Product image of Monexe (Valsartan, Hydrochlorothiazide) supplied by GNH India

Monexe

Active Ingredient:
Valsartan, Hydrochlorothiazide
Origin:
EU

Monexe (Valsartan, Hydrochlorothiazide)

Valsartan/Hydrochlorothiazide, the active ingredients in Monexe, are an Angiotensin II receptor blocker and a thiazide diuretic presented as a tablet for oral use. They treat hypertension in adults by lowering blood pressure and reducing fluid overload.
GNH India supplies Monexe as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Laboratórios Basi – Indústria Farmacêutica, S.A.

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Indications & Clinical Uses

  • Monexe, a combination of valsartan and hydrochlorothiazide, is used in the management of hypertension, a condition characterized by elevated arterial pressure.
  • Hypertension: lowers systolic and diastolic blood pressure and reduces cardiovascular risk.
  • Essential hypertension: provides effective control when monotherapy is insufficient.
  • Hypertension with fluid retention: adds diuretic effect to improve volume management.

How It Works

  • Valsartan selectively blocks angiotensin II type 1 receptors, preventing vasoconstriction and aldosterone release, which leads to vasodilation and reduced blood pressure. Hydrochlorothiazide inhibits sodium‑chloride reabsorption in the distal convoluted tubule, promoting diuresis, decreasing plasma volume, and further contributing to blood pressure reduction.

Side Effects

Common Side Effects

  • Dizziness or light‑headedness
  • Headache
  • Fatigue or weakness
  • Increased urination
  • Electrolyte disturbances (e.g., low potassium)
  • Mild gastrointestinal discomfort

Serious or Rare Side Effects

  • Severe dehydration or electrolyte imbalance
  • Acute kidney injury or worsening renal function
  • Hyperkalemia (high potassium levels)
  • Angioedema or severe allergic reaction
  • Significant drop in blood pressure (hypotension)
  • Blood count abnormalities (e.g., leukopenia)

Precautions & Warnings

  • Before initiating therapy, clinicians should assess renal function, electrolyte status, and blood pressure stability.
  • Renal function: monitor serum creatinine and eGFR regularly.
  • Electrolytes: check potassium and sodium levels, especially when combined with other diuretics.
  • Pregnancy: avoid use; teratogenic risk is unknown.
  • Concurrent NSAIDs: increased risk of renal impairment; monitor kidney function.
  • Hypotension: caution in volume‑depleted patients to prevent symptomatic low blood pressure.
  • Store at ambient temperature: keep below 25°C, retain in original packaging, protect from moisture.

Avoid Interactions

Monexe may interact with several medicines that affect blood pressure, electrolytes, or renal function.

Major Interactions (Avoid)

  • Aliskiren in patients with diabetes or renal impairment
  • Potassium‑sparing diuretics or potassium supplements (risk of hyperkalemia)
  • Concurrent use of ACE inhibitors or other ARBs (excessive renin‑angiotensin blockade)

Moderate Interactions (Monitor Closely)

  • NSAIDs (may reduce antihypertensive effect and impair renal function)
  • Lithium (increased lithium levels, risk of toxicity)

Frequently Asked Questions

Monexe is a fixed‑dose combination of valsartan and hydrochlorothiazide indicated for the treatment of hypertension. It helps lower elevated blood pressure by combining an angiotensin II receptor blocker with a thiazide diuretic, offering both vasodilation and fluid‑excreting effects.

Valsartan blocks angiotensin II type 1 receptors, preventing vasoconstriction and aldosterone‑mediated sodium retention. Hydrochlorothiazide inhibits sodium‑chloride reabsorption in the distal convoluted tubule, increasing urine output and reducing plasma volume. Together they produce a synergistic reduction in blood pressure.

The specific dose of Monexe is determined by the prescribing clinician based on the patient’s blood pressure, renal function, and response to therapy. Dosage adjustments are individualized, and patients should follow the prescriber’s written instructions.

Safety of Monexe in pregnancy has not been established, and it is generally contraindicated because valsartan may cause fetal toxicity. Breastfeeding is not recommended without medical advice, as the drug can be excreted in milk and affect the infant.

To order Monexe, 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.

Monexe combines an ARB (valsartan) with a thiazide diuretic, offering a dual mechanism that can be more effective than either component alone. Compared with single‑agent therapy such as losartan or hydrochlorothiazide alone, the combination often achieves better blood‑pressure control with a single tablet, simplifying regimens.

Monexe tablets should be stored at ambient temperature, preferably below 25 °C. Keep them in the original container, protect from moisture and direct sunlight, and ensure the packaging remains tightly closed until use.

Monexe is taken orally, usually once daily, with or without food. The tablet should be swallowed whole with a full glass of water. Patients should not crush or chew the tablet unless specifically instructed by a healthcare professional.

Serious risks include severe dehydration, acute kidney injury, hyperkalemia, and angioedema. Patients should be monitored for sudden drops in blood pressure, signs of electrolyte imbalance, and any swelling of the face, lips, or throat, which require immediate medical attention.

Monexe is contraindicated in patients with known hypersensitivity to valsartan, hydrochlorothiazide, or any component of the formulation. It should also be avoided in pregnancy, severe renal impairment, and in individuals with hyperkalemia or significant electrolyte disturbances.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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