Heart failure Target dose: 200 mg bd. Starting dose: 100 mg bd. Double dose every 2-4 wk to the target dose of 200 mg bd as tolerated by the patient.
Patient not currently taking ACE inhibitor or ARB & those previously taking low doses of these agents Starting dose: 50 mg bd.
Severe renal (eGFR <30 mL/min/1.73 m2) & moderate hepatic (Child-Pugh B) impairment Starting dose: 50 mg bd.
Essential HTN Starting dose: 200 mg once daily.
Patient whose BP could not be adequately controlled w/ Meravo 200 mg once daily May be increased to 400 mg once daily.
Moderate hepatic impairment (Child-Pugh B) Starting dose: 100 mg bd.