Nulong Ol 20

NULONG OL 20 Tablet

• Name: NULONG OL 20 Tablet. Manufactured by Micro Labs Ltd., it is often associated with the "CARSYON" division or brand of Micro Labs.
• Composition: Each tablet contains Olmesartan Medoxomil (20mg) and Cilnidipine (10mg).
• Uses: This medication is primarily used for the treatment of hypertension (high blood pressure). It helps control high blood pressure when a single medication may not be sufficient. By lowering blood pressure, it reduces the risk of serious complications such as heart attack, stroke, kidney failure, and vision problems.
• Dosage and Administration: NULONG OL 20 Tablet should be taken orally, typically once daily, at a fixed time as prescribed by your doctor. It can be taken with or without food, though taking it with food may help reduce stomach upset. Swallow the tablet whole with a glass of water; do not chew, crush, or break it. Do not stop taking this medicine without consulting your doctor, even if you feel well, as this can lead to a rise in blood pressure.
• Side Effects:
  • Common: Ankle swelling (peripheral edema), headache, dizziness, tiredness, palpitations, increased potassium levels in the blood, sleepiness, taste changes, flushing (sense of warmth), nausea, diarrhea, muscle ache, and skin rash.
  • Serious (Seek immediate medical attention): Skin rash or itchiness, painful joints, fast heartbeat, shortness of breath, chest tightness, aching/tender/weak muscles (not exercise-related), and swelling of the hands, feet, or ankles. Symptoms indicating high potassium levels (nausea, diarrhea, muscle weakness, change in heart rhythm) also require immediate medical attention.
• Precautions:
  • Contraindications: Do not take if you are allergic to its components, have low blood pressure (<90 mm Hg), a history of heart attack, severe kidney or liver disease, cardiogenic shock, or aortic stenosis.
  • Pregnancy & Breastfeeding: NULONG OL 20 Tablet is unsafe and not recommended during pregnancy or breastfeeding. Consult your doctor if pregnant, planning conception, or nursing.
  • Alcohol: Discuss alcohol consumption with your doctor, as excessive intake may enhance the blood pressure-lowering effect and cause dizziness.
  • Driving: This medication may cause dizziness, sleepiness, or affect vision. Avoid driving or operating machinery until you know how it affects you.
  • Interactions: Avoid co-administration with Aliskiren, grapefruit juice, and St. John's wort. Inform your doctor about all other medications you are taking.
  • Lifestyle: Adopting a low-salt diet, regular exercise, stress management, and quitting smoking can enhance treatment effectiveness.
• Storage: Store below 30°C in a cool and dry place, away from direct sunlight, moisture, and light. Keep out of sight and reach of children.

NULONG OL 20 by MICRO LABS (containing Olmesartan 20mg and Cilnidipine 10mg) is a medication primarily prescribed for the management of high blood pressure. Below are some frequently asked questions about this medicine.

What is NULONG OL 20 used for?

NULONG OL 20 is used to treat hypertension, commonly known as high blood pressure. It helps to control blood pressure, thereby reducing the risk of complications such as heart attack, stroke, kidney failure, and other cardiovascular issues.

How does NULONG OL 20 work?

NULONG OL 20 is a combination of two active ingredients: Olmesartan and Cilnidipine. Olmesartan is an angiotensin receptor blocker (ARB) that works by blocking the hormone angiotensin, which helps relax blood vessels. Cilnidipine is a calcium channel blocker (CCB) that blocks calcium channels in the blood vessels, further relaxing them and reducing the heart's workload. Together, these actions allow blood to flow more smoothly and efficiently, lowering blood pressure.

What is the usual dosage of NULONG OL 20?

The usual dosage of NULONG OL 20 is typically one tablet per day, as prescribed by your doctor. It can be taken with or without food. It's important to take the medicine at the same time each day to maintain a consistent level in your blood. Do not discontinue this medicine without consulting your doctor, even if you feel well.

What are the possible side effects of NULONG OL 20?

Common side effects may include headache, dizziness, fatigue, ankle swelling (peripheral edema), nausea, stomach upset, increased potassium levels, taste changes, and flushing (a sensation of warmth). More serious, but rare, side effects can include skin rash or itchiness, painful joints, fast heartbeat, shortness of breath or chest tightness, and muscle weakness. If you experience persistent or severe side effects, you should consult your doctor.

Is NULONG OL 20 safe during pregnancy or breastfeeding?

NULONG OL 20 is generally not recommended for use during pregnancy, especially during the last six months, as it can harm the developing fetus. It is also not recommended during breastfeeding, as it is not known if the medicine passes into breast milk and its effect on the baby is unclear. Always consult your doctor if you are pregnant, planning to conceive, or breastfeeding.

Can NULONG OL 20 be taken with other medications?

NULONG OL 20 can interact with certain medications. It is not recommended to be taken with other blood pressure-lowering medicines like ACE inhibitors (e.g., enalapril, lisinopril) or aliskiren, especially if you have diabetes or kidney problems. Caution is advised when taken with NSAIDs (non-steroidal anti-inflammatory drugs), lithium, and potassium supplements. Inform your doctor about all medicines, supplements, or herbal preparations you are currently taking. Avoid consuming grapefruit juice while on this medication as it can increase the absorption of the medicine and lower blood pressure excessively.

What precautions should be taken while taking NULONG OL 20?

Exercise caution if you have conditions such as low blood pressure, heart problems (e.g., heart failure, coronary artery disease, aortic stenosis), kidney disease, liver disease, or diabetes. NULONG OL 20 may cause dizziness or sleepiness, so avoid driving or operating heavy machinery until you know how it affects you. Alcohol consumption should be avoided or limited as it may further lower blood pressure and increase side effects like dizziness. Do not stop the medication abruptly, as this can lead to a sudden increase in blood pressure.

What happens if a dose of NULONG OL 20 is missed?

If you miss a dose of NULONG OL 20, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to compensate for the missed one, as this can lead to an excessive drop in blood pressure.

How should NULONG OL 20 be stored?

NULONG OL 20 should be stored below 30°C in a cool and dry place, away from direct sunlight and moisture. Keep it out of sight and reach of children.