TOLVAMAC 15 TABLET 4'S
₹570.6*
MRP ₹634
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MRP ₹634
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TOLVAMAC 15 TABLET 4'S belongs to a group of medicines called vasopressin V2 receptor antagonist used to treat hyponatremia (low levels of sodium) in patients with heart failure, liver disease and hormonal imbalances such as Syndrome of Inappropriate Antidiuretic Hormone (SIADH). Additionally, TOLVAMAC 15 TABLET 4'S is also used to treat autosomal dominant polycystic kidney disease (ADPKD).
TOLVAMAC 15 TABLET 4'S contains ‘tolvaptan’ that works by blocking the effect of vasopressin, resulting in decreased water reabsorption, a net increase in free water excretion (aquaresis) and an increase in serum sodium concentrations. This decrease in free water is not associated with an increased excretion of sodium or potassium ions, the increase in serum sodium concentration is solely a result of increased urine production
You are advised to take TOLVAMAC 15 TABLET 4'S for as long as your doctor has prescribed it for you depending on your medical condition. In some cases, you may experience certain common side-effects such as dizziness, headache, dry mouth, fatigue, diarrhoea, thirst and increased urge to urinate. Most of these side-effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side-effects persistently.
Do not take TOLVAMAC 15 TABLET 4'S if you are pregnant as it may cause foetal harm. Consult your doctor before taking TOLVAMAC 15 TABLET 4'S if you are breastfeeding. TOLVAMAC 15 TABLET 4'S is not recommended for children below 18 years as the efficacy and safety have not been established. TOLVAMAC 15 TABLET 4'S may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Inform your doctor about all the medicines you are taking and about your health condition to rule out any unpleasant side-effects.
TOLVAMAC 15 TABLET 4'S belongs to a group of medicines called vasopressin V2 receptor antagonist. TOLVAMAC 15 TABLET 4'S is used to treat hyponatremia (low levels of sodium) in patients with heart failure, liver disease and hormonal imbalances such as Syndrome of Inappropriate Antidiuretic Hormone (SIADH). Besides this, TOLVAMAC 15 TABLET 4'S is also used to treat autosomal dominant polycystic kidney disease (ADPKD). TOLVAMAC 15 TABLET 4'S works by blocking the effect of vasopressin, a hormone which is involved in the formation of cysts in ADPKD patients. By blocking the effect of vasopressin, TOLVAMAC 15 TABLET 4'S slows down the development of cysts in kidneys and reduces the symptoms of the disease. TOLVAMAC 15 TABLET 4'S antagonises the effect of vasopressin, this results in an increase in free water clearance and decreases urine osmolality due to increased urinary excretion, thereby increases serum sodium concentrations.
Do not take TOLVAMAC 15 TABLET 4'S if you are allergic to any of its contents, if you have raised liver enzymes in the blood, very low blood volume, if there is no urine production, if you cannot tell that you are thirsty. Inform your doctor if you have liver disease, difficulty in urination, diabetes, high levels of uric acid, advanced kidney disease or if you have to restrict fluid intake due to certain medical conditions. Do not take TOLVAMAC 15 TABLET 4'S if you are pregnant as it may cause foetal harm. Consult your doctor before taking TOLVAMAC 15 TABLET 4'S if you are breastfeeding. TOLVAMAC 15 TABLET 4'S is not recommended for children below 18 years as efficacy and safety have not been established. TOLVAMAC 15 TABLET 4'S may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness.
Drug-Drug Interaction: TOLVAMAC 15 TABLET 4'S may interact with antibiotic (clarithromycin, telithromycin, sulfamethoxazole, trimethoprim), anti-fungal (ketoconazole, itraconazole), anti-HIV (ritonavir, indinavir, nelfinavir, saquinavir), antidepressant (nefazodone), aldosterone receptor antagonist (spironolactone), angiotensin receptor inhibitor (valsartan, sacubitril), blood thinner (heparin).
Drug-Food Interaction: Avoid consuming grapefruit juice and St. John’s wort (herbal supplement used to treat depression) while taking TOLVAMAC 15 TABLET 4'S.
Drug-Disease Interaction: Inform your doctor if you have liver disease, difficulty in urination, diabetes, high levels of uric acid or kidney disease.
Hyponatremia: Sodium is an important electrolyte that helps in maintaining water balance in and around the cells. It helps in proper nerve, muscle functioning and maintains stable blood pressure levels. Low levels of sodium in the blood are referred to as hyponatremia. Normal levels of sodium are 135-145 milliequivalance per litre. Hyponatremia occurs when the level is below 135mEq/L. Symptoms include weakness, tiredness, nausea, vomiting, headache, irritability, confusion and muscle spasms.
Autosomal Dominant Polycystic Kidney Disease (ADPKD): It is an inherited disorder in which cysts are developed in the kidney. These cysts are non-cancerous sacs that contain a water-like fluid which puts pressure on the surrounding tissues, leading to reduced kidney function. Symptoms include high blood pressure, swollen abdomen, and back or side pain.
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Alcohol
Unsafe
Avoid consuming alcohol while taking TOLVAMAC 15 TABLET 4'S as it may cause increased dizziness.
Pregnancy
Unsafe
TOLVAMAC 15 TABLET 4'S belongs to pregnancy category C. TOLVAMAC 15 TABLET 4'S is not recommended for use in pregnant women as it may cause foetal harm. Women of childbearing age must use effective contraception while taking TOLVAMAC 15 TABLET 4'S.
Breast Feeding
Unsafe
TOLVAMAC 15 TABLET 4'S is not recommended for use in breastfeeding women. Consult your doctor if you are breastfeeding; your doctor will decide whether TOLVAMAC 15 TABLET 4'S can be taken by breastfeeding mothers or not.
Driving
Caution
TOLVAMAC 15 TABLET 4'S may cause dizziness, weakness and tiredness. Do not drive or operate heavy machinery if you feel dizzy.
Liver
Caution
Dose adjustment may be needed. TOLVAMAC 15 TABLET 4'S should be used with caution in patients with liver impairment/liver disease. Please consult your doctor if you have liver problems or any concerns regarding this.
Kidney
Caution
TOLVAMAC 15 TABLET 4'S should be used with caution in patients with kidney impairment/kidney disease. Please consult your doctor if you have kidney problems or any concerns regarding this.
Children
Unsafe
TOLVAMAC 15 TABLET 4'S is not recommended for children below 18 years as efficacy and safety have not been established.
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