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Hydrochlorothiazide+Olmesartan Medoxomil

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Molecule Summary

Uses
High blood pressure
Therapy
Anti-Hypertensive
Side Effects
Headache, weakness, dizziness, chest pain, swelling of the legs, ankles, and hands
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Molecule Description

Hydrochlorothiazide+Olmesartan Medoxomil contains a combination of two active ingredients - olmesartan and hydrochlorothiazide. This medicine is used for the treatment of high blood pressure. Hydrochlorothiazide+Olmesartan Medoxomil lowers blood pressure by relaxing the blood vessels. It also helps the body to get rid of extra fluid by producing more urine. This combined action lowers the blood pressure in individuals with high blood pressure. However, this should be accompanied by changes in lifestyle that will help lower your blood pressure (losing weight, giving up smoking, reducing the amount of alcohol you drink, reducing the amount of salt in your diet, and regular exercise like walking). Follow your doctor's instructions and take this medicine in the exact dose and duration as prescribed. Do not stop taking this medicine unless asked to do so by the doctor.

Uses

Hydrochlorothiazide+Olmesartan Medoxomil is used for the treatment of hypertension (high blood pressure).

Contraindications

When should one not use Hydrochlorothiazide+Olmesartan Medoxomil

  • If you are allergic to olmesartan, hydrochlorothiazide, or any other ingredient of Hydrochlorothiazide+Olmesartan Medoxomil.
  • If you are allergic to other sulfonamide-derived medicines like sulfamethoxazole, sulfisoxazole. If you are not sure what these medicines are, please confirm with your doctor.
  • If you have severe kidney disease or severe liver disease (yellowing of the skin and eyes, problems with drainage of the bile from the gallbladder).
  • If you are more than 3 months pregnant.
  • If you have low potassium levels, low sodium levels, high calcium levels, or high uric acid levels in your body.

Side effects

Common side effects of this drug are:

  • Headache
  • Weakness
  • Dizziness
  • Chest pain
  • Swelling of the legs, ankles, and hands

Precautions and Warnings

Pregnancy

Pregnancy

Limited information is available on the safety of Hydrochlorothiazide+Olmesartan Medoxomil during pregnancy. As a precautionary measure, the use of this medicine is not recommended during pregnancy. If you become pregnant during this medicine or are planning on becoming pregnant, please take advice from your doctor.

Breast Feeding

Breast Feeding

There is limited information available about the effect of Hydrochlorothiazide+Olmesartan Medoxomil on human breastmilk. Therefore, to avoid any risks to the suckling baby, do not use this medicine during breastfeeding.

Driving

Driving

Hydrochlorothiazide+Olmesartan Medoxomil may affect your ability to drive. If you experience dizziness or tiredness which may affect your ability to drive safely, it is suggested that you do not drive.

Alcohol

Alcohol

The consumption of alcohol with Hydrochlorothiazide+Olmesartan Medoxomil is not recommended because of the risk of development of orthostatic hypotension (low blood pressure that occurs when you stand up from a sitting or lying down position). You may experience dizziness after standing up, blurred vision, weakness, nausea, confusion, and fainting. Thus, the use of alcohol while taking Hydrochlorothiazide+Olmesartan Medoxomil is to be avoided.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • You are taking medicines called aliskiren or ACE-inhibitors (enalapril, lisinopril, ramipril), especially for diabetes-related kidney problems.
  • You have liver, kidney problems or if you have had a recent kidney transplant.
Other General Warnings

Other General Warnings

Talk to your doctor if
  • You are taking high doses of a medicine called diuretics or if you are on a low salt diet.
  • You have problems with your adrenal glands (primary aldosteronism), diabetes, asthma, allergies, or an autoimmune disease called lupus erythematosus.
  • You have had skin cancer or if you develop an unexpected skin lesion during the treatment.
  • You experienced breathing or lung problems (including inflammation or fluid in the lungs) after taking hydrochlorothiazide in the past.
  • You develop diarrhoea that is severe, continues for a long time, and causes weight loss.
  • You notice a decrease in vision or eye pain.
  • You develop symptoms like thirst, dryness of the mouth, muscle pain or cramps, low blood pressure, feeling weak, sluggish, tired, sleepy or restless, nausea, vomiting, less need to pass urine.
  • You are due to have tests for parathyroid function.
  • You are pregnant, you plan on becoming pregnant soon, or become pregnant during the course of the medicine.

Mode of Action

How Does It Work?

  • Hydrochlorothiazide+Olmesartan Medoxomil contains two active substances that help to lower the blood pressure in individuals with high blood pressure - olmesartan and hydrochlorothiazide.
  • Olmesartan works by blocking a substance in the body that causes the blood vessels to tighten. The tightening of the blood vessels restricts proper blood flow and causes the blood pressure to increase. When this substance is blocked, the blood vessels relax and blood flow occurs easily. As a result, the blood pressure is lowered.
  • Hydrochlorothiazide helps the body to get rid of extra fluid by making your kidneys produce more urine. This leads to a reduction in the blood pressure.

Interactions

Interactions with other medicines

  • Some medicines can affect the way Hydrochlorothiazide+Olmesartan Medoxomil works, or Hydrochlorothiazide+Olmesartan Medoxomil itself can reduce the effectiveness of other medicines taken at the same time.
  • Tell your doctor about all medicines, supplements, or herbals you are currently taking or might take to avoid any possible interaction.
  • Hydrochlorothiazide+Olmesartan Medoxomil should not be used along with medicines containing lithium, ACE-inhibitors (captopril, enalapril, lisinopril, benazepril, fosinopril), angiotensin II receptor blockers (azilsartan, fimasartan), aliskiren, medicines affecting potassium levels (potassium-sparing diuretics like spironolactone, potassium supplements, salt substitutes containing potassium, other medicinal products that may increase potassium levels like heparin), and bile acid sequestering agent colesevelam.
  • Especially if you are taking medicines to treat high blood pressure, heart failure, abnormal heart rhythm, abnormal cholesterol levels, skeletal muscle relaxants, blood thinners, anti-infectives, anti-diabetics, anti-asthmatics, pain killers, immunomodulatory medicines or medicines for brain-related disorders.

Dosage

Overdose

Symptoms of overdose of Hydrochlorothiazide+Olmesartan Medoxomil include dehydration, altered electrolyte levels, decreased heart rate, decreased blood pressure, etc. If you think you have taken too much of this medicine, contact your doctor immediately or visit the nearest hospital.

Missed a Dose

You should never miss your dose of medicines. However, if you missed any dose of the medicine, take it as soon as you remember. If it's time for your next dose, then skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to compensate for the missed one.

Frequently Asked Questions (FAQs)

Essential hypertension is high blood pressure that does not have a medical cause but rather occurs due to family heredity, excessive weight, unhealthy diet, or stress.

Hydrochlorothiazide+Olmesartan Medoxomil should be taken at the same dose and same frequency exactly as prescribed by your doctor. Your doctor will advise you on how long you should continue to take this medicine. Do not stop taking this medicine without consulting your doctor.

You should avoid salty foods, sugary foods, sugary drinks, alcohol, saturated fats, condiments, processed and pre-packaged foods, and caffeine.

You may experience side effects of Hydrochlorothiazide+Olmesartan Medoxomil such as headache, weakness, dizziness, chest pain, or swelling of the legs, ankles, and hands. These side effects are usually mild and will go away in some time. However, if the symptoms do not go away, please visit your doctor.

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