Hydrochlorothiazidedosage

Dose once daily. Titrate as needed to a maximum dose of 320/25mg. May be used as add-on/switch therapy for patients not adequately controlled on any of the components (valsartan or HCTZ). May be substituted for titrated components.

2.1 General

Considerations The usual starting dose is Diovan HCT 160/12.5 mg once daily. The dosage can be increased after 1 to 2 weeks of therapy to a maximum of one 320/25 tablet once daily as needed to control blood pressure. Maximum antihypertensive effects are attained within 2 to 4 weeks after a change in dose. 2.2 Add-On Therapy A patient whose blood pressure is not adequately controlled with valsartan (or another ARB) alone or hydrochlorothiazide alone may be switched to combination therapy with Diovan HCT. A patient who experiences dose-limiting adverse reactions on either component alone may be switched to Diovan HCT containing a lower dose of that component in combination with the other to achieve similar blood pressure reductions. The clinical response to Diovan HCT should be subsequently evaluated and if blood pressure remains uncontrolled after 3 to 4 weeks of therapy, the dose may be titrated up to a maximum of 320/25 mg.

2.3 Replacement

Therapy Diovan HCT may be substituted for the titrated components.

2.4 Initial

Therapy Diovan HCT is not recommended as initial therapy in patients with intravascular volume depletion.

2.5 Use with

Other Antihypertensive Drugs Diovan HCT may be administered with other antihypertensive agents.