Olmesartan-medoxomil

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 Olmesartan-Medoxomil (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 Olmesartan-Medoxomil (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.

In addition to its desired action, this medication may cause some adverse effects, notably: it may cause headaches; it may cause diarrhea; it may cause dizziness - use caution when getting up from a lying or sitting position and use caution if driving; on occasion, it may cause a dry cough - contact your pharmacist or doctor if it becomes bothersome. Each person may react differently to a treatment. If you think this medication may be causing adverse effects (including those described here, or others), talk to your health care professional. He or she can help you to determine whether or not the medication is the source of the problem.

5 mg
Each white, round, biconvex film-coated tablet, with inscription ‘5’ on one side, contains 5 mg of olmesartan. Nonmedicinal ingredients: colloidal anhydrous silica, hydroxypropylcellulose, hypromellose, lactose monohydrate, low-substituted hydroxypropylcellulose, macrogols 400, magnesium stearate, microcrystalline cellulose, stearic acid, talc and titanium dioxide.
20 mg
Each white, round, biconvex film-coated tablet, with inscription ‘20’ on one side, contains 20 mg of olmesartan. Nonmedicinal ingredients: colloidal anhydrous silica, hydroxypropylcellulose, hypromellose, lactose monohydrate, low-substituted hydroxypropylcellulose, macrogols 400, magnesium stearate, microcrystalline cellulose, stearic acid, talc and titanium dioxide.
40 mg
Each white, oval, biconvex film-coated tablet, with inscription ‘40’ on one side, contains 40 mg of olmesartan. Nonmedicinal ingredients: colloidal anhydrous silica, hydroxypropylcellulose, hypromellose, lactose monohydrate, low-substituted hydroxypropylcellulose, macrogols 400, magnesium stearate, microcrystalline cellulose, stearic acid, talc and titanium dioxide.

Do not use olmesartan if you:

• are allergic to olmesartan or any ingredients of the medication
• have Diabetes or Kidney Disease and are taking Aliskiren
• are pregnant or may become pregnant

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 Olmesartan-Medoxomil (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 Olmesartan-Medoxomil (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 Olmesartan-Medoxomil (Olmesartan-medoxomil) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Olmesartan-Medoxomil (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 Olmesartan-Medoxomil (Olmesartan-medoxomil) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Olmesartan-Medoxomil (Olmesartan-medoxomil), and whether any special monitoring is needed.

Low blood pressure: Occasionally, a greater-than-expected drop in blood pressure occurs after taking Olmesartan-Medoxomil (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 Olmesartan-Medoxomil (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 Olmesartan-Medoxomil (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 Olmesartan-Medoxomil (Olmesartan-medoxomil), it may affect your baby. Do not breast-feed while you are taking Olmesartan-Medoxomil (Olmesartan-medoxomil).

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

This medication is typically used only once a day. However, your pharmacist may have suggested a different schedule that is more appropriate for you. You should take this medication at approximately the same time each day. It must be used regularly and continuously to maintain its beneficial effects. Be sure to keep an adequate supply on hand. If you forget a dose, simply skip it and then take the next dose at the regularly scheduled time. This medication may be taken with or without food.