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Samsca

Tolvaptan

Designed to target fluid balance abnormalities by antagonizing vasopressin receptors to alleviate symptoms associated with hyponatraemia.

Active ingredient
Tolvaptan
Route
Oral use
Form
Tablet
Strengths
15 · 30mg

You will receive a quality generic equivalent, depending on stock.

Prescription rules on Samsca vary by country.

Samsca details

Therapeutic class
Vasopressin Receptor Antagonist
Pharmacological class
Selective V2 Receptor Antagonist
Contraindications
hypersensitivity to tolvaptan; anuria; hypovolaemic hyponatraemia
Minor side effects
thirst; polyuria; dry mouth; nausea
Moderate side effects
hypernatraemia; diarrhoea; constipation; increased blood creatinine
Dosage forms
Tablet
Administration route
Oral use
Supply category
Pharmacist only, dispensed without a prescription
Originator
Otsuka Pharmaceutical
Onset Time
2–4 hours
Duration
12–24 hours
Storage instructions
Store at room temperature.
Drug interactions
CYP3A4 inhibitors; grapefruit
Age restrictions
Adults only.
Pregnancy and breastfeeding
Pregnancy: Use only if clearly necessary. Breastfeeding: Not recommended.
Serious side effects

severe hepatic injury, requires immediate medical attention; osmotic demyelination syndrome, requires immediate medical attention

Patient summary

Designed to target fluid balance abnormalities by antagonizing vasopressin receptors to alleviate symptoms associated with hyponatraemia.

Mechanism of action

Tolvaptan binds specifically to vasopressin V2 receptors in the kidney, which inhibits free water reabsorption and induces aquaresis, effectively managing water retention and serum sodium levels.

What you will receive

Samsca is the originator brand name, made by Otsuka Pharmaceutical. We use it here to identify the medicine only; we are not affiliated with Otsuka Pharmaceutical and do not ship the original Samsca.

  • You receive a generic equivalent: the same active ingredient (Tolvaptan) at the same dose, mostly recognised Indian branded generics from vetted manufacturers.
  • The exact brand supplied depends on what is in stock at the dispatching warehouse.
  • A regulated generic matches the original ingredient for ingredient by legal standard.

Are all generics really the same? Read the honest answer.

Where this medicine is registered

  • Singapore
  • Hong Kong
  • Thailand
  • Malaysia
  • Philippines
  • Indonesia
  • Taiwan
  • South Korea
  • Japan
  • Australia
  • New Zealand
  • UAE
  • South Africa

About Samsca

Samsca is a brand containing Tolvaptan, used for managing hyponatraemia and autosomal dominant polycystic kidney disease. Otsuka Pharmaceutical produces the tablet form, which is available in strengths of 15mg and 30mg. Patients requiring this treatment may rely on it for specific renal and sodium-related conditions as determined by their medical team.

Samsca availability in Asia

Samsca is registered across 14 markets including the Philippines, Indonesia and Taiwan, with availability also in South Korea, Japan and the UAE. Generic Tolvaptan, much of it made in India, can offer a more affordable alternative to the original brand for expats and residents far from a well-stocked health facility. This specialized medication is best used under a doctor’s care for targeted renal and electrolyte management.