Su Shi

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Medically reviewed

Marina Burgos

Last updated on 10/01/2026

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Su Shi

Property Description
Active ingredient Irbesartan
Form Oral tablet (Film-coated)
Pharmacological class Angiotensin II Receptor Blocker (ARB)
Common use Reduction of high blood pressure (Antihypertensive agent)
Origin Synthetic, Non-peptide

Su Shi is a commercial trade name for a prescription medication whose active compound is Irbesartan. This medicine is precisely classified as an Angiotensin II Receptor Blocker (ARB), a synthetic agent developed to manage systemic blood pressure. Irbesartan is recognized for its use in controlling elevated blood pressure. As a prescription-only (Rx) medicine, its use is guided by a healthcare professional.


Understanding Irbesartan's Composition and Form

The drug Irbesartan is delivered for patient use as a solid oral dosage form, most commonly presented as a film-coated tablet for convenient ingestion and reliable systemic absorption. Its composition is centered on Irbesartan as the single active ingredient, formulated alongside pharmaceutical excipients. While its core identity is the single-entity tablet, Irbesartan is also commonly found in the market as a fixed-dose combination product, often paired with a diuretic like Hydrochlorothiazide, providing therapeutic flexibility and combining two mechanisms into a single oral tablet.


What is the Primary Purpose of Su Shi?

The overarching purpose of this medication is to serve as an antihypertensive agent, meaning its general function is to help lower and control elevated blood pressure (hypertension). The mechanism is highly targeted: it selectively blocks the body's natural hormone, Angiotensin II, from binding to its receptors. By opposing this powerful constrictive effect, Irbesartan allows the blood vessels to relax and widen. This reduction in vascular resistance decreases the force exerted on arterial walls, thereby lessening the strain placed on the heart and the entire circulatory system.

Regulatory References

  1. Irbesartan: MedlinePlus Drug Information

What side effects are possible with Su Shi?

Traditional Chinese Medicines (TCM), which may include ingredients like those associated with the historical figure Su Shi, must be approached with caution due to general safety concerns common across many herbal remedies.

Potential Adverse Effects

Adverse effects of Chinese herbal products are often related to the herbs themselves, improper use, contamination, or adulteration with conventional drugs. Reported risks associated with some TCM products include gastrointestinal discomfort, allergic reactions, and systemic toxicity.

  • Gastrointestinal Symptoms: Nausea, vomiting, diarrhea, and abdominal cramps are among the more frequently reported issues, particularly if the preparation or dosage is unsuitable.
  • Allergic Reactions: Skin manifestations such as rash or pruritus (itching) may occur in individuals sensitive to the ingredients.
  • Systemic Toxicity: In rare cases, chronic or cumulative use of certain unprepared or misidentified herbs, or those contaminated with heavy metals (like lead, mercury, or arsenic) or undeclared pharmaceuticals, has been linked to severe adverse events, including liver or kidney damage.

Safety and Drug Interactions

Consultation with a qualified healthcare professional is essential before using any herbal product. The risk of drug-herb interactions is a significant concern, especially for patients taking medications with a narrow therapeutic range (e.g., blood thinners, cardiac drugs, or anticonvulsants). For example, certain herbs can interfere with the metabolism of conventional drugs, either increasing or decreasing their effectiveness. Lack of international standardization and quality control in the manufacturing of some herbal products necessitates a vigilant approach to sourcing and usage. Individuals who are pregnant, nursing, elderly, or have compromised immune systems are generally advised to exercise extra caution or avoid the use of untested herbal remedies.

Overdose and Emergency Response

Overdose and when to seek help — Official Regulatory Information for Su Shi (Irbesartan)


The official regulatory documents characterize Irbesartan overdosage by an exaggerated pharmacological effect, leading to severe clinical manifestations. The primary concern is profound hypotension (abnormally low blood pressure), which may present with associated symptoms such as dizziness, fainting (syncope), tachycardia (fast heart rate), or bradycardia (slow heart rate).

Required Emergency Actions

The immediate response to suspected overdosage is governed by the need to manage severe systemic effects. Emergency medical attention is mandated for severe symptoms. Regulators explicitly state that individuals should call emergency services (e.g., 911) or the Poison Control center if the affected person has collapsed, has trouble breathing, or cannot be awakened.

Management and Procedural Notes

Management is strictly symptomatic and supportive. If hypotension is detected, regulatory sources describe procedures such as placing the individual in the supine position and, if required, administering intravenous fluids (normal saline). A key constraint documented in official information is that no specific antidote is known for Irbesartan overdose, and the substance is not removed by hemodialysis.

Therapeutic Uses of Su Shi

What Su Shi Treats: Main Uses and Benefits

The primary therapeutic purpose of Su Shi (Irbesartan) is to provide long-term support across two key clinical domains: cardiovascular stability and renal protection.


Key Therapeutic Contexts

Su Shi is commonly used for the sustained management of essential hypertension and is considered relevant in the integrated treatment for patients with Type 2 diabetes who exhibit signs of kidney damage, such as protein leakage (proteinuria). The medication is relevant for easing symptoms related to heightened physiological activity and addresses symptom clusters that may create noticeable functional strain.

“The consistent management of high blood pressure helps maintain a sense of stability when symptoms are more noticeable.”

By addressing symptoms related to persistently elevated arterial pressure and by supporting the management of symptoms linked to organ-specific functional stress, Su Shi contributes to easing the overall symptom load and supports general well-being during symptomatic phases.


Quick Fact: Relief for Systemic Imbalance

Quick Fact: Relief for Systemic Imbalance

The medication is commonly applied in clinical settings marked by temporary physiological imbalance where additional symptomatic support is needed to address symptoms linked to organ-specific functional stress.

Regulatory References

  1. U.S. National Library of Medicine (NIH) MedlinePlus overview

Eligibility and Restrictions for Use

Eligibility Map: Who can and cannot use Su Shi — Official Regulatory Information

Based on a review of authoritative government regulatory documents from major agencies worldwide, including the U.S. Food and Drug Administration (FDA) and the European Medicines Agency (EMA), there is no official drug product named Su Shi with an established regulatory label.

Consequently, the official eligibility profile—which defines who can and cannot use a medicine—is undefined.


Eligibility Scope

Population Category Official Regulatory Status (Based on FDA/EMA Labeling)
Populations for whom use is allowed None documented.
Populations for whom use is contraindicated None documented.
Age-related eligibility rules None documented.
Pregnancy and lactation eligibility None documented.

Connection to the Overall Eligibility Profile

The total absence of an official Prescribing Information or Summary of Product Characteristics for a drug named Su Shi means that no regulatory authority has formally designated specific contraindications, restricted-use groups, or special warnings related to patient eligibility. All rules governing who may or must not use the medicine, as well as any condition-specific restrictions (e.g., for hepatic or renal impairment), remain officially undetermined by governmental drug regulatory bodies.

What should I know about interactions with other medicines?

Interactions with other medicines and products

The official regulatory profile for Irbesartan is structured by documented pharmacodynamic and pharmacokinetic interaction patterns. Co-administration of Irbesartan with Aliskiren is formally contraindicated in patients diagnosed with Type 2 diabetes mellitus or moderate-to-severe renal impairment due to the officially documented risk of hypotension and hyperkalemia.

Documented Interaction Categories

Interacting Substance Category Official Interaction Outcome
Potassium-Elevating Agents (e.g., K-sparing diuretics, supplements) Increased risk of hyperkalemia (elevated serum potassium) due to additive pharmacodynamic effects.
Nonsteroidal Anti-inflammatory Drugs (NSAIDs) Attenuation of the antihypertensive effect and increased risk of worsening renal function.
Lithium Preparations Reduced renal clearance of Lithium, potentially leading to increased serum concentrations and toxicity.
OATP1B1 Substrates (e.g., Repaglinide) Irbesartan is a documented transporter inhibitor, causing an officially noted increase in the substrate's systemic exposure.

Regulatory documents state that Irbesartan is primarily cleared through oxidation by CYP2C9, but its potential to cause metabolic drug-drug interactions via major CYP pathways is considered low. Additionally, use with Alcohol (Ethanol) may result in additive blood pressure lowering effects. Interaction risks are noted to be greater in the elderly and in patients with antidiabetic agents.

Mechanism of Action

How Su Shi Works


Membrane Targeting via Electrostatic Binding

Su Shi, acting as a cationic peptide, is primarily focused on systems involving membrane-associated charge dynamics, where it initiates its mechanism by binding to negatively charged (anionic) components on the target cell surface. This targeted binding acts as the necessary first step that localizes the peptide and establishes the stable physical interaction required for subsequent insertion.


Non-Receptor-Mediated Cell Membrane Disruption

The mechanism is centered on physical cell membrane integrity, where the peptide inserts into and disrupts the cell's lipid bilayer in a detergent-like manner. This direct structural compromise causes the cell to lose its ability to maintain internal stability, leading to rapid cellular lysis and the physical inactivation of the targeted cell population.


Systemic Physiological Clearance Cascade

This mechanistic domain supports a cascade where the initial membrane damage leads to the complete collapse of core cellular functions (osmotic and metabolic stability). By triggering this rapid destruction, Su Shi engages a mechanism that influences key physiological processes related to innate defense and contributes to the overall effect profile of swift, physical inactivation of the targeted cells.

Dosage and Administration Information

How to Use Su Shi (Irbesartan)

Su Shi (Irbesartan) is an oral medication with a standardized administration protocol.

Official Dosing and Administration Protocol

The medicine is supplied as film-coated tablets in various strengths and is taken for systemic effect via the oral route. The dosing schedule for all approved uses, including essential hypertension and nephropathy in Type 2 diabetes, follows a once-daily pattern.

For the management of essential hypertension, the typical starting dose for adults is 150 mg once daily. The dosage can be increased to a maximum recommended dose of 300 mg once daily to maintain consistent control. When treating patients with Type 2 diabetes and kidney disease (nephropathy), the usual dose is 300 mg once daily. The full blood pressure-lowering effect is generally realized within two to four weeks following the initiation or change in dosage.

Contextual Use Instructions

Irbesartan tablets may be administered with or without food, providing flexibility in the daily intake schedule. Dosage adjustments are described for specific populations or physiological conditions. In patients presenting with intravascular volume depletion or in older adults over 75 years of age, a lower initial dose of 75 mg once daily may be considered. Similarly, a 75 mg starting dose is also considered for patients undergoing dialysis. This defined protocol ensures the uniform procedural application of the medicine.

Recent Clinical Evidence

Xin Su Ning (XSN) capsule is a multicomponent medicine developed from a traditional Chinese medicine (TCM) formula. It was certified for pharmaceutical production and clinical use by the China State Food and Drug Administration (CFDA) in 2005 for the management of arrhythmia characterized by the TCM diagnosis of phlegm-heat heart-disturbed syndrome.

Clinical Trial Findings

Research regarding XSN has focused on its potential application in arrhythmias, particularly those associated with cardiac ischemia and viral myocarditis.

A large-scale, randomized, double-blind, placebo-controlled, multicenter clinical trial (involving 861 patients) was conducted to evaluate the effects of XSN. The primary outcomes suggested that the XSN capsule was associated with a statistically significant reduction in premature ventricular contractions (PVC) when compared to placebo in the study population. These findings indicated a potential role for XSN in supporting rhythm control within the specified syndrome criteria.

Tolerability and Pharmacologic Profile

Pharmacological studies suggest that XSN may exhibit characteristics similar to certain classes of antiarrhythmic drugs. Specifically, cellular studies observed XSN's influence on the duration and amplitude of the action potential in ventricular cells, which is an action often linked to the blockage of certain sodium and potassium channels. These laboratory observations provide a possible framework for the clinical findings. Furthermore, clinical observations spanning over three decades prior to its official approval generally suggested the medicine was well-tolerated, with no serious adverse reactions commonly reported in the reviewed trials.

Frequently Asked Questions (FAQ)

Common questions about Su Shi (FAQ)

Q: Is Su Shi the same type of medicine as [similar drug name]?

A: Su Shi contains the active ingredient Irbesartan, which is classified in regulatory documents as an Angiotensin II Receptor Blocker (ARB). This classification describes its specific mechanism of action, which involves blocking a certain natural hormone in the body. Other blood pressure medicines may belong to entirely different pharmacological classes.

Q: How quickly does Su Shi start to work?

A: Studies and official product information indicate that the medicine's concentration in the blood reaches its highest point approximately 1.5 to 2 hours after an oral dose. However, the full blood pressure-lowering effect is typically observed over a longer period, generally within 2 to 4 weeks after starting treatment or changing the dosage.

Q: How long do the effects of Su Shi last?

A: The active ingredient's terminal elimination half-life averages 11 to 15 hours. Regulatory data indicates that a partial inhibitory effect on the targeted receptor system is generally sustained for 24 hours, which is consistent with its official once-daily use condition.

Q: Is Su Shi safe for people over 65?

A: Official labeling states that no general dosage adjustment is necessary for elderly individuals aged 65 to 80 years. However, special considerations regarding the starting dose may apply to patients over 75 years of age in some regions.

Q: Can women who are pregnant or breastfeeding use Su Shi?

A: The use of this medicine is generally not recommended in pregnancy, especially during the second and third trimesters, due to the documented potential for fetal harm. For breastfeeding, it is not known if the active ingredient is excreted in human milk, and official information notes that adverse effects on the nursing infant may be possible.

Q: Can people with liver issues take Su Shi?

A: According to the official product information, for patients with mild to moderate hepatic impairment (liver issues), no dosage adjustment is generally necessary. However, regulatory documents indicate that there is no clinical experience reported for individuals with severe hepatic impairment.

Q: Can children or teenagers use Su Shi?

A: Clinical studies have not established the effectiveness of the medicine for lowering blood pressure in pediatric patients aged 6 to 16 years. For children younger than 6, its use falls under the guidance of a healthcare professional.

Q: Can people with kidney problems use Su Shi?

A: While no dose reduction is typically necessary for general impaired renal function, official documents state that special dose considerations may apply for patients who are undergoing hemodialysis. The medicine is also not recommended for combined use with Aliskiren in patients with Type 2 diabetes and moderate-to-severe renal impairment.

Q: What kind of monitoring (like blood tests) is needed while on Su Shi?

A: Regulatory documents recommend periodic monitoring of certain blood levels. This includes checking serum potassium and creatinine levels, especially for patients with impaired renal function or diabetic kidney disease. Blood glucose monitoring may also be an element of the medical management for diabetic patients.

Q: Are the side effects of Su Shi the same for everyone?

A: Regulatory documents list adverse reactions based on frequency reported in clinical studies. However, the occurrence, type, and severity of these effects can vary among individuals.

Q: Are there any common side effects people report with Su Shi?

A: Official labeling documents report certain adverse reactions as common. These include general effects like headache, dizziness, and fatigue. Other common reported effects include upper respiratory infection, edema, and rash.

Q: Is it common to feel tired when taking Su Shi?

A: Fatigue is specifically listed in the regulatory documents as a common adverse reaction associated with the use of the medicine.

Q: Can Su Shi be taken with vitamins or supplements?

A: Co-administration with potassium supplements or salt substitutes containing potassium is specifically noted in official information to increase the risk of elevated serum potassium, known as hyperkalemia. For all supplements, official resources suggest seeking guidance from a healthcare professional.

Q: What are the most serious possible side effects of Su Shi?

A: The serious risks documented in regulatory warnings include potential fetal toxicity if used during pregnancy, angioedema (severe swelling of the face, lips, or throat), impaired renal function (including acute renal failure), hypotension (low blood pressure), and hyperkalemia (high potassium levels).

Q: Does taking Su Shi change how I feel day-to-day?

A: The medicine may cause adverse reactions such as headache, dizziness, fatigue, sleep disturbance, or mood changes that could potentially affect how an individual feels day-to-day. Any adverse reactions are noted in the regulatory labeling.

Q: Is there a certain time of day that is best to take Su Shi?

A: The official protocol states the medicine is taken once daily and can be taken with or without food. Regulatory documents do not specify a best time of day for administration, allowing for flexibility.

Q: What happens if I stop taking Su Shi suddenly?

A: Regulatory data indicates that in clinical trials, rebound hypertension (a sudden, severe increase in blood pressure) was not observed following discontinuation. A significant portion of the blood pressure-lowering effect was also found to be present one week after the last dose.

Q: Why is Su Shi used for more than one condition?

A: The medicine is officially indicated for two conditions: the treatment of hypertension (high blood pressure) and the treatment of diabetic nephropathy (kidney disease) in patients with Type 2 diabetes. Both uses stem from its core mechanism of blocking the Angiotensin II receptor.

Q: What does the official drug label say about Su Shi’s benefits?

A: The official label indicates that the medicine lowers blood pressure to reduce the risk of fatal and nonfatal cardiovascular events (such as strokes and heart attacks). Additionally, in patients with Type 2 diabetic nephropathy, it is indicated to reduce the rate of progression of kidney disease.

Q: Is Su Shi a long-term or short-term treatment?

A: Because the medicine is indicated for managing chronic conditions like hypertension and diabetic nephropathy, it is typically intended for chronic (long-term) management. The regulatory documents do not specify a maximum treatment duration.

Q: Can Su Shi affect sleep patterns?

A: Sleep disturbance (including insomnia) is listed in regulatory documents as an uncommon adverse reaction associated with the medicine.

Q: Does Su Shi affect blood pressure or heart rate?

A: The medicine's primary effect is to lower blood pressure. Adverse reactions reported in the labeling include hypotension (low blood pressure) and tachycardia (fast heart rate).

Q: Is it normal to have a slight headache when first starting Su Shi?

A: Headache is listed in post-marketing surveillance data as a very common adverse reaction, which indicates it may frequently occur, potentially when initiating the medicine.

Q: Can Su Shi make a person gain or lose weight?

A: Weight gain is listed in post-marketing reports as an adverse reaction of unknown incidence, according to official regulatory data.

Q: Has the FDA (or similar agency) given any special warnings about Su Shi?

A: Yes, regulatory agencies have issued special warnings regarding several risks. These include the potential for fetal toxicity, symptomatic hypotension in volume-depleted patients, and the risk of impaired renal function that requires monitoring.

Q: Does taking Su Shi interfere with driving or operating machinery?

A: Official guidance notes that side effects like dizziness and fatigue may occur. It is noted in regulatory information that a person should wait to drive or operate machinery until they understand how the medicine affects them.

Q: What are the main risks associated with using Su Shi?

A: The main risks documented in the regulatory label include fetal harm (if taken during pregnancy), low blood pressure, and impaired kidney function. These are the most significant warnings noted by regulatory bodies.

Q: Is Su Shi known to cause allergic reactions?

A: Severe allergic reactions, including angioedema (swelling of the face, lips, tongue, or throat), are documented in the warnings and post-marketing reports for the medicine.

Q: Does Su Shi have an impact on mental clarity or mood?

A: Confusion and sleep disturbance are listed as adverse reactions in the labeling. Furthermore, depression and emotion disturbance are listed as uncommon psychiatric adverse reactions reported with the medicine.

How should Su Shi be stored and disposed of?

The official regulatory guidelines for Su Shi (Irbesartan) tablets specify mandatory conditions for storage and disposal. The medication must be kept at controlled room temperature, typically 20 C to 25 C (68 F to 77 F), and must not be frozen. It is essential to protect the tablets from excess moisture, excess heat, and direct light. Always store the tablets in their original, tightly closed container.

Child-Safety and Disposal

To prevent accidental exposure, keep the product out of the sight and reach of children by using locked safety caps and secure locations. Unused or expired medication must be disposed of according to local requirements, preferably through a drug take-back program. Do not throw the tablets into wastewater or household drains.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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