Olesta-AM 10 mg / 40 mg tablets

Introduction

How To Use

• Take this medicine by mouth.
• Take this medicine with or without food.
• Take one dose of this medicine, every day.
• Swallow it as a whole, do not crush or chew the medicine.
• Take it at the same time to help you remember.
• Or use it exactly as instructed by your doctor.

Expert Advice

• Take with or without meals.
• To avoid stomachache, take with meals.
• Take missed dose as soon as you remember and next dose in 24 hours.
• Contact prescriber if there is unrelieved headache, vomiting, weight gain, palpitations, or difficulty in breathing.
• Check blood pressure regularly.

Primary Uses

Indications

This medicine is used to treat hypertension (high blood pressure), myocardial ischemia (decreased blood supply to heart muscle) associated with stable (chest pain triggered by activity), or vasospastic angina (chest pain triggered with vasospasm of coronary artery).

Side Effects

Patients using this medicine may commonly experience headache, edema, fatigue, nausea, dizziness (lightheadedness), flushing (reddening of the skin), rashes, and gingival hyperplasia (overgrowth of gum). Patients may rarely experience alopecia (spot baldness), pruritus (itching), abdominal and back pain, hyperglycemia, increased urination, palpitations, and GI (stomach) upset. 

Contraindications

This medicine is contraindicated in patients having history of cardiogenic shock (inability of heart to pump enough blood), aortic stenosis (narrowing of aortic valve opening), unstable angina (chest pain triggered by minimum or no activity), severe hypotension, unstable heart failure following MI, and hypersensitivity to dihydropyridines.

FAQS

Which medicines should be avoided with Amlodidpine?

As per FDA recommendation, simvastatin dosage should be limited to 20 mg daily while taking amlodipine. Also, all the CYP3A4 enzyme inhibitors like diltiazem, ketoconazole, itraconazole & ritonavir should be avoided while taking amlodipine.

I have been experiencing swelling in hands and foot since I started using the medicine. I amconcerned whether this swelling will persist?

You don’t need to worry about the swelling, as it is one of the very common adverse effects of the drug. This will go off once you withdraw its use. But you still need to consult your physician if the condition is getting worse.

When is it safe to discontinue the medicine?

You are not advised to do so abruptly nor are you supposed to make this decision by yourself. Consult with your physician, who will most probably advise for a gradual withdrawal. This is done to avoid the chest pain and relapse of high blood pressure, which is usually observed in such scenarios.

In what forms is the medicine available?

It is available in tablet, drops and I/V (intravenous) forms.

I am a patient of dialysis and have a history of getting treated for hepatitis C too. So, is the medicine safe for me?

No, the drug is not safe for any kind of kidney or liver disease. Consult your physician for an alternative.

What is the best time to take this medicine?

It doesn’t really matter at what time of the day you take amlodipine, but it is best to take it at the exact time every day, for more even blood levels & more effectiveness of the medicine.

Why taking this medicine at night is useful?

New research shows that administering blood pressure medicines at bedtime effectively helps to reduce your risk of illness or death due to blood vessel & heart disease. Timings are important as BP follows a daily rhythm. It is high during the day & falls at nighttime.

How much does this medicine help reduce blood pressure?

It is seen that titration of amlodipine from 5-10 mg every day in patients not responding to the treatment with 5 mg dose showed significant decrease in BP.

What are the uses of Olmesartan Medoxomil?

This medication is used for treating high blood pressure (hypertension). A normal blood pressure is necessary for prevention of strokes, heart attack, and kidney disease.

How to store Olmesartan Medoxomil?

Please store this medicine at room temperature (18-25 Celsius). Keep medicine away from excessive light, moisture, and children. Please do not flush medicines down the toilet. Please read the leaflet provided with the medicine for further storage guidance.

Does this medicine cause stomach problems?

According to a study nausea and vomiting is experienced in 68% of the patients, abdominal pain in 50%, bloating in 41% & fatigue in 68%. But all these symptoms disappear when Olmesartan is stopped.

How does this medicine produce its effect on heart?

It produces its effect by first blocking angiotensin II receptor (ARB). Hence by blocking this substance, the tightening of the blood vessels is reduced and Olmesartan finally relaxes & lowers the pressure on blood vessels.

What are the 7 drinks that help lower blood pressure?

Natural drinks reducing BP include tomato juice, beet juice, prune juice, pomegranate juice, skim milk & tea.

Which other medicines interact with Olmesartan?

Drugs like aliskiren, lithium, drugs increasing potassium level in blood (like ACE inhibitors benazepril/lisinopril, birth control pills having drospirenone).