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irbesartan

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Brand names: Avapro

Angiotensin II Receptor Blocker (ARB) Rx

Irbesartan is a medicine that lowers blood pressure. It belongs to a class of drugs called angiotensin II receptor blockers (ARBs).

Drug Pricing (NADAC)

Brand Price

$7.35/unit

Generic Price

$0.11/unit

Generic Savings

99%

Generic Available

Yes (21 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

Irbesartan is used to treat high blood pressure (hypertension).

Common side effects

Diarrhea, Heartburn, Tiredness

Key warnings

Irbesartan can harm your unborn baby.

How It Works

Irbesartan blocks a substance in your body that tightens blood vessels. This helps blood vessels relax and widens them, which lowers blood pressure. It also helps protect the kidneys in people with diabetes.

How to Take It

Take irbesartan once a day, as prescribed by your doctor. You can take it with or without food. The usual starting dose for high blood pressure is 150 mg daily, which may be increased to 300 mg. For diabetic kidney disease, the usual dose is 300 mg daily.

Pregnancy & Breastfeeding

Irbesartan can cause serious harm or death to an unborn baby. Do not take this medicine if you are pregnant. Talk to your doctor if you are breastfeeding, as this medication may not be safe for your baby.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is close to your next dose, skip the missed dose and continue with your regular schedule.

Storage

Store irbesartan tablets at room temperature (68°F to 77°F).

Side Effects (from patient reports)

Based on 20,779 FDA adverse event reports.

Tiredness
2,461
Feeling sick to your stomach
2,421
Loose or watery stools
2,261
Medicine not working
2,134
Sudden kidney damage
2,054
Feeling lightheaded or unsteady
1,983
Shortness of breath
1,983
Accidental fall
1,928
Pain in your head
1,871
Weakness
1,683

FDA Adverse Event Report Analysis

Detailed analysis of 43,004 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2001–2025.

Total Reports

43,004

Death-Related Reports

3,218

Hospitalization Reports

18,387

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 22,574 (57%)
Male 16,925 (43%)

Age Distribution

0–17 175
18–44 1,439
45–64 9,213
65–74 9,650
75+ 10,744

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 FATIGUE 2,460
2 NAUSEA 2,420
3 DIARRHOEA 2,261
4 DRUG INEFFECTIVE 2,136
5 ACUTE KIDNEY INJURY 2,054
6 DIZZINESS 1,985
7 DYSPNOEA 1,981
8 FALL 1,927
9 HEADACHE 1,871
10 ASTHENIA 1,683
11 OFF LABEL USE 1,648
12 MALAISE 1,592
13 PAIN 1,513
14 VOMITING 1,496
15 BLOOD PRESSURE INCREASED 1,479

Reactions in Death Reports

DEATH 786
ACUTE KIDNEY INJURY 209
DIARRHOEA 172
PNEUMONIA 165
RENAL FAILURE 155
OFF LABEL USE 152
CARDIAC ARREST 147
MYOCARDIAL INFARCTION 136
DYSPNOEA 135
FALL 127

Reactions in Hospitalization Reports

ACUTE KIDNEY INJURY 1,540
FALL 1,383
NAUSEA 1,147
DIARRHOEA 1,067
DYSPNOEA 995
VOMITING 984
ASTHENIA 970
FATIGUE 947
HYPOTENSION 944
MALAISE 819

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Irbesartan can harm your unborn baby. If you are pregnant or plan to become pregnant, tell your doctor right away. Stop taking irbesartan as soon as you know you are pregnant.

Known Drug Interactions

7.4 Dual Blockade of the Renin-Angiotensin System (RAS) Dual blockade of the RAS with angiotensin receptor blockers, ACE inhibitors, or aliskiren is associated with increased risks of hypotension, hyperkalemia, and changes in renal function (including acute renal failure) compared to monotherapy. Do not coadminister aliskiren with irbesartan tablets in patients with diabetes. Avoid use of aliskiren with irbesartan tablets in patients with renal impairment (GFR <60 mL/min).

Mechanism: These drugs both work on the same system in the body, which can lead to dangerously low blood pressure or kidney failure.

What to do: Avoid this combination if you have diabetes or kidney problems, and have your doctor check your kidney function regularly.

moderate lithium

7 DRUG INTERACTIONS Lithium: Risk of lithium toxicity. 7.2 Lithium Increases in serum lithium concentrations and lithium toxicity have been reported with concomitant use of irbesartan and lithium. Monitor lithium levels in patients receiving irbesartan and lithium.

Mechanism: Irbesartan can make it harder for your kidneys to remove lithium from your body, which causes lithium levels to rise. This increase can lead to dangerous side effects or toxicity.

What to do: Your doctor should monitor your lithium blood levels closely while you are taking both medications.

Common Questions

Can I take irbesartan with other blood pressure medicines?
Yes, irbesartan can be taken with other blood pressure medicines.
Can I drink alcohol while taking irbesartan?
Talk to your doctor about drinking alcohol while taking irbesartan, as it may lower your blood pressure too much.
What should I do if I feel dizzy after taking irbesartan?
If you feel dizzy, sit or lie down until the dizziness passes. Talk to your doctor if dizziness continues.
Does irbesartan have any effect on my kidneys?
Irbesartan can affect kidney function. Your doctor will monitor your kidneys while you take this medicine.
Can I take irbesartan if I have diabetes?
Yes, irbesartan is used to treat kidney problems caused by diabetes.
Will irbesartan cure my high blood pressure?
Irbesartan helps control high blood pressure, but it is usually not a cure. You may need to take it long-term.
Are there any foods I should avoid while taking irbesartan?
Talk to your doctor about your diet. You may need to limit your intake of salt or potassium.
Can I stop taking irbesartan if my blood pressure is normal?
Do not stop taking irbesartan without talking to your doctor first. Your blood pressure may increase if you stop suddenly.
Does irbesartan interact with any other medications?
Yes, irbesartan can interact with other medications. Tell your doctor about all the medicines you take.
How long does it take for irbesartan to lower my blood pressure?
It may take a few weeks for irbesartan to fully lower your blood pressure.
What are the common side effects of irbesartan?
The most commonly reported side effects of irbesartan include Diarrhea, Heartburn, Tiredness, Increased potassium levels, Dizziness. Based on 20,779 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does irbesartan interact with other medications?
Yes, irbesartan has 2 known drug interactions. Notable interactions include aliskiren, lithium. Always inform your doctor about all medications you are taking.
What drug class is irbesartan?
irbesartan belongs to the Angiotensin II Receptor Blocker (ARB) drug class. It requires a prescription (Rx). Irbesartan is used to treat high blood pressure (hypertension).
Is there a generic version of irbesartan?
Yes, generic irbesartan is available from 21 manufacturers. The generic costs $0.11 per unit compared to $7.35 for the brand version, saving approximately 99%. Pricing is based on NADAC (National Average Drug Acquisition Cost) data from CMS.
Is irbesartan safe during pregnancy?
Irbesartan can cause serious harm or death to an unborn baby. Do not take this medicine if you are pregnant. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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What the FDA Data Shows for irbesartan

The FDA label for irbesartan (sold under brand names such as Avapro) classifies it as a prescription-only medication in the Angiotensin II Receptor Blocker (ARB) class. Irbesartan is used to treat high blood pressure (hypertension). Official labeling lists 7 commonly reported side effects, including Diarrhea, Heartburn, Tiredness.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 20,779 voluntary reports. The database also lists 2 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated major severity. NADAC pricing from CMS shows a generic unit cost of $0.11 versus $7.35 for the brand — a 99% generic savings.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: January 27, 2026

All federal data sources used on this page