Substance / Medication

Tolvaptan

Overview

Active Ingredient
tolvaptan
RxNorm CUI
358257

Indications

® SAMSCAis indicated for the treatment of clinically significant hypervolemic and euvolemic hyponatremia (serum sodium <125 mEq/L or less marked hyponatremia that is symptomatic and has resisted correction with fluid restriction), including patients with heart failure and Syndrome of Inappropriate Antidiuretic Hormone (SIADH).

Labeler: Otsuka America Pharmaceutical, Inc.Updated: 2025-11-14T00:00:00.000ZFull label on DailyMed

Contraindications

When this intervention should not be used

SAMSCA is contraindicated in the following conditions: Warnings and Precautions (5.2) [see] Patients with autosomal dominant polycystic kidney disease (ADPKD) outside of FDA-approved REMS Unable to sense or respond to thirst Hypovolemic hyponatremia Warnings and Precautions (5.5) [see] Taking strong

Indications & Related Conditions

Conditions associated via SNOMED clinical relationships

No related conditions have been mapped yet. Condition-intervention linkages are derived from SNOMED CT relationships and will expand as the knowledge graph grows.

Administration & Protocol

Dosing, route, and treatment protocol

Detailed dosage and administration information is available in the full FDA drug label.

View full prescribing information on DailyMed

Monitoring & Follow-Up

Biomarkers relevant to this intervention via related conditions

No monitoring biomarkers have been mapped yet. Biomarker-intervention linkages are derived through related conditions and will expand as the knowledge graph grows.

Clinical Trials

10 trials linked to this intervention

10
Total Trials
0
Recruiting
7
With Results

Research Evidence

Published studies and systematic reviews

Sort:
Evaluating the safety and effectiveness of tolvaptan in patients with heart failure and renal impairment: a systematic review and meta-analysis.
Kumar Aashish, Iqbal Umer, Amin Shafin Bin et al. · Eur J Clin Pharmacol · 2025
PMID: 39579178Meta-Analysis
The role of tolvaptan add-on therapy in patients with acute heart failure: a systematic review and network meta-analysis.
Pratama Vireza, Budiono Jordan, Thobari Jarir At et al. · Front Cardiovasc Med · 2024
PMID: 38873266Meta-AnalysisFull text (PMC)
Tolvaptan for water retention in heart failure: a systematic review.
Pan Yujing, Li Haoyang, Gao Jin et al. · Syst Rev · 2023
PMID: 37516894Meta-AnalysisFull text (PMC)
Benefits of tolvaptan on early dyspnea relief in patients with acute heart failure: A meta-analysis.
Shang Wenli, Zhang Yingying, Han Dong · Clin Cardiol · 2022
PMID: 35916355Meta-AnalysisFull text (PMC)
Predictors of tolvaptan short-term response in patients with refractory ascites: A meta-analysis.
Bellos Ioannis, Kontzoglou Konstantinos, Perrea Despina N · J Gastroenterol Hepatol · 2020
PMID: 31323125Meta-Analysis
Effectiveness of Tolvaptan in the Treatment for Patients with Autosomal Dominant Polycystic Kidney Disease: A Meta-analysis.
Xie Xuan, Cai Qian, Guo Xiao-Yuan et al. · Comb Chem High Throughput Screen · 2020
PMID: 31793415Meta-Analysis

Research data from MEDLINE/PubMed

Benefits & Expected Outcomes

Benefits, expected outcomes, efficacy data, and NNT (Number Needed to Treat) are pending physician authorship and evidence review.

Risks & Side Effects

Adverse reaction and safety data for this drug is sourced from the FDA-approved label.

View adverse reactions & drug interactions on DailyMed

Related Symptoms

Symptoms associated with conditions this intervention addresses

No related symptoms have been mapped yet. Symptom linkages are derived through associated conditions.

Alternatives & Comparisons

Alternative treatments, comparison data, and clinical decision support are pending physician authorship.

Medical Disclaimer

This information is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider regarding any medical condition or treatment plan.

Do not start, stop, or change any treatment without consulting your healthcare provider.

Quick Facts

Type
Substance / Medication
Fully Specified Name
Tolvaptan (substance)
SNOMED CT
443058000
UMLS CUI
C1176308
RxNorm CUI
358257
Labeler
Otsuka America Pharmaceutical, Inc.

Clinical Data

This intervention maps to 0 entities in the Ltrl knowledge graph.

0
Conditions
0
Biomarkers
0
Specialists
0
Symptoms
10
Clinical Trials

Data is sourced from SNOMED CT, UMLS, and the Ltrl clinical knowledge graph. Content sections marked as pending require physician authorship. Consult a healthcare provider before starting any treatment.