Buy Exforge HCT Online

(Amlodipine Besylate/Valsartan/Hydrochlorothiazide)

Exforge HCT contains three medicines that help lower high blood pressure in different ways. Amlodipine is a dihydropyridine calcium channel blocker that helps relax blood vessels, valsartan is an angiotensin receptor blocker (ARB), and hydrochlorothiazide is a diuretic that helps the body remove extra salt and water.

Follow all directions given to you by your doctor and read all documents provided, including the full Prescribing Information, FDA-Approved Product Labeling, Instructions for Use, and Medication Guide before using Exforge HCT. However, the following is a synopsis of the general guidelines for the use of Exforge HCT:

• Take Exforge HCT once daily. It may be taken with or without food.
• This formulation is not for the initial treatment of hypertension. It may be used when two medicines are not enough, as add-on or switch therapy, or as replacement therapy for patients already taking amlodipine, valsartan, and hydrochlorothiazide as separate medicines.
• If you miss a dose, take it when you remember, unless it is almost time for your next dose. If it is close to your next dose, skip the missed dose and take the next dose at the regular time. Do not take two doses at once. This is general medical advice, and you should follow the instructions from your healthcare provider.

Some mild or common side effects of Exforge HCT seen in clinical trials as compared to placebo include:

• Dizziness.
• Peripheral edema.
• Constipation.
• Headache.
• Dyspepsia.
• Fatigue.
• Muscle spasms.

Some individuals may experience serious side effects while using Exforge HCT. These side effects may require immediate medical attention. If you experience any of the following, contact your healthcare provider or seek emergency medical help:

• Severe low blood pressure, which may cause lightheadedness, dizziness, and fainting.
• Signs of a heart attack such as irregular heartbeat, severe chest pain (angina), and pain spreading to the arm, neck, or jaw.
• Kidney problems, which may cause dark urine, painful urination, or sudden lower back pain.
• Liver problems, which may cause yellowing of the skin or eyes (jaundice) or severe stomach pain.
• Increased potassium levels, which may cause muscle pain.
• Skin rash.
• Eye problems such as decreased vision or eye pain. This is more likely in those with a history of sulfonamide or penicillin allergy.
• Allergic reactions such as hives, skin rash, or trouble breathing.

These are not all of the possible side effects of Exforge HCT. You should always seek medical advice from your healthcare provider for any questions or concerns about your medical condition or treatment. Read all patient information, medication guides, or drug information sheets that come with this medication. You can also report adverse effects to the Food and Drug Administration at www.fda.gov/medwatch or 1-800-FDA-1088.

Before starting Exforge HCT, it is crucial to discuss any existing health conditions with your healthcare provider. You should be sure that your healthcare provider is aware of all your medical conditions, including:

• Pregnancy or breastfeeding.
• Heart problems (aortic or mitral stenosis, obstructive hypertrophic cardiomyopathy)
• High uric acid levels (hyperuricemia) or gout.
• Kidney disease.
• Liver disease or hepatitis.
• A history of gallstones.
• Systemic lupus erythematosus.
• Acute angle-closure glaucoma.
• Volume or salt depletion.
• History of skin cancer.

• Anuria (lack of urine production).
• Hypersensitivity to sulfonamide-derived drugs.
• Exforge HCT should not be used in combination with aliskiren-containing medicines in patients with type 2 diabetes.

The dose may be increased after 2 weeks, and the full blood pressure-lowering effect was achieved 2 weeks after being on the maximal dose. Your healthcare provider may titrate treatment based on how your blood pressure responds.

When Exforge HCT is taken with other prescription drugs, over-the-counter medications, vitamins, and supplements, it may change how they work or increase the frequency or severity of side effects. Make sure that you tell your healthcare professional about anything that you are taking to avoid any negative drug interactions, including:

• ACE inhibitors like lisinopril or other drugs that affect the renin-angiotensin system, due to the additive blood pressure-lowering effects.
• Simvastatin (cholesterol medication) levels and side effects may increase when combined with amlodipine.
• Hydrochlorothiazide can reduce the renal clearance of lithium and increase the risk of lithium toxicity.
• NSAIDs, including ibuprofen and naproxen - these medicines can reduce the diuretic, natriuretic, and antihypertensive effects of thiazide diuretics.
• Cholestyramine and colestipol - these resins can reduce the absorption of hydrochlorothiazide.
• Corticosteroids or ACTH - these can intensify electrolyte depletion, especially hypokalemia.
• Antidiabetic drugs - dose adjustment may be needed.
• Carbamazepine - this may lead to symptomatic low sodium (hyponatremia).
• Potassium-sparing diuretics, potassium supplements, and salt substitutes containing potassium, with valsartan, may increase serum potassium and, in heart failure patients, serum creatinine.
• Alcohol, barbiturates, or narcotics - these may increase orthostatic hypotension (dizziness when standing up).
• Certain antibiotics, such as clarithromycin or rifampin, which can increase the levels of valsartan.
• Anti-rejection drugs like cyclosporine - levels can be increased.

The following doses are available (amlodipine/valsartan/hydrochlorothiazide mg):

• 5/160/12.5.
• 10/160/12.5.
• 5/160/25.
• 10/160/25.
• 10/320/25.

It should be stored at room temperature, out of the reach of children and pets.

It is manufactured by Novartis Pharmaceuticals.

Yes, it is available from many manufacturers of generic drugs.

Do not stop taking Exforge HCT without medical advice from your healthcare provider. Stopping blood pressure medicine on your own may make hypertension harder to control.

Exforge HCT should be avoided in pregnancy. Drugs that act directly on the renin-angiotensin system can cause injury or death to an unborn baby, so treatment should be stopped as soon as pregnancy is detected.

Amlodipine and valsartan are not known to be excreted in human milk in this label, but thiazides are excreted in human milk.

Talk to your doctor if you are already breastfeeding or if you have any plans to breastfeed. They will know or recommend what is best for you.