Samsca

Designed to target fluid balance abnormalities by antagonizing vasopressin receptors to alleviate symptoms associated with hyponatraemia.

Strengths: 15 · 30mg

Medicine details

Therapeutic class

Vasopressin Receptor Antagonist

Pharmacological class

Selective V2 Receptor Antagonist

Contraindications

hypersensitivity to tolvaptan; anuria; hypovolaemic hyponatraemia

Minor side effects

thirst; polyuria; dry mouth; nausea

Moderate side effects

hypernatraemia; diarrhoea; constipation; increased blood creatinine

Dosage forms

Tablet

Administration route

Oral use

Prescription status

POM

Manufacturer

Otsuka Pharmaceutical

Onset Time

2–4 hours

Duration

12–24 hours

Storage instructions

Store at room temperature.

Drug interactions

CYP3A4 inhibitors; grapefruit

Age restrictions

Adults only.

Pregnancy and breastfeeding

Pregnancy: Use only if clearly necessary. Breastfeeding: Not recommended.

Serious side effects

severe hepatic injury — requires immediate medical attention; osmotic demyelination syndrome — requires immediate medical attention

Patient summary

Designed to target fluid balance abnormalities by antagonizing vasopressin receptors to alleviate symptoms associated with hyponatraemia.

Mechanism of action

Tolvaptan binds specifically to vasopressin V2 receptors in the kidney, which inhibits free water reabsorption and induces aquaresis, effectively managing water retention and serum sodium levels.

Samsca

Designed to target fluid balance abnormalities by antagonizing vasopressin receptors to alleviate symptoms associated with hyponatraemia.

Editorial Notes

  • Active ingredient(s): Tolvaptan
  • Listed indication(s): Hyponatraemia, Autosomal Dominant Polycystic Kidney Disease

Usually available as

  • 20 tablets - 15 mg1026-15-mg-12927
  • 20 tablets - 30 mg1026-30-mg-12935