DOSAGE AND ADMINISTRATION
The recommended once-daily dose of Valturna is 150/160 mg or 300/320 mg. The recommended initial once-daily dose of Valturna is 150/160 mg. Titrate as needed to a maximum of 300/320 mg.
Patients switched from monotherapy to Valturna on average experience greater blood pressure reductions with use of the combination product.
The antihypertensive effect of Valturna is largely attained within 2 weeks. If blood pressure remains uncontrolled after 2 to 4 weeks of therapy, the dose may be titrated up to a maximum of 300/320 mg.
Add-o n Therapy
A patient whose blood pressure is not adequately controlled with aliskiren alone or valsartan (or another angiotensin receptor blocker) alone may be switched to combination therapy with Valturna. The usual recommended starting dose is 150/160 mg once daily as needed to control blood pressure.
For convenience, patients receiving aliskiren and valsartan from separate tablets may instead wish to receive a single tablet of Valturna containing the same component doses.
The usual recommended starting dose of Valturna is 150/160 mg once daily as needed to control blood pressure. The dose may be titrated up to a maximum of 300/320 mg once daily.
Valturna is not recommended for use as initial therapy in patients with intravascular volume depletion [s
ee Warnings and Precautions].
Use with Other Antihypertensive Drugs
Valturna may be administered with other antihypertensive agents. There are no data available with use of Valturna with angiotensin-converting enzyme inhibitors or other renin-angiotensin-aldosterone blockers.
Relationship to Meals
Patients should establish a routine pattern for taking Valturna with regard to meals. High-fat meals decrease absorption substantially [s
Dosing in Specific Populations
Adjustment of the starting dose is not required in patients with mild-to-moderate renal impairment. Clinical experience with dosing Valturna in patients with moderate renal impairment is limited. No data are available in patients with severe renal impairment [see Warnings and Precautions].
Adjustment of the starting dose is not necessary with mild or moderate hepatic impairment. Clinical experience with dosing Valturna in patients with severe hepatic impairment is limited [see Warnings and Precautions].
Adjustment of the starting dose is not required for elderly patients.
DOSAGE FORMS AND STRENGTHS
- 150/160 mg aliskiren/valsartan tablets: light red, standard convex ovaloid, film-coated tablets with beveled edges debossed with NVR/HDU
- 300/320 mg aliskiren/valsartan tablets: light brown, shallow convex ovaloid, film-coated tablets with beveled edges debossed with NVR/SNB