Product image of Jinarc (Tolvaptan) supplied by GNH India

Jinarc

Active Ingredient:
Tolvaptan
Origin:
EU

Jinarc (Tolvaptan)

Tolvaptan, the active ingredient in Jinarc, is a vasopressin V2 receptor antagonist presented as a tablet for oral use. It is indicated for the management of autosomal dominant polycystic kidney disease (ADPKD) in adult patients, helping to slow cyst growth and preserve kidney function.

GNH India supplies Jinarc as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation for importers, ensuring reliable and timely delivery across global markets.

Manufacturer / TM Owner

Otsuka Pharmaceutical Netherlands B.V.

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Indications & Clinical Uses

Tolvaptan is used to manage autosomal dominant polycystic kidney disease, a genetic disorder affecting kidney cyst formation.

  • Autosomal dominant polycystic kidney disease: slows cyst growth and helps preserve kidney function.

How It Works

  • Tolvaptan selectively blocks the vasopressin V2 receptors located in the renal collecting ducts. By antagonizing these receptors, it inhibits the action of antidiuretic hormone, reducing water reabsorption and promoting the excretion of free water without significant loss of electrolytes, thereby decreasing cystic fluid accumulation in the kidneys.

Side Effects

Tolvaptan may cause a range of adverse reactions.

Common Side Effects

  • Thirst: increased sensation of needing fluids.
  • Polyuria: frequent urination.
  • Dry mouth: reduced salivary flow.
  • Increased urination volume: larger urine output.

Serious or Rare Side Effects

  • Hepatic injury: elevated liver enzymes or liver failure.
  • Severe dehydration: excessive fluid loss leading to low blood pressure.
  • Hypernatremia: high blood sodium concentration.

Precautions & Warnings

Before initiating Tolvaptan therapy, several safety considerations should be observed.

  • Liver monitoring: perform baseline and periodic liver function tests.
  • Hydration status: ensure adequate fluid intake to prevent dehydration.
  • Renal function: assess kidney function prior to use.
  • Concomitant hepatotoxic drugs: avoid or use with caution.
  • Pregnancy and lactation: contraindicated unless benefits outweigh risks.
  • Store below 25°C: keep in the original packaging, protect from moisture.

Avoid Interactions

Tolvaptan can interact with other medicines, altering its efficacy or safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): increase Tolvaptan exposure.
  • High‑dose diuretics combined with Tolvaptan: risk of severe dehydration.
  • Other V2 receptor antagonists: additive effect on water excretion.

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inhibitors (e.g., erythromycin): may raise plasma levels.
  • NSAIDs: potential impact on renal function.
  • Lithium: increased risk of lithium toxicity.
  • Warfarin: possible alteration of anticoagulant effect.
  • Rifampin: may reduce Tolvaptan concentrations.

Frequently Asked Questions

Jinarc contains Tolvaptan and is prescribed for adults with autosomal dominant polycystic kidney disease (ADPKD). It helps to slow the formation and enlargement of kidney cysts, thereby preserving renal function and delaying disease progression.

Tolvaptan selectively blocks vasopressin V2 receptors in the kidney’s collecting ducts. This antagonism reduces the effect of antidiuretic hormone, allowing excess water to be excreted as free water while retaining electrolytes, which limits cystic fluid accumulation in ADPKD.

The dosage of Jinarc is individualized and must be determined by a qualified prescriber based on the patient’s clinical condition, laboratory values, and response to therapy. Specific dosing regimens are not disclosed publicly.

Safety data for Tolvaptan in pregnancy and lactation are limited. It is generally contraindicated unless the potential benefit justifies the potential risk to the fetus or infant. Women of child‑bearing potential should use effective contraception while on therapy.

To request Jinarc, 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.

Jinarc (Tolvaptan) is the only approved oral vasopressin V2 receptor antagonist for ADPKD, directly targeting cyst growth. Other management options focus on blood pressure control, pain relief, or supportive dialysis, but do not specifically slow cyst development like Tolvaptan.

Jinarc tablets should be stored at temperatures below 25 °C, in the original packaging, and protected from moisture. Keep the product out of reach of children and avoid exposure to direct sunlight or excessive humidity.

Jinarc is taken orally as a tablet, usually with a glass of water. The exact timing and frequency are set by the prescribing clinician, who may adjust the regimen based on liver‑function monitoring and patient tolerance.

The most serious risks include liver injury (elevated transaminases or hepatic failure), severe dehydration from excessive water loss, and hypernatremia. Patients should undergo regular liver‑function tests and maintain adequate fluid intake, reporting any signs of liver dysfunction promptly.

Jinarc should be avoided in patients with severe hepatic impairment, uncontrolled dehydration, or known hypersensitivity to Tolvaptan. It is also contraindicated in individuals who are pregnant or breastfeeding unless the prescriber determines that the benefits outweigh the risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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