Product image of Olmesartan Medoxomilo + Hidroclorotiazida Ciclum (Olmesartan Medoxomil, Hydrochlorothiazide) supplied by GNH India

Olmesartan Medoxomilo + Hidroclorotiazida Ciclum

Active Ingredient:
Olmesartan Medoxomil, Hydrochlorothiazide
Origin:
EU

Olmesartan Medoxomilo + Hidroclorotiazida Ciclum (Olmesartan Medoxomil, Hydrochlorothiazide)

Olmesartan medoxil, the active ingredient in Olmesartan Medoxomilo + Hidroclorotiazida Ciclum, is an angiotensin II receptor blocker presented as a tablet for oral use. It is used to manage hypertension in adult patients, often in combination with a thiazide diuretic.

GNH India supplies Olmesartan Medoxomilo + Hidroclorotiazida Ciclum as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals and pharmacies worldwide.

Manufacturer / TM Owner

Ciclum Farma Unipessoal Lda.

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Indications & Clinical Uses

Olmesartan medoxil combined with hydrochlorothiazide acts on the renin‑angiotensin‑aldosterone system to lower blood pressure.

  • Hypertension: helps achieve target blood pressure when monotherapy is insufficient.
  • Hypertensive urgency: provides gradual blood pressure reduction as part of a stepped‑care approach.
  • Edema associated with hypertension: reduces fluid retention through the diuretic component.

How It Works

  • Olmesartan medoxil selectively blocks the AT1 subtype of angiotensin II receptors, preventing vasoconstriction and aldosterone release. Hydrochlorothiazide inhibits sodium‑chloride reabsorption in the distal convoluted tubule, promoting diuresis. The combined actions decrease peripheral vascular resistance and plasma volume, resulting in lowered arterial pressure.

Side Effects

Adverse reactions may vary in frequency and severity.

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
  • Liver enzyme elevation
  • Blood dyscrasias such as agranulocytosis

Precautions & Warnings

Before initiating therapy, consider patient‑specific factors and monitor relevant parameters.

  • Renal function: assess baseline creatinine and eGFR, adjust if impaired.
  • Electrolytes: monitor potassium and sodium levels regularly.
  • Pregnancy: avoid use; drug is contraindicated in the second and third trimesters.
  • Concomitant NSAIDs: increase risk of renal dysfunction and hyperkalemia.
  • Gout: may increase serum uric acid; monitor if patient has a history of gout.
  • Store at below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Olmesartan medoxil + hydrochlorothiazide may interact with several drug classes.

Major Interactions (Avoid)

  • Aliskiren: combined use in diabetic patients can cause renal impairment and hyperkalemia.
  • Potassium‑saving diuretics or supplements: risk of dangerous hyperkalemia.
  • Lithium: increased lithium levels may lead to toxicity.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may blunt antihypertensive effect and affect renal function.
  • ACE inhibitors or other ARBs: additive hypotensive effect; monitor blood pressure.
  • Antidiabetic agents: may enhance glucose‑lowering effect, requiring dose adjustment.

Frequently Asked Questions

Olmesartan Medoxomilo + Hidroclorotiazida Ciclum is an oral combination of an angiotensin II receptor blocker and a thiazide diuretic. It is prescribed to lower elevated blood pressure in adults, especially when a single‑agent therapy does not achieve target levels. The diuretic component also helps reduce fluid retention associated with hypertension.

Olmesartan medoxil selectively blocks AT‑1 receptors for angiotensin II, preventing vasoconstriction and aldosterone‑mediated sodium retention. Hydrochlorothiazide acts on the distal convoluted tubule to inhibit sodium‑chloride reabsorption, increasing urine output. Together they lower peripheral resistance and plasma volume, producing a sustained reduction in arterial pressure.

The appropriate dose of Olmesartan Medoxomilo + Hidroclorotiazida Ciclum is determined by the prescribing clinician based on the patient’s blood pressure, renal function, and response to therapy. Dosage adjustments are made according to clinical guidelines and individual patient needs.

Olmesartan medoxil is contraindicated in pregnancy, particularly in the second and third trimesters, because it can cause fetal toxicity. Hydrochlorothiazide is also generally avoided during pregnancy. Breastfeeding mothers should consult their healthcare provider, as the drugs may pass into breast milk and affect the infant.

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, verifying trade or institutional credentials before providing pricing, availability, shipping details, and any necessary import documentation.

Compared with monotherapy using either an ARB or a thiazide alone, the olmesartan‑hydrochlorothiazide combo offers synergistic blood‑pressure reduction, often achieving target levels with a single pill. It may be preferred over ACE‑inhibitor‑diuretic combos for patients who experience cough with ACE inhibitors, while providing similar efficacy to other ARB‑diuretic combinations.

Store the tablets at temperatures below 25 °C in their original container, protecting them from moisture, heat, and direct sunlight. Do not refrigerate or freeze the product, and keep it out of reach of children.

The medication is taken orally, usually once daily, with or without food, as directed by the prescribing clinician. Swallow the tablet whole with a glass of water; do not crush or chew it unless specifically instructed.

Serious adverse events, though uncommon, include severe hypotension, acute kidney injury, hyperkalemia, angio‑edema, and liver enzyme elevations. Patients should seek immediate medical attention if they experience swelling of the face or throat, sudden dizziness, or marked decreases in urine output.

The combination should be avoided in patients with known hypersensitivity to olmesartan, hydrochlorothiazide, or any excipients, as well as in pregnant women (second and third trimesters) and those with severe renal impairment, hyperkalemia, or anuria. Clinicians should also exercise caution in patients with a history of gout or hepatic disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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