WARNING

Azilsartan is a medication primarily used to treat high blood pressure. Like any medication, it carries certain risks and side effects. Some potential risks associated with taking Azilsartan include:

• Low Blood Pressure: Azilsartan can cause a drop in blood pressure, leading to symptoms such as dizziness, fainting, or lightheadedness.
• Kidney Problems: There’s a risk of kidney impairment or failure, particularly in individuals with pre-existing kidney issues.
• Hyperkalemia: Azilsartan may lead to high levels of potassium in the blood, which can be dangerous, especially for individuals with kidney problems.
• Allergic Reactions: Some people may experience allergic reactions to Azilsartan, which can manifest as rash, itching, swelling, or difficulty breathing.
• Liver Damage: There have been rare cases of liver problems associated with Azilsartan use.
• Pregnancy Risks: Azilsartan is not recommended during pregnancy as it may harm the unborn baby, particularly in the second and third trimesters.
• Interaction with Other Medications: Azilsartan can interact with other medications, including certain diuretics and potassium supplements, leading to potentially harmful effects.
• Angioedema: In rare cases, Azilsartan can cause swelling of the deeper layers of the skin, often around the eyes and lips, which can be serious and require immediate medical attention.

It’s essential to discuss any potential risks and side effects with a healthcare professional before starting Azilsartan or any other medication. Additionally, individuals should closely follow their doctor’s instructions and report any adverse reactions promptly.

Why is this medication prescribed?

Azilsartan is prescribed primarily for the treatment of hypertension, commonly known as high blood pressure. It belongs to a class of medications called angiotensin II receptor blockers (ARBs). Azilsartan works by blocking the action of angiotensin II, a substance in the body that causes blood vessels to constrict, leading to increased blood pressure. By blocking angiotensin II receptors, Azilsartan helps to relax blood vessels, allowing blood to flow more easily, thus lowering blood pressure. It is often prescribed alone or in combination with other antihypertensive medications to effectively manage high blood pressure and reduce the risk of cardiovascular events such as heart attacks and strokes.

How should this medicine be used?

Here’s how Azilsartan is typically used:

• Dosage: The usual starting dose of Azilsartan is 40 mg once daily. However, the dosage may vary depending on individual patient factors and the severity of hypertension.
• Administration: Azilsartan is usually taken orally, with or without food. It’s important to take it consistently at the same time each day to maintain its effectiveness.
• Adjustments: Your doctor may adjust the dosage based on your blood pressure response. The maximum recommended dose is 80 mg once daily.
• Combination Therapy: Azilsartan can be used alone or in combination with other antihypertensive medications, such as diuretics or calcium channel blockers, if additional blood pressure control is needed.
• Monitoring: Regular monitoring of blood pressure and kidney function is typically recommended while taking Azilsartan to ensure it’s effectively controlling hypertension and to watch for any potential side effects.
• Pregnancy Precautions: Azilsartan is not recommended during pregnancy due to potential harm to the unborn baby, especially in the second and third trimesters. Women of childbearing age should use effective contraception while taking Azilsartan.
• Discontinuation: It’s important not to stop taking Azilsartan suddenly without consulting your doctor, as abrupt discontinuation can lead to a rebound increase in blood pressure.

As with any medication, it’s essential to follow your healthcare provider’s instructions carefully and to report any concerns or side effects promptly. Only take Azilsartan as prescribed by your doctor.

Other uses for this medicine

Some potential off-label uses or investigational uses for Azilsartan may include:

• Heart Failure: Azilsartan may be used in some cases as an adjunct therapy in the management of heart failure, particularly in patients who are intolerant to angiotensin-converting enzyme (ACE) inhibitors.
• Diabetic Nephropathy: There is some research suggesting that Azilsartan may have a protective effect on the kidneys in patients with diabetes and diabetic nephropathy (kidney disease).
• Stroke Prevention: Some studies have investigated the potential role of Azilsartan in reducing the risk of stroke, particularly in patients with hypertension or other cardiovascular risk factors.

What special precautions should I follow?

Regarding special precautions for Azilsartan, here are some key points to consider:

• Pregnancy: Azilsartan is contraindicated during pregnancy due to the risk of fetal harm, especially in the second and third trimesters. Women of childbearing potential should use effective contraception while taking Azilsartan.
• Kidney Function: Caution is advised in patients with impaired kidney function, as Azilsartan can affect renal function. Monitoring of kidney function is recommended, particularly in patients with pre-existing kidney disease or those taking other medications that affect the kidneys.
• Hyperkalemia: Azilsartan may cause an increase in serum potassium levels (hyperkalemia), especially in patients with kidney impairment or those taking potassium supplements. Regular monitoring of potassium levels is recommended.
• Hypotension: Azilsartan can cause low blood pressure, especially during the initiation of therapy or with dosage adjustments. Patients should be monitored for signs and symptoms of hypotension, such as dizziness or fainting.
• Allergic Reactions: Like other medications, Azilsartan can potentially cause allergic reactions. Patients should be monitored for signs of allergic reactions, such as rash, itching, swelling, or difficulty breathing.
• Interactions: Azilsartan may interact with other medications, including other antihypertensive agents, diuretics, potassium supplements, and nonsteroidal anti-inflammatory drugs (NSAIDs). It’s important to review all medications with a healthcare professional to avoid potential interactions.

Always follow your healthcare provider’s instructions and advice regarding the use of Azilsartan and any special precautions that may apply to your individual circumstances.

What special dietary instructions should I follow?

Regarding dietary instructions:

• Salt Intake: Limiting your intake of high-sodium foods may help enhance the effectiveness of Azilsartan in lowering blood pressure. Avoiding processed foods, canned soups, and salty snacks can be beneficial.
• Alcohol: Limit alcohol consumption, as it may further lower blood pressure and increase the risk of side effects when combined with Azilsartan.

What should I do if I forget a dose?

If you forget to take a dose of Azilsartan:

• If it’s close to the time for your next dose: Skip the missed dose and take your next dose at the regular scheduled time.
• If it’s not close to the time for your next dose: Take the missed dose as soon as you remember. However, if it’s almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one.

What side effects can this medication cause?

Azilsartan, like any medication, can cause side effects. Not everyone will experience these side effects, and their severity can vary among individuals. Common side effects of Azilsartan may include:

• Dizziness: Feeling lightheaded or dizzy is a common side effect, especially when standing up from a sitting or lying position. It’s often transient and may improve over time.
• Fatigue: Some people may experience tiredness or fatigue while taking Azilsartan. This side effect may impact daily activities and usually diminishes with continued use.
• Headache: Headaches are a commonly reported side effect of Azilsartan. They can range from mild to severe and may improve as your body adjusts to the medication.
• Hyperkalemia: Azilsartan may cause high levels of potassium in the blood (hyperkalemia), especially in individuals with pre-existing kidney problems. Symptoms of hyperkalemia can include weakness, irregular heartbeat, and muscle cramps.
• Hypotension: Azilsartan can lower blood pressure, which may lead to symptoms of low blood pressure such as dizziness, fainting, or lightheadedness.
• Renal Impairment: In some cases, Azilsartan can affect kidney function, particularly in individuals with pre-existing kidney disease.
• Allergic Reactions: Although rare, some people may experience allergic reactions to Azilsartan, which can manifest as rash, itching, swelling, or difficulty breathing.
• Angioedema: Angioedema is a severe allergic reaction that can cause swelling of the deeper layers of the skin, often around the eyes and lips. It is a rare but serious side effect that requires immediate medical attention.

It’s important to note that this list does not include all possible side effects of Azilsartan. Some individuals may experience side effects not listed here. If you experience any bothersome or concerning side effects while taking Azilsartan, contact your healthcare provider for further evaluation and guidance. Additionally, report any adverse reactions to your doctor or pharmacist.

What should I know about storage and disposal of this medication?

When it comes to storage and disposal of Azilsartan, here’s what you should know:

• Storage: Store Azilsartan tablets at room temperature away from moisture and heat. Keep the medication in its original container, tightly closed, and out of reach of children.
• Disposal: Dispose of unused or expired Azilsartan tablets properly according to local regulations or guidelines. Do not flush medications down the toilet or pour them down the drain unless instructed to do so. Consult your pharmacist or local waste disposal facility for proper disposal instructions.

In case of emergency/overdose

In case of emergency or overdose of Azilsartan, take the following steps:

• Seek Medical Attention: If you suspect an overdose or experience severe symptoms such as fainting, extreme dizziness, or difficulty breathing, seek immediate medical attention or contact your local poison control center.
• Symptomatic Treatment: In the event of an overdose, supportive care may be necessary to manage symptoms. Treatment may include measures to stabilize blood pressure and address any other symptoms or complications.

What other information should I know?

• Regular Monitoring: Your healthcare provider may periodically monitor your blood pressure, kidney function, and electrolyte levels while you are taking Azilsartan to ensure its effectiveness and detect any potential adverse effects.
• Lifestyle Changes: Azilsartan is typically part of a comprehensive treatment plan for hypertension, which may also include lifestyle modifications such as dietary changes, regular exercise, weight management, and stress reduction techniques.
• Medication Interactions: Inform your healthcare provider about all medications, supplements, and herbal products you are taking, as Azilsartan may interact with certain medications, including other antihypertensive drugs, diuretics, and potassium supplements.
• Follow-up Appointments: Attend regular follow-up appointments with your healthcare provider to monitor your response to Azilsartan therapy and make any necessary adjustments to your treatment plan.
• Patient Education: Be sure to understand how to take Azilsartan properly, including dosage instructions, potential side effects, and what to do if you miss a dose. Ask your healthcare provider or pharmacist any questions you may have about your medication regimen.

By following these guidelines and staying informed about Azilsartan, you can maximize its effectiveness while minimizing the risk of potential complications.