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

Irbesartan/Hydrochlorothiazide Zydus

Active Ingredient:
Hydrochlorothiazide, Irbesartan
Origin:
EU

Irbesartan/Hydrochlorothiazide Zydus (Hydrochlorothiazide, Irbesartan)

Irbesartan/Hydrochlorothiazide, the active ingredients in Irbesartan/Hydrochlorothiazide Zydus, are an Angiotensin II receptor blocker / Thiazide diuretic presented as a fixed‑dose oral tablet for oral use. They are indicated for the management of elevated blood pressure in adult patients. The combination leverages complementary mechanisms of an ARB and a thiazide diuretic to achieve improved blood pressure control.

GNH India supplies Irbesartan/Hydrochlorothiazide Zydus as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation to support import and distribution in diverse markets.

Manufacturer / TM Owner

Zydus France

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Indications & Clinical Uses

Irbesartan/Hydrochlorothiazide is used to treat hypertension, providing blood‑pressure reduction through combined ARB and diuretic action.

  • Hypertension (essential): lowers systolic and diastolic pressure in patients with primary hypertension.
  • Hypertension with fluid retention: controls blood pressure while promoting diuresis to reduce excess fluid.
  • Hypertension requiring combination therapy: offers dual mechanism in a single tablet for patients needing both an ARB and a thiazide diuretic.

How It Works

  • Irbesartan selectively blocks angiotensin II type 1 (AT₁) receptors, preventing vasoconstriction and aldosterone‑mediated sodium retention. Hydrochlorothiazide acts on the distal convoluted tubule, inhibiting Na⁺/Cl⁻ reabsorption, which increases urinary excretion of sodium and water. The combined effect reduces peripheral vascular resistance and plasma volume, leading to a synergistic decrease in arterial blood pressure. This dual action provides more consistent blood‑pressure control than either component alone.

Side Effects

The most frequently reported adverse reactions with Irbesartan/Hydrochlorothiazide are listed below.

Common Side Effects

  • Dizziness
  • Headache
  • Fatigue
  • Increased urination
  • Electrolyte disturbances (e.g., low potassium)
  • Mild gastrointestinal upset

Serious or Rare Side Effects

  • Severe dehydration
  • Acute kidney injury
  • Hyperkalemia
  • Allergic reactions (rash, angioedema)
  • Gout attacks
  • Severe hypotension

Precautions & Warnings

When prescribing Irbesartan/Hydrochlorothiazide, clinicians should consider the following precautions.

  • Renal function: assess baseline kidney function and monitor creatinine.
  • Electrolytes: check serum potassium and sodium before initiation and during therapy.
  • Volume status: avoid use in patients with severe dehydration or volume depletion.
  • Concomitant drugs: use caution with other potassium‑sparing agents or NSAIDs.
  • Pregnancy: avoid use during pregnancy due to unknown fetal risk.
  • Store at ambient temperature: keep below 25 °C in the original container, protect from moisture and light.

Avoid Interactions

Irbesartan/Hydrochlorothiazide may interact with several medicines; notable interactions are categorized below.

Major Interactions (Avoid)

  • Aliskiren: combined use can increase risk of renal impairment and hyperkalemia.
  • Lithium: thiazide component may raise lithium levels, risking toxicity.
  • Potassium supplements or potassium‑sparing diuretics: may cause dangerous hyperkalemia.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors or other ARBs: additive blood‑pressure effects may cause hypotension.
  • NSAIDs: can reduce antihypertensive efficacy and affect renal function.
  • CYP2C9 inhibitors (e.g., fluconazole): may increase irbesartan plasma concentrations.

Frequently Asked Questions

Irbesartan/Hydrochlorothiazide is an oral fixed‑dose combination indicated for the treatment of hypertension. The ARB component lowers vascular resistance while the thiazide diuretic reduces plasma volume, together providing effective blood‑pressure control in adult patients.

Irbesartan blocks angiotensin II type 1 receptors, preventing vasoconstriction and aldosterone‑driven sodium retention. Hydrochlorothiazide inhibits sodium‑chloride reabsorption in the distal convoluted tubule, increasing urinary excretion of sodium and water. The dual action reduces both vascular tone and fluid volume, resulting in lower arterial pressure.

The appropriate dose is individualized by the prescribing clinician based on the patient’s blood‑pressure level, renal function, electrolyte status and response to therapy. No fixed regimen is provided here; the prescriber sets the dose according to clinical guidelines and patient needs.

Safety data in pregnancy are limited and the product is classified as having an unknown pregnancy category. It is generally avoided during pregnancy because of potential fetal risk. Breastfeeding mothers should consult a healthcare professional, as the drug may be excreted in milk.

Enquiries are submitted via the product page on gnhindia.com, where you specify the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and the necessary import documentation.

Compared with other ARB/thiazide combinations such as Losartan/HCTZ, Irbesartan offers a similar potency in AT₁ receptor blockade but may have a slightly different pharmacokinetic profile. Choice between products often depends on physician preference, patient tolerance, and specific formulary considerations.

Store the tablets at ambient temperature, preferably below 25 °C, in the original blister pack or container. Protect from excess moisture, heat and direct sunlight. Do not refrigerate or freeze the product.

The medication is taken orally, usually once daily, with or without food, and swallowed whole with a glass of water. Patients should follow the dosing schedule prescribed by their healthcare provider.

Serious adverse events include severe dehydration, acute kidney injury, hyperkalemia, allergic reactions such as angioedema, gout attacks and marked hypotension. Patients should seek immediate medical attention if they experience symptoms like swelling of the face or throat, rapid weight loss, or persistent dizziness.

The combination is contraindicated in patients with known hypersensitivity to irbesartan, hydrochlorothiazide or any component of the formulation, in those with severe renal impairment, anuria, or in individuals with a history of angioedema related to ARB therapy. Caution is also advised for patients with electrolyte disorders.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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