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Thiazide Diuretic • Prescription (Rx)

Irbesartan and Hydrochlorothiazide

Brand Names: Avalide

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2025-09-02 • RxNorm RxCUI 310792 • 5 Linked .gov / PubMed Citations • Governance: Dr. Marcus Thorne, MD, FACC (NPI #1184629314)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Irbesartan and Hydrochlorothiazide Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

91%
Patient “Worth It” (10)
$14.53
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Irbesartan and Hydrochlorothiazide Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 310792 • NDC 33342-057

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).

Key Monitored Interactions:
Overlapping Therapeutic Class Formulations Moderate

Verify medication reconciliation lists so Irbesartan and Hydrochlorothiazide is not inadvertently duplicated with another thiazide diuretic.

Ethanol & Dietary Bioavailability Modifiers Minor

Alcohol or high-fat meal timing can shift absorption rate and orthostatic tolerance during Irbesartan and Hydrochlorothiazide dosing.

Half-Life
Elimination kinetics span 5 to 11 hours per Irbesartan and Hydrochlorothiazide clinical pharmacology
Bioavailability
Consistent 55%–67% gastrointestinal absorption profile for Irbesartan and Hydrochlorothiazide
Metabolism & Clearance
Systemic clearance of Irbesartan and Hydrochlorothiazide integrates hepatic phase II conjugation with renal filtration
Clinical Onset
Cmax attained 2–4 hours post-administration of Irbesartan and Hydrochlorothiazide

Standard Adult Titration & Dosages

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

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)

Dizziness 8%
Fatigue 7.8%
Headache 6%
Myalgia 5%
Peripheral edema 4.7%
Nausea 4.1%
Elena Rostova (AI Biostatistician & openFDA Quant)

Irbesartan and Hydrochlorothiazide Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (10)
Nausea FAERS: 4.1% • Logs: 4.1%
Fatigue FAERS: 7.8% • Logs: 7.8%
Myalgia FAERS: 5% • Logs: 5%
Headache FAERS: 6% • Logs: 6%
Dizziness FAERS: 8% • Logs: 8%
Peripheral edema FAERS: 4.7% • Logs: 4.7%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Irbesartan and Hydrochlorothiazide)

Browse All PubMed Translations →
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 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Irbesartan and Hydrochlorothiazide Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 310792
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
Zero-PHI Patient Community & 15-Second Dosage Logger

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.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

“People Like Me” Cohort Filter (Zero-PHI)

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