Product image of Olmesartan Medoxomil/Hydrochlorothiazide Krka (Olmesartan Medoxomil, Hydrochlorothiazide) supplied by GNH India

Olmesartan Medoxomil/Hydrochlorothiazide Krka

Active Ingredient:
Olmesartan Medoxomil, Hydrochlorothiazide
Origin:
EU

Olmesartan Medoxomil/Hydrochlorothiazide Krka (Olmesartan Medoxomil, Hydrochlorothiazide)

Olmesartan medoxil, the active ingredient in Olmesartan Medoxomil/Hydrochlorothiazide Krka, is an angiotensin II receptor blocker presented as a fixed‑dose combination tablet for oral use. It treats hypertension, often in patients who require additional blood pressure control beyond what an ARB alone can provide.

GNH India supplies Olmesartan Medoxomil/Hydrochlorothiazide Krka as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals and pharmacies worldwide.

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

Olmesartan Medoxil/Hydrochlorothiazide acts on the renin‑angiotensin‑aldosterone system to lower elevated blood pressure.

  • Hypertension: provides additional blood pressure reduction when monotherapy is insufficient.
  • Hypertensive patients with fluid retention: combines an ARB with a thiazide diuretic to improve volume control.
  • High‑risk cardiovascular patients: helps achieve guideline‑recommended blood pressure targets to lower cardiovascular event risk.

How It Works

  • Olmesartan medoxil blocks the binding of angiotensin II to the AT1 receptor, preventing vasoconstriction and aldosterone release. Hydrochlorothiazide inhibits sodium‑chloride reabsorption in the distal convoluted tubule, promoting diuresis and further reducing plasma volume. The combined actions result in decreased systemic vascular resistance and lower blood pressure.

Side Effects

Adverse reactions may range from mild to severe and should be monitored during therapy.

Common Side Effects

  • Dizziness or light‑headedness
  • Headache
  • Fatigue
  • Increased urination
  • Electrolyte disturbances (e.g., low potassium)
  • Mild gastrointestinal discomfort

Serious or Rare Side Effects

  • Severe hypotension
  • Acute kidney injury
  • Hyperkalemia
  • Angio‑edema
  • Severe electrolyte imbalance (e.g., hyponatremia)
  • Pancreatitis

Precautions & Warnings

Before initiating therapy, clinicians should evaluate patient history and monitor relevant parameters.

  • Renal function: assess baseline creatinine and eGFR, adjust if impaired.
  • Electrolytes: monitor potassium and sodium levels regularly.
  • Volume status: watch for dehydration, especially in the elderly.
  • Concomitant drugs: avoid use with other potent diuretics or potassium‑sparing agents without monitoring.
  • Pregnancy: contraindicated in the second and third trimesters; assess risk‑benefit in the first trimester.
  • Store at ambient temperature: keep below 25°C, retain in original packaging and protect from moisture.

Avoid Interactions

Olmesartan Medoxil/Hydrochlorothiazide can interact with several drug classes, requiring careful management.

Major Interactions (Avoid)

  • Aliskiren (in diabetic patients): may increase risk of renal dysfunction and hyperkalemia.
  • Lithium: concurrent use can raise lithium levels, risking toxicity.
  • NSAIDs (high‑dose or chronic): may blunt antihypertensive effect and impair renal function.

Moderate Interactions (Monitor Closely)

  • Potassium‑sparing diuretics or supplements: risk of hyperkalemia.
  • ACE inhibitors or other ARBs: additive effect on potassium and renal function.
  • Antidiabetic agents: may enhance hypoglycaemic effect.
  • Antimicrobials such as trimethoprim‑sulfamethoxazole: can increase serum potassium.

Frequently Asked Questions

Olmesartan Medoxomil/Hydrochlorothiazide Krka is a fixed‑dose oral tablet that combines an angiotensin II receptor blocker with a thiazide diuretic. It is prescribed to lower elevated blood pressure in adults, especially when a single‑agent therapy does not achieve target levels or when fluid retention is present.

Olmesartan medoxil selectively blocks AT1 receptors, preventing angiotensin II‑mediated vasoconstriction and aldosterone release. Hydrochlorothiazide acts on the distal convoluted tubule to inhibit sodium‑chloride reabsorption, increasing urine output and reducing plasma volume. Together they lower systemic vascular resistance and blood pressure.

The prescribed dose is individualized by the treating clinician based on the patient’s blood pressure, renal function, and response to therapy. The prescriber determines the appropriate strength and dosing schedule, which is typically once daily.

The combination is contraindicated in the second and third trimesters of pregnancy because it can harm the fetus. Use in the first trimester requires a careful risk‑benefit assessment. Limited data are available for breastfeeding; the drug may pass into milk, so consultation with a healthcare professional is advised.

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 and any necessary import documentation.

Olmesartan Medoxomil/Hydrochlorothiazide offers the advantage of combining an ARB with a thiazide diuretic in a single tablet, simplifying regimens and improving adherence. Compared with ACE‑inhibitor‑diuretic combos, it avoids cough and angio‑edema associated with ACE inhibitors, while providing comparable blood‑pressure reduction.

Store the tablets at ambient temperature, below 25 °C, in their original packaging to protect from moisture and light. Keep the container tightly closed and out of reach of children.

The medication is taken orally, usually once daily, with or without food. Patients should swallow the tablet whole with a glass of water and follow the dosing schedule prescribed by their healthcare provider.

Serious adverse events include severe hypotension, acute kidney injury, hyperkalemia, angio‑edema and significant electrolyte disturbances. Patients should be monitored for signs of these conditions, especially during treatment initiation or dose changes.

The combination should be avoided in patients with known hypersensitivity to olmesartan, hydrochlorothiazide or any excipients, in those with severe renal impairment, hyperkalemia, or in the second and third trimesters of pregnancy. Clinicians should also exercise caution in patients with hepatic disease or a history of angio‑edema.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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