Firialta 20mg Tablet

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Manufacturer Bayer
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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Chong Zhan Pong
Written byDr. Chong Zhan PongDoctor of Medicine (MD), International Medical University (IMU)

Last reviewed on

Overview

Firialta 20mg Tablet is a prescription-only medicine (POM) that contains Finerenone 20mg. It is supplied as a tablet and is dispensed in Malaysia only against a valid prescription issued by a registered doctor.

Under Malaysian rules for prescription medicines, this page carries product, safety and handling information only. Your doctor or pharmacist will explain whether this medicine is suitable for you, the dose you should take, and how long you should take it.

On DoctorOnCall, Firialta 20mg Tablet is reviewed by a licensed doctor through an online consultation and dispensed by a registered pharmacist before delivery. Always follow the instructions on your prescription label and the package insert supplied with the product, and do not share this medicine with anyone else.

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.

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.

Ingredients / Active Ingredients

  • Finerenone 20mg

Frequently Asked Questions

Product Specifications

ManufacturerBayer
ClassificationPrescription medicine
Pack Size28s
Shelf LifeRefer to the expiry date printed on the packaging.

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