Mymarda 50 Tablets

• If you are allergic to sacubitril, valsartan or any other ingredients of Mymarda Tablet.
• If you have diabetes or kidney disease and taking aliskiren containing blood pressure-lowering medicine.
• If you have severe liver disease.
• If you are pregnant and pregnancy is of more than 3 months.
• If you are taking any medicines from the angiotensin-converting enzyme (ACE) inhibitor group of medicine used for the treatment of high blood pressure or heart failure, you should wait for at least 36 hours after taking the last dose, before taking Mymarda Tablet.
• If you or any member in your family has a history of swelling of lips, face, tongue, throat after taking any medicine from the ACE inhibitor group of medicine or angiotensin II receptor blocker group of medicine.

• Dizziness
• Light-headedness
• Nausea
• Headache
• Fainting
• Loose motions
• Cough
• Tiredness or weakness
• Pain in stomach
• Spinning sensation

Other General Warnings

• You are taking medicines such as aliskiren and any medicine from the angiotensin II receptor blocker group of medicine.
• You have swelling of lips, face, tongue, throat after taking this medicine.
• You have low blood pressure or taking any other medicine to lower blood pressure.
• You have vomiting, loose motions or has dehydration and your age is more than 65 years.
• You have kidney disease and low blood pressure.
• You have severe kidney disease or liver disease.
• Your kidney artery has been narrowed.

• Take this medicine with or without food as prescribed by your doctor.
• Do not stop taking Mymarda Tablet on your own.
• Take it regularly at the same time for optimal results.

• Store Mymarda Tablet at room temperature and away from light.
• Keep away from children and pets. Store this medicine in the original package to protect it from moisture.

Overdose

Missed a Dose

How Does It Work?

• Sacubitril lowers blood pressure by causing blood vessel relaxation, excretion of sodium through urine and increasing urination.
• Valsartan works by relaxation of blood vessels so that the heart pumps blood more easily through blood vessels to the body.

Interactions with other medicines

• Concomitant use of Mymarda Tablet and other medicines from the angiotensin-converting enzyme inhibitor group of medicine cause an increased risk of swelling of lips, face, tongue, throat.
• Concomitant use of Mymarda Tablet and aliskiren cause low blood pressure, high blood potassium level, decrease in kidney function.
• Concomitant use of Mymarda Tablet with sildenafil cause further decrease in blood pressure.
• Concomitant use of Mymarda Tablet with other medicines such as triamterene, amiloride, spironolactone, eplerenone, potassium supplements, potassium-containing salt substitutes or heparin cause an increase in blood potassium level.
• Concomitant use of Mymarda Tablet with other medicine from NSAID group of medicine (painkillers) in an elderly patient having dehydration or kidney disease cause further worsening of kidney function.
• Discuss with your doctor any other medicine, herbal preparation, and supplements you are taking currently to avoid any possible drug interactions.