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Indications
The combination of Olmesartan Medoxomil & Hydrochlorothiazide is indicated for the treatment of hypertension.
Pharmacology
It is a powerful vascular consumption in Angiotensini, a powerful vascular consumer formed in Angiotensini in Angiotensini, primary vascular activity hormone and hypertension of the reninangiotensin system, and is an important element of the physiopathology of hypertension. . It also stimulates the secretion of aldosteron by the adrenal cortex. OlmeSartan blocks vasoconstrictor and aldosterones resets angiotensinisi by selectively blocking angiotensinisi combination of angiotensinii in a receptor (for example, vascular smooth muscle, adrenal gland) found in many organizations. Invitrobin search indicates that OlmeSartan is a reversible and competitive inhibitor of a receiver. OlmeSartan does not inhibit the enzyme that Ace (Kinasei, Angiotensini converts converted enzymes into angiotensinisi to annigiotensinii and reduce bradykinin.
The hydrochlorothiazide is a Diuretic Tia Jed. Thiazides influence the elongation mechanism of the re-absorption of electrolytes and increases the excretion of sodium and chloride in a substantially equivalent quantity. Indirectly, the diuretic activity of hydrochlorotiosides is increased as a result of the activity of plasma renin, increases the secretion of aldostileone and the loss of potassium and reduces serum potassium. The links of the reninalization of conformity are mediated by Ensinii with relief. In addition, the coordination of the angiotensini receptor antagonist tends to reverse the loss of potassium associated with these diuretics.
Dosage & Administration
Hypertension: The usual starting dose is 20/12.5 mg one tablet once daily. Dosing should be individualized. Depending on the blood pressure response, the dose may be titrated at intervals of 2-4 weeks to two tablets 40/25 once daily.
Interaction
Olmesartan: Olmesartan Medoxomil has not been reported on a significant interaction of drugs in the study by OlmeSartan Medoxomil, as a Chlorozard, Digg Olin or war in a healthy volunteer. OlmeSartan Meoxomil is not metabolized by the cytochrome P450 system and does not affect the P450 enzyme. Therefore, interactions with drugs that inhibit, induce or metabolism are removed, induced or metabolic by these enzymes are not expected.
Hydrochlorothizide: When administered simultaneously, the following drugs may interact with thiazidic diuretics:
alcohol, variety or drug: the force of orthostatic hypotension can occur.
Antimatic drugs (oral and insulin formulations): The advantage of anti-structures may be necessary.
Other anti-hypertension medicine: additive effect.
CORTICO STÉROID, ACTH.
Contraindications
A combination of olmesartan and hydrochlorothiazide is contraindicated in patients with known hypersensitivity to any ingredient of this product. Due to the hydrochlorothiazide component, this product is contraindicated in patients with anuria or hypersensitivity to other drugs derived from sulfonamides.
Side Effects
Common side effects are nausea, headache, dizziness, hyperuricemia, upper respiratory tract infections, and urinary tract infections. Other side effects are chest pain, back pain, peripheral edema, abdominal pain, dyspepsia, gastroenteritis, and diarrhea.
Pregnancy & Lactation
Safety and effectiveness in nursing and pregnant women have not been established. The drug should be stopped under these conditions.
Precautions & Warnings
Periodic determinations of serum electrolytes should be performed at appropriate intervals to detect possible electrolyte imbalances such as hypokalemia, hyponatremia, and hypochloremic alkalosis.
Hyperuricemia may occur in some patients being treated with thiazides.
Renal failure.
Storage Conditions
Store in a cool and dry place, protect from light and moisture. Keep out of the reach of children.
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