azilura 40 tablet - Azilsartan medoxomil (40mg) medicine

Azilura 40 Tablet: Complete Guide to Uses, Side Effects, and Safety

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🏭 MSN Laboratories 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
⚠️ Nephrotoxicity Risk 🤰 Pregnancy Category Not established from the available information. However, this medicine is not recommended during pregnancy because it can cause harm to the developing fetus, especially in the second and third trimesters. Women who are pregnant or planning to become pregnant should inform their doctor immediately. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Well-established for hypertension.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Swelling of the face, lips, tongue, or throat, or difficulty breathing.
  • Severe dizziness, fainting, or lightheadedness.
  • Decreased urine output or swelling in the legs or feet.
  • Irregular heartbeat or muscle weakness (signs of high potassium).
  • Yellowing of the skin or eyes, dark urine, or severe abdominal pain.
  • Chest pain or shortness of breath.
  • Severe headache with visual changes.

If experiencing severe symptoms, call emergency services immediately.

What is azilura 40 tablet used for?

Azilura 40 tablet contains azilsartan medoxomil 40 mg, an angiotensin II receptor blocker used to treat high blood pressure in adults. It works by relaxing blood vessels, allowing blood to flow more easily. It is taken once daily, with or without food, and should not be used during pregnancy.

  • Generic Name: Azilsartan medoxomil (40mg)
  • Manufacturer: MSN Laboratories
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 azilura 40 tablet के बारे में (Hindi Summary)

उपयोग: यह दवा एज़िलसार्टन मेडोक्सोमिल 40 मिलीग्राम युक्त एक टैबलेट है, जिसका उपयोग उच्च रक्तचाप (हाई ब्लड प्रेशर) के इलाज के लिए किया जाता है। यह रक्त वाहिकाओं को आराम देकर रक्तचाप को कम करती है और हृदय तथा गुर्दे पर पड़ने वाले दबाव को घटाती है। यह दवा दिल के दौरे, स्ट्रोक और गुर्दे की बीमारी के खतरे को कम करने में मदद करती है। इसे आमतौर पर दिन में एक बार खाया जाता है, भोजन के साथ या बिना। गर्भवती महिलाओं को यह दवा नहीं लेनी चाहिए क्योंकि यह शिशु के लिए हानिकारक हो सकती है। इस दवा को डॉक्टर की सलाह के बिना बंद या शुरू न करें।

साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में चक्कर आना, सिरदर्द, थकान और हल्का जी मिचलाना शामिल हैं। कुछ लोगों में पैरों में सूजन, मांसपेशियों में ऐंठन या दाने भी हो सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि चेहरे, होंठ, जीभ या गले में सूजन आए, सांस लेने में कठिनाई हो, बहुत अधिक चक्कर आए या पेशाब कम आए, तो तुरंत डॉक्टर से संपर्क करें। नियमित रूप से रक्तचाप, गुर्दे की कार्यप्रणाली और पोटैशियम की जांच कराते रहें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, आमतौर पर दिन में एक बार। इसे अचानक बंद न करें, क्योंकि इससे रक्तचाप फिर बढ़ सकता है। शराब से बचें क्योंकि इससे चक्कर और कम रक्तचाप हो सकता है। पोटैशियम सप्लीमेंट या नमक के विकल्प डॉक्टर की सलाह के बिना न लें। गर्भवती या गर्भधारण की योजना बना रही महिलाएं तुरंत डॉक्टर को बताएं। दवा को कमरे के तापमान पर, मूल डिब्बे में, नमी और धूप से दूर रखें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 azilura 40 tablet Uses & Benefits

  • [{"condition":"Hypertension (high blood pressure)","description":"This medicine is used to lower blood pressure in adults, either alone or in combination with other antihypertensive agents.
  • It helps reduce the risk of cardiovascular events such as stroke and heart attack.","evidence":"Well-established"},{"condition":"Hypertension with chronic kidney disease","description":"May be used in patients with high blood pressure and kidney disease to help control blood pressure and slow kidney damage, but dose adjustment and monitoring are needed.","evidence":"Moderate"},{"condition":"Hypertension in patients with type 2 diabetes","description":"Can be used to manage blood pressure in diabetic patients, often as part of a comprehensive cardiovascular risk reduction plan.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Heart failure with reduced ejection fraction","description":"Sometimes considered as an alternative to other angiotensin receptor blockers in patients who cannot tolerate them, but this is not a standard approved use for azilsartan.","evidence":"Limited"},{"condition":"Diabetic nephropathy","description":"May be used off-label to reduce proteinuria in diabetic kidney disease, though other agents are more commonly used.","evidence":"Limited"}]

Primary treatment for: Hypertension

Also treats: Chronic kidney disease, Type 2 diabetes mellitus, Heart failure (off-label)

📋 Drug Information

Generic Name(s)Azilsartan medoxomil (40mg)
Brand Nameazilura 40 tablet
ManufacturerMSN Laboratories
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassCARDIAC
Action ClassAngiotensin receptor blockers(ARB)
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Keep in the original container, tightly closed, away from moisture and direct sunlight. Do not refrigerate.
Shelf Life24 months from the date of manufacture, or as printed on the pack.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine at the same time each day to maintain consistent blood pressure control.
2
Monitor your blood pressure regularly at home and keep a log to share with your doctor.
3
Avoid potassium supplements and salt substitutes unless approved by your doctor.
4
Stay hydrated, especially in hot weather, to prevent dizziness and low blood pressure.
5
Do not stop this medicine abruptly; consult your doctor before making any changes.
6
Report any swelling of the face, lips, or throat immediately, as this may be a sign of a serious allergic reaction.
7
Inform your doctor if you are planning pregnancy or become pregnant while on this medicine.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

High blood pressure
This medicine is commonly prescribed for this.
Likely Use
Dizziness
This medicine may cause dizziness as a side effect, but it is not used to treat dizziness.
Not Primary
Swelling in legs
This medicine is not a diuretic and is not used to treat swelling.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAzilsartan medoxomil is rapidly absorbed after oral administration and is hydrolyzed to the active metabolite, azilsartan, during absorption. The absolute bioavailability is approximately 60%. Food does not significantly affect the absorption of this medicine.
DistributionAzilsartan is highly bound to plasma proteins, primarily albumin. The volume of distribution is approximately 16 liters. It does not distribute extensively into tissues.
Protein BindingGreater than 99% bound to plasma proteins, mainly albumin.
MetabolismAzilsartan medoxomil is a prodrug that is rapidly converted to azilsartan by esterases in the gastrointestinal tract and liver. Azilsartan is not extensively metabolized; the major metabolite is inactive. CYP2C9 is involved in a minor metabolic pathway.
Half-LifeThe elimination half-life of azilsartan is approximately 11 hours.
ExcretionThis medicine is primarily excreted in the feces (approximately 55%) and urine (approximately 42%) as unchanged azilsartan. A small amount is excreted as metabolites.
BioavailabilityThe absolute bioavailability of azilsartan medoxomil is approximately 60%.
Onset of ActionThe blood pressure-lowering effect begins within a few hours after the first dose, but the full therapeutic effect may take 2 to 4 weeks of regular use.
Peak Plasma TimePeak plasma concentration of azilsartan is reached approximately 1.5 to 3 hours after oral administration.
Duration of ActionThe blood pressure-lowering effect lasts for about 24 hours, allowing once-daily dosing.

How It Works

This medicine works by selectively blocking the angiotensin II type 1 (AT1) receptor. Angiotensin II is a hormone that causes blood vessels to narrow and also stimulates the release of aldosterone, which leads to sodium and water retention. By blocking the AT1 receptor, this medicine prevents these effects, resulting in relaxation of blood vessels, reduced aldosterone secretion, and decreased sodium and water retention. This leads to lower blood pressure and reduced workload on the heart. Unlike ACE inhibitors, this medicine does not affect bradykinin levels, so it is less likely to cause a dry cough.

Mechanism Steps

1
Binding to AT1 receptor: This medicine binds selectively to the angiotensin II type 1 receptor, preventing angiotensin II from attaching to it.
2
Blockade of angiotensin II effects: By blocking the receptor, this medicine stops angiotensin II from causing blood vessel narrowing and aldosterone release.
3
Vasodilation and reduced aldosterone: Blood vessels relax and widen, and aldosterone levels drop, leading to less sodium and water retention.
4
Lower blood pressure: The combined effects reduce systemic vascular resistance and lower blood pressure, decreasing the workload on the heart.

💡 How to Take azilura 40 tablet

Strength: Immediate-release tablet, 40 mg.

1Take this medicine by mouth with a glass of water.
2Swallow the tablet whole. Do not crush, chew, or break it.
3You can take it with or without food.
4Take it at the same time each day to help you remember.
5Do not stop taking this medicine without talking to your doctor first.

Dosage Information

Adult DosageThe usual starting dose of this medicine for high blood pressure is 40 mg once daily, and the dose may be increased to 80 mg once daily if needed. It can be taken with or without food. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and response to treatment. Do not change the dose without consulting your doctor.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageNo dose adjustment is required based on age alone. However, elderly patients may be more sensitive to the blood pressure-lowering effects and should be monitored for dizziness and falls. Dose must be individualized by a qualified clinician.
Renal ImpairmentNo initial dose adjustment is required for mild to moderate renal impairment. For severe renal impairment or end-stage renal disease, use with caution and monitor kidney function and potassium levels. Dose must be individualized by a qualified clinician.
Hepatic ImpairmentNo dose adjustment is required for mild to moderate hepatic impairment. In severe hepatic impairment, use is not recommended. Dose must be individualized by a qualified clinician.
Maximum Daily Dose80 mg once daily.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With or without food
Take at the same time daily
Food does not significantly affect absorption.
High-potassium foods
Moderate intake
May increase potassium levels.
Grapefruit juice
Limit
May slightly increase drug levels.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of azilura 40 tablet

✅ Common Side Effects

Dizziness (Common (1-10%))
Rise slowly from sitting or lying position. If dizziness persists or is severe, contact your doctor.
Headache (Common (1-10%))
Usually resolves on its own. If it continues, consult your doctor.
Fatigue (Common (1-10%))
Get adequate rest. If fatigue interferes with daily activities, talk to your doctor.
Nausea (Uncommon (0.1-1%))
Take with food if it upsets your stomach. If nausea persists, consult your doctor.
Muscle cramps (Uncommon (0.1-1%))
Stay hydrated. If cramps are severe or persistent, seek medical advice.

🚨 Serious Side Effects

Angioedema (swelling of face, lips, tongue, throat) (Rare (<0.1%))
Seek emergency medical help immediately if you experience swelling or difficulty breathing.
Severe hypotension (very low blood pressure) (Rare (<0.1%))
Lie down and elevate your legs. If symptoms persist, seek immediate medical attention.
Kidney problems (increased creatinine, reduced urine output) (Uncommon (0.1-1%))
Your doctor will monitor kidney function. Report any decrease in urine output or swelling.
Hyperkalemia (high potassium levels) (Uncommon (0.1-1%))
Regular blood tests are needed. Report muscle weakness or irregular heartbeat.

⚠️ Rare Side Effects

Allergic reactions (rash, itching, hives)
Stop the medicine and seek medical help if you develop a rash or itching.
Liver enzyme elevation
Report yellowing of skin or eyes, dark urine, or abdominal pain to your doctor.
Rhabdomyolysis (muscle breakdown)
Seek immediate care if you experience severe muscle pain, weakness, or dark urine.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Aliskiren Major
Spironolactone Major
Lithium Major
Ibuprofen Major
Naproxen Major
Furosemide Moderate
Hydrochlorothiazide Moderate
Fluconazole Moderate
Antacids Minor
Grapefruit juice Minor

🚨 Major Interactions

  • Aliskiren
  • Potassium-sparing diuretics (e.g., spironolactone, triamterene)
  • Lithium
  • NSAIDs (e.g., ibuprofen, naproxen)

⚡ Moderate Interactions

  • Diuretics
  • Other antihypertensives
  • CYP2C9 inhibitors (e.g., fluconazole)

🍷 Alcohol Interaction

Alcohol can enhance the blood pressure-lowering effect of this medicine and increase the risk of dizziness, lightheadedness, and fainting. It is advisable to avoid or limit alcohol consumption while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to azilsartan medoxomil or any component of the formulation","Pregnancy","Severe liver impairment or biliary obstruction","Concomitant use with aliskiren in patients with diabetes","History of angioedema with other angiotensin receptor blockers"]

⚠️ Warnings & Precautions

["This medicine can cause fetal harm when administered to a pregnant woman. Discontinue as soon as pregnancy is detected.","May cause symptomatic hypotension, especially in volume-depleted patients. Correct volume depletion before starting.","Monitor kidney function and potassium levels periodically, especially in patients with kidney disease or diabetes.","Avoid use with potassium supplements or potassium-sparing diuretics without monitoring.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Not recommended in patients with severe liver disease.","Use with caution in patients with aortic or mitral stenosis, or hypertrophic cardiomyopathy."]

🤱 Lactation Safety

It is not known whether azilsartan is excreted in human breast milk. Because of the potential for adverse effects in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the medicine, taking into account the importance of the medicine to the mother.

💊 Overdose Management

Overdose may cause severe hypotension, dizziness, and fainting. If you suspect an overdose, seek emergency medical attention immediately. Treatment is supportive, including placing the patient in a supine position and giving intravenous fluids if needed. Hemodialysis is not expected to remove azilsartan from the blood.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor, usually once daily, with or without food. Do not stop taking it suddenly, because blood pressure may rise again. Keep a record of your blood pressure readings and bring them to your follow-up visits. Avoid alcohol, as it can increase dizziness and lower blood pressure too much. Do not use potassium supplements or salt substitutes containing potassium without asking your doctor, because this medicine can raise potassium levels. Tell your doctor about all other medicines you take, especially pain relievers, diuretics, lithium, and other blood pressure drugs. If you have kidney or liver disease, your doctor may need to adjust your dose or monitor you more closely. Women who are pregnant or planning pregnancy must inform their doctor immediately, as this medicine can harm the baby. Store the tablets in their original container at room temperature, away from moisture and direct sunlight. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the blood pressure-lowering effects and are at higher risk of dizziness and falls. Monitor blood pressure regularly and rise slowly from sitting or lying positions. Dose adjustment is not usually needed based on age alone, but individualization is important.

🤰 Pregnancy Planning (TTC)

This medicine is contraindicated during pregnancy. Women planning pregnancy should consult their doctor to switch to a safer alternative before conception. If pregnancy occurs while taking this medicine, stop it immediately and contact your doctor.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist that you are taking this medicine. It may need to be temporarily stopped before surgery to avoid excessive blood pressure drop during the procedure. Follow your doctor's instructions regarding when to resume.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine, as it may affect blood pressure during dental procedures. Maintain good oral hygiene and follow your dentist's advice regarding any precautions.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to help control blood pressure.
🥗
Engage in regular physical activity, such as brisk walking or swimming, for at least 30 minutes most days.
😴
Reduce salt intake to less than 5 grams per day.
💧
Eat a balanced diet rich in fruits, vegetables, and whole grains.
🧘
Limit alcohol and avoid smoking.
🌞
Manage stress through relaxation techniques like deep breathing or meditation.
🚭
Get adequate sleep and monitor your blood pressure regularly.

🏋️ Exercise Considerations

Regular exercise is beneficial for blood pressure control, but avoid sudden strenuous activities if you are not used to them. Stay hydrated, and if you experience dizziness or shortness of breath during exercise, stop and consult your doctor.

🥗 Diet Recommendations

Follow a DASH-style diet rich in fruits, vegetables, and low-fat dairy.
Reduce sodium intake by avoiding processed and packaged foods.
Include potassium-rich foods in moderation, but consult your doctor if you have kidney disease.
Limit saturated fats and cholesterol.
Stay well hydrated with water.

💼 Impact on Daily Work & Life

This medicine may cause dizziness, especially when you first start taking it. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their normal work and daily activities with regular monitoring.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. If you experience serious side effects such as angioedema, severe hypotension, or kidney problems, seek immediate medical attention and follow your doctor's advice regarding discontinuation.

📅 Long-Term Use Effects

Long-term use of this medicine is generally safe and effective for controlling blood pressure. Regular monitoring of kidney function, potassium levels, and blood pressure is recommended. It may reduce the risk of cardiovascular events and kidney damage associated with hypertension. Do not stop the medicine without medical advice.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Lifestyle modifications

Diet, exercise, weight loss, and stress reduction can help lower blood pressure and complement medicine.

Evidence: Well-established
Other antihypertensive classes

ACE inhibitors, calcium channel blockers, diuretics, or beta-blockers may be alternatives if this medicine is not suitable.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are known with this medicine. However, always inform your healthcare provider about all medicines you take before receiving any vaccine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging along with a copy of your prescription. Keep it in your carry-on luggage to avoid loss or temperature extremes. Store at room temperature and protect from moisture. If crossing time zones, continue taking your dose at the same local time as much as possible, but consult your doctor for specific advice. Check customs regulations for carrying prescription medicines in your destination country.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 52-year-old man with newly diagnosed high blood pressure.
He was prescribed this medicine 40 mg once daily. After two weeks, his blood pressure improved, but he felt dizzy when standing up quickly. His doctor advised him to rise slowly and stay hydrated. The dizziness resolved, and his blood pressure remained well controlled.
💡 Lesson: Dizziness can occur initially but often improves with simple measures like slow position changes and adequate hydration.
👤 A 60-year-old woman with hypertension and type 2 diabetes.
She was started on this medicine along with metformin. Her blood pressure gradually normalized, and her kidney function remained stable. She was advised to avoid ibuprofen for pain and to monitor her potassium levels regularly.
💡 Lesson: Regular monitoring of kidney function and potassium is important, especially in patients with diabetes, and avoiding NSAIDs helps prevent kidney problems.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts lowering blood pressure within a few hours, but the full effect may take 2 to 4 weeks of regular use.

Q: Can I take it with food?

A: Yes, you can take this medicine with or without food. Taking it at the same time each day helps maintain consistent levels.

Q: What if I miss a dose?

A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

Q: Is it safe during pregnancy?

A: No, this medicine is not safe during pregnancy and can harm the baby. Inform your doctor immediately if you are pregnant or planning to become pregnant.

Q: Can I stop taking it suddenly?

A: No, do not stop this medicine without consulting your doctor, as blood pressure may rise again.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my other blood pressure medicines?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?
  • Is it safe during pregnancy?
  • Does it cause dry cough?

🔄 Substitutes for azilura 40 tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Azilura 40 is a cure for high blood pressure.
    Fact: It controls blood pressure but does not cure hypertension. Lifestyle changes and continued treatment are usually needed.
  • Myth: You can stop taking azilura 40 once your blood pressure is normal.
    Fact: Blood pressure may rise again if you stop. Always consult your doctor before stopping.
  • Myth: Azilura 40 causes dry cough like ACE inhibitors.
    Fact: Dry cough is much less common with this class of medicines compared to ACE inhibitors.
  • Myth: Azilura 40 is safe to take during pregnancy.
    Fact: It is not safe during pregnancy and can harm the baby. Inform your doctor immediately if you become pregnant.

🔄 Alternative Options

Generic Alternatives

  • Azilsartan medoxomil 40 mg tablet

Brand Alternatives

  • Azilura 40 tablet

📊 Comparison with Similar Medicines

[{"medicine":"Azilsartan medoxomil 40 mg","class":"Angiotensin II receptor blocker","usual_dose":"40-80 mg once daily","common_side_effects":"Dizziness, headache, fatigue","pregnancy_safety":"Contraindicated"},{"medicine":"Telmisartan 40 mg","class":"Angiotensin II receptor blocker","usual_dose":"40-80 mg once daily","common_side_effects":"Dizziness, headache, fatigue","pregnancy_safety":"Contraindicated"},{"medicine":"Olmesartan medoxomil 20 mg","class":"Angiotensin II receptor blocker","usual_dose":"20-40 mg once daily","common_side_effects":"Dizziness, headache, fatigue","pregnancy_safety":"Contraindicated"}]

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