Package | Dosage | Price | Price per Dose | |
---|---|---|---|---|
Dosage: 15mg | ||||
180 pill | 15mg | NZD1,803.97 | NZD10.02 | |
120 pill | 15mg | NZD1,223.03 | NZD10.19 | |
90 pill | 15mg | NZD932.55 | NZD10.36 | |
60 pill | 15mg | NZD631.89 | NZD10.53 | |
30 pill | 15mg | NZD321.03 | NZD10.70 | |
20 pill | 15mg | NZD217.41 | NZD10.87 | |
10 pill | 15mg | NZD110.40 | NZD11.04 | |
Dosage: 30mg | ||||
120 pill | 30mg | NZD1,593.34 | NZD13.28 | |
90 pill | 30mg | NZD1,216.23 | NZD13.52 | |
60 pill | 30mg | NZD825.54 | NZD13.76 | |
30 pill | 30mg | NZD416.16 | NZD13.88 | |
20 pill | 30mg | NZD280.26 | NZD14.01 | |
10 pill | 30mg | NZD140.97 | NZD14.10 |

Tolvaptan Description
Overview of Tolvaptan
Tolvaptan is a medication primarily used to treat certain conditions related to fluid retention and water imbalance in the body. It belongs to a class of drugs known as vasopressin receptor antagonists. The medication works by blocking the action of vasopressin, a hormone that helps regulate water retention in the kidneys. By inhibiting vasopressin, Tolvaptan allows for increased excretion of free water without losing electrolytes, which can be especially useful in managing specific medical conditions.
Uses and Indications
The most common use of Tolvaptan is in the treatment of hyponatremia, a condition characterized by abnormally low sodium levels in the blood. This condition often occurs in patients with heart failure, liver cirrhosis, or certain types of syndrome of inappropriate antidiuretic hormone secretion (SIADH). Tolvaptan helps to correct sodium imbalance by promoting the excretion of excess water, thereby raising sodium concentrations to safer levels.
Additionally, Tolvaptan is approved for the management of autosomal dominant polycystic kidney disease (ADPKD). In this context, it can slow the progression of kidney enlargement and function decline. Its ability to reduce cyst growth has made it an important option for patients with this genetic disorder, although it is usually prescribed and monitored closely due to potential side effects.
How It Works
Tolvaptan targets vasopressin V2 receptors located in the kidneys. When vasopressin binds to these receptors, it signals the kidneys to retain water. By blocking the receptors, Tolvaptan prevents this action, leading to increased water excretion. Unlike diuretics that cause loss of both water and electrolytes, Tolvaptan primarily increases free water clearance, helping to correct water overload without significantly disturbing electrolyte balance.
Administration and Dosage
The medication is typically taken orally, with doses varying depending on the condition being treated and patient response. It often starts with a low dose to assess how the patient tolerates the medication. The healthcare provider may adjust the dosage over time. It is crucial to follow medical instructions carefully because improper use can lead to complications like overly rapid correction of sodium levels.
Patients should take Tolvaptan with or without food, as directed. Regular monitoring of blood sodium levels is essential during treatment to avoid potential complications, especially in the initial stages of therapy.
Potential Side Effects
While many patients tolerate Tolvaptan well, some may experience side effects. Common issues include increased thirst, dry mouth, frequent urination, and weakness. In some cases, the medication can cause overly rapid increases in blood sodium, which may lead to neurological problems if not managed properly.
Serious but less common side effects include liver damage, which warrants regular liver function monitoring during treatment. Symptoms such as yellowing of the skin or eyes, fatigue, or dark urine should be reported immediately to a healthcare provider.
Precautions and Considerations
Before starting Tolvaptan, it is important for patients to inform their doctor about any existing medical conditions, especially liver disease or electrolyte imbalances. The medication requires careful dosing and monitoring to prevent adverse effects.
Pregnant or breastfeeding women should discuss potential risks with their healthcare provider, as the safety of Tolvaptan in these populations is not fully established. Alcohol consumption and certain medications may also interfere with its effectiveness or increase the risk of side effects.