REMINDER: A doctor’s prescription is required to purchase this product. To avoid delay in delivery or cancellation of your order (before the item is SHIPPED), please email a copy of your prescription (.jpeg or .pdf file format) to OnlinePharmacy@smwatsons.comwith your order number after Checkout. Our pharmacist will also get in touch with you to validate your prescription. Please be ready to show your original prescription upon claiming/delivery of your order.
Adjunct treatment of volume overload in heart failure when adequate response is not obtained with other diuretics (loop diuretics). Treatment of clinically significant hypervolemic & euvolemic hyponatremia (serum Na <125 mEq/L or less marked hyponatremia that is symptomatic & has resisted correction with fluid restriction) including patients with syndrome of inappropriate antidiuretic hormone secretion & heart failure.
*This product is VAT-exempt. Price displayed is without VAT.
May decrease plasma levels with fluconazole and rifampicin. May increase serum lithium levels and toxicity. May antagonise hypotensive effect and increase risk of renal impairment with NSAIDs. Increased risk of hyperkalaemia with K-sparing diuretics (e.g. amiloride, triamterene, spironolactone), K supplements or K-containing salt substitutes.
Special Precautions: Risk of osmotic demyelination syndrome; hypernatremia; liver injury; GI bleeding (in patients with cirrhosis); dehydration and hypovolemia; hyperkalemia. Monitor/assess serum Na conc and K levels; neurologic status; fluid intake, urine vol and occurrence of clinical symptoms eg, thirst and dehydration. Perform blood testing for hepatic transaminases and bilirubin; liver function test prior to initiation for short-term use (frequently at least for the 1st 2 wk) and long-term use [continuing 18 mth and at regular (eg, 3-6 mth) intervals thereafter]. Concomitant use with hypertonic saline. Pregnancy and lactation. Childn.
Each tablet contains 15mg of Tolvaptan
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