Hypertension:

Indications for: EDARBYCLOR

Hypertension in patients not adequately controlled with monotherapy. As initial therapy in patients likely to need multiple drugs to achieve blood pressure goals.

Adult Dosage:

≥18yrs: initially 40/12.5mg once daily; may increase to 40/25mg after 2–4 weeks as needed. Max: 40/25mg. Patients titrated to the individual components: may give corresponding dose of Edarbyclor. See full labeling.

Children Dosage:

<18yrs: not established.

EDARBYCLOR Contraindications:

Anuria. Concomitant aliskiren-containing products in patients with diabetes.

Boxed Warning:

Fetal toxicity.

EDARBYCLOR Warnings/Precautions:

Fetal toxicity may develop; discontinue if pregnancy is detected. Correct salt/volume depletion before starting therapy; monitor for hypotension. Renal impairment: monitor; consider discontinuing if impairment progresses. Severe CHF. Renal artery stenosis. Severe hepatic impairment. Monitor serum electrolytes periodically. Gout. Neonates. Pregnancy (esp. during 2nd & 3rd trimester), nursing mothers: not recommended.

EDARBYCLOR Classification:

Angiotensin II receptor blocker (ARB) + thiazide-like diuretic.

EDARBYCLOR Interactions:

See Contraindications. Dual inhibition of the renin-angiotensin system with ARBs, ACEIs, or aliskiren may increase risk of hypotension, hyperkalemia, renal function changes; avoid or monitor closely. Avoid concomitant aliskiren in renal impairment (CrCl <60mL/min). May be antagonized by, and renal toxicity potentiated by NSAIDs, including selective COX-2 inhibitors; monitor renal function esp. in elderly and/or volume-depleted. May potentiate lithium; monitor. Concomitant digitalis may exacerbate hypokalemia.

Adverse Reactions:

Dizziness, fatigue, hypotension, elevated serum creatinine; hypokalemia, hyponatremia, hyperuricemia.

Metabolism:

Azilsartan: CYP2C9. Chlorthalidone: hepatic.

Drug Elimination:

Both: renal, fecal. Half-life: ~11 hours (azilsartan); 42–45 hours (chlorthalidone).

How Supplied:

Tabs—30