Buy Hyzaar
Hyzaar

$0.66
Delivery
Airmail (14-21 days) | EMS trackable (5-9 days)
Prescription
Issued on site / Included
Availability
In Stock
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Hyzaar Properties

Active Ingredients
Primary Category
Pharmacological Class
Angiotensin II Receptor Blocker (ARB), Thiazide Diuretic
Dosage Forms
Tablets
Administration Route
Oral
Mechanism of Action
Combines a medication that blocks a substance that narrows blood vessels (Losartan) with a diuretic that helps the kidneys remove excess salt and water (Hydrochlorothiazide). This dual action effectively lowers blood pressure.
Prescription Status
Rx
Manufacturer
Merck & Co.
Patient Summary
A combination medication that lowers blood pressure by blocking substances that constrict blood vessels and by helping the body get rid of extra water and salt.
Onset Time
Within a few hours
Duration
Up to 24 hours
Storage Instructions
Store at room temperature, away from moisture
Drug Interactions
Age Restrictions
Approved for adults
Pregnancy Use
Do not use during pregnancy. Consult doctor if breastfeeding.
Alternative Drugs

About Hyzaar

Hyzaar is a prescription combination pill that brings together losartan potassium, an angiotensin II receptor blocker, and hydrochlorothiazide, a thiazide-type diuretic. Approved in Singapore for the management of hypertension, this single tablet targets two complementary pathways: it relaxes blood vessels while encouraging the excretion of excess sodium and water. For many adults, Hyzaar offers a convenient way to achieve blood-pressure control without the need for multiple separate medications. Its efficacy has been demonstrated in large, multicentre trials, and it remains a key option when clinicians seek a once-daily regimen that addresses both vascular tone and fluid balance.

What is Hyzaar?

Hyzaar is a branded fixed-dose combination tablet marketed by Merck Sharp & Dohme. The product pairs losartan potassium, an angiotensin II receptor antagonist that blocks the vasoconstrictive effects of angiotensin II, with hydrochlorothiazide, a thiazide diuretic that reduces plasma volume by promoting renal sodium loss. Approved by Singapore’s Health Sciences Authority, Hyzaar is indicated for the treatment of hypertension, either as initial therapy or when monotherapy fails to achieve target blood pressure. The tablet is supplied as a 50 mg/12.5 mg (losartan/hydrochlorothiazide) formulation in a film-coated pill.

How Hyzaar Works

Losartan binds selectively to the angiotensin II type 1 (AT₁) receptor on vascular smooth muscle and adrenal cells. By preventing angiotensin II from activating this receptor, losartan inhibits vasoconstriction, aldosterone secretion, and sympathetic activation. The result is a reduction in peripheral resistance and a modest increase in natriuresis. Hydrochlorothiazide, meanwhile, acts on the distal convoluted tubule, impairing sodium-chloride re-absorption. This leads to a mild diuretic effect, decreasing intravascular volume and consequently lowering cardiac output. The combination produces a synergistic blood-pressure-lowering effect: while losartan addresses hormonal drivers of hypertension, hydrochlorothiazide trims fluid excess. Pharmacokinetically, losartan reaches peak plasma concentrations within 1-2 hours after oral intake; its active metabolite, EXP-3174, peaks later and contributes to sustained vasodilation. Hydrochlorothiazide is absorbed rapidly, with an onset of diuretic action in 2-4 hours and a half-life of about 6-15 hours. Both components are eliminated primarily via the kidneys, so renal function influences dosing considerations.

Why Hyzaar is Used for Cardiovascular, Diuretics Conditions

  • Hypertension (primary) - By simultaneously reducing systemic vascular resistance and plasma volume, Hyzaar achieves greater systolic and diastolic drops than either component alone, helping patients reach the Singapore Ministry of Health target of <130/80 mmHg.
  • Resistant hypertension - When monotherapy fails, adding a thiazide diuretic to an ARB is a guideline-endorsed strategy; the fixed-dose format improves adherence.
  • Left-ventricular hypertrophy prevention - Long-term ARB therapy attenuates cardiac remodeling, while diuretics lower preload, together offering protective cardiac effects.
  • Renal protection in hypertensive nephropathy - Losartan’s blockade of the renin-angiotensin system reduces intraglomerular pressure, and modest diuresis limits hyperfiltration; clinical trials have shown slowed decline of eGFR when these agents are combined.

In each case, the dual mechanism aligns directly with the pathophysiology of elevated blood pressure: excess vasoconstrictive signaling and fluid overload are tackled in tandem, positioning Hyzaar as a first-line or add-on option in many treatment algorithms.

Off-Label and Investigational Uses of Hyzaar

Evidence from small observational studies suggests that the losartan component may benefit patients with diabetic nephropathy beyond blood-pressure control, while the diuretic portion can aid in managing mild peripheral edema. However, neither indication is approved by Singapore’s regulatory authority for this combination product. Off-label use should only be considered under the supervision of a qualified healthcare provider.

Is Hyzaar Right for You?

Hyzaar suits adults who require both blood-pressure reduction and modest diuresis in a single tablet. It is especially appropriate for patients struggling with pill burden, those who have responded to an ARB but need additional fluid control, and individuals without severe renal impairment (eGFR ≥ 30 mL/min/1.73 m²). Caution is advised in pregnancy, as losartan is teratogenic; the drug is contraindicated during the second and third trimesters. Elderly patients may experience a greater decline in blood pressure, so physicians often start at the lower 50 mg/12.5 mg dose. People with a history of gout should discuss potential uric-acid elevation, a known effect of thiazides. Overall, suitability hinges on a clinician’s assessment of cardiovascular risk, renal function, and concomitant medicines.

Taking Hyzaar Effectively

  • Timing - Take Hyzaar once daily, preferably in the morning, to align with the body’s circadian blood-pressure surge.
  • Food - The tablet can be swallowed with or without food; a light meal may lessen occasional stomach discomfort.
  • Missed dose - If a dose is forgotten within 12 hours, take it as soon as remembered; otherwise skip the missed tablet and resume the regular schedule. Do not double-dose.
  • Travel - Keep the medication in its original container, protected from heat and moisture; a portable pill organizer helps maintain adherence across time-zone changes.
  • Interactions - Avoid concurrent use of potassium-sparing diuretics or high-potassium diets, as losartan may raise serum potassium. NSAIDs can blunt the antihypertensive effect and increase renal risk; discuss alternatives with your provider.

Understanding Side Effects and How to Manage Them

  • Electrolyte changes - Hydrochlorothiazide can lower potassium and magnesium while raising uric acid. Routine blood-test monitoring is advisable; potassium-rich foods (bananas, avocados) or supplements may be prescribed if needed.
  • Dry cough or dizziness - Though less common than with ACE inhibitors, losartan may cause a mild cough; persistent symptoms warrant evaluation. Dizziness usually reflects an acute blood-pressure dip; standing slowly and staying hydrated can mitigate falls.
  • Sexual dysfunction - Rarely, ARBs can affect libido; discuss alternatives if this becomes troublesome.
  • Serious reactions - Angio-edema, severe hypotension, or acute kidney injury require immediate medical attention. Promptly report swelling of the face, lips, or throat, marked weakness, or a sudden rise in creatinine.

Most side effects are mild and transient; proactive monitoring and lifestyle adjustments often resolve them without discontinuing therapy.

Buying Hyzaar from Our Online Pharmacy

Why Choose Our Service?

Accessing Hyzaar can be challenging when local pharmacies face stock shortages or when insurance coverage limits options. Our online pharmacy bridges that gap, delivering the medication directly to your doorstep with a streamlined ordering process.

Quality & Safety

We partner with licensed international pharmacies that operate under stringent regulatory frameworks, ensuring every batch of Hyzaar meets the quality standards set by the Health Sciences Authority and the World Health Organization.

Pricing & Access

Because Hyzaar is a branded product, the price reflects its research and development background. Nevertheless, our service negotiates competitive rates, often providing a 10 % discount on repeat orders. For patients seeking cost-effective alternatives, we also list approved generic equivalents such as losartan/hydrochlorothiazide tablets.

Discreet Delivery

Orders are packaged in unmarked, tamper-evident envelopes. Express shipping typically arrives within 7 days, while standard delivery may take up to 3 weeks, allowing you to maintain privacy and convenience.

Frequently Asked Questions

  • Can Hyzaar be taken with other antihypertensive drugs? Yes, clinicians sometimes combine Hyzaar with calcium-channel blockers or β-blockers when additional blood-pressure lowering is needed. Each addition should be personalised and monitored.

  • What should I do if I develop muscle cramps? Thiazide-induced hypokalemia often manifests as muscle cramping. Checking serum potassium and, if low, adding a potassium supplement or dietary source can alleviate the symptom.

  • Is Hyzaar appropriate for patients with type 2 diabetes? Losartan provides renal protection that is valuable for diabetics with hypertension. However, the diuretic component may raise blood-glucose levels slightly; regular glucose monitoring is advisable.

  • How does Hyzaar differ from taking losartan and hydrochlorothiazide separately? The fixed-dose combination simplifies regimens, improves adherence, and reduces pharmacy dispensing errors. Pharmacodynamically, the effect is equivalent to taking the two agents together.

  • Can I switch to a generic version of the same combination? Generic losartan/hydrochlorothiazide tablets contain the same active ingredients in identical ratios and have demonstrated bioequivalence. Discuss any switch with your prescriber to ensure dose consistency.

  • What lifestyle changes enhance Hyzaar’s effectiveness? Reducing sodium intake, maintaining a healthy weight, regular aerobic exercise, and limiting alcohol intake each contribute to lower blood pressure and may allow lower medication doses.

  • Is Hyzaar safe for patients with mild liver disease? Losartan is metabolised in the liver, but its clearance is not markedly affected by mild hepatic impairment. Nonetheless, clinicians typically monitor liver function tests during therapy.

  • Will Hyzaar interact with over-the-counter cold remedies? Decongestants containing pseudoephedrine can raise blood pressure and may counteract Hyzaar’s effect. Opt for saline nasal sprays or consult a pharmacist before combining treatments.

  • How often should blood tests be performed while on Hyzaar? Baseline renal function, electrolytes, and uric acid are checked before initiation. Follow-up testing is recommended after 2-4 weeks and then periodically, especially if dose adjustments occur.

  • Can pregnancy be planned while taking Hyzaar? Women of child-bearing potential should use effective contraception while on Hyzaar. If pregnancy is contemplated, the medication should be discontinued and an alternative antihypertensive selected under medical guidance.

Glossary

Angiotensin II receptor blocker (ARB)
A class of drugs that block the AT₁ receptor, preventing angiotensin II-mediated vasoconstriction and aldosterone release.
Thiazide diuretic
A medication that inhibits sodium-chloride reabsorption in the distal convoluted tubule, promoting urine output and lowering blood volume.
Bioequivalence
Demonstrated similarity in the rate and extent of absorption between a generic product and its branded reference, ensuring comparable therapeutic effect.

Disclaimer

The information provided about Hyzaar is for general knowledge only. It does not replace professional medical consultation. All treatment decisions, including those regarding off-label use, should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Hyzaar for individuals who may have limited availability through traditional pharmacies, prescription-based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.

External Resources about Hyzaar


Information Prepared By

Nawin Kittisak
Vikneswaran V Paranjothy