Olmetime H 20 Tablet

OLMETIME H 20 TABLET is a combination medication primarily prescribed for the management of essential hypertension, commonly known as high blood pressure. Manufactured by Mankind Pharma Ltd, this antihypertensive helps control blood pressure levels, thereby reducing the risk of severe cardiovascular complications such as heart attack, stroke, and kidney problems.

• Name

  • Brand Name: OLMETIME H 20 TABLET

• Composition OLMETIME H 20 TABLET contains two active ingredients:

  • Olmesartan Medoxomil (20 mg): An angiotensin II receptor blocker (ARB) that works by relaxing and widening narrowed blood vessels, allowing blood to flow more smoothly.
  • Hydrochlorothiazide (12.5 mg): A thiazide diuretic (water pill) that increases the excretion of excess water and sodium from the body, leading to reduced plasma volume and cardiac output.

• Uses OLMETIME H 20 TABLET is used for:

  • Management of essential hypertension (high blood pressure).
  • Antihypertensive therapy when a single medication is not sufficient to achieve blood pressure goals.
  • Reducing the risk of heart-related diseases such as heart attack, heart failure, and stroke.

• Dosage and Administration

  • Take OLMETIME H 20 TABLET orally as directed by your doctor.
  • It can be taken with or without food, preferably at the same time each day.
  • Do not chew, crush, or break the tablet; swallow it whole with a glass of water.
  • Your doctor may suggest taking the first dose before bedtime due to potential dizziness.
  • Do not stop taking the medicine without consulting your doctor.

• Side Effects Common side effects may include:

  • Dizziness
  • Hypotension (low blood pressure)
  • Hyperuricaemia (high levels of uric acid in blood)
  • Hypokalaemia (low potassium levels)
  • Fatigue, weakness, or tiredness
  • Nausea, upset stomach, or diarrhea
  • Headache

  Serious side effects, though less common, warrant immediate medical attention:

  • Severe allergic reactions (skin rash, itching, swelling of face/mouth/throat)
  • Signs of electrolyte depletion (extreme thirst, dry mouth, muscle weakness, confusion, rapid heart rate)
  • Unexplained muscle pain, tenderness, or weakness
  • Yellowing of eyes, dark urine, or itching of the skin (indicating liver problems)

• Precautions

  • Pregnancy: OLMETIME H 20 TABLET is not recommended during pregnancy due to potential harm to the fetus.
  • Breastfeeding: Olmesartan can pass into human milk, so caution is advised. Consult your doctor.
  • Alcohol: Consumption of alcohol with this medication can increase the risk of drowsiness, dizziness, and low blood pressure.
  • Kidney/Liver Disease: Use with caution in patients with kidney or liver issues. Regular monitoring may be required.
  • Diabetes: Hydrochlorothiazide can alter blood sugar levels, requiring close monitoring in diabetic patients.
  • Dehydration: The medicine can cause dehydration; stay well-hydrated.
  • Driving/Operating Machinery: Avoid driving or operating heavy machinery if you experience dizziness or drowsiness.
  • Drug Interactions: Inform your doctor about all other medications you are taking, especially lithium-based medicines, NSAIDs (e.g., ibuprofen), and other Renin-Angiotensin System (RAS) blockers.

• Storage

  • Store OLMETIME H 20 TABLET below 30°C.
  • Keep it in a cool and dry place, away from direct sunlight.
  • Keep out of the sight and reach of children.

Here are the most frequently asked questions about OLMETIME H 20 TABLET:

What is OLMETIME H 20 TABLET used for?

OLMETIME H 20 TABLET is primarily used for the management of essential hypertension, also known as high blood pressure. This medication helps control high blood pressure, which in turn reduces the risk of serious health complications such as heart attacks, strokes, and kidney problems.

How does OLMETIME H 20 TABLET work?

OLMETIME H 20 TABLET contains two active ingredients: Olmesartan Medoxomil and Hydrochlorothiazide. Olmesartan Medoxomil is an angiotensin II receptor blocker (ARB) that works by relaxing and widening narrowed blood vessels, allowing blood to flow more smoothly. Hydrochlorothiazide is a thiazide diuretic (or "water pill") that helps the body remove excess salt and water through increased urine output, which reduces fluid overload and lowers blood pressure. Together, these components ensure better control of blood pressure levels.

What is the usual dosage for OLMETIME H 20 TABLET?

The daily dose of OLMETIME H 20 TABLET should be taken exactly as directed by your doctor. It is usually taken once daily, with or without food, and should be swallowed whole with water. To maintain consistent blood pressure levels, it is important to take the tablet at the same time each day. It is often recommended to avoid taking this medicine within four hours of bedtime due to its diuretic effect, which may increase urination.

What are the possible side effects of OLMETIME H 20 TABLET?

Common side effects of OLMETIME H 20 TABLET include dizziness, low blood pressure (hypotension), fatigue, nausea, increased urination, headache, and an increase in uric acid levels (hyperuricaemia) or a decrease in potassium levels (hypokalaemia) in the blood. Other possible side effects can include cough, stomach pain, diarrhea, and swelling of the hands, arms, ankles, feet, or legs. Most side effects are temporary and usually resolve over time. However, if you experience any serious or persistent side effects, you should consult your doctor.

Is OLMETIME H 20 TABLET safe during pregnancy or breastfeeding?

OLMETIME H 20 TABLET is not recommended during pregnancy due to potential harm to the fetus and is classified as a Category D pregnancy drug. If you are pregnant or planning to conceive, you must consult your doctor before taking this medicine. Olmesartan, one of the active components, is known to pass into human milk, therefore, its use while breastfeeding is generally not advised.

Can OLMETIME H 20 TABLET be taken with other medications?

OLMETIME H 20 TABLET can interact with several other medications. It can increase lithium levels in the blood, raising the risk of toxicity. Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen may reduce its blood pressure-lowering effect and increase the risk of kidney problems. Combining it with other Renin-Angiotensin System (RAS) blockers, such as aliskiren, especially in patients with diabetes or kidney impairment, is not recommended as it can lead to very low blood pressure, high potassium levels, and kidney function changes. It is crucial to inform your doctor about all ongoing medications, including over-the-counter drugs and herbal supplements, before starting OLMETIME H 20 TABLET.

What precautions should be taken while using OLMETIME H 20 TABLET?

Several precautions should be taken:

• Kidney and Liver Issues: Use with caution if you have kidney or liver problems, or diabetes. It is not suitable for individuals with anuria (unable to produce urine) or severe liver impairment.
• Alcohol: Avoid alcohol consumption as it can further lower blood pressure and increase the risk of dizziness or lightheadedness.
• Driving and Operating Machinery: This medicine may cause dizziness or sleepiness, so avoid driving or operating heavy machinery until you know how it affects you.
• Electrolyte Imbalance: Regular monitoring of blood pressure and electrolyte levels (especially potassium) is important. Avoid potassium-rich foods or supplements unless advised by your doctor.
• Allergies: Do not take if you have a history of allergy to sulphonamide-derived medicines or any component of OLMETIME H 20 TABLET.
• Sun Exposure: Long-term use may increase the risk of certain types of skin and lip cancer, so protect your skin from sun exposure and UV rays.
• Stopping Medication: Do not stop taking the medicine abruptly without consulting your doctor, as this can cause your blood pressure to rise.

What happens if a dose of OLMETIME H 20 TABLET is missed?

If you forget to take a dose, take it as soon as you remember. However, if it is nearly time for your next scheduled dose, skip the missed one and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one, as this can lead to low blood pressure.

How should OLMETIME H 20 TABLET be stored?

OLMETIME H 20 TABLET should be stored in a cool and dry place, away from direct sunlight. Keep it out of the reach of children and pets. It should be stored below 30°C.