Valsartan - an angiotensin receptor blocker

  • You can take valsartan before or after meals.
  • Some painkillers interfere with valsartan, so ask your pharmacist for advice before you buy any medicines.
Type of medicine Angiotensin-II receptor antagonist
Used for Hypertension (for adults and children over 6 years of age)
Heart failure
To protect the heart following a heart attack
Also called Diovan®
Co-Diovan® (valsartan with hydrochlorothiazide)
Exforge® (valsartan with amlodipine)
Available as Tablets, capsules and oral liquid

Valsartan is an angiotensin receptor blocker (also called an angiotensin-II receptor antagonist or an AIIRA). It is used to treat hypertension (high blood pressure) and heart failure (a condition where the pumping action of the heart is reduced). People with high blood pressure often do not feel unwell but, left untreated, high blood pressure can harm the heart and damage blood vessels.

Valsartan works by blocking the effect of a chemical called angiotensin II which is made in your bloodstream. Angiotensin II causes your blood vessels to narrow, so by blocking this effect, valsartan allows your blood vessels to relax and widen. As this happens, the pressure of blood within your blood vessels is reduced. This also makes it easier for your heart to pump blood around your body.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking valsartan it is important that your doctor or pharmacist knows:

  • If you are pregnant, trying for a baby or breast-feeding.
  • If you have kidney problems such as a blockage of the artery which supplies blood to your kidney.
  • If you have liver problems.
  • If you have been told you have cardiomyopathy (cardiac muscle disease), or aortic stenosis (narrowing of the main blood vessel from your heart), or any other heart problem.
  • If you have a condition which affects the flow of bile from your liver.
  • If you are taking other medicines, including those available to buy without a prescription, herbal and complementary medicines.
  • If you have ever had an allergic reaction to this or to any other medicine.
  • Before you start this treatment, read the manufacturer's printed information leaflet from inside the pack. The leaflet will give you more information about the brand of valsartan you have been given, and a full list of possible side-effects from taking it.
  • Take valsartan exactly as your doctor has told you to. Your doctor or pharmacist will tell you how many tablets or capsules to take, and when to take them. Your dose will also be on the label of the pack. (You may be asked to take valsartan once or twice a day depending on the reason why you are taking it.)
  • Try to take valsartan at the same times each day. This will help you to avoid missing any doses.
  • You can take valsartan before or after meals.
  • If you forget to take a dose, take it as soon as you remember unless it is nearly time for your next dose, in which case leave out the missed dose. Do not take two doses together to make up for a forgotten dose.
  • Try to keep your regular appointments with your doctor. This is so your progress can be monitored. Your doctor will want you to have some blood tests from time to time to check on your kidneys, and also how much potassium is in your blood.
  • If you buy any medicines, check with a pharmacist that they are suitable to take with valsartan. This is because some anti-inflammatory painkillers (such as aspirin and ibuprofen) may interfere with the way it works, and also increase the risk of side-effects.
  • It is very important that you follow any dietary and lifestyle advice that you may have been given by your doctor, such as eating a healthy diet, not smoking, and taking regular exercise.
  • If you drink alcohol, ask your doctor for advice about taking valsartan and alcohol. Alcohol will increase feelings of light-headedness and may not be recommended for you.
  • Do not use salt substitutes which contain potassium while you are on valsartan. This is because they increase the amount of potassium in your blood and this can cause problems.
  • If you are having an operation or dental treatment, tell the person carrying out the treatment that you are taking valsartan. This is because valsartan taken with an anaesthetic may make your blood pressure drop too low.
  • Treatment with valsartan is usually long-term unless you experience an adverse effect. Continue to take it unless you are advised otherwise.

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. These usually improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following side-effects continue or become troublesome.

Common valsartan side-effects - these affect less than 1 in 10 people who take this medicine What can I do if I experience this?
Feeling light-headed or dizzy, especially when standing up Getting up more slowly should help. If you begin to feel dizzy, lie down so that you do not faint, then sit for a few moments before standing. If this continues, speak with your doctor

Important: if you get any swelling of your mouth or face, speak with your doctor or go to your local accident and emergency department straightaway. These are signs of an allergic reaction.

If you experience any other symptoms which you think may be due to this medicine, speak with your doctor or pharmacist.

  • Keep all medicines out of the reach and sight of children.
  • Store in a cool, dry place, away from direct heat and light.
  • Never take more than the prescribed dose. If you suspect that someone has taken an overdose of this medicine, go to the accident and emergency department of your local hospital at once. Take the container with you, even if it is empty.
  • This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.
  • Never keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.
  • If you have any questions about this medicine ask your pharmacist.

Further reading & references

  • British National Formulary; 62nd Edition (Sep 2011) British Medical Association and Royal Pharmaceutical Society of Great Britain, London
  • Manufacturer's PIL, DiovanĀ® 40 mg film-coated Tablets; Manufacturer's PIL, DiovanĀ® 40 mg film-coated Tablets, Novartis Pharmaceuticals UK Ltd, electronic Medicines Compendium. Dated January 2011.
Original Author: Helen Allen Current Version: Peer Reviewer: Dr Adrian Bonsall
Last Checked: 14/03/2012 Document ID: 3691  Version: 25 © EMIS

Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. EMIS has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions.

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