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|Olmesartan Medoxomil/Hydrochlorothiazide |
Drugs search, click the first letter of a drug name: | A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | 1 | 2 | 3 | 4 | 5 | 6 | 8 | 9 Home Olmesartan Medoxomil/HydrochlorothiazidePronouncation: (ol-me-SAR-tan me-DOX-oh-mil/HYE-droe-KLOR-oh-THYE-a-zide)Class: Antihypertensive combination Trade Names: Indications and UsageTreatment of hypertension. ContraindicationsAnuria; hypersensitivity to sulfonamide-derivatives or any component of the product. Dosage and AdministrationAdultsPO Titrate the dose based on individual response to each component as monotherapy. The dosage range for olmesartan/hydrochlorothiazide is 10 mg/12.5 mg to 40 mg/25 mg once daily. Olmesartan: The usual starting dosage of olmesartan is 20 mg once daily as monotherapy. If further reduction of BP is needed after 2 wk of therapy, the dose may be increased to 40 mg. If BP is not controlled by olmesartan alone, hydrochlorothiazide may be added, starting with 12.5 mg and then titrating to 25 mg once daily. Hydrochlorothiazide: If a patient is taking hydrochlorothiazide, olmesartan may be added, starting with 20 mg once daily and titrating to 40 mg. Consider reducing larger doses of hydrochlorothiazide to 12.5 mg before adding olmesartan. Renal Function ImpairmentAdults PO If Ccr is over 30 mL/min, the usual regimens of olmesartan/hydrochlorothiazide may be followed. In more severe renal function impairment, olmesartan/hydrochlorothiazide is not recommended. General Advice
Storage/StabilityStore at 68° to 77°F. Drug InteractionsAlcohol, barbiturates, narcoticsPotentiation of orthostatic hypotension may occur. Antidiabetic agents (oral agents and insulin)Dosage adjustments of the antidiabetic agent may be needed. Antihypertensive agentsEffects may be additive or potentiated. Cholestyramine, colestipolHydrochlorothiazide absorption may be reduced up to 85%. CorticosteroidsIncreased risk of electrolyte depletion (eg, hypokalemia). LithiumIncreased risk of lithium toxicity caused by reduced clearance. Do not coadminister. Nondepolarizing skeletal muscle relaxants (eg, tubocurarine)Effect of muscle relaxant may be enhanced. NSAIDs (eg, ibuprofen)The antihypertensive effect of hydrochlorothiazide may be reduced. Pressor amines (eg, norepinephrine)Effect of pressor amine may be reduced. Laboratory Test InteractionsHydrochlorothiazide may decrease serum protein-bound iodine levels without signs of thyroid disturbance; may cause diagnostic interference of serum electrolyte levels, blood and urine glucose levels, serum bilirubin levels, and serum uric acid levels; may cause intermittent and slight elevations in serum calcium without known disorders of calcium metabolism. Adverse ReactionsCNSDizziness (9%); vertigo (greater than 1%); asthenia (postmarketing). DermatologicRash (greater than 1%); alopecia, pruritus, urticaria (postmarketing). GINausea (3%); abdominal pain, diarrhea, dyspepsia, gastroenteritis (greater than 1%); vomiting (postmarketing). GenitourinaryHematuria (greater than 1%); acute renal failure, increased blood creatinine levels (postmarketing). HepaticIncreased AST, ALT, and glucose tolerance test (greater than 1%). Lab TestsIncreased BUN and serum creatinine (1%). Metabolic-NutritionalHyperuricemia (4%); increased creatine phosphokinase, hyperglycemia, hyperlipidemia (greater than 1%). MusculoskeletalArthralgia, arthritis, back pain, myalgia (greater than 1%); rhabdomyolysis (postmarketing). RespiratoryUpper respiratory tract infection (7%); coughing (greater than 1%). MiscellaneousChest pain, peripheral edema (greater than 1%); angioedema (postmarketing). Precautions
PregnancyCategory C (first trimester); Category D (second and third trimesters). LactationUndetermined. ChildrenSafety and efficacy not established. ElderlyUse with caution, usually starting at the low end of the dosage range, because of the greater frequency of decreased hepatic, renal, or cardiac function, and concomitant diseases or other drug therapy. HypersensitivityMay occur in patients with or without a history of allergy or bronchial asthma. Renal FunctionNot recommended in patients with severe renal function impairment; cumulative effects may develop in patients with impaired renal function. Hepatic FunctionUse with caution in patients with impaired hepatic function or progressive liver disease. HyperglycemiaHyperglycemia may occur; latent diabetes mellitus may become manifest. HyperuricemiaHyperuricemia or frank gout may be precipitated. Lipid disordersIncreases in cholesterol and triglyceride levels may occur. Systemic lupus erythematosusActivation or exacerbation may occur. Volume or salt depletionSymptomatic hypotension may occur after initiation of treatment in patients with an activated renin-angiotensin system (eg, volume- or salt-depleted patients). OverdosageSymptomsBradycardia, dehydration, electrolyte depletion (ie, hypochloremia, hypokalemia, hyponatremia), hypotension, tachycardia. Patient Information
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