Neprilysin inhibitor / Angiotensin receptor blocker

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Sacubitril/valsartan [Entresto™]

Sacubitril/valsartan [Entresto™] is a medication used in the treatment of certain forms of heart failure.

This combination includes two complementary mechanisms of action:

  • sacubitril, which helps preserve certain substances beneficial to the heart and circulation
  • valsartan, an angiotensin receptor blocker (ARB), which helps reduce the workload on the heart and blood vessels

 

This treatment is generally used as a replacement for an angiotensin-converting enzyme inhibitor (ACE inhibitor) or an ARB in patients who meet specific criteria, particularly when symptoms of heart failure persist despite already optimized therapy.

Studies have shown that this medication may:

  • improve symptoms
  • reduce hospitalizations related to heart failure
  • lower the risk of cardiovascular complications in certain patients

 

Entresto™ is usually taken twice daily.

Possible side effects

The most commonly reported side effects include:

  • dizziness
  • low blood pressure
  • fatigue or weakness

 

A cough may also occur in some individuals.

As with many medications used in heart failure, blood tests may be required to monitor:

  • kidney function
  • potassium levels
  • response to treatment

 

In some patients, a significant drop in blood pressure may require an adjustment of the dosage or of other associated medications.