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Two hours after initiating a dose increase (160 to 320 mg/day) of valsartan a patient developed angioedema (ie swelling of lips and tongue) Symptoms resolved following a reduction in dose to the original dosage of 160 mg/day Very rare (less than 001%) Angioedema Cardiovascular Common (1% to 10%) Symptomatic hypotension in 55% of.

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Initial dose 13 mg/kg once a day (up to 40 mg) Maintenance dose up to 27 mg/kg (up to 160 mg) once a day titrated according to patient response Comments I f the calculated dosage does not correspond to the available tablet strengths or if children are unable to swallow tablets the use of a suspension (which can be prepared from the tablets) is recommended.