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Azilsartan - an angiotensin receptor blocker

Edarbi

Take azilsartan once each day. You can take the tablets either before or after a meal.

Any side-effects are usually mild. They include feeling dizzy and having diarrhoea.

Keep your regular appointments with your doctor to have your blood pressure measured.

Some painkillers can interfere with azilsartan and increase the risk of side-effects, so ask a pharmacist for advice before you buy any medicines 'over the counter'.

At a glance

  • Azilsartan is a medicine used to treat high blood pressure.

  • It works by relaxing and widening your blood vessels, which lowers blood pressure.

  • Take one tablet daily, ideally at the same time each day.

  • Remember to attend regular doctor's appointments to monitor your progress.

  • Common side-effects include dizziness and diarrhoea.

  • Tell your doctor if you are pregnant, breastfeeding, or have kidney, heart, or liver problems.

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About azilsartan

Type of medicine

An angiotensin-II receptor antagonist

Used for

High blood pressure

Also called

Edarbi®

Available as

Tablets

Azilsartan is an angiotensin receptor blocker. It is also called an angiotensin-II receptor antagonist, or an AIIRA. You will have been prescribed azilsartan because your blood pressure is too high (hypertension). People with high blood pressure often do not feel unwell but, if left untreated, high blood pressure can harm the heart and damage blood vessels.

Azilsartan works by blocking the effect of a substance in your body called angiotensin II. Angiotensin II causes your blood vessels to narrow, so by blocking its effect, azilsartan allows your blood vessels to relax and widen. As this happens, the pressure within your blood vessels is reduced.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking azilsartan it is important that your doctor knows:

  • If you are pregnant or breastfeeding.

  • If you have a problem with your kidneys, particularly if it is a blockage of the artery which supplies blood to your kidneys.

  • If you have any problems with your heart valves or heart muscle.

  • If you have a problem with the way your liver works.

  • If you are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, as well as herbal and complementary medicines.

  • If you have ever had an allergic reaction to a medicine, or if you have had any other type of allergic reaction.

Continue reading below

  • Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about azilsartan and will provide you with a full list of the side-effects which you may experience from taking it.

  • Take azilsartan once each day, exactly as your doctor tells you to. There are several different strengths of tablet available (20 mg, 40 mg and 80 mg). When you first start treatment your doctor may gradually increase the strength of the tablets to suit your condition. Each time you collect a fresh supply of tablets, it's a good idea to check the strength on the packet to make sure they are what you are expecting.

  • Try to take azilsartan at the same time of day each day. For most people this will be in the morning. Taking your doses at the same time each day will help you to remember to take azilsartan regularly.

  • Swallow the tablet with a drink of water. You can take azilsartan either before or after a meal.

  • If you forget to take a dose, take it as soon as you remember. If you do not remember until the following day, miss out the forgotten dose. Do not take two doses at the same time to make up for a forgotten dose.

  • Try to keep your regular appointments with your doctor. This is so your progress can be monitored and your blood pressure measured. Your doctor may want you to have some blood tests from time to time to check on your kidneys, and also how much potassium is in your blood.

  • If you buy any medicines, check with a pharmacist that they are suitable to take with azilsartan. This is because some anti-inflammatory painkillers (such as aspirin and ibuprofen) can interfere with the way it works, and also may increase the risk of side-effects.

  • It is very important that you follow any dietary and lifestyle advice that you may have been given by your doctor, such as eating a healthy diet, not smoking, and taking regular exercise.

  • If you drink alcohol, ask your doctor for advice. Your doctor may recommend that you do not drink alcohol while you are on azilsartan because it will increase the risk of side-effects, such as feeling dizzy or faint.

  • Try to avoid salt substitutes which contain potassium. This is because the substitutes will increase the amount of potassium in your blood and this can cause problems.

  • If you are having an operation or dental treatment, tell the person carrying out the treatment that you are taking azilsartan. This is because your blood pressure may drop too low if you are given certain anaesthetics.

  • Treatment with azilsartan is usually long-term unless you experience an adverse effect. Continue to take the tablets regularly, unless you are advised otherwise by your doctor.

Continue reading below

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with azilsartan. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Common azilsartan side-effects (these affect fewer than 1 in 10 people)

What can I do if I experience this?

Feeling dizzy, particularly when you stand up

Getting up and moving more slowly should help. If you begin to feel dizzy, sit for a few minutes before you stand up again

Diarrhoea

Drink plenty of water to replace lost fluids

Changes to the results of some blood tests

Your doctor will check for this from time to time

If you experience any other symptoms which you think may be due to the tablets, speak with your doctor or pharmacist for further advice.

  • Keep all medicines out of the reach and sight of children.

  • Store in the original container in a cool, dry place, away from direct heat and light.

Important information about all medicines

Never take more than the prescribed dose. If you suspect that you or someone else might have taken an overdose of this medicine, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty.

This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.

Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.

If you have any questions about this medicine ask your pharmacist.

Report side effects to a medicine or vaccine

If you experience side effects, you can report them online through the Yellow Card website.

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Check for possible interactions between medicines, supplements and foods before taking them together.

Frequently asked questions

What is azilsartan and how does it help with high blood pressure?

Azilsartan is a type of medicine called an angiotensin receptor blocker (ARBs). It works by blocking a substance in your body called angiotensin II, which normally causes blood vessels to narrow. By blocking this, azilsartan allows your blood vessels to relax and widen, which reduces the pressure inside them and lowers your blood pressure.

What should I do if I forget to take my azilsartan tablet?

If you forget a dose, take it as soon as you remember. However, if you don't remember until the next day, you should skip the missed dose. Do not take two doses at the same time to make up for a forgotten dose.

Are there any foods or drinks I should avoid while taking azilsartan?

Yes, you should try to avoid salt substitutes that contain potassium, as these can increase the amount of potassium in your blood which may cause problems. If you drink alcohol, ask your doctor for advice, as it can increase the risk of side-effects like dizziness or fainting.

How long will I need to take azilsartan?

Treatment with azilsartan is usually long-term. You should continue to take the tablets regularly unless your doctor advises you otherwise.

Can I take other medicines, including over-the-counter ones, with azilsartan?

It's important to tell your doctor about all other medicines you are taking, including those bought without a prescription, as well as herbal and complementary medicines. When buying any new medicines, always check with a pharmacist to ensure they are suitable to take with azilsartan, especially some anti-inflammatory painkillers like aspirin and ibuprofen, which can interfere with it or increase side-effects.

Further reading and references

Continue reading below

About the authorView full bio

Author image

Michael Stewart, MRPharmS

Medicine Leaflet Review Manager – Contractor, Pharmacist

BPharm (Hons), MRPharmS

Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.

About the reviewer

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Sid Dajani

Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.

Article history

The information on this page is written and peer reviewed by qualified clinicians.

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