What Amlodipine/Valsartan/Hydrochlorothiazide is used for : Amlodipine/Valsartan/Hydrochlorothiazide is used to treat high blood pressure in adult patients whose blood pressure is already controlled while taking amlodipine, valsartan and hydrochlorothiazide and who may benefit from taking one tablet containing all three substances. Do not take Amlodipine/Valsartan/Hydrochlorothiazide • If you are more than 3 months pregnant. • If you are allergic to amlodipine or to any other calcium channel blockers, valsartan, hydrochlorothiazide, sulphonamide-derived medicines (medicines used to treat chest or urinary infections), or any of the other ingredients of this medicine. If you think you may be allergic, do not take Amlodipine/Valsartan/Hydrochlorothiazide and talk to your doctor. • If you have liver disease, destruction of the small bile ducts within the liver (biliary cirrhosis) leading to the build up of bile in the liver (cholestasis). • If you have severe kidney problems or if you are having dialysis. • If you are unable to produce urine (anuria). • If the level of potassium or sodium in your blood is too low despite treatment to increase the potassium or sodium levels in your blood. • If the level of calcium in your blood is too high despite treatment to reduce the calcium levels in your blood. • If you have gout (uric acid crystals in the joints). • If you have severe low blood pressure (hypotension). • If you have narrowing of the aortic valve or cardiogenic shock. • If you suffer from heart failure after a heart attack. • If you have diabetes or impaired kidney function. Warnings and precautions : Talk to your doctor or pharmacist before taking Amlodipine/Valsartan/Hydrochlorothiazide • If you have kidney problems. • If you have liver problems. • if you have or have had heart failure or coronary artery disease. • If you have experienced a heart attack. • If you suffer from a disease called systemic lupus erythematosus (also called “lupus” or “SLE”). • If you have diabetes (high level of sugar in your blood). • If you have high levels of cholesterol or triglycerides in your blood. Possible side effects : Consult a doctor immediately if you experience any of the following serious side effects after taking this medicine: • Dizziness • Low blood pressure (feeling of faintness, light-headedness, sudden loss of consciousness) Other medicines and Amlodipine/Valsartan/Hydrochlorothiazide : Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Your doctor may need to change your dose and/or to take other precautions. In some cases you may have to stop using one of the medicines. This is especially important if you are using any of the medicines listed below: Do not take together with: • Lithium (a medicine used to treat some types of depression). • Medicines or substances that increase the amount of potassium in your blood. These include potassium supplements or salt substitutes containing potassium, potassium- sparing medicines and heparin. • ACE inhibitors or aliskiren. How to take Amlodipine/Valsartan/Hydrochlorothiazide : Always take this medicine exactly as your doctor has told you. Check with your doctor if you are not sure. This will help you get the best results and lower the risk of side effects. The usual dose of Amlodipine/Valsartan/Hydrochlorothiazide is one tablet per day. • It is best to take the tablet at the same time each day. Morning is the best time. • Swallow the tablet whole with a glass of water. • You can take Amlodipine/Valsartan/Hydrochlorothiazide with or without food. Do not take Amlodipine/Valsartan/Hydrochlorothiazide with grapefruit or grapefruit juice. Depending on how you respond to the treatment, your doctor may suggest a higher or lower dose. Do not exceed the prescribed dose. How to store Amlodipine/Valsartan/Hydrochlorothiazide : Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date which is stated on the blister and carton after EXP. The expiry date refers to the last day of that month. Do not store above 300C. Do not use any pack that is damaged or shows signs of tampering. Do not throw away any medicines via wastewater or household waste. A valid prescription should be available upon delivery

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