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EMA Approval

Irbesartan/Hydrochlorothiazide Teva

C09DA04

irbesartan and diuretics

Agents acting on the renin-angiotensin system

Basic Information

EMA regulatory identification and product classification information

EMA Identifiers

ATC CodeC09DA04
EMA European Classification

Overview Summary

Comprehensive product overview and regulatory summary

This is a summary of the European public assessment report (EPAR). It explains how the Committee for Medicinal Products for Human Use (CHMP) assessed the studies performed, to reach its recommendations on how to use the medicine.

If you need more information about your medical condition or your treatment, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist. If you want more information on the basis for the CHMP recommendations, read the scientific discussion (also part of the EPAR).

Authorisations (1)

EMEA/H/C/001112

Teva B.V.,Teva B.V.,Swensweg 5,2031 GA Haarlem,The Netherlands

Authorised

November 26, 2009

Active Substances (2)

irbesartan

hydrochlorothiazide

Documents (15)

Angiotensin-II-receptor antagonists (sartans) Article 31 referral - CHMP assessment report - Impact of the Article 5(3) scientific opinion on nitrosamines

March 2, 2021

CHANGES_SINCE_INITIAL_AUTHORISATION

Irbesartan / Hydrochlorothiazide Teva : EPAR - Summary for the public

December 15, 2009

OVERVIEW_DOCUMENT

Committee for medicinal products for human use, summary of positive opinion for Irbesartan/Hydrochlorothiazide Teva

September 24, 2009

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Irbesartan / Hydrochlorothiazide Teva : EPAR - Scientific conclusions - Annex IV

June 12, 2019

CHANGES_SINCE_INITIAL_AUTHORISATION

Irbesartan/Hydrochlorothiazide Teva-H-C-1112-A31-0019 : EPAR - Assessment Report - Article 31

October 1, 2014

CHANGES_SINCE_INITIAL_AUTHORISATION

Irbesartan / Hydrochlorothiazide Teva : EPAR - Public assessment report

December 15, 2009

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Irbesartan / Hydrochlorothiazide Teva : EPAR - Product Information

December 15, 2009

DRUG_PRODUCT_INFORMATION

Angiotensin-II-receptor antagonists (sartans) Article 31 referral - CHMP assessment report

May 2, 2019

CHANGES_SINCE_INITIAL_AUTHORISATION

Irbesartan / Hydrochlorothiazide Teva : EPAR - All Authorised presentations

December 15, 2009

AUTHORISED_PRESENTATIONS

Irbesartan / Hydrochlorothiazide Teva : EPAR - Procedural steps taken and scientific information after authorisation

January 29, 2025

CHANGES_SINCE_INITIAL_AUTHORISATION

Irbesartan/Hydrochlorothiazide Teva-H-C-1112-A31-0019 : EPAR - Scientific conclusions, grounds for variation to the terms of the marketing authorisations and detailed explanation of the scientific grounds for the differe...

October 1, 2014

CHANGES_SINCE_INITIAL_AUTHORISATION

Angiotensin-II-receptor antagonists (sartans) : Scientific conclusions - Impact of the Article 5(3) scientific opinion on nitrosamines

July 5, 2021

CHANGES_SINCE_INITIAL_AUTHORISATION

Irbesartan / Hydrochlorothiazide Teva : EPAR - Public assessment report

December 15, 2009

CHANGES_SINCE_INITIAL_AUTHORISATION

Irbesartan / Hydrochlorothiazide Teva : EPAR - Procedural steps taken and scientific information after authorisation (archive)

March 29, 2010

CHANGES_SINCE_INITIAL_AUTHORISATION

Committee for medicinal products for human use, summary of positive opinion for Irbesartan/Hydrochlorothiazide Teva

September 24, 2009

CHANGES_SINCE_INITIAL_AUTHORISATION

Overview Q&A (8)

Question

What are the benefit and risk of Irbesartan/Hydrochlorothiazide Teva?

Answer

Because Irbesartan/Hydrochlorothiazide Teva is a generic medicine and is bioequivalent to the reference medicine, its benefits and risks are taken as being the same as the reference medicine’s.

Question

What is Irbesartan/Hydrochlorothiazide Teva used for?

Answer

Irbesartan/Hydrochlorothiazide Teva is used in adults who have essential hypertension (high blood pressure) that is not adequately controlled by irbesartan or hydrochlorothiazide alone. ‘Essential’ means that the hypertension has no obvious cause.

The medicine can only be obtained with a prescription.

Question

How is Irbesartan/Hydrochlorothiazide Teva used?

Answer

Irbesartan/Hydrochlorothiazide Teva is taken by mouth. The dose of Irbesartan/Hydrochlorothiazide Teva to be used depends on the dose of irbesartan or hydrochlorothiazide that the patient was taking before. Doses higher than 300 mg irbesartan and 25 mg hydrochlorothiazide once a day are not recommended. Irbesartan/Hydrochlorothiazide Teva may be added to other treatments for hypertension.

Question

How does Irbesartan/Hydrochlorothiazide Teva work?

Answer

Irbesartan/Hydrochlorothiazide Teva contains two active substances, irbesartan and hydrochlorothiazide.

Irbesartan is an ‘angiotensin-II-receptor antagonist’, which means that it blocks the action of a hormone in the body called angiotensin II. Angiotensin II is a powerful vasoconstrictor (a substance that narrows blood vessels). By blocking the receptors to which angiotensin II normally attaches, irbesartan stops the hormone having an effect, allowing the blood vessels to widen.

Hydrochlorothiazide is a diuretic, which is another type of treatment for hypertension. It works by increasing urine output, reducing the amount of fluid in the blood and lowering the blood pressure.

The combination of the two active substances has an additive effect, reducing the blood pressure more than either medicine alone. By lowering the blood pressure, the risks associated with high blood pressure, such as having a stroke, are reduced.

Question

Other information about Irbesartan/Hydrochlorothiazide Teva:

Answer

The European Commission granted a marketing authorisation valid throughout the EU for Irbesartan/Hydrochlorothiazide Teva on 26 November 2009.

For more information about treatment with Irbesartan/Hydrochlorothiazide Teva, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist.

Question

Why has Irbesartan/Hydrochlorothiazide Teva been approved?

Answer

The Committee for Medicinal Products for Human Use (CHMP) concluded that, in accordance with EU requirements, Irbesartan/Hydrochlorothiazide Teva has been shown to have comparable quality and to be bioequivalent to CoAprovel. Therefore, the CHMP’s view was that, as for CoAprovel, the benefit outweighs the identified risk. The Committee recommended that Irbesartan/Hydrochlorothiazide Teva be given marketing authorisation.

Question

What is Irbesartan/Hydrochlorothiazide Teva?

Answer

Irbesartan/Hydrochlorothiazide Teva is a medicine that contains two active substances, irbesartan and hydrochlorothiazide. It is available as tablets (150 mg or 300 mg irbesartan and 12.5 mg hydrochlorothiazide; and 300 mg irbesartan and 25 mg hydrochlorothiazide).

Irbesartan/Hydrochlorothiazide Teva is a ‘generic medicine’. This means that Irbesartan/Hydrochlorothiazide Teva is similar to a ‘reference medicine’ already authorised in the European Union (EU) called CoAprovel.

Question

How has Irbesartan/Hydrochlorothiazide Teva been studied?

Answer

Because Irbesartan/Hydrochlorothiazide Teva is a generic medicine, studies in people have been limited to tests to determine that it is bioequivalent to the reference medicine, CoAprovel. Two medicines are bioequivalent when they produce the same levels of the active substance in the body.

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