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What Is Hydrochlorothiazide and Valsartan?

Hydrochlorothiazide and valsartan is a prescription fixed-dose combination used to treat hypertension. Valsartan is an angiotensin II receptor blocker and hydrochlorothiazide is a thiazide diuretic. Current tablet strengths include 80 mg/12.5 mg, 160 mg/12.5 mg, 160 mg/25 mg, 320 mg/12.5 mg, and 320 mg/25 mg.

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What Is Hydrochlorothiazide and Valsartan?

Hydrochlorothiazide and valsartan is a prescription fixed-dose combination used to treat hypertension. Valsartan is an angiotensin II receptor blocker and hydrochlorothiazide is a thiazide diuretic. Current tablet strengths include 80 mg/12.5 mg, 160 mg/12.5 mg, 160 mg/25 mg, 320 mg/12.5 mg, and 320 mg/25 mg.

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How Do Valsartan and Hydrochlorothiazide Work Together?

Valsartan blocks angiotensin II at the AT1 receptor and reduces vasoconstriction and aldosterone-related effects. Hydrochlorothiazide reduces sodium and chloride reabsorption in the distal renal tubule and increases urinary sodium and water excretion. Their actions lower blood pressure through different pathways.

Who Is Treated With Hydrochlorothiazide and Valsartan?

The combination treats adults with hypertension whose blood pressure is not adequately controlled with either component alone. It can also be used as initial therapy when treatment with more than one antihypertensive medicine is appropriate. It is not recommended as initial therapy in patients with intravascular volume depletion.

How Is Hydrochlorothiazide and Valsartan Dosed?

The usual starting dose is 160 mg valsartan with 12.5 mg hydrochlorothiazide once daily. The dose can increase after one to two weeks to a maximum of 320 mg/25 mg once daily when further blood pressure reduction is needed. Maximum antihypertensive effects develop within two to four weeks after a dose change.

What Serious Risks Are Linked to Hydrochlorothiazide and Valsartan?

The combination carries a boxed warning for fetal toxicity and is stopped when pregnancy is detected. Other concerns include low blood pressure, impaired kidney function, potassium and other electrolyte abnormalities, acute angle-closure glaucoma, high uric acid, and hypersensitivity. Aliskiren use is contraindicated in patients with diabetes.

Frequently Asked Questions About Hydrochlorothiazide and Valsartan

What condition does hydrochlorothiazide and valsartan treat?

The combination treats hypertension in adults.

What is the usual starting dose?

The usual starting dose is 160 mg valsartan with 12.5 mg hydrochlorothiazide once daily.

What is the maximum labeled dose?

The maximum labeled dose is 320 mg valsartan with 25 mg hydrochlorothiazide once daily.

Does this combination have a boxed warning?

Yes. The boxed warning concerns fetal toxicity.

References

Angiotensin Receptor Blockers and HCTZ Combination Drugs. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK606100/. Date Accessed October 1, 2026.

DailyMed - DIOVAN HCT (valsartan and hydrochlorothiazide) tablet, film coated. https://www.dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d76a0419-05ee-437e-884c-65807aea9569. Date Accessed October 1, 2026.

DailyMed - VALSARTAN AND HYDROCHLOROTHIAZIDE tablet, film coated. https://www.dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5ba10848-9a4c-1a28-e063-6394a90ab047. Date Accessed October 1, 2026.

Hydrochlorothiazide; Valsartan. PubChem. https://pubchem.ncbi.nlm.nih.gov/compound/9810581. Date Accessed October 1, 2026.

Valsartan and Hydrochlorothiazide. MedlinePlus. https://medlineplus.gov/druginfo/meds/a611032.html. Date Accessed October 1, 2026.