Firialta 20mg Tablet
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Prescription Required
Overview
Firialta 20mg Tablet contains finerenone, a non-steroidal mineralocorticoid receptor antagonist (MRA) used in adults with chronic kidney disease (CKD) associated with type 2 diabetes, to reduce the risk of kidney function decline, kidney failure, and cardiovascular events such as heart attack.
It works by blocking the mineralocorticoid receptor, which when overactivated contributes to inflammation and scarring (fibrosis) in the kidneys and heart. By blocking this receptor, finerenone helps protect kidney and cardiovascular function over time.
How it Works
Firialta selectively blocks the mineralocorticoid receptor in the kidneys and heart, reducing overactivation that would otherwise drive inflammation and fibrosis, and helping to slow the progression of kidney damage associated with diabetes.
Directions for Use
Take the tablet once daily, with or without food, at about the same time each day; swallow it whole or, if needed, it may be crushed and mixed with water or soft food immediately before use, as advised by your doctor.
Dosage
The starting dose depends on the patient’s kidney function (estimated GFR) and blood potassium level at baseline, and is individualised and titrated by the treating doctor, who monitors blood potassium and kidney function periodically during treatment.
Shelf Life
Refer to the expiry date printed on the packaging.
Storage Instructions
Store below 30°C in a dry place, away from direct sunlight and out of reach of children.
Side Effects
- High blood potassium (hyperkalaemia) – this is the most important side effect to monitor for
- Low blood pressure (hypotension)
- Hyponatraemia (low blood sodium)
- Generalised oedema (swelling)
Contraindications
- Known hypersensitivity to finerenone or any ingredient in the tablet
- Adrenal insufficiency
- Concurrent use with strong CYP3A4 inhibitors
- Severe liver impairment
Drug / Food Interactions
- Potassium supplements and potassium-sparing diuretics can further raise blood potassium and are generally avoided unless closely monitored by your doctor.
- Strong CYP3A4 inhibitors (such as certain antifungals and some antibiotics) can significantly raise finerenone levels and are usually contraindicated.
- ACE inhibitors, ARBs, and other medicines that raise potassium require closer monitoring when combined with finerenone.
- Inform your doctor of all medicines and supplements you are taking.
Quick Tips
- Attend all scheduled blood tests to monitor potassium levels, especially after starting or changing the dose.
- Avoid potassium supplements or salt substitutes containing potassium unless specifically advised by your doctor.
- Report symptoms such as muscle weakness, irregular heartbeat, or unusual tiredness, which can signal high potassium.
- Continue your other diabetes and blood pressure medicines as prescribed; this medicine works alongside them, not in place of them.
Frequently Asked Questions
What is Firialta 20mg used for?
It is used in adults with chronic kidney disease associated with type 2 diabetes to reduce the risk of kidney function decline, kidney failure, and cardiovascular events.
How is this different from my diabetes or blood pressure medicine?
It works through a different pathway (blocking the mineralocorticoid receptor) and is used alongside, not instead of, your existing diabetes and blood pressure treatment.
Why do I need regular blood tests on this medicine?
Your potassium level and kidney function need to be checked periodically, as this medicine can raise blood potassium, which needs to be caught early.
What symptoms of high potassium should I watch for?
Muscle weakness, irregular heartbeat, or unusual tiredness can signal high potassium and should be reported to your doctor promptly.
Can I take potassium supplements while on this medicine?
Generally no, unless specifically directed by your doctor, as this can further raise your potassium level.
Can I take this with food?
Yes, it can be taken with or without food, at about the same time each day.
Are there medicines I should avoid while taking this?
Certain strong antifungal and antibiotic medicines can raise finerenone levels significantly and are usually avoided – always check with your doctor before starting a new medicine.
Can I buy Firialta 20mg Tablet from DoctorOnCall?
Yes, Firialta 20mg Tablet is available through DoctorOnCall, a licensed online pharmacy serving our Malaysian and Singaporean customers. As this is a prescription medicine, you will need to complete an online consultation so a doctor can assess your suitability and issue a valid prescription before the order is processed. This ensures the medicine is appropriate for your condition and used under proper medical supervision, whether you are ordering from Malaysia or Singapore.
Is the medication provided by DoctorOnCall genuine and safe to use?
DoctorOnCall sources its medicines through appropriate licensed pharmacy supply channels for our Malaysian and Singaporean customers. All orders are dispensed and checked by a registered pharmacist before delivery. Always use Firialta 20mg Tablet according to your doctor’s instructions and the information provided with the product.
What payment methods does DoctorOnCall accept?
We accept payment via Online Banking, Credit Card, and e-Wallets (Boost, GrabPay) for our Malaysian and Singaporean customers, so you can choose whichever method is most convenient for you at checkout.
Does DoctorOnCall provide an installment payment plan for Firialta 20mg Tablet?
DoctorOnCall provides an installment payment plan for eligible Malaysian and Singaporean customers, where applicable. Available plans, eligibility, and terms can vary by market, so please contact DoctorOnCall Customer Service for the latest information on installment options for your order.
Is delivery free, and how much does shipping for Firialta 20mg Tablet cost?
Delivery charges may vary for our Malaysian and Singaporean customers depending on your delivery location and the applicable order terms at the time of purchase. For the most accurate and up-to-date delivery fee information, please contact DoctorOnCall Customer Service before placing your order.
How long does delivery take for Firialta 20mg Tablet?
Our Malaysian customers can generally expect delivery within 3-5 working days, while our Singaporean customers generally receive their orders within 5-7 working days. These are expected timeframes rather than guarantees, and actual delivery time may vary depending on your delivery location, order processing time, courier operations, and whether the order falls on a weekend or public holiday.
What is DoctorOnCall’s shipping, return, or cancellation policy for Firialta 20mg Tablet?
Shipping, return, and cancellation terms may vary for our Malaysian and Singaporean customers depending on the product and your order details. Please refer to DoctorOnCall’s Shipping & Delivery Policy and Return, Refund & Exchange Policy, or contact Customer Service, for the specific terms that apply to your order.
Ingredients / Active Ingredients
- Finerenone 20mg
Medical Review
