Product image of Olmesartán/Amlodipino/Hidroclorotiazida Combix (Olmesartan Medoxomil, Amlodipine, Hydrochlorothiazide) supplied by GNH India

Olmesartán/Amlodipino/Hidroclorotiazida Combix

Active Ingredient:
Olmesartan Medoxomil, Amlodipine, Hydrochlorothiazide
Origin:
EU

Olmesartán/Amlodipino/Hidroclorotiazida Combix (Olmesartan Medoxomil, Amlodipine, Hydrochlorothiazide)

Olmesartan medoxomil / amlodipine / hydrochlorothiazide, the active ingredient in Olmesartán/Amlodipino/Hidroclorotiazida Combix, is a combination antihypertensive presented as a tablet for oral use. It is indicated for the management of high blood pressure in adult patients, helping to lower cardiovascular risk.

GNH India supplies Olmesartán/Amlodipino/Hidroclorotiazida Combix as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The product complies with EU quality standards and is manufactured under strict Good Manufacturing Practice. It is available for bulk distribution and can be integrated into national formularies.

Manufacturer / TM Owner

Laboratorios Combix, S.L.U.

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Indications & Clinical Uses

Olmesartan/amlodipine/hydrochlorothiazide is a combination antihypertensive used to manage elevated blood pressure.

  • Essential hypertension: lowers systolic and diastolic pressure in patients with primary high blood pressure.
  • Resistant hypertension: provides additional control when single‑agent therapy is insufficient.
  • Hypertension with fluid retention: adds a thiazide diuretic to reduce plasma volume alongside vasodilatory effects.

How It Works

  • Olmesartan medoxomil blocks angiotensin II type 1 (AT1) receptors, preventing vasoconstriction and aldosterone release. Amlodipine inhibits L‑type calcium channels in vascular smooth muscle, causing arterial dilation. Hydrochlorothiazide acts on the distal convoluted tubule to inhibit NaCl reabsorption, increasing diuresis and reducing plasma volume. The three mechanisms together produce additive blood‑pressure‑lowering effects.

Side Effects

Common Side Effects

  • Dizziness or light‑headedness.
  • Headache.
  • Peripheral edema, especially of the ankles.
  • Flushing or warmth sensation.
  • Fatigue or mild weakness.
  • Increased urination.

Serious or Rare Side Effects

  • Angioedema or severe swelling of the face, lips, tongue, or throat.
  • Marked hypotension leading to fainting.
  • Acute kidney injury or significant rise in serum creatinine.
  • Electrolyte disturbances such as severe hypokalemia or hyponatremia.
  • Pancreatitis or severe abdominal pain.
  • Liver enzyme elevations indicating hepatic injury.

Precautions & Warnings

Before initiating therapy, consider the following precautions:

  • Monitor blood pressure regularly to assess efficacy and avoid excessive hypotension.
  • Assess renal function and electrolytes, especially potassium, before and during treatment.
  • Use caution in patients with severe hepatic impairment; dose adjustment may be required.
  • Elderly patients may be more sensitive to blood‑pressure changes and fluid loss.
  • Avoid abrupt discontinuation; taper under medical supervision if therapy needs to be stopped.
  • Store at ambient temperature: keep tablets in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Olmesartan/amlodipine/hydrochlorothiazide can interact with several medicines.

Major Interactions (Avoid)

  • Aliskiren in patients with diabetes or renal impairment, which can increase the risk of renal dysfunction.
  • Potassium‑sparing diuretics or supplements, potentially causing hyperkalemia.
  • Lithium, as thiazide diuretics may raise lithium levels and toxicity risk.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs), which may blunt antihypertensive effect and affect renal function.
  • ACE inhibitors or other ARBs, increasing risk of hyperkalemia and renal impairment.
  • Antidiabetic agents, as improved blood pressure control may enhance glucose lowering.
  • CYP3A4 inhibitors or inducers, which can alter amlodipine plasma concentrations.

Frequently Asked Questions

Olmesartan/Amlodipine/Hydrochlorothiazide is a prescription combination medication used to treat high blood pressure (hypertension) in adult patients. By targeting three different pathways that regulate vascular tone and fluid balance, it helps lower systolic and diastolic pressures and reduces the risk of cardiovascular complications associated with uncontrolled hypertension.

Olmesartan medoxomil blocks angiotensin II type 1 (AT1) receptors, preventing the hormone angiotensin II from causing blood‑vessel constriction and stimulating aldosterone release. This results in vasodilation and reduced sodium‑water retention, contributing to lower blood pressure when combined with the calcium‑channel blocker amlodipine and the thiazide diuretic hydrochlorothiazide.

The specific dose and dosing schedule are determined by the prescribing clinician based on the patient’s blood‑pressure readings, overall health, and response to therapy. The prescriber will select the appropriate tablet strength and frequency to achieve optimal blood‑pressure control while minimizing side effects.

Olmesartan/Amlodipine/HCTZ is generally not recommended during pregnancy because angiotensin‑II receptor blockers can affect fetal development. Safety during breastfeeding has not been established, and the drug may pass into breast milk. Women who are pregnant, planning pregnancy, or nursing should discuss alternative treatments with their healthcare provider.

To place an order, visit the product page on gnhindia.com and submit an enquiry with the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide. After submission, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details, and any necessary import documentation.

Compared with single‑agent therapies, the Olmesartan/Amlodipine/HCTZ combination offers three complementary mechanisms—RAAS blockade, calcium‑channel blockade, and diuresis—allowing more robust blood‑pressure reduction in patients who need multiple agents. It can simplify regimens by reducing pill burden, but clinicians must consider individual tolerability and potential drug interactions.

The tablets should be stored at ambient temperature, preferably below 25 °C (77 °F). Keep them in the original packaging to protect from moisture and light. Do not store in bathrooms or other humid environments, and keep out of reach of children.

The medication is taken orally, usually once daily, with or without food, as directed by the prescriber. Swallow the tablet whole with a full glass of water. Do not crush, chew, or split the tablet unless specifically instructed by a healthcare professional.

Serious risks include angioedema (rapid swelling of the face, lips, tongue, or throat), severe hypotension, acute kidney injury, and significant electrolyte disturbances such as hyperkalemia or severe hyponatremia. Patients should seek immediate medical attention if they experience swelling, difficulty breathing, sudden dizziness, or marked changes in urine output.

Patients with known hypersensitivity to any component of the combination should avoid it. It is also contraindicated in individuals with severe hepatic impairment, severe renal dysfunction, or a history of angioedema related to angiotensin‑II receptor blockers. Clinicians should evaluate each patient’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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