Pinom Ct 20

PINOM CT 20 Tablet

PINOM CT 20 Tablet is a prescription medication manufactured by Lupin Ltd., primarily used for the management of hypertension (high blood pressure). It is a fixed-dose combination designed for patients who may require multiple medications to control their blood pressure or when blood pressure isn't adequately managed with olmesartan alone.

Composition

PINOM CT 20 Tablet contains two active ingredients:

• Olmesartan Medoxomil (20 mg): An angiotensin II receptor blocker (ARB) that relaxes and widens blood vessels, allowing blood to flow more easily and reducing blood pressure.
• Chlorthalidone (12.5 mg): A thiazide-like diuretic (water pill) that increases the excretion of water and sodium from the kidneys, thereby reducing blood volume and lowering blood pressure.

Uses

This medicine is prescribed for:

• Hypertension (high blood pressure)
• It helps to prevent complications such as heart attacks, strokes, and kidney problems associated with high blood pressure.

Dosage and Administration

The dosage should be as prescribed by a healthcare professional, typically one tablet daily, often taken in the morning to avoid frequent nighttime urination. It can be taken with or without food. Tablets should be swallowed whole and not chewed, broken, or crushed. Do not stop taking this medicine abruptly as it can cause blood pressure to rise.

Side Effects

Common side effects include:

• Headache, dizziness, and fatigue
• Nausea, upset stomach, diarrhea, and taste changes
• Increased urination
• Electrolyte imbalances (e.g., hypokalaemia, hyponatraemia, hyperuricemia)

Serious side effects can include skin rash, painful joints, fast heartbeat, shortness of breath, and aching, tender, or weak muscles.

Precautions

• Pregnancy and Breastfeeding: PINOM CT 20 is unsafe during pregnancy and should be used with caution, or is probably unsafe, during breastfeeding.
• Kidney and Liver Conditions: Use with caution in patients with kidney or liver problems.
• Diabetes: Exercise caution in diabetic patients as it may alter blood sugar levels.
• Alcohol: Alcohol consumption may intensify blood pressure-lowering effects and cause dizziness.
• Drug Interactions: Inform your doctor about all current medications, especially lithium, NSAIDs, and aliskiren (in diabetic or renally impaired patients).

Storage

Store PINOM CT 20 Tablets below 30°C, away from heat, direct light, and moisture. Keep out of reach of children and pets.

PINOM CT 20, manufactured by LUPIN LTD, is a combination medication primarily used for the management of high blood pressure (hypertension). It contains two active ingredients: Olmesartan medoxomil and Chlorthalidone.

What is PINOM CT 20 used for?

PINOM CT 20 is used to treat high blood pressure (hypertension). It is often prescribed as an initial therapy for patients who are likely to need multiple medications to control their blood pressure, or as a second-line treatment when blood pressure isn't adequately managed with olmesartan alone. Controlling high blood pressure helps to reduce the risk of serious conditions such as heart attacks, strokes, and kidney problems.

How does PINOM CT 20 work?

PINOM CT 20 combines two different types of medicines: Olmesartan medoxomil and Chlorthalidone. Olmesartan is an angiotensin II receptor blocker (ARB) that works by relaxing and widening blood vessels, which allows blood to flow more easily and reduces the heart's workload. Chlorthalidone is a thiazide-like diuretic (often called a "water pill") that helps the kidneys remove excess sodium and water from the body, thereby reducing blood volume and further lowering blood pressure.

What is the usual dosage of PINOM CT 20?

The recommended dosage of PINOM CT 20 typically involves taking one tablet once daily. It can be taken with or without food, but it is often advised to take it in the morning to avoid frequent urination at night due to the diuretic component. Your doctor may adjust the dosage based on your individual condition, blood pressure response, and kidney function. It is important to swallow the tablet whole with a glass of water and to take it at the same time each day for consistent blood levels.

What are the possible side effects of PINOM CT 20?

Common side effects of PINOM CT 20 can include dizziness, headache, fatigue, nausea, taste changes, diarrhea, upset stomach, and decreased blood pressure. Some individuals may also experience hyperuricemia (increased uric acid in the blood), hypokalemia (lower-than-normal potassium), hyponatremia (low sodium), hypochloremia (low chloride), electrolyte imbalances, increased blood lipid levels, urinary tract infection, renal dysfunction, sore throat, or abnormal liver function tests. More serious side effects, though less common, can include skin rash, painful joints, fast heartbeat, shortness of breath, tightness in the chest, aching/tender/weak muscles, and swelling of the hands, feet, or ankles. If any side effects persist or worsen, you should consult your doctor.

Is PINOM CT 20 safe during pregnancy or breastfeeding?

PINOM CT 20 is considered unsafe and is contraindicated during the latter half of pregnancy due to definite evidence of risk to the developing baby. If pregnancy is detected, stop taking this medicine immediately and contact your doctor. Regarding breastfeeding, caution is advised, and it is generally considered unsafe as limited human data suggests the drug may pass into breast milk and potentially harm the baby. It is crucial to consult your doctor to understand the potential risks and benefits if you are breastfeeding.

Can PINOM CT 20 be taken with other medications?

PINOM CT 20 can interact with several other medications. It is important to inform your doctor about all medicines, supplements, or herbal preparations you are currently taking. Notable interactions include:

• Lithium: Can increase lithium levels in your blood, potentially leading to toxicity.
• Non-steroidal Anti-Inflammatory Drugs (NSAIDs): Medicines like ibuprofen and naproxen can reduce the blood pressure-lowering effect of PINOM CT 20 and increase the risk of kidney problems.
• Aliskiren: Co-administration is not recommended, especially if you have diabetes or moderate to severe kidney impairment, as it may increase the risk of kidney damage.
• Other blood pressure medications: Dual blockade of the Renin-Angiotensin system with medicines like enalapril or lisinopril may lead to an increased risk of low blood pressure, kidney problems, and high potassium levels.
• Potassium supplements: May interact with the medication's effects on potassium levels.

What precautions should be taken while taking PINOM CT 20?

Several precautions should be taken:

• Medical Conditions: Exercise caution if you have liver disease, kidney disease (especially severe kidney disease), gout (as it may increase uric acid levels), or diabetes (as it may alter blood sugar levels).
• Alcohol: Avoid consuming alcohol, as it can intensify the blood pressure-lowering effects and increase the risk of dizziness or orthostatic hypotension (a sudden drop in blood pressure upon standing).
• Driving/Operating Machinery: Due to potential dizziness or fatigue, avoid driving or operating heavy machinery until you know how the medicine affects you.
• Abrupt Discontinuation: Do not stop taking PINOM CT 20 suddenly, as this can lead to abnormal blood pressure spikes and increase the risk of heart attack or stroke.
• Hydration and Diet: Stay adequately hydrated and reduce salt intake to help manage blood pressure. Avoid consuming large amounts of potassium-rich foods unless advised by your doctor.

What happens if a dose of PINOM CT 20 is missed?

If you forget to take your scheduled dose of PINOM CT 20, take it as soon as you remember. However, if it's nearly time for your next dose, skip the one you missed and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one without consulting your doctor.

How should PINOM CT 20 be stored?

PINOM CT 20 should be stored at room temperature, ideally between 20°C and 25°C (or below 30°C). Keep it in an airtight container, protected from moisture and light, and out of the sight and reach of children.