Entresto (Sacubitril And Valsartan)

Complete patient guide for uses, dosage, side effects, and safety information

Prescription Required

Quick Facts

Generic Name
sacubitril and valsartan
Drug Class
angiotensin receptor neprilysin inhibitor (ARNI)
Used For
treatment of heart failure
How Taken
oral tablet, twice daily

What Is Entresto Used For?

Entresto is a medication used to manage heart failure in adults, helping to lower the risk of cardiovascular-related deaths and hospitalizations due to heart failure.

Primary Uses

Entresto is primarily used to treat a specific type of heart failure.

How It Works

Entresto combines sacubitril, which inhibits neprilysin, and valsartan, which blocks angiotensin II, leading to relaxed blood vessels and reduced fluid retention.

Good to know: Entresto is not addictive.

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How to Take Entresto

Follow your doctor's instructions on how to take Entresto for optimal results.

Dosage Instructions

The usual starting dose is one 49 mg/51 mg tablet taken twice daily. Your doctor may adjust the dose based on your response to treatment.

What If You Miss a Dose?

If you miss a dose, take it as soon as you remember. If it's almost time for your next dose, skip the missed dose. Do not double up.

Important: Never take a double dose to make up for a missed dose.

Available Tablet Strengths

24 mg/26 mg
24 mg/26 mg Tablet Violet-white, Ovaloid biconvex • NVR LZ
49 mg/51 mg
49 mg/51 mg Tablet Pale yellow, Ovaloid biconvex • NVR L1
97 mg/103 mg
97 mg/103 mg Tablet Light pink, Ovaloid biconvex • NVR L11

Side Effects

Like all medications, this medicine can cause side effects. Most are mild and temporary, but some require medical attention.

Common Side Effects

These side effects occur relatively frequently and usually don’t require emergency care:

  • dizziness
  • fainting
  • light-headedness
  • cough
  • headache
  • diarrhoea
  • nausea
  • stomach pain
  • tiredness
  • weakness

Seek immediate medical attention if you experience:

  • swelling of the face, lips, tongue, or throat
  • difficulty breathing or swallowing

Important Warnings

Be aware of the following warnings before using Entresto.

Who Should Not Take Entresto

Do not use Entresto if you are allergic to its ingredients, are pregnant, have severe liver disease, or are taking certain other medications like ACE inhibitors.

Medical Conditions to Discuss

Discuss with your doctor if you have low blood pressure, kidney problems, or are taking medications that increase potassium levels.

Pregnancy and Breastfeeding

Do not take Entresto if you are pregnant or planning to become pregnant. If you become pregnant while on this medication, inform your doctor immediately.

Drug Interactions

Certain medications may interact with Entresto and affect its efficacy.

  • ACE inhibitors
  • ARBs
  • Statins (e.g., atorvastatin)
  • Sildenafil
  • Potassium-sparing diuretics (e.g., amiloride)
  • NSAIDs (e.g., ibuprofen)
  • Lithium
  • Frusemide
  • Metformin
  • Certain antibiotics (e.g., rifampicin)
  • Ciclosporin
  • Ritonavir

Alcohol & Driving

Be cautious when consuming alcohol and operating vehicles or machinery while taking Entresto.

Alcohol

There are no known interactions between Entresto and alcohol.

Driving and Operating Machinery

Entresto may cause dizziness or tiredness, so be careful when driving or using machinery.

Storage

Store Entresto in a cool, dry place away from moisture, heat, and sunlight. Keep it out of reach of children.

Overdose Information

If you suspect an overdose, seek immediate medical attention. Symptoms may include dizziness or lightheadedness.

Frequently Asked Questions

Entresto may take several weeks to show its full effects in managing heart failure.

You can take Entresto with or without food.

No, Entresto is not considered addictive.

Do not stop taking Entresto suddenly without consulting your doctor, as it may worsen your condition.

There are no known interactions between Entresto and alcohol, but use caution.

Weight gain is not a common side effect of Entresto, but monitor your health and discuss any concerns with your doctor.

Elderly patients should consult their doctor to ensure Entresto is safe for them, especially if they have other health conditions.

If you miss a dose, take it as soon as you remember, but skip it if it's almost time for your next dose.

Important Disclaimer

This information is intended for general educational purposes only and should not be considered medical advice. Always consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.

If you think you may have a medical emergency, call your doctor or emergency services immediately.

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