Teva-Sacubitril / Valsartan: Uses, Side Effects and Dosage

Serious Warnings and Precautions box

What is Teva-Sacubitril / Valsartan used for?

Teva-Sacubitril / Valsartan is used to treat heart failure in adults. It has been shown to lower the:

• risk of death that is caused from heart and blood vessel related problems
• need for hospitalisation due to heart failure.

How does Teva-Sacubitril / Valsartan work?

Teva-Sacubitril / Valsartan contains sacubitril and valsartan. These two ingredients work by blocking a specific enzyme and a specific receptor in your body.

Teva-Sacubitril / Valsartan helps treat heart failure by:

• relaxing your blood vessels. This makes it easier for your heart to pump blood around your body.
• helping your body retain less water.

The ingredients in Teva-Sacubitril / Valsartan are:

Medicinal ingredients: sacubitril and valsartan, as sodium salt complex.

Non-medicinal ingredients: colloidal silicon dioxide, crospovidone, ferrosoferric oxide (24 mg / 26 mg), hydroxypropyl cellulose, iron oxide red (24 mg / 26 mg and 97 mg / 103 mg), iron oxide yellow (49 mg / 51 mg), magnesium stearate, microcrystalline cellulose polyethylene glycol, polyvinyl alcohol, starch, talc and titanium dioxide.

Teva-Sacubitril / Valsartan comes in the following dosage forms:

Film-coated tablet:

• 24 mg sacubitril / 26 mg valsartan (purple). Each tablet contains 24.3 mg sacubitril and 25.7 mg valsartan (as sacubitril valsartan sodium hydrate complex).
• 49 mg sacubitril / 51 mg valsartan (yellow). Each tablet contains 48.6 mg sacubitril and 51.4 mg valsartan (as sacubitril valsartan sodium hydrate complex).
• 97 mg sacubitril / 103 mg valsartan (pink). Each tablet contains 97.2 mg sacubitril and 102.8 mg valsartan (as sacubitril valsartan sodium hydrate complex).

Do not use Teva-Sacubitril / Valsartan if you:

• are allergic to sacubitril or valsartan or any of the other ingredients in Teva-Sacubitril / Valsartan
• are taking angiotensin converting enzyme (ACE) inhibitors. You must wait at least 36 hours after your last dose of the ACE Inhibitor before starting Teva-Sacubitril / Valsartan.

• have had angioedema, a swelling of the face, lips, tongue and/or throat, with or without difficulty in breathing:

  • while taking an ACE inhibitor or an ARB in the past
  • due to any other reason. The exception is an allergic reaction to a bee sting, insect or snake bite.

If this occurs, stop Teva-Sacubitril / Valsartan immediately, and contact your doctor.

• have an inherited condition called “hereditary angioedema,” an increased risk of getting an allergic reaction (angioedema) that is passed down through families.
• are taking aliskiren-containing medicines, such as Rasilez and have Diabetes or Kidney disease.

• are pregnant or planning to become pregnant. Taking Teva-Sacubitril / Valsartan during pregnancy can cause injury and even death to your baby.

• are breastfeeding. Teva-Sacubitril / Valsartan passes into the breast milk.
• are having symptoms related to low blood pressure
• are 18 years or younger

To help avoid side effects and ensure proper use, talk to your healthcare professional before you take Teva-Sacubitril / Valsartan. Talk about any health conditions or problems you may have, including if you:

• have severe kidney disease.
• have severe liver disease.
• ever had a reaction called angioedema (swelling of the face, lips, tongue, and/or throat, difficulties in breathing).
• have low blood pressure, or are taking other drugs to lower your blood pressure, such as, a diuretic or water pill.
• are taking any drugs that increase the amount of potassium in your blood (such as potassium supplements, or salt substitutes containing potassium, potassium-sparing drugs, and heparin). Your doctor may check the potassium levels in your blood at regular times while you are taking Teva-Sacubitril / Valsartan
• have one or both of arteries to your kidney that are severely narrowed.

Other warnings you should know about:

Black patients may have a higher risk of angioedema.

Tell your healthcare professional about all the medicines you take, including any drugs, vitamins, minerals, natural supplements or alternative medicines.

The following may interact with Teva-Sacubitril / Valsartan:

• ACE inhibitors (such as enalapril, ramipril, lisinopril and fosinopril).

• Drugs used for lowering blood pressure or to treat heart failure:

  • ARB (such as losartan, telmisartan, valsartan and candesartan)
  • Aliskiren-containing drugs
• Drugs used to lower cholesterol levels. These are known as ‘statins’ (such as atorvastatin).
• Sildenafil, a drug used to treat erectile dysfunction.
• Drugs that increase the amount of potassium in the blood (such as potassium supplements, or salt substitutes containing potassium, potassium-sparing diuretics or heparin).

• Drugs used to treat inflammation and pain:

  • non-steroidal anti-inflammatory drugs (NSAIDs)
  • Cox-2 inhibitors (such as celecoxib)
• Lithium, a drug used to treat some types of depression, bipolar or hypomanic disorders.
• Drugs used after organ transplants to protect against transplant rejection (such as cyclosporin).
• Drugs used to treat HIV/AIDS (such as ritonavir).
• Warfarin, a drug used to make blood thinner and less likely to clot.
• Furosemide, a diuretic (water pill) used to reduce the fluid build-up in your body.
• Metformin, used to treat diabetes.

Ask your doctor or pharmacist if you are not sure if any of the medicines you take are included in the list above.

How to take Teva-Sacubitril / Valsartan:

If you were taking ACE inhibitors, you must wait at least 36 hours after your last dose of the ACE inhibitor before starting Teva-Sacubitril / Valsartan.

Swallow the tablet whole. Do NOT break the tablet.

Take Teva-Sacubitril / Valsartan:

• exactly as prescribed;
• every 12 hours, at about the same time every day;

• with or without food.

Usual Dose:

Recommended starting dose: Teva-Sacubitril / Valsartan 49 mg sacubitril / 51 mg valsartan twice a day

Maximum daily dose: Teva-Sacubitril / Valsartan 97 mg sacubitril / 103 mg valsartan twice a day

Your doctor may start you on Teva-Sacubitril / Valsartan 24 mg sacubitril / 26 mg valsartan twice a day if you:

• have previously taken low doses of an ACE inhibitor or ARB for the treatment of heart failure
• are 75 years of age or older
• have low blood pressure

Your doctor may change your dose depending on how Teva-Sacubitril / Valsartan works for you.

Do not take more than the maximum daily dose.

Do not reduce the dose or stop taking Teva-Sacubitril / Valsartan without consulting your doctor. This could make your disease worse.

Overdose:

Missed Dose:

If you miss a dose, take it as soon as you remember. You can take your next dose at the normal time, but do NOT double the dose to make up for the missed one.

Possible side effects from using Teva-Sacubitril / Valsartan:

These are not all the possible side effects you may have when taking Teva-Sacubitril / Valsartan. If you experience any side effects not listed here, tell your healthcare professional.

• low blood pressure
• excessively high level of potassium in the blood, as shown in a blood test
• kidney disorder (signs of renal impairment)
• cough
• dizziness
• tiredness (fatigue)
• sudden loss of consciousness
• feeling sick (nausea)
• weakness
• rash
• itchiness
• low blood pressure when switching from sitting or lying down to standing position
• spinning sensation

Serious side effects and what to do about them

If you have a troublesome symptom or side effect that is not listed here or becomes bad enough to interfere with your daily activities, tell your healthcare professional.

Reporting Side Effects

Storage:

• Store your tablets in the original package. Do not take this medicine after the expiry date, which is stated on the label.
• Store at room temperature (15°C to 30°C). Protect from moisture.

Keep out of reach and sight of children.

If you want more information about Teva-Sacubitril / Valsartan:

• Talk to your healthcare professional
• Find the full product monograph that is prepared for healthcare professionals and includes the Patient Medication Information by visiting the Health Canada website (https://www.canada.ca/en/health-canada/services/drugs-health-products/drug-products/drug-product-database.html); the manufacturer’s website http://www.tevacanada.com; or by calling 1-800-268-4127 ext. 3; or email druginfo@tevacanada.com.

Teva Canada Limited

30 Novopharm Court

Toronto, Ontario

M1B 2K9

Canada

Date of Authorization: 2026-08-27