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Molecule

Irbesartan

Angiotensin 2 Receptor Blocker
Available on requestCardiology
Presentations
5
Brands
1
Manufacturers
1
Available from stock
0

Irbesartan is an angiotensin 2 receptor blocker indicated for treatment of hypertension, to lower blood pressure, among other approved uses. It is available as tablets for oral use. MedsAcross supplies Irbesartan for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Angiotensin 2 Receptor Blocker, Angiotensin 2 Receptor Antagonists
ATC classification
C09CA04 Irbesartan · ACE inhibitors, sartans and other renin-angiotensin medicines, subgroup C09C, subgroup C09CA
US FDA first approval
30 September 1997
EU status
Authorised
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet
Identifiers
UNII J0E2756Z7NRxCUI 83818CAS 138402-11-6DrugBank DB01029Q947266

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

AVAPRO is an angiotensin II receptor blocker (ARB) indicated for: Treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. Treatment of diabetic nephropathy in hypertensive patients with type 2 diabetes, an elevated serum creatinine, and proteinuria.

Source: US FDA prescribing information

How it works

Angiotensin II is a potent vasoconstrictor formed from angiotensin I in a reaction catalyzed by angiotensin-converting enzyme (ACE, kininase II). Angiotensin II is the primary vasoactive hormone of the renin-angiotensin system, and an important component in the pathophysiology of hypertension. It also stimulates aldosterone secretion by the adrenal cortex. Irbesartan blocks the vasoconstrictor and aldosterone-secreting effects of angiotensin II by selectively binding to the AT 1 angiotensin II receptor found in many tissues (e.g., vascular smooth muscle, adrenal gland). There is also an AT 2 receptor in many tissues, but it is not involved in cardiovascular homeostasis. Irbesartan is a specific competitive antagonist of AT 1 receptors with a much greater affinity (more than 8500-fold) for the AT 1 receptor than for the AT 2 receptor and no agonist activity.

Source: US FDA prescribing information

Dosing overview

Indication Dose Hypertension 150 to 300 mg once daily Diabetic Nephropathy 300 mg once daily General Considerations AVAPRO may be administered with other antihypertensive agents and with or without food.

Source: US FDA prescribing information

Contraindications

AVAPRO is contraindicated in patients who are hypersensitive to any component of this product. Do not coadminister aliskiren with AVAPRO in patients with diabetes. Hypersensitivity to any component of this product. Coadministration with aliskiren in patients with diabetes.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (fetal toxicity): When pregnancy is detected, discontinue AVAPRO as soon as possible. Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus. Hypotension: Correct volume or salt depletion prior to administration. Monitor renal function and serum potassium. Fetal Toxicity AVAPRO can cause fetal harm when administered to a pregnant woman. Use of drugs that act on the renin-angiotensin system during the second and third trimesters of pregnancy reduces fetal renal function and increases fetal and neonatal morbidity and death. Resulting oligohydramnios can be associated with fetal lung hypoplasia and skeletal deformations. Potential neonatal adverse effects include skull hypoplasia, anuria, hypotension, renal failure, and death. When pregnancy is detected, discontinue AVAPRO as soon as possible.

Source: US FDA prescribing information

Side effects

The following important adverse reactions are described elsewhere in the labeling: Hypotension in Volume or Salt-Depleted Patients Impaired Renal Function Nephropathy in type 2 diabetic patients: The most common adverse reactions which were more frequent than placebo were hyperkalemia dizziness, orthostatic dizziness, and orthostatic hypotension.

Source: US FDA prescribing information

Interactions

Lithium: Risk of lithium toxicity. Nonsteroidal Anti-inflammatory Drugs (NSAIDs) and COX-2 inhibitors: Increased risk of renal impairment. Reduced antihypertensive effects. Dual blockade of the renin-angiotensin system: Increased risk of renal impairment, hypotension, and hyperkalemia.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

5 presentations of Irbesartan, sorted by availability.

MedicineManufacturerRegisterAvailability
Irbesartan 150 mg tabletOralGeneric name—US FDAAvailable on request
Irbesartan 300 mg tabletOralGeneric name—US FDAAvailable on request
Irbesartan 75 mg tabletOralGeneric name—US FDAAvailable on request
Avapro 150 mg tabletOralSanofi-AventisUS FDAAvailable on request
Avapro 300 mg tabletOralSanofi-AventisUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 30 September 1997Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Irbesartan in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Irbesartan available for export from India?

Yes, on request. MedsAcross lists 5 presentations of Irbesartan and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Irbesartan have?

The catalogue lists 1 brand names for Irbesartan, including Avapro.

Is Irbesartan approved by the US FDA?

Yes. The US FDA first approved Irbesartan on 30 September 1997, according to Drugs@FDA.

Is Irbesartan authorised in the European Union?

Yes. Irbesartan has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Irbesartan need cold chain shipping?

No listed presentation of Irbesartan is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Irbesartan in?

Irbesartan is classified under ATC code C09CA04 (Irbesartan).

References

  1. Avapro prescribing information (Sanofi-Aventis). U.S. National Library of Medicine, DailyMed. Retrieved 24 August 2026
  2. Aprovel: European public assessment report (EPAR). European Medicines Agency. Retrieved 19 January 2026
  3. Irbesartan Zentiva (previously Irbesartan Winthrop): European public assessment report (EPAR). European Medicines Agency. Retrieved 27 July 2026

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