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Olmetec

Olmetec

(olmesartan-medoxomil)

Olmesartan belongs to the class of medications called angiotensin II receptor blockers. It is used to reduce blood pressure by blocking the actions of a chemical (angiotensin II) that causes blood vessels to constrict or tighten.

Available form

Dosage

Tablet

20MG, 40MG

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Olmetec information

Dosage

Side Effects

Available Form

Contraindications

Precautions

Warnings

For adult patients, the usual recommended starting dose of olmesartan is 20 mg once daily. Your doctor may recommend a dose increase of olmesartan to 40 mg daily if your blood pressure remains too high. Olmesartan may be taken with or without food, but should be taken in the same manner each day.

For pediatric patients, between the ages of 6 and 16 years of age, the usual dose is based on weight. Children weighing between 20 kg to less than 35 kg should receive 10 mg once daily up to a maximum of 20 mg daily. The dose for children weighing more than 35 kg is 20 mg once daily. Olmesartan may be taken with or without food, but should be taken in the same manner each day.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

It is important that Olmetec (Olmesartan-medoxomil) be taken exactly as prescribed by your doctor. If you miss a dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store Olmetec (Olmesartan-medoxomil) at room temperature, protect it from light and moisture, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes Olmetec (Olmesartan-medoxomil). If you are concerned about side effects, discuss the risks and benefits of Olmetec (Olmesartan-medoxomil) with your doctor.

The following side effects have been reported by at least 1% of people taking Olmetec (Olmesartan-medoxomil). Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

back or leg pain
Diarrhea
difficulty sleeping
dizziness
headache
tiredness
upper respiratory tract infection (such as colds or sinus infections)
vomiting

Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

chronic diarrhea with weight loss
fainting or severe dizziness (Low Blood Pressure)
flu-like illness (e.g., runny nose, sore throat, cough)
increased occurrence of infections (e.g., flu-like illness, Bronchitis, Fever, chills)
rash
signs of bleeding (e.g., bloody nose, blood in urine, coughing blood, bleeding gums, cuts that don't stop bleeding)
signs of heart problems (e.g., difficulty breathing when lying down, swelling feet or ankles, tiring easily)
signs of kidney problems (e.g., decreased urination, nausea, vomiting, swelling of the feet and ankles)
signs of liver problems (e.g., nausea, vomiting, diarrhea, loss of appetite, weight loss, yellowing of the skin or whites of the eyes, dark urine, pale stools)
signs of too much potassium in the body (e.g., irregular heartbeat, muscle weakness, generally feeling unwell)
unexplained muscle pain

Stop taking the medication and seek immediate medical attention if any of the following occur:

signs of a serious allergic reaction (swelling of face, lips, tongue, or throat; Hives; difficulty breathing)

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking Olmetec (Olmesartan-medoxomil).

There may be an interaction between olmesartan and any of the following:

Aldesleukin
aliskiren
alpha blockers (e.g., Alfuzosin, Doxazosin, Tamsulosin)
alpha agonists (e.g., Clonidine, methyldopa)
amifostine
amphetamines (e.g., Dextroamphetamine, Lisdexamfetamine)
angiotensin converting enzyme inhibitors (ACEIs; e.g., Captopril, Lisinopril, Ramipril)
other angiotensin receptor blockers (ARBs; e.g., candasartan, Irbesartan, Losartan)
anti-psychotics (e.g., Chlorpromazine, Clozapine, Haloperidol, Olanzapine, Quetiapine, Risperidone)
barbiturates (e.g., butalbital, Phenobarbital)
beta-adrenergic blockers (e.g., Atenolol, Propranolol, Sotalol)
brimonidine
calcium channel blockers (e.g., Amlodipine, Diltiazem, Nifedipine, Verapamil)
Canagliflozin
ciprofloxacin
conivaptan
Cyclosporine
Dipyridamole
diuretics (water pills; e.g., Furosemide, Hydrochlorothiazide, Indapamide)
Duloxetine
Eltrombopag
epelernone
ephedra
Gemfibrozil
ginger
ginseng (American)
Guanfacine
Heparin and low-molecular weight heparins (e.g., Dalteparin, Tinzaparin)
Hydralazine
levodopa
licorice
lithium
Methylphenidate
monoamine oxidase inhibitors (M.O.S. e.g., Moclobemide, Phenelzine, Rasagiline, Selegiline, Tranylcypromine)
medications that increase the level of potassium in the blood (e.g., Spironolactone, Amiloride, triamterene, or salt substitutes that contain potassium)
Minoxidil
nitrates (e.g., isosorbide dinitrate, isosorbide mononitrate, nitroglycerine)
non-steroidal anti-inflammatory medications (NSAIDs; e.g., Diclofenac, Ibuprofen, Naproxen)
Obinutuzumab
Pentoxifylline
phosphodiesterase 5 inhibitors (e.g., Sildenafil, Tadalafil, Vardenafil)
potassium supplements
quinine
Rituximab
Ropinirole
sodium phosphates
Teriflunomide
Tolvaptan
Trimethoprim
Yohimbine

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

stop taking one of the medications,
change one of the medications to another,
change how you are taking one or both of the medications, or
leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Olmetec (Olmesartan-medoxomil). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Before you begin taking a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should take Olmetec (Olmesartan-medoxomil).

Drowsiness/reduced alertness: Blood pressure medications may cause drowsiness or dizziness. Avoid driving or operating machinery until you know whether the medication affects you in this way.

Kidney disease: Olmesartan may affect the function of the kidneys, causing decreased kidney function, kidney failure, or possibly death. Certain people have experienced changes in kidney function (e.g., people with narrowed blood vessels in their kidneys, or those with severe Congestive Heart Failure). The use of diuretics (water pills), nonsteroidal anti-inflammatory drugs (NSAIDs), or aliskiren may further increase risk of kidney problems for people already at risk for this problem. If you have kidney disease, discuss with your doctor how Olmetec (Olmesartan-medoxomil) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Olmetec (Olmesartan-medoxomil), and whether any special monitoring is needed.

Liver disease: Liver disease may cause olmesartan to be cleared more slowly from the body, resulting in increased side effects. If you have liver disease, discuss with your doctor how Olmetec (Olmesartan-medoxomil) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Olmetec (Olmesartan-medoxomil), and whether any special monitoring is needed.

Low blood pressure: Occasionally, a greater-than-expected drop in blood pressure occurs after taking Olmetec (Olmesartan-medoxomil). It is more likely to occur if you are taking additional diuretics (water pills), or aliskiren, have reduced salt intake, are on dialysis, have diarrhea, or are vomiting.

Your doctor may recommend that you have your blood pressure tested more often in these situations. To reduce the risk of dizziness, people with low blood pressure or those just starting to take Olmetec (Olmesartan-medoxomil) should stand or sit up slowly when getting up from a lying down or sitting position. If low blood pressure causes you to faint or feel lightheaded, contact your doctor.

Pregnancy: Babies born to mothers who took olmesartan during pregnancy may develop birth defects. If you become pregnant while taking Olmetec (Olmesartan-medoxomil), stop taking the medication and contact your doctor immediately.

Breast-feeding: It is not known if olmesartan passes into breast milk. If you are a breast-feeding mother and are taking Olmetec (Olmesartan-medoxomil), it may affect your baby. Do not breast-feed while you are taking Olmetec (Olmesartan-medoxomil).

Children: The safety and effectiveness of Olmetec (Olmesartan-medoxomil) have not been established for children less than 6 years of age.

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