Hydrochloorthiazide Xiromed (Hydrochlorothiazide, Irbesartan)

Irbesartan/Hydrochlorothiazide, the active ingredient in Irbesartan/Hydrochloorthiazide Xiromed, is an Angiotensin II receptor blocker / Thiazide diuretic presented as a strength/form unknown for oral use. It is indicated for the treatment of hypertension in adult patients.

GNH India supplies Irbesartan/Hydrochloorthiazide Xiromed as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring consistent quality and regulatory compliance.

Manufacturer / TM Owner

Medical Valley Invest Ab

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Indications & Clinical Uses

Irbesartan/Hydrochlorothiazide is an antihypertensive agent that lowers elevated blood pressure.

  • Hypertension: reduces systolic and diastolic blood pressure, helping to prevent cardiovascular complications in patients with high blood pressure.

How It Works

  • Irbesartan selectively blocks angiotensin II type 1 (AT1) receptors, preventing vasoconstriction and aldosterone release, while hydrochlorothiazide inhibits sodium‑chloride reabsorption in the distal convoluted tubule, increasing urinary excretion of water and electrolytes. The combined actions lower peripheral vascular resistance and blood volume, resulting in a sustained reduction of arterial pressure.

Side Effects

Common Side Effects

  • Dizziness or light‑headedness
  • Headache
  • Fatigue or weakness
  • Increased urination
  • Electrolyte disturbances such as low potassium
  • Mild gastrointestinal discomfort

Serious or Rare Side Effects

  • Severe hypotension
  • Acute renal failure
  • Hyperkalemia when combined with potassium‑sparing agents
  • Allergic reactions including rash or angioedema
  • Liver enzyme elevations
  • Pancreatitis (rare)

Precautions & Warnings

Before initiating therapy, consider the following precautions:

  • Blood pressure monitoring: ensure adequate control and avoid excessive drops.
  • Renal function assessment: evaluate serum creatinine and eGFR, especially in patients with pre‑existing kidney disease.
  • Electrolyte surveillance: monitor potassium and sodium levels due to diuretic effect.
  • Diabetes mellitus: watch for changes in blood glucose control.
  • Hepatic impairment: use with caution in severe liver disease.
  • Store at below 25°C: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Irbesartan/Hydrochlorothiazide may interact with several medicines.

Major Interactions (Avoid)

  • Aliskiren in diabetic patients: combined use can increase the risk of renal impairment and hyperkalemia.
  • Potassium‑sparing diuretics or supplements: may cause dangerous elevations in serum potassium.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): can reduce antihypertensive efficacy and affect renal function.
  • Lithium: concurrent use may raise lithium levels, leading to toxicity.
  • ACE inhibitors or other ARBs: additive blood‑pressure lowering effect may cause symptomatic hypotension.

Frequently Asked Questions

Irbesartan/Hydrochlorothiazide is prescribed to lower high blood pressure in adult patients. By combining an angiotensin II receptor blocker with a thiazide diuretic, it helps control hypertension and reduces the risk of cardiovascular events such as stroke or heart attack.

Irbesartan blocks the AT1 receptors for angiotensin II, preventing the hormone from causing blood vessels to narrow and reducing aldosterone‑mediated sodium retention. This leads to vasodilation and lower blood pressure, complementing the diuretic effect of hydrochlorothiazide.

The appropriate dose is determined by the prescribing clinician based on the patient’s blood‑pressure readings, kidney function, and overall health. Dosage may be adjusted over time to achieve optimal control while minimizing side effects.

Safety in pregnancy and lactation has not been established. The drug should only be used if the potential benefit justifies the potential risk to the fetus or infant, and it is typically avoided unless specifically recommended by a healthcare professional.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Compared with monotherapy agents, the combination offers dual mechanisms—vascular relaxation from the ARB and fluid removal from the thiazide—often achieving better blood‑pressure control at lower individual doses. It may be preferred over separate tablets for convenience and adherence.

Store the product at temperatures below 25 °C in its original packaging. Protect it from moisture, direct sunlight and excessive heat to maintain stability and potency throughout its shelf life.

The medication is taken orally, usually once daily, with or without food as directed by the prescriber. Swallow the tablet whole with a full glass of water and follow any specific instructions regarding timing relative to meals.

Serious adverse events include severe hypotension, acute kidney injury, hyperkalemia (especially when combined with potassium‑sparing agents), and rare allergic reactions such as angioedema. Patients should seek immediate medical attention if they experience symptoms like faintness, swelling of the face or throat, or sudden loss of kidney function.

The drug is contraindicated in patients with known hypersensitivity to irbesartan, hydrochlorothiazide, or any component of the formulation, as well as in individuals with severe renal impairment, anuria, or those taking aliskiren in combination with diabetes. Clinicians must evaluate each patient’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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