Description
Description
Co-Extor (5/160/25mg) is a triple-combination antihypertensive medicine manufactured by Searle Pakistan, formulated with Amlodipine Besylate, Valsartan, and Hydrochlorothiazide as its active ingredients. This particular strength includes a higher dose of hydrochlorothiazide compared to the standard formulation, offering stronger diuretic support alongside the calcium channel blocking and angiotensin receptor blocking effects of the other two components. This pack contains 28 tablets, designed for once-daily use in adults whose blood pressure requires a more intensive fluid-reducing element within their combination therapy. Together, the three active ingredients work to relax blood vessels, prevent vessel-tightening effects, and help the body eliminate excess sodium and water.
Ingredients
Each Co-Extor tablet in this strength contains Amlodipine Besylate 5mg, Valsartan 160mg, and Hydrochlorothiazide 25mg. Amlodipine works as a calcium channel blocker, relaxing blood vessels and improving blood flow to reduce cardiac workload. Valsartan blocks angiotensin II receptors, preventing the tightening of blood vessels and supporting smoother circulation. Hydrochlorothiazide, present here at a higher dose, acts as a thiazide diuretic that promotes stronger excretion of sodium and water, helping to reduce blood volume more significantly. Together, these three compounds provide an enhanced combined effect for patients who need additional diuretic support in their blood pressure management. The tablet also contains standard inactive excipients used for formulation and stability.
Dosage Form
Co-Extor is available as an oral, film-coated tablet, supplied in a pack of 28 tablets. This particular strength is intended for once-daily administration in patients who require a stronger diuretic component within their triple combination therapy.
Uses
Co-Extor (5/160/25mg) is primarily used to treat essential hypertension in adults who need a combination therapy with a stronger fluid-reducing effect, particularly those who haven’t achieved adequate blood pressure control with lower-dose diuretic combinations. This formulation supports more effective management of stubborn or harder-to-control hypertension by combining calcium channel blocking, angiotensin receptor blocking, and enhanced diuretic action, helping reduce long-term cardiovascular risks associated with uncontrolled blood pressure.
How to Use
Co-Extor should be taken exactly as prescribed by a physician, generally as one tablet daily, with or without food. The tablet should be swallowed whole with a glass of water, and taking it alongside a meal may help minimize stomach discomfort. A consistent daily routine supports more stable and predictable blood pressure control. Given the higher diuretic strength in this formulation, the dose should never be self-adjusted, and treatment should not be stopped abruptly without medical guidance.
Side Effects
Because this strength contains a higher hydrochlorothiazide dose, patients may be more likely to experience effects such as increased urination, dizziness, and changes in electrolyte levels including low potassium or sodium. Other commonly reported side effects include headache, fatigue, nasal or throat irritation, and mild swelling in the lower limbs. Muscle weakness, unusual thirst, and dry mouth may also occur due to the stronger diuretic action. Any severe symptoms, including significant drops in blood pressure, fainting, or irregular heart rhythms, should be treated as urgent and reported to a doctor immediately.
Pregnancy & Breastfeeding
Co-Extor is generally not recommended during pregnancy, as valsartan and similar angiotensin receptor blockers carry known risks to fetal development and are typically avoided in women who are pregnant or planning to conceive. Breastfeeding mothers should also consult their doctor before using this medicine, since its safety during lactation, particularly at this higher diuretic strength, has not been clearly established.
Storage Instructions
Store Co-Extor tablets at room temperature, away from direct sunlight, moisture, and excessive heat. Keep the tablets in their original packaging until ready for use to protect them from environmental exposure. Store the medicine out of reach of children and pets, and do not use tablets beyond their printed expiry date.
FAQS
How does this strength differ from the standard Co-Extor formulation?
It contains a higher hydrochlorothiazide dose (25mg instead of 12.5mg), providing stronger diuretic support for blood pressure control.
Why might increased urination occur with this medicine?
The higher diuretic strength promotes greater sodium and water excretion, which naturally increases urination.
Can this formulation cause electrolyte imbalances?
Yes, due to the stronger diuretic component, electrolyte levels such as potassium and sodium should be monitored periodically.
Is this strength suitable for first-time hypertension treatment?
No, it is generally prescribed for patients who require a stronger diuretic element after trying lower-dose combinations.
Disclaimer
Always use this medicine strictly according to your doctor’s instructions and prescribed dosage.






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