Sacubitril (24mg), Valsartan (26mg)````

Dec 01, 2023

Heart failure is a chronic and progressive condition that affects millions of people worldwide, including a rapidly growing population in India. It occurs when the heart is unable to pump blood efficiently to meet the body’s needs, leading to symptoms such as breathlessness, fatigue, swelling of legs, and reduced exercise tolerance. If not managed effectively, heart failure can significantly impair quality of life and increase the risk of hospitalization and mortality.

SACUBRIGHT 50 is a modern cardiovascular medicine containing a fixed-dose combination of Sacubitril (24 mg) and Valsartan (26 mg). This combination belongs to a class of medicines known as Angiotensin Receptor–Neprilysin Inhibitors (ARNIs), which have revolutionized the treatment of chronic heart failure with reduced ejection fraction (HFrEF).

Sacubitril works by inhibiting neprilysin, an enzyme responsible for the breakdown of beneficial natriuretic peptides. These peptides help relax blood vessels, reduce sodium retention, and decrease strain on the heart. Valsartan, an angiotensin II receptor blocker (ARB), helps lower blood pressure, reduce vascular resistance, and prevent harmful effects of angiotensin II on the heart.

Together, the dual action of Sacubitril and Valsartan in SACUBRIGHT 50 improves heart function, reduces hospitalization rates, and enhances survival in patients with chronic heart failure. This evidence-based therapy represents a significant advancement in comprehensive cardiac care.

Sacubitril And Valsartan tablets of Uses

Sacubitril And Valsartan tablets is primarily prescribed for the treatment and long-term management of heart failure.

1. Chronic Heart Failure with Reduced Ejection Fraction (HFrEF)

  • Improves heart pumping efficiency

  • Reduces symptoms such as breathlessness and fatigue

  • Lowers risk of hospitalization and death

2. Hypertension in Heart Failure Patients

  • Helps control blood pressure

  • Reduces strain on the heart and blood vessels

3. Prevention of Disease Progression

  • Slows worsening of heart failure

  • Protects heart structure and function over time

4. Post-Heart Attack Heart Dysfunction

  • Supports cardiac remodeling

  • Improves long-term cardiac outcomes

5. Replacement for ACE Inhibitors or ARBs

  • Often prescribed as an alternative to ACE inhibitors in suitable patients

  • Offers superior outcomes compared to conventional therapy

Sacubitril And Valsartan tablets of Benefits 

1. Dual Mechanism for Superior Heart Protection

Sacubitril And Valsartan tablets combines neprilysin inhibition with angiotensin receptor blockade, providing comprehensive neurohormonal control in heart failure.

2. Reduces Risk of Hospitalization

Clinical studies have shown that Sacubitril–Valsartan significantly lowers heart failure-related hospital admissions.

3. Improves Survival Rates

Regular use reduces the risk of cardiovascular death compared to standard ACE inhibitor therapy.

4. Enhances Quality of Life

Patients often experience improved exercise tolerance, reduced breathlessness, and better daily functioning.

5. Promotes Favorable Cardiac Remodeling

Helps prevent enlargement and weakening of the heart muscle, preserving long-term cardiac function.

6. Controls Fluid Retention

By enhancing natriuretic peptide activity, SACUBRIGHT 50 helps reduce fluid buildup, decreasing swelling and lung congestion.

7. Well-Established Clinical Evidence

The Sacubitril–Valsartan combination is globally recommended in heart failure treatment guidelines.

Sacubitril And Valsartan tablets of Dosage

The dosage of SACUBRIGHT 50 should always be individualized and prescribed by a cardiologist based on the patient’s clinical condition.

Recommended Dosage

  • Adults: One tablet of SACUBRIGHT 50 (Sacubitril 24 mg + Valsartan 26 mg) twice daily

  • Dose may be gradually increased based on tolerance and response

How to Take

  • Swallow the tablet whole with water

  • Can be taken with or without food

  • Take at the same time every day for consistent results

Initiation of Therapy

  • A washout period of at least 36 hours is required if switching from an ACE inhibitor

  • Blood pressure, kidney function, and potassium levels should be assessed before initiation

Missed Dose

  • Take as soon as remembered

  • If it is close to the next dose, skip the missed dose

  • Do not double the dose

Sacubitril And Valsartan tablets of Side Effects

Like all cardiovascular medicines, SACUBRIGHT 50 may cause side effects, though not everyone experiences them.

Common Side Effects

  • Low blood pressure (hypotension)

  • Dizziness or lightheadedness

  • Fatigue

  • Cough

Less Common Side Effects

  • Increased potassium levels

  • Reduced kidney function

  • Nausea or diarrhea

Rare but Serious Side Effects

  • Angioedema (swelling of face, lips, or throat)

  • Severe kidney impairment

  • Allergic reactions

When to Seek Medical Attention

  • Sudden swelling of face or throat

  • Severe dizziness or fainting

  • Significant decrease in urine output

Warnings

  • Do not use in patients with a history of angioedema related to ACE inhibitors or ARBs

  • Contraindicated during pregnancy due to risk of fetal harm

  • Use with caution in patients with kidney or liver disease

  • Regular monitoring of blood pressure, kidney function, and potassium levels is essential

  • Not recommended for use with ACE inhibitors without appropriate washout

Conclusion

SACUBRIGHT 50, containing Sacubitril 24 mg and Valsartan 26 mg, represents a significant advancement in the medical management of chronic heart failure. With its dual mechanism of action, it not only relieves symptoms but also addresses the underlying disease pathways responsible for heart failure progression.

By reducing hospitalizations, improving survival, and enhancing quality of life, SACUBRIGHT 50 has become a cornerstone therapy in modern cardiology. When used consistently under medical supervision, it offers patients a safer, more effective approach to long-term heart failure management.

Precautions (F&Q)

Q1. Can SACUBRIGHT 50 be taken long term?

Yes, it is intended for long-term management of chronic heart failure under medical supervision.

Q2. Is SACUBRIGHT 50 better than ACE inhibitors?

In many patients with HFrEF, Sacubitril–Valsartan has shown better outcomes compared to ACE inhibitors.

Q3. Can diabetic patients take this medicine?

Yes, but kidney function and blood pressure should be monitored regularly.

Q4. Is SACUBRIGHT 50 safe for elderly patients?

Yes, but lower starting doses and close monitoring may be required.

Q5. Can it be taken with diuretics?

Yes, it is commonly prescribed along with diuretics, beta-blockers, and other heart failure medications.

Q6. Does it cure heart failure?

No, it does not cure heart failure but helps control symptoms, slow progression, and improve survival.

Q7. Can alcohol be consumed during treatment?

Alcohol may increase the risk of low blood pressure and should be limited or avoided.

 

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