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Uperio (Sacubitril and Valsartan) | 100mg 28 Film Coated Tablets

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Uperio (Sacubitril and Valsartan) | 100mg 28 Film Coated Tablets is a dual-action heart failure medication combining a neprilysin inhibitor (sacubitril) and an angiotensin II receptor blocker (valsartan) in each 100 mg tablet (49 mg sacubitril + 51 mg valsartan), specifically designed for adults with symptomatic heart failure and reduced ejection fraction (NYHA II–IV).

Product Specifications of Uperio (Sacubitril and Valsartan) | 100mg 28 Film Coated Tablets:

Feature Details
Active Ingredients Sacubitril 49 mg + Valsartan 51 mg per tablet (total 100 mg).
Dosage Form Film-coated tablet (pale yellow, oval, debossed).
Pack Size 28 tablets
Administration Oral; swallow with water, with or without food.
Storage Room temperature, protect from moisture and light.
Manufacturer Novartis (Italy, approved by NAFDAC July 2023).

Clinical Benefits:

  1. Significantly reduces risk of cardiovascular death and first/recurrent hospitalisations due to heart failure.
  2. Superior to enalapril in improving outcomes in PARADIGM-HF trial.
  3. Promotes natriuresis and lowers NT-proBNP—key markers for heart failure management.

Usage & Dosage:

  • Initiation: 100 mg twice daily for patients transitioning from ACE inhibitors/ARBs, or not currently on ACE/ARB.

  • Titration: Increase every 2–4 weeks to a target dose of 200 mg twice daily, as tolerated.

  • Special Populations:

    • Renal impairment (eGFR 30–60) or mild hepatic dysfunction: start at 50 mg twice daily.

    • Contraindicated: Severe renal/hepatic impairment, pregnancy, ACE inhibitor overlap (36-hour washout).

Contraindications & Warnings:

  1. Do not use with concurrent ACE inhibitors (due to angioedema risk); maintain a 36‑hour washout period.
  2. Avoid in pregnancy, hereditary/idiopathic angioedema, severe hepatic impairment, concomitant aliskiren in diabetics/CKD.
  3. Monitor for hypotension, hyperkalemia, renal function decline, and rare angioedema—especially in Black patients.

Common Side Effects:

  1. Low blood pressure, hyperkalemia, cough, dizziness, and renal impairment (>1%).
  2. Rare but serious: angioedema, nephrotoxicity

Prescription Medication, ARNi, Heart Failure, HFrEF, Sacubitril/Valsartan, Novartis, Cardiovascular Therapy

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