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

Olmesartán/Amlodipino/Hidroclorotiazida Krka

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

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

Olmesartan medoxomil, amlodipine and hydrochlorothiazide, the active ingredients in Olmesartán/Amlodipino/Hidroclorotiazida Krka, are a combination antihypertensive presented as tablets for oral use. They treat high blood pressure in adult patients, helping to achieve target blood pressure levels and reduce cardiovascular risk.

GNH India supplies Olmesartán/Amlodipino/Hidroclorotiazida Krka as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The product meets EU quality standards and is manufactured under GMP conditions.

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

Olmesartan/amlodipine/hydrochlorothiazide is a combination antihypertensive used to manage elevated blood pressure and related cardiovascular conditions.

  • Hypertension: lowers systolic and diastolic blood pressure to achieve guideline‑recommended targets.
  • Hypertension with diabetes: provides effective blood pressure control while minimizing metabolic impact.
  • Resistant hypertension: adds complementary mechanisms to improve control when monotherapy is insufficient.

How It Works

  • Olmesartan medoxomil selectively blocks the angiotensin II type 1 (AT₁) receptor, preventing vasoconstriction and aldosterone release. Amlodipine inhibits calcium influx into vascular smooth‑muscle cells, causing arterial dilation. Hydrochlorothiazide acts on the distal convoluted tubule to promote sodium and water excretion, reducing plasma volume. The combined actions decrease peripheral resistance and intravascular volume, producing an additive antihypertensive effect.

Side Effects

The combination may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects

  • Dizziness: sensation of light‑headedness, especially after standing.
  • Headache: mild to moderate intensity.
  • Peripheral edema: swelling of ankles or feet.
  • Increased urination: due to diuretic component.

Serious or Rare Side Effects

  • Severe hypotension: marked drop in blood pressure causing fainting.
  • Electrolyte imbalance: low potassium or sodium levels.
  • Acute kidney injury: sudden decline in renal function.
  • Angioedema: swelling of face, lips or airway requiring urgent care.

Precautions & Warnings

Before initiating therapy, several precautions should be considered to ensure safe use.

  • Monitor blood pressure: check regularly to avoid excessive lowering.
  • Assess renal function: baseline and periodic creatinine measurements are recommended.
  • Check electrolytes: especially potassium and sodium levels during treatment.
  • Use with caution in hepatic impairment: dose adjustment may be required.
  • Contraindicated in pregnancy: avoid use during the second and third trimesters.
  • Store at room temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Olmesartan/amlodipine/hydrochlorothiazide can interact with other medicines, influencing efficacy or safety.

Major Interactions (Avoid)

  • Aliskiren in diabetic patients: combined use may increase risk of renal impairment.
  • Potassium‑sparing diuretics or supplements: may cause hyperkalaemia.
  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): can blunt antihypertensive effect and affect renal function.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., ketoconazole, erythromycin): may raise amlodipine concentrations.
  • Beta‑blockers: additive blood‑pressure lowering effect may require monitoring.

Frequently Asked Questions

Olmesartán/Amlodipino/Hidroclorotiazida Krka is a fixed‑dose combination of olmesartan, amlodipine and hydrochlorothiazide indicated for the treatment of hypertension. The three agents work together to lower blood pressure in adults, helping to achieve target levels and reduce the risk of cardiovascular events.

Olmesartan blocks angiotensin II type 1 receptors, preventing vasoconstriction and aldosterone release. Amlodipine inhibits calcium entry into vascular smooth‑muscle cells, causing arterial dilation. Hydrochlorothiazide promotes sodium and water excretion in the kidney, decreasing plasma volume. The combined actions reduce peripheral resistance and intravascular volume, providing an additive antihypertensive effect.

The appropriate dose of Olmesartán/Amlodipino/Hidroclorotiazida Krka is determined by the prescribing healthcare professional based on the patient’s blood‑pressure goals, renal function, and concomitant therapies. Dosage adjustments are made individually; patients should follow the prescriber’s instructions and not alter the dose on their own.

Olmesartan is contraindicated in the second and third trimesters of pregnancy because of the risk of fetal toxicity. The combination is generally not recommended for use during pregnancy or while breastfeeding unless the potential benefit outweighs the risk and it is prescribed by a qualified clinician.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and the necessary import documentation.

Compared with single‑agent therapy, the olmesartan/amlodipine/hydrochlorothiazide combo offers three complementary mechanisms—RAAS blockade, calcium‑channel mediated vasodilation, and diuresis—allowing more robust blood‑pressure control in patients who need multiple agents. It can simplify regimens and improve adherence versus taking three separate tablets, while maintaining a safety profile similar to the individual components.

Store the tablets at room temperature, below 25 °C, in the original blister pack or container. Protect them from moisture, direct sunlight and excessive heat. Keep the medication out of reach of children and do not use after the expiry date printed on the packaging.

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 adverse events include severe hypotension, electrolyte disturbances such as hyper‑ or hypokalaemia, acute kidney injury, and angioedema that can affect the airway. Patients should seek immediate medical attention if they experience fainting, swelling of the face or throat, sudden loss of kidney function, or marked changes in blood‑pressure readings.

The combination is contraindicated in patients with known hypersensitivity to any of its components, in those with severe hepatic impairment, and in pregnant women during the second and third trimesters. It should also be avoided in individuals with severe renal artery stenosis or in patients taking aliskiren who have diabetes.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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