 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  start taking this medication and each time you get a refill. If you have any questions, ask your doctor or pharmacist. Take this medication by mouth with or without food as directed by your doctor, usually once daily. If this medication causes you to urinate more often, it is best to take it at least 4 hours before your bedtime to prevent having to get up to urinate. If you also take certain drugs to lower your cholesterol (bile acid-binding resins such as cholestyramine or colestipol), take this product at least 4 hours before or at least 4 to 6 hours after these medications. The dosage is based on your medical condition and response to treatment. Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day. Keep taking this medication even if you feel well. Most people with high blood pressure do not feel sick. Tell your doctor if you do not get better or if you get worse (for example, your blood pressure readings remain high or increase).The side effects of Valsartan-Hydrochlorothiazide Oral: Dizziness or lightheadedness may occur as your body adjusts to the medication. If either of these effects </s>