Sevia

Introduction

This medicine is used to treat high blood pressure (hypertension) and certain heart conditions. By lowering blood pressure, it reduces the risk of stroke, heart attack, and kidney complications. It also helps improve survival after a myocardial infarction (heart attack) and is effective in heart failure and left ventricular dysfunction.

Expert Advice

• Take the medicine at the same time each day, with or without meals.

• Do not take potassium supplements or salt substitutes while using this medicine.

• Change body position slowly to reduce dizziness or fainting risk.

• Contact your prescriber if you experience chest pain, palpitations, swelling of face/ankle/tongue, persistent headache, weakness, difficulty in breathing, or unusual cough.

• Avoid alcohol, as it can worsen dizziness and low blood pressure.

• Do not drive or operate heavy machinery until you know how this medicine affects you.

Primary Uses

• Hypertension (high blood pressure)

• Heart failure

• Myocardial infarction with left ventricular failure or dysfunction

Indications

This medicine is indicated for the treatment of:

• Hypertension (HTN)

• Heart failure (symptomatic)

• Post-myocardial infarction with left ventricular systolic or diastolic dysfunction

Side Effects

Patients may experience:

• Dizziness or lightheadedness

• Syncope (fainting)

• Renal dysfunction

• Hypotension (low blood pressure)

• Thrombocytopenia (low platelet levels)

• Angioedema (swelling under skin or mucous membranes)

Warnings

Pregnancy: Contraindicated in pregnant women.

Lactation: Not recommended during breastfeeding; consult your doctor.

Driving: May impair alertness—avoid driving until you know its effects.

Alcohol: Avoid alcohol as it may enhance dizziness or fainting.

Precautions

• Use with caution in patients with:

  • Severe renal impairment

  • Hepatic impairment or cirrhosis

  • Renal artery stenosis

  • Severe cardiac insufficiency

  • Aortic or mitral stenosis

  • Previous history of angioedema

• Monitor potassium levels, especially in elderly patients.

Contraindications

Do not use this medicine in:

• Severe liver impairment, cirrhosis, or bile duct obstruction

• Cholestasis (reduced bile flow)

• Primary hyperaldosteronism

• Known hypersensitivity to the drug or related agents

FAQs

How does this medication work?
It relaxes blood vessels, allowing blood to flow more easily, which lowers blood pressure.

Should I take this medicine at the same time every day?
Yes, regular timing improves effectiveness.

Is this medicine harmful to kidneys?
Long-term uncontrolled high blood pressure can damage the kidneys. This medicine helps prevent that, but dose adjustments may be required in kidney disease.

Can I eat bananas while taking this medicine?
Avoid potassium-rich foods like bananas, oranges, and leafy greens, as this medicine can raise potassium levels.

Will this medicine make me sleepy?
It may cause dizziness or drowsiness. Avoid driving, especially if combined with alcohol.

Can children take this medicine?
Not recommended for children under 6 years unless prescribed by a specialist.

Doctor’s Review

Dr. Adeel Hashmi – Consultant Cardiologist
“This medicine is a well-established treatment for high blood pressure and heart failure. It also supports recovery in patients after a heart attack. Like all antihypertensives, it should be monitored closely for kidney function, potassium levels, and blood pressure response. Used under medical supervision, it plays an important role in cardiovascular health.”

Disclaimer

This information is for educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your doctor or pharmacist for guidance regarding your specific condition and treatment.