Irbesartan and Hydrochlorothiazide
Brand Names: Avalide
Methodology & AI Transparency ⓘ
Irbesartan and Hydrochlorothiazide Key Takeaways
Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level
- 1 What it does: Irbesartan and hydrochlorothiazide tablets are indicated for the treatment of hypertension.
- 2 Real-world patient consensus: Real-world cohort score of 91% across 10 de-identified Irbesartan and Hydrochlorothiazide entries.
- 3 Typical cash cost range: 30-day cash pricing ranges from $14.53 discount cash to $36.53 walk-in retail (NADAC $0.1488/unit).
- 4 Top reported side effects / signs: Most commonly reported Irbesartan and Hydrochlorothiazide tolerability events: dizziness (8%), fatigue (7.8%), headache (6%).
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Irbesartan and Hydrochlorothiazide Mechanism, CYP450 Pathways & DailyMed Monograph
Irbesartan and hydrochlorothiazide tablets are indicated for the treatment of hypertension. Irbesartan and hydrochlorothiazide tablets may be used in patients whose blood pressure is not adequately controlled on monotherapy. Irbesartan and hydrochlorothiazide tablets may also be used as initial therapy in patients who are likely to need multiple drugs to achieve their blood pressure goals. The choice of irbesartan and hydrochlorothiazide tablets as initial therapy for hypertension should be based on an assessment of potential benefits and risks.
12.1 Mechanism of Action Irbesartan Angiotensin II is a potent vasoconstrictor formed from angiotensin I in a reaction catalyzed by angiotensin-converting enzyme (ACE, kininase II). Angiotensin II is the principal pressor agent of the RAS and also stimulates aldosterone synthesis and secretion by adrenal cortex, cardiac contraction, renal resorption of sodium, activity of the sympathetic nervous system, and smooth muscle cell growth. Irbesartan blocks the vasoconstrictor and aldosterone-secreting effects of angiotensin II by selectively binding to the AT 1 angiotensin II receptor.
With Elimination kinetics span 5 to 11 hours per Irbesartan and Hydrochlorothiazide clinical pharmacology residence kinetics and Consistent 55%–67% gastrointestinal absorption profile for Irbesartan and Hydrochlorothiazide bioavailability, Irbesartan and Hydrochlorothiazide undergoes systemic clearance of irbesartan and hydrochlorothiazide integrates hepatic phase ii conjugation with renal filtration and establishes therapeutic activity over cmax attained 2–4 hours post-administration of irbesartan and hydrochlorothiazide.
Standard adult regimens span 150 mg/1 / 12.5 mg/1 Tablet, Film Coated, 150 mg/1 / 12.5 mg/1 Tablet, 300 mg/1 / 12.5 mg/1 Tablet, 300 mg/1 / 12.5 mg/1 Tablet, Film Coated, 300 mg/1 / 25 mg/1 Tablet, Film Coated. Prescribers screen specifically against irbesartan and hydrochlorothiazide tablets are contraindicated in patients who are hypersensitive to any component of this product.; because of the hydrochlorothiazide component, this product is contraindicated in patients with anuria or hypersensitivity to other sulfonamide-derived drugs., while community micro-logs most frequently note dizziness (8% of reports), fatigue (7.8% of reports), headache (6% of reports).
Verify medication reconciliation lists so Irbesartan and Hydrochlorothiazide is not inadvertently duplicated with another thiazide diuretic.
Alcohol or high-fat meal timing can shift absorption rate and orthostatic tolerance during Irbesartan and Hydrochlorothiazide dosing.
Standard Adult Titration & Dosages
Absolute & Relative Contraindications
- Irbesartan and hydrochlorothiazide tablets are contraindicated in patients who are hypersensitive to any component of this product.
- Because of the hydrochlorothiazide component, this product is contraindicated in patients with anuria or hypersensitivity to other sulfonamide-derived drugs.
Logged Side-Effect Incidence (10 Reports)
Irbesartan and Hydrochlorothiazide Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs
Peer-Reviewed Human Clinical Trials & Meta-Analyses (Irbesartan and Hydrochlorothiazide)
| Study & Plain-English Finding | Sample (N) | Rigor | Primary Source |
|---|---|---|---|
| New Insights on Valsartan vs. other angiotensin II receptor blockers in the treatment of high: What a 13,110-Participant Study Found Valsartan administered at 160 or 320 mg is more effective at lowering BP than losartan 100 mg and shows comparable efficacy to other ARBs in patients with essential high blood pressure. International journal of clinical practice • 2009-05-15 • Meta-Analysis | N = 13,110 | 99/100 | PMID 19392925 ↗ |
Irbesartan and Hydrochlorothiazide Public Price Transparency Ledger
| Dispensing Channel / Benchmark | Verification Source | Reference Cost | Details |
|---|---|---|---|
| Pharmacy Acquisition Cost (CMS NADAC) | CMS Medicaid NADAC Weekly National Survey | $0.1488/unit (~$4.46/30u) | Wholesale baseline |
| Average U.S. Walk-In Retail Cash Price | Chain Pharmacy Uninsured Cash Index | $36.53 / mo | Before coupon/insurance |
| Patient-Logged Out-of-Pocket Average | 10 Anonymous DotMD Community Micro-Logs | $14.53 / mo | View logs ↓ |
| Sesame Direct Cash-Pay Prescriber Network (Licensed Telehealth Cash Program) | State-licensed clinician review • ~1d mail fulfillment | $29.00 consult | Program details |
Irbesartan and Hydrochlorothiazide Federal Verification & Benchmark Summary
| Metric | Verified Benchmark | Source |
|---|---|---|
| Irbesartan and Hydrochlorothiazide RxNorm Concept ID | 310792 | U.S. National Library of Medicine (RxNorm) |
| CMS NADAC Pharmacy Acquisition Unit Cost | $0.1488 / unit | CMS Medicaid NADAC Weekly Feed |
| Walk-In Chain Pharmacy Cash Average | $36.53 / mo | U.S. Uninsured Retail Cash Index |
| Public Mail-Order Wholesale Benchmark | $14.53 / mo (Patient Mean) | Public Cash Reference |
| Real-World Patient Consensus | 91.00% Worth It (10 anonymous logs) | DotMD Zero-PHI Patient Ledger |
Irbesartan and Hydrochlorothiazide Patient Community, Cohort Filters & Dosage Logs
Federal clinical ledger for Irbesartan and Hydrochlorothiazide integrating DailyMed SPL (2025-09-02), CMS NADAC ($0.1488/unit), and 10 Zero-PHI patient logs.
Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.
Filter Irbesartan and Hydrochlorothiazide community threads and patient logs by age, biological sex, dosage, and treatment duration.