2.	What should I know before I take DILART?
            
         
            
            Do not take if you have ever had an allergic reaction to valsartan or any of the ingredients
               listed at the end of the CMI. 
            
            
               Talk to your doctor if you have any other medical conditions, take any other medicines,
                  or are pregnant or plan to become pregnant or are breastfeeding. 
               
            
            
             
         
            
            
3.	What if I am taking other medicines?
            
         
            
            Some medicines may interfere with DILART and affect how it works. 
            
            
             
         
            
            
4.	How do I take DILART?
            
         
            
            
            For hypertension, the usual dose is one 80 mg tablet once a day. If your blood pressure
               is still too high after 4 weeks, your doctor may increase the dose to 160 mg to 320
               mg once a day. If your blood pressure is still too high, your doctor may add a different
               type of blood pressure lowering medicine.
            
            For heart failure, the usual starting dose is 40 mg twice daily. Your doctor may increase
               the dose gradually up to one 160 mg tablet twice daily.
            
            Following a heart attack, treatment is generally started at a dose of 20 mg (half
               a 40 mg tablet) twice daily. Your doctor may increase the dose gradually up to 160
               mg twice daily
            
            
            
             
         
            
            
5.	What should I know while taking DILART?
            
         
            
            
               
                  
                  
               
               
                  
                     
                     | 
                           Things you should do
                            | Remind any doctor, dentist or pharmacist you visit that you are using DILART. If you become pregnant while taking DILART, tell your doctor immediately. Tell your doctor, if for any reason, you have not taken your medicine exactly as prescribed.] | 
                  
                     | 
                           Things you should not do
                            | Do not take DILART to treat any other complaints unless your doctor says you can. Do not give DILART to anyone else, even if their condition seems to be similar to
                           yours | 
                  
                     | 
                           Driving or using machines
                            | DILART can cause tiredness, sleepiness or dizziness in some people. If you have these
                           symptoms, do not drive or do anything else that could be dangerous. | 
                  
                     | 
                           Looking after your medicine
                            | Keep the tablets in the original packet and foils until it is time to take them. Store the tablets in a cool, dark and dry place at room temperature. | 
               
            
            
            
             
         
            
            
6.	Are there any side effects?
            
         
            
            
               Common side effects: headache, dizziness, tiredness, diarrhoea, constipation or wind, muscle or joint
               pain or tenderness, abdominal pain, nausea, vomiting, dry cough, sore throat, hoarse
               voice, runny or blocked nose, blistering skin, difficulty sleeping, feeling anxious,
               tingling or numbness in the hands or feet, problems with sexual function.
            
            
               Serious side effects: swelling of hands, feet or limbs, feeling of fast or irregular heartbeat, shortness
               of breath, tiredness, chest pain, severe dizziness, liver disease with nausea, vomiting,
               loss of appetite, feeling generally unwell, fever, itching, yellowing of the skin
               and eyes, and dark coloured urine, constant "flu-like" symptoms. 
               
            
            
            
            
             
         
            
            
            
         
            
            
               Active ingredient:
               valsartan
               
            
            
            
            
            
            Full Consumer Medicine Information (CMI)
            
            This leaflet provides important information about taking DILART. You should also speak to your doctor or pharmacist if you would like further information
                  or if you have any concerns or questions about taking DILART.
               
            
            
               Where to find information in this leaflet:
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
             
         
            
            
1.	Why am I taking DILART?
            
         
            
            
               DILART contains the active ingredient valsartan. DILART belongs to a group of medicines called angiotensin II receptor antagonists
               (AIIRAs).
            
            
               DILART is used to control high blood pressure, which is also called hypertension.
               
            
            Everyone has blood pressure. This pressure helps get your blood around your body.
               Your blood pressure may be different at different times of the day, depending on how
               busy or worried you are. You have hypertension when your blood pressure stays higher
               than is needed, even when you are calm and relaxed.
            
            There are usually no symptoms of hypertension. The only way of knowing that you have
               it is to have your blood pressure checked regularly.
            
            High blood pressure increases the workload of the heart and blood vessels. If it continues
               for a long time, it can damage the blood vessels in the brain, heart and kidneys.
               This can lead to stroke, heart failure or kidney failure. High blood pressure increases
               the risk of heart attacks.
            
            Lowering your blood pressure reduces the chance of these disorders happening.
            
            
               DILART is also used to treat heart failure. 
               
            
            DILART helps the heart to function better and relieve some of the symptoms. Heart
               failure is where the heart muscle cannot pump blood strongly enough to supply all
               the blood needed throughout the body. Heart failure is not the same as heart attack
               and does not mean that the heart stops.
            
            
               DILART is also used to treat people after they have had a heart attack to reduce the
                  risk of further heart damage and reduce further heart problems.
               
            
            Ask your doctor if you have any questions about why this medicine has been prescribed
               for you. Your doctor may have prescribed it for another purpose.
             
         
            
            
2.	What should I know before I take DILART?
            
         
            
            
Warnings
            
         
            
            Do not take DILART if:
            
            
            you are allergic to valsartan, or any of the ingredients listed at the end of this
               leaflet.
            
            
            Some of the symptoms of an allergic reaction may include:
            
            
            shortness of breath
            
            wheezing or difficulty breathing
            
            swelling of the face, lips, tongue or other parts of the body
            
            rash, itching or hives on the skin
            
            
            Always check the ingredients to make sure you can take this medicine.
            
            
            you are pregnant or intend to become pregnant
            
            you have impaired liver function caused by a blockage in the bile duct or any other
               severe liver problems
            
            you are also taking other blood pressure lowering medications containing aliskiren
               and have type 2 diabetes
            
            expiry date printed on the pack has passed or if the packaging is torn or shows signs
               of tampering.
            
             
         
            
            Check with your doctor if you have any other medical conditions such as:
            
            
            heart disease or high blood pressure that is being treated with large doses of diuretics
               (also called water or fluid tablets), or being treated with beta-blockers, aliskiren
               and/or ACE-inhibitors
            
            high blood pressure due to narrowing of the arteries in the kidney
            
            any other kidney problems or you are having dialysis
            
            liver problems
            
            swelling, mainly of the face and throat, while taking other medicines (including an
               ACE inhibitor or aliskiren)
            
            you have recently had severe vomiting or diarrhoea
            
            very low sodium levels and/or low blood pressure
            
            primary hyperaldosteronism (Conn's syndrome), a hormone disorder causing accumulation
               of fluid in the body
            
            obstructed blood flow through the heart from narrowing of valves (stenosis) or enlarged
               septum of the heart (HOCM).
            
            
            Your doctor may want to take special precautions if you have any of the above conditions.
            
            Tell your doctor if you are allergic to any other medicines, foods, dyes or preservatives.
            
            During treatment, you may be at risk of developing certain side effects. It is important
               you understand these risks and how to monitor for them. See additional information
               under Section 
6. Are there any side effects? 
 
         
            
            Pregnancy and breastfeeding
            
            
               Do not take DILART if you are pregnant or intend to become pregnant.
               
            
            DILART is not recommended for use in pregnancy. Like other similar medicines, it could
               affect your unborn baby.
            
            
               Talk to your doctor if you are breastfeeding or intend to breastfeed. 
               
            
            It is not recommended to breast feed while taking DILART as it is not known if valsartan,
               the active ingredient of DILART, passes into the breast milk.
             
         
            
            Use in children 
            
            There is not enough information to recommend the use of DILART in children (below
               18 years of age).
             
         
            
            
3.	What if I am taking other medicines?
            
         
            
            Tell your doctor or pharmacist if you are taking any other medicines, including any
               medicines, vitamins or supplements that you buy without a prescription from your pharmacy,
               supermarket or health food shop.
            
            
               Some medicines may interfere with DILART and affect how it works. You may need to
                  take different amounts of your medicines or you may need to take different medicines.
                  
               
            
            
               These medicines include:
               
            
            
            beta-blockers, which are medicines used to treat hypertension or other heart conditions
            
            ACE-inhibitors or aliskiren, which are also medicines used to treat hypertension or
               other heart conditions
            
            some diuretics (water or fluid pills)
            
            potassium supplements , salt substitute containing potassium, or other drugs that
               may increase potassium levels (heparin, trimethoprim)
            
            lithium (a medicine used to treat some types of psychiatric illness)
            
            some antibiotics (rifamycins), anti-rejection drugs (cyclosporin), antiretrovirals
               (ritonavir) which may increase the effect of DILART
            
            anti-inflammatory medicines such as celecoxib, diclofenac and indometacin (NSAIDs)
               or Selective cyclooxygenase-2 Inhibitors (Cox-2 inhibitors) used to treat arthritis
            
            trimethoprim containing medicines.
            
            
            Your doctor may also check your kidney function.
            
            
               Check with your doctor or pharmacist if you are not sure about what medicines, vitamins
                  or supplements you are taking and if these affect DILART.
               
            
            Your doctor or pharmacist have a more complete list of medicines to be careful of
               while taking DILART.
             
         
            
            
4.	How do I take DILART? 
            
         
            
            
               Follow carefully all directions given to you by your doctor and pharmacist. These instructions may differ from the information contained in the leaflet.
            
            
               If you do not understand the instructions on the label, ask your doctor or pharmacist
                  for help.
               
             
         
            
            How much to take
            
            How much DILART to take will depend on what you are taking it for:
            
            
            For hypertension, the usual dose is one 80 mg tablet once a day. If your blood pressure
               is still too high after 4 weeks, your doctor may increase the dose to 160 mg to 320
               mg once a day. If your blood pressure is still too high, your doctor may add a different
               type of blood pressure lowering medicine.
            
            For heart failure the usual starting dose is 40 mg twice daily. Your doctor may increase
               the dose gradually up to one 160 mg tablet twice daily.
            
            Following a heart attack, treatment is generally started at a dose of 20 mg (half
               a 40 mg tablet) twice daily. Your doctor may increase the dose gradually up to 160
               mg twice daily.
            
            
            Follow the instructions provided and use DILART until your doctor tells you to stop.
             
         
            
            When to take DILART
            
            
            Following a heart attack, your first dose of DILART will be started as early as 12
               hours after your heart attack.
            
            When you take the first tablet from the pack of DILART, take the one marked with the
               correct day of the week (e.g. if it is Wednesday, take the tablet marked Wednesday).
            
            DILART comes in a calendar pack with the days of the week marked on it to help you
               remember to take your tablet each day.
            
            Take it at the same time each day.
            
            This also helps you remember to take it, especially if you take it as part of your
               usual routine (i.e. at breakfast time).
            
             
         
            
            How to take DILART
            
            
            Swallow the tablet with a full glass of water. Always take it in the same way in relation
               to food.
            
            It does not matter if you take it after food or on an empty stomach, as long as you
               take it the same way each day.
            
            If your stomach is upset after taking DILART, always take it after a meal (e.g. breakfast).
            
             
         
            
            How long to take DILART for
            
            
            Take this medicine until your doctor tells you to stop even if you feel quite well.
            
            
            It will take at least 4 weeks for this medicine to have its full effect. After that,
               it will be continued for as long as your doctor thinks is needed
             
         
            
            If you forget to take DILART
            
            If it is almost time for your next dose, skip the dose you missed and take your next
               dose when you are meant to. 
            
            Otherwise, take the dose as soon as you remember and then go back to taking it as
               you would normally.
            
            
               Do not take a double dose to make up for the dose you missed. This may increase the chance of you getting unwanted side effects.
            
            If you have trouble remembering when to take your medicine, ask your pharmacist for
               some hints.
             
         
            
            If you take too much DILART
            
            If you think that you or anyone else has taken too much DILART, urgent medical attention
               may be needed.
            
            
               You should immediately:
               
            
            
            phone the Poisons Information Centre 
(Australia telephone 13 11 26) for advice, or
            
            contact your doctor, or
            
            go to the Emergency Department at your nearest hospital.
            
            
            
               You should do this even if there are no signs of discomfort or poisoning.
               
            
            Too much DILART may make you feel dizzy, lightheaded or faint. You may experience
               rapid, shallow breathing or cold, clammy skin. Your heartbeat may be faster than usual.
               This is because your blood pressure is too low.
             
         
            
            
5.	What should I know while taking DILART?
            
         
            
            Things you should do
            
            
            If you become pregnant while taking DILART, tell your doctor immediately. You should
               not be taking this medicine while you are pregnant.
            
            Tell your doctor if, for any reason, you have not taken your medicine exactly as prescribed.
               Otherwise your doctor may think that it was not effective and change your treatment
               unnecessarily.
            
            Be sure to keep all your doctor's appointments so that your progress can be checked.
               Do this even if you feel well.
            
            
            It is important to keep track of your progress. Your doctor will want to check your
               blood pressure and your kidney and liver function from time to time.
            
            
            If you are about to be started on any new medicine, remind your doctor and pharmacist
               that you are taking DILART.
            
            Tell any other doctor, dentist or pharmacist who treats you that you are taking DILART.
            
             
         
            
            Call your doctor straight away if you notice any of the following:
            
            
            signs of allergy such as rash, itching or hives on the skin; swelling of the face,
               lips, tongue or other parts of the body; fever, shortness of breath, wheezing or troubled
               breathing.
            
             
         
            
            Things you should not do
            
            
            Do not use DILART to treat any other complaints unless your doctor says you can.
            
            Do not give this medicine to anyone else, even if their condition seems to be similar
               to yours.
            
             
         
            
            Driving or using machines
            
            
               Be careful before you drive or use any machines or tools until you know how DILART
                  affects you.
               
            
            DILART may cause tiredness, sleepiness or dizziness in some people. If you have these
               symptoms, do not drive or do anything else that could be dangerous.
            
            
               If this medicine makes you feel dizzy or light-headed, be careful when getting up
                  from a sitting or lying position.
               
            
            Dizziness can usually be prevented by getting up slowly and flexing leg muscles and
               toes to get the blood flowing. When getting out of bed, dangle your legs over the
               side for a minute or two before standing up.
             
         
            
            Looking after your medicine
            
            
            Keep your tablets in the original container until it is time to take them.
            
            Store at room temperature.
            
            
            Follow the instructions in the carton on how to take care of your medicine properly.
            
            Store it in a cool dry place away from moisture, heat or sunlight; for example, do
               not store it:
            
            
            in the bathroom or near a sink, or
            
            in the car or on window sills.
            
            
            Heat and dampness can destroy some medicines. DILART will keep well if it is cool
               and dry.
            
            
               Keep it where young children cannot reach it.
               
            
            A locked cupboard at least one-and- a-half metres above the ground is a good place
               to store medicines.
             
         
            
            Getting rid of any unwanted medicine
            
            If you no longer need to take this medicine or it is out of date, take it to any pharmacy
               for safe disposal.
            
            Do not take this medicine after the expiry date or if the packaging is torn or shows
               signs of tampering. In that case, return it to your pharmacist for disposal.
             
         
            
            
6.	Are there any side effects?
            
         
            
            All medicines can have side effects. If you do experience any side effects, most of
               them are minor and temporary. However, some side effects may need medical attention.
            
            Do not be alarmed by this list of possible side effects. You may not experience any
               of them.
            
            See the information below and, if you need to, ask your doctor or pharmacist if you
               have any further questions about side effects.
             
         
            
            
Less serious side effects
            
            
            
         
            
            Serious side effects
            
            
            
            
               Tell your doctor or pharmacist if you notice anything else that may be making you
                  feel unwell. 
               
            
            Other side effects not listed here may occur in some people. Some side effects can
               only be found when your doctor does tests to check your progress. DILART can affect
               certain blood and liver function tests. 
             
         
            
            Reporting side effects
            
            After you have received medical advice for any side effects you experience, you can
               report side effects to the Therapeutic Goods Administration online at 
www.tga.gov.au/reporting-problems . By reporting side effects, you can help provide more information on the safety of
               this medicine.
               Always make sure you speak to your doctor or pharmacist before you decide to stop
                  taking any of your medicines.
               
             
         
            
            
7.	Product details
            
         
            
            This medicine is only available with a doctor's prescription.
             
         
            
            What DILART contains
            
            
               
                  
                  
               
               
                  
                     
                     | 
                           Active ingredient 
                            
                           (main ingredient)
                            | valsartan | 
                  
                     | 
                           Other ingredients
                            
                           (inactive ingredients)
                            | microcrystalline cellulose crospovidone povidone croscarmellose sodium colloidal anhydrous silica magnesium stearate The 40 mg tablet contains: Opadry Complete Film Coating System 08F520002 Yellow (ID: 144620) The 80 mg tablet contains: Opadry Complete Film Coating System 08F540003 Pink (ID: 146273) The 160 mg tablet contains Opadry Complete Film Coating System 08F520000 Yellow (ID: 146272) The 320 mg tablet contains: Opadry Complete Film Coating System 08F565001 Brown (ID: 146276) | 
               
            
            
            
            
            
               Do not take this medicine if you are allergic to any of these ingredients.
               
             
         
            
            What DILART looks like
            
            DILART 40 mg tablets are yellow, oval shaped, biconvex, film coated tablets debossed
               with "VN" and "1" on either side of the score line on one side and "M" on the other
               side (AUST R 167425).
            
            DILART 80 mg tablets are pale red, round, biconvex, bevelled edge, film- coated tablets
               having a score line on one side and debossed with "M" over "VN 2" on other side (AUST
               R 167427).
            
            DILART 160 mg tablets are beige, oval-shaped, biconvex, bevelled edge, film-coated
               tablets debossed with "M" to the left of the score on one side and "VN 3" on the other
               side (AUST R 167426).
            
            DILART 320 mg tablets are dark grey, oval shaped, biconvex, film coated tablets debossed
               with "VN 4" on one side and "M" on the other side (AUST R 167421).
            
            DILART tablets are supplied in blister packs of 28.
             
         
            
            Who distributes DILART
            
            Alphapharm Pty Ltd trading as Viatris
            
            Level 1, 30 The Bond
            
            30-34 Hickson Road
            
            Millers Point NSW 2000
            
            
            
            Phone: 1800 274 276
            
            
            
            This leaflet was prepared in October 2024.
            
            
            
            DILART® is a Viatris company trade mark
            
            
            
            
               DILART_cmi\Oct24/00