Hypersensitivity to the active substances, sacubitril, valsartan, or to any of the excipients.
Concomitant use with ACE inhibitors (see Precautions, Dosage & Administration and Interactions). Entresto must not be administered until 36 hours after discontinuing ACE inhibitor therapy.
Known history of angioedema related to previous ACE inhibitor or ARB therapy.
Hereditary angioedema.
Concomitant use with aliskiren-containing products in patients with diabetes mellitus or renal impairment (eGFR <60 ml/min/1.73 m2) (see Precautions and Interactions).
Pregnancy (see Use in Pregnancy & Lactation).
Severe renal impairment with eGFR <10 ml/min/1.73 m2 and patients undergoing dialysis due to lack of data.