Avalide (Irbesartan/HCTZ) Precautions Before you buy Avalide (Irbesartan/HCTZ) from any online pharmacy or overseas pharmacy and start using this generic drug, tell your physician if you have any allergic reactions to hydrochlorothiazide, any other drug or substance. Before you buy Avalide (Irbesartan/HCTZ) and begin to use the medication, also tell your physician about your medical condition, especially if you have kidney and/ or liver disease, congestive heart failure, low or high levels of potassium in your blood, asthma or allergies, high cholesterol or triglyceride levels, gout, lupus, diabetes and/ or any allergy to sulfa drugs. Any one who is allergic to irbesartan or hydrochlorothiazide (Carozide, Diaqua, Ezide HCTZ, HydroDiuril, Microzide and others) or is unable to urinate should not use this prescription drug. If you are taking Avalide (Irbesartan/HCTZ) tell your physician beforehand if you need to undergo any surgery. Avoid becoming overheated or dehydrated during exercise and in hot weather by following your physician’s instructions about the type and amount of liquids you should drink. In some cases, drinking too much liquid can be as unsafe as not drinking enough. As this medication may make you dizzy, exercise caution while engaging in activities requiring alertness, such as driving or using machinery. To minimize dizziness and lightheadedness, get up slowly when rising from a seated or lying position. Also limit your consumption of alcoholic beverages if you are taking this medication, as it can lower your blood pressure and may increase some of the side effects of hydrochlorothiazide and irbesartan. Contact your physician immediately if you experience muscle pain, tenderness or weakness, especially if you also have fever, nausea or vomiting and dark colored urine. Pregnant women should use this generic drug only when it is absolutely necessary during the first three months of pregnancy, while the medication is not recommended for use during the last six months of the pregnancy due to the risk for fetal harm. It is important for pregnant women to discuss the risks and benefits with their physician before using this medication. As hydrochlorothiazide passes into breast milk, breast-feeding is not recommended due to the potential harm to the nursing infant.

Avalide (Irbesartan/HCTZ) Interactions Avalide (Irbesartan/HCTZ) from Canadian pharmacy interacts with certain medical conditions and medications and, hence, this prescription drug should be used cautiously and exactly as prescribed by your physician. Before taking this generic drug, tell your physician about all the prescription drugs and over-the-counter/ herbal products being used by you, especially amiloride, antidiabetic drugs, such as insulin, glipizide, cholestyramine, colestipol, corticosteroids like prednisone, diazoxide, digoxin, drugs that can increase dizziness, such as phenobarbital, narcotic analgesics, drugs that are affected by the acid level in the urine, such as amphetamine, methenamine, quinidine, lithium, non-steroidal anti-inflammatory drugs, such as ibuprofen, indomethacin, potassium supplements like potassium chloride or salt substitutes and/ or probenecid. Avalide (Irbesartan/HCTZ) should not be used with cisapride and/ or dofetilide, as this may result in very serious interactions. Interactions may also occur between this prescription drug and any of the following: non-steroidal anti-inflammatory drugs (NSAIDs), hawthorn, lithium, other diuretics (water pills), potassium pills or potassium supplements. Also check the labels on all your medicines, such as cough-and-cold products and/ or diet aids, as they may contain ingredients that could increase your heart rate or blood pressure. Ask your pharmacist about the safe use of those products and never start or stop any medicine without doctor or pharmacist approval.

Page 1 of 1