Description
This combination tablet provides a synergistic antihypertensive effect by targeting multiple pathways that regulate blood pressure.
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Amlodipine, a calcium channel blocker, relaxes vascular smooth muscles, reducing peripheral resistance.
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Hydrochlorothiazide, a thiazide diuretic, helps eliminate excess sodium and water, lowering blood volume.
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Valsartan, an angiotensin II receptor blocker (ARB), prevents vasoconstriction and reduces aldosterone secretion, leading to vasodilation and improved cardiac function.
Together, these actions help control hypertension and reduce cardiovascular strain.
Primary Uses
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Management of hypertension (high blood pressure)
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Reduction of cardiovascular complications such as stroke or heart attack
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Support for heart health and vascular function
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Control of blood pressure when monotherapy is insufficient
How It Works
The three active ingredients work by:
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Relaxing blood vessels (Amlodipine)
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Eliminating excess salt and water (Hydrochlorothiazide)
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Blocking angiotensin II effects (Valsartan)
This results in improved blood flow, reduced cardiac workload, and stable blood pressure levels.
Dosage
Use exactly as directed by your healthcare provider. Swallow the tablet whole with water, preferably at the same time each day.
Side Effects
Commonly reported side effects include:
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Dizziness or lightheadedness
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Headache or fatigue
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Nausea or stomach upset
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Swelling of legs or ankles (edema)
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Increased urination
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Skin rash or itching
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Low blood pressure (hypotension)
Seek medical attention if side effects persist or worsen.
Warnings & Precautions
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Avoid use in patients with severe kidney or liver disease, hypotension, or history of angioedema.
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May cause electrolyte imbalance; regular blood pressure and kidney function monitoring is advised.
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Avoid potassium supplements or salt substitutes unless prescribed.
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Not recommended during pregnancy or breastfeeding.
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Caution is advised when standing up suddenly to prevent dizziness.
Contraindications
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Hypersensitivity to any of the active ingredients
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Severe renal or hepatic impairment
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Pregnancy and lactation
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Severe hypotension or recent myocardial infarction
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Hyperkalemia (high potassium levels)
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History of sulfonamide allergy, gout, or diabetes
Drug Interactions
May interact with:
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NSAIDs, which can reduce antihypertensive effect
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Lithium, increasing its toxicity risk
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Potassium-sparing diuretics or supplements, raising potassium levels
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Antidiabetic medicines, affecting blood sugar control
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Other antihypertensives, enhancing hypotensive effect
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Digoxin, requiring dose monitoring
Avoid grapefruit juice, which can elevate amlodipine concentration.
Food Interactions
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Avoid grapefruit and grapefruit juice.
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Limit alcohol intake as it may lower blood pressure excessively.
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Moderate consumption of potassium-rich foods (bananas, oranges, spinach).
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Separate dairy intake from dosing by a few hours.
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Avoid excessive licorice as it may reduce valsartan efficacy.
Doctor Review
Dr. Kamran Qureshi, MBBS, FCPS (Cardiology):
“This triple combination effectively targets different mechanisms of blood pressure regulation, improving control in patients with resistant hypertension. It is important that blood pressure, electrolytes, and kidney function are regularly monitored during continued use.”
Storage
Store at room temperature (20–25°C) in a dry place, away from moisture and direct sunlight. Keep tightly closed and out of children’s reach.
Quick Tips
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Take at the same time daily.
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Do not skip or double doses.
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Avoid grapefruit and excess salt.
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Stay hydrated.
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Do not stop abruptly; discuss with your doctor first.
Disclaimer
This information is for educational purposes only and is not a medical prescription. Always consult a qualified healthcare professional for personalized guidance regarding medication use.

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