Ifirmacombi

irbesartan / hydrochlorothiazide

Overview
Authorisation details
Product information
Assessment history

Authorised

This medicine is authorised for use in the European Union.

Overview

This is a summary of the European public assessment report (EPAR) for Ifirmacombi. It explains how the Committee for Medicinal Products for Human Use (CHMP) assessed the medicine to reach its opinion in favour of granting a marketing authorisation and its recommendations on the conditions of use for Ifirmacombi.

: Ifirmacombi is a medicine that contains two active substances, irbesartan and hydrochlorothiazide. It is available as tablets (150 mg irbesartan and 12.5 mg hydrochlorothiazide; 300 mg irbesartan and 25 mg hydrochlorothiazide; 300 mg irbesartan and 12.5 mg hydrochlorothiazide).
Ifirmacombi is a ‘generic medicine’. This means that Ifirmacombi is similar to a ‘reference medicine’ already authorised in the European Union (EU) called CoAprovel.

: Ifirmacombi is used in adults who have essential hypertension (high blood pressure) that is not adequately controlled by irbesartan or hydrochlorothiazide alone. ‘Essential’ means that the hypertension has no obvious cause.
The medicine can only be obtained with a prescription.

: The dose of Ifirmacombi to be used depends on the dose of irbesartan or hydrochlorothiazide that the patient was taking before. Doses higher than 300 mg irbesartan and 25 mg hydrochlorothiazide once a day are not recommended. Ifirmacombi may be added to other treatments for hypertension.

: Ifirmacombi contains two active substances, irbesartan and hydrochlorothiazide.
Irbesartan is an ‘angiotensin-II-receptor antagonist’, which means that it blocks the action of a hormone in the body called angiotensin II. Angiotensin II is a powerful vasoconstrictor (a substance that narrows blood vessels). By blocking the receptors to which angiotensin II normally attaches, irbesartan stops the hormone having an effect, allowing the blood vessels to widen.
Hydrochlorothiazide is a diuretic, which is another type of treatment for hypertension. It works by increasing urine output, reducing the amount of fluid in the blood and lowering the blood pressure.
The combination of the two active substances has an additive effect, reducing the blood pressure more than either medicine alone. By lowering the blood pressure, the risks associated with high blood pressure, such as having a stroke, are reduced.

: Because Ifirmacombi is a generic medicine, studies in people have been limited to tests to determine that it is bioequivalent to the reference medicine, CoAprovel. Two medicines are bioequivalent when they produce the same levels of the active substance in the body.

: Because Ifirmacombi is a generic medicine and is bioequivalent to the reference medicine, its benefits and risks are taken as being the same as the reference medicine’s.

: The CHMP concluded that, in accordance with EU requirements, Ifirmacombi has been shown to have comparable quality and to be bioequivalent to CoAprovel. Therefore, the CHMP’s view was that, as for CoAprovel, the benefit outweighs the identified risk. The Committee recommended that Ifirmacombi be given marketing authorisation.

: The European Commission granted a marketing authorisation valid throughout the European Union for Ifirmacombi on 4 March 2011.
For more information about treatment with Ifirmacombi, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist.

List item

Ifirmacombi : EPAR - Summary for the public (PDF/74.29 KB)

First published: 17/03/2011
Last updated: 22/01/2016
EMA/187625/2011
- Bulgarian
  (PDF/100.98 KB)
- Croatian
  (PDF/89.37 KB)
- Czech
  (PDF/97.73 KB)
- Danish
  (PDF/73.96 KB)
- Dutch
  (PDF/74.53 KB)
- Estonian
  (PDF/73.09 KB)
- Finnish
  (PDF/73.93 KB)
- French
  (PDF/78.04 KB)
- German
  (PDF/74.87 KB)
- Greek
  (PDF/102.61 KB)
- Hungarian
  (PDF/92.39 KB)
- Italian
  (PDF/73.69 KB)
- Latvian
  (PDF/101.39 KB)
- Lithuanian
  (PDF/95.67 KB)
- Maltese
  (PDF/98.26 KB)
- Polish
  (PDF/98.43 KB)
- Portuguese
  (PDF/74.41 KB)
- Romanian
  (PDF/94.18 KB)
- Slovak
  (PDF/97.24 KB)
- Slovenian
  (PDF/88.7 KB)
- Spanish
  (PDF/74.3 KB)
- Swedish
  (PDF/73.88 KB)

This EPAR was last updated on 09/02/2022

Authorisation details

Product details
Name	Ifirmacombi
Agency product number	EMEA/H/C/002302
Active substance	irbesartan hydrochlorothiazide
International non-proprietary name (INN) or common name	irbesartan hydrochlorothiazide
Therapeutic area (MeSH)	Hypertension
Anatomical therapeutic chemical (ATC) code	C09DA04
Generic	This is a generic medicine, which is developed to be the same as a medicine that has already been authorised, called the reference medicine. A generic medicine contains the same active substance(s) as the reference medicine, and is used at the same dose(s) to treat the same disease(s). For more information, see Generic and hybrid medicines.

Publication details
Marketing-authorisation holder	Krka, d.d., Novo mesto
Revision	14
Date of issue of marketing authorisation valid throughout the European Union	04/03/2011
Contact address	Šmarješka cesta 6 8501 Novo mesto Slovenia

Product information

08/02/2022 Ifirmacombi - EMEA/H/C/002302 - IB/0034

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Ifirmacombi : EPAR - Product information (PDF/261.34 KB)

First published: 17/03/2011
Last updated: 09/02/2022
- Bulgarian
  (PDF/292.24 KB)
- Croatian
  (PDF/252.51 KB)
- Czech
  (PDF/261.23 KB)
- Danish
  (PDF/270.49 KB)
- Dutch
  (PDF/271.14 KB)
- Estonian
  (PDF/263.92 KB)
- Finnish
  (PDF/275.41 KB)
- French
  (PDF/278.46 KB)
- German
  (PDF/276.18 KB)
- Greek
  (PDF/310.41 KB)
- Hungarian
  (PDF/275.67 KB)
- Icelandic
  (PDF/262.82 KB)
- Italian
  (PDF/271.52 KB)
- Latvian
  (PDF/276.36 KB)
- Lithuanian
  (PDF/270.09 KB)
- Maltese
  (PDF/319.77 KB)
- Norwegian
  (PDF/267.73 KB)
- Polish
  (PDF/284.91 KB)
- Portuguese
  (PDF/272.68 KB)
- Romanian
  (PDF/275.34 KB)
- Slovak
  (PDF/273.83 KB)
- Slovenian
  (PDF/262.89 KB)
- Spanish
  (PDF/275.69 KB)
- Swedish
  (PDF/257.74 KB)

Other EU languages available icon This medicine’s product information is available in all official EU languages.
Select ‘available languages’ to access the language you need.

Product information documents contain:

summary of product characteristics (annex I);
manufacturing authorisation holder responsible for batch release (annex IIA);
conditions of the marketing authorisation (annex IIB);
labelling (annex IIIA);
package leaflet (annex IIIB).

You can find product information documents for centrally authorised human medicines on this website. For centrally authorised veterinary medicines authorised or updated from February 2022, see the Veterinary Medicines Information website.

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Ifirmacombi : EPAR - All Authorised presentations (PDF/42.46 KB)

First published: 17/03/2011
Last updated: 17/03/2011
- Bulgarian
  (PDF/78.12 KB)
- Czech
  (PDF/56.72 KB)
- Danish
  (PDF/43.58 KB)
- Dutch
  (PDF/43.36 KB)
- Estonian
  (PDF/44.26 KB)
- Finnish
  (PDF/43.78 KB)
- French
  (PDF/43.85 KB)
- German
  (PDF/44.48 KB)
- Greek
  (PDF/77.28 KB)
- Hungarian
  (PDF/74.61 KB)
- Icelandic
  (PDF/43.44 KB)
- Italian
  (PDF/43 KB)
- Latvian
  (PDF/74.98 KB)
- Lithuanian
  (PDF/75.23 KB)
- Maltese
  (PDF/72.93 KB)
- Norwegian
  (PDF/43.72 KB)
- Polish
  (PDF/57.17 KB)
- Portuguese
  (PDF/43.89 KB)
- Romanian
  (PDF/72.58 KB)
- Slovak
  (PDF/57.08 KB)
- Slovenian
  (PDF/43.13 KB)
- Spanish
  (PDF/43.87 KB)
- Swedish
  (PDF/43.55 KB)

Pharmacotherapeutic group

Agents acting on the renin-angiotensin system

Therapeutic indication

Treatment of essential hypertension. This fixed dose combination is indicated in adult patients whose blood pressure is not adequately controlled on irbesartan or hydrochlorothiazide alone.

Assessment history

Changes since initial authorisation of medicine

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Ifirmacombi : EPAR - Procedural steps taken and scientific information after authorisation (PDF/192.2 KB)

First published: 14/11/2012
Last updated: 09/02/2022
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Angiotensin-II-receptor antagonists (sartans) : Scientific conclusions - Impact of the Article 5(3) scientific opinion on nitrosamines (PDF/119.28 KB)

Adopted

First published: 05/07/2021
- Bulgarian
  (PDF/145.18 KB)
- Croatian
  (PDF/142.87 KB)
- Czech
  (PDF/139.02 KB)
- Danish
  (PDF/126.81 KB)
- Dutch
  (PDF/127.53 KB)
- Estonian
  (PDF/123.85 KB)
- Finnish
  (PDF/125.84 KB)
- French
  (PDF/127.12 KB)
- German
  (PDF/131.05 KB)
- Greek
  (PDF/139.5 KB)
- Hungarian
  (PDF/137.17 KB)
- Italian
  (PDF/126.56 KB)
- Latvian
  (PDF/147.7 KB)
- Lithuanian
  (PDF/148.34 KB)
- Maltese
  (PDF/151.21 KB)
- Polish
  (PDF/137.7 KB)
- Portuguese
  (PDF/128.87 KB)
- Romanian
  (PDF/143.59 KB)
- Slovak
  (PDF/135.07 KB)
- Slovenian
  (PDF/149.74 KB)
- Spanish
  (PDF/125.85 KB)
- Swedish
  (PDF/126.99 KB)
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Angiotensin-II-receptor antagonists (sartans) Article 31 referral - CHMP assessment report - Impact of the Article 5(3) scientific opinion on nitrosamines (PDF/362.31 KB)

Adopted

First published: 02/03/2021
EMA/47245/2021
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Ifirmacombi : EPAR - Scientific conclusions (PDF/99.42 KB)

First published: 23/05/2019
- Bulgarian
  (PDF/136.15 KB)
- Croatian
  (PDF/125.02 KB)
- Czech
  (PDF/131.08 KB)
- Danish
  (PDF/96.12 KB)
- Dutch
  (PDF/99.3 KB)
- Estonian
  (PDF/94.4 KB)
- Finnish
  (PDF/97.12 KB)
- French
  (PDF/97.56 KB)
- German
  (PDF/100.2 KB)
- Greek
  (PDF/142.79 KB)
- Hungarian
  (PDF/119.82 KB)
- Italian
  (PDF/95.54 KB)
- Latvian
  (PDF/130.68 KB)
- Lithuanian
  (PDF/130.84 KB)
- Maltese
  (PDF/133.78 KB)
- Polish
  (PDF/130.65 KB)
- Portuguese
  (PDF/96.47 KB)
- Romanian
  (PDF/128.25 KB)
- Slovak
  (PDF/119.14 KB)
- Slovenian
  (PDF/124.14 KB)
- Spanish
  (PDF/98.31 KB)
- Swedish
  (PDF/96.85 KB)
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Angiotensin-II-receptor antagonists (sartans) Article 31 referral - CHMP assessment report (PDF/531.32 KB)

Adopted

First published: 02/05/2019
EMA/217823/2019
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Ifirmacombi-H-C-2302-A31-09 : EPAR - Assessment Report - Article 31 (PDF/301.42 KB)

Adopted

First published: 30/09/2014
Last updated: 30/09/2014
EMA/PRAC/294920/2014
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Ifirmacombi-H-C-2302-A31-09 : EPAR - Scientific conclusions, grounds for variation to the terms of the marketing authorisations and detailed explanation of the scientific grounds for the differences from the PRAC recomme... (PDF/48.81 KB)

First published: 30/09/2014
Last updated: 30/09/2014
- Bulgarian
  (PDF/87.49 KB)
- Croatian
  (PDF/80.12 KB)
- Czech
  (PDF/82.81 KB)
- Danish
  (PDF/49.01 KB)
- Dutch
  (PDF/49.82 KB)
- Estonian
  (PDF/50.6 KB)
- Finnish
  (PDF/49.15 KB)
- French
  (PDF/51.91 KB)
- German
  (PDF/53.54 KB)
- Greek
  (PDF/89.54 KB)
- Hungarian
  (PDF/68.7 KB)
- Italian
  (PDF/51.13 KB)
- Latvian
  (PDF/81.63 KB)
- Lithuanian
  (PDF/82.54 KB)
- Maltese
  (PDF/84.23 KB)
- Polish
  (PDF/83.62 KB)
- Portuguese
  (PDF/49.74 KB)
- Romanian
  (PDF/88.19 KB)
- Slovak
  (PDF/81.5 KB)
- Slovenian
  (PDF/79.79 KB)
- Spanish
  (PDF/50.51 KB)
- Swedish
  (PDF/50.18 KB)

Ifirmacombi

Table of contents

Overview

Ifirmacombi : EPAR - Summary for the public (PDF/74.29 KB)

Authorisation details

Product information

Ifirmacombi : EPAR - Product information (PDF/261.34 KB)

Ifirmacombi : EPAR - All Authorised presentations (PDF/42.46 KB)

Pharmacotherapeutic group

Therapeutic indication

Assessment history

Changes since initial authorisation of medicine

Ifirmacombi : EPAR - Procedural steps taken and scientific information after authorisation (PDF/192.2 KB)

Angiotensin-II-receptor antagonists (sartans) : Scientific conclusions - Impact of the Article 5(3) scientific opinion on nitrosamines (PDF/119.28 KB)

Angiotensin-II-receptor antagonists (sartans) Article 31 referral - CHMP assessment report - Impact of the Article 5(3) scientific opinion on nitrosamines (PDF/362.31 KB)

Ifirmacombi : EPAR - Scientific conclusions (PDF/99.42 KB)

Angiotensin-II-receptor antagonists (sartans) Article 31 referral - CHMP assessment report (PDF/531.32 KB)

Ifirmacombi-H-C-2302-A31-09 : EPAR - Assessment Report - Article 31 (PDF/301.42 KB)

Ifirmacombi-H-C-2302-A31-09 : EPAR - Scientific conclusions, grounds for variation to the terms of the marketing authorisations and detailed explanation of the scientific grounds for the differences from the PRAC recomme... (PDF/48.81 KB)

Initial marketing-authorisation documents

Ifirmacombi : EPAR - Public assessment report (PDF/525.5 KB)

CHMP summary of positive opinion for Ifirmacombi (PDF/50.47 KB)

News

More information on Ifirmacombi

Questions and answers on the review of angiotensin-II-receptor antagonists and the risk of cancer (PDF/511.41 KB)

Questions and answers on generic medicines (PDF/66.45 KB)

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