OLMENORM 20MG H TABLET is an 'anti-hypertensives' medication primarily used for lowering the high blood pressure (hypertension) by removing extra fluid (electrolytes) from the body. High blood pressure is a chronic condition in which the blood's force against the artery wall is high. As a result, it increases the risk of heart-related diseases like heart attack, heart failure, stroke, irregular heartbeat and other complications.

OLMENORM 20MG H TABLET is a combination of two medicines, namely: Olmesartan and Hydrochlorothiazide. Olmesartan is an angiotensin receptor blocker (ARB) that works by blocking the hormone angiotensin, thereby relaxing and widening the narrowed blood vessels. This allows the blood to flow more smoothly in the blood vessels, and the heart can pump more efficiently. On the other hand, Hydrochlorothiazide is a diuretic or water pill that works by removing extra water/fluid and certain electrolytes overload from the body. Together, OLMENORM 20MG H TABLET lowers the fluid overload, raised blood pressure, improves blood flow, and reduce the future risk of a heart attack and stroke.

You can take OLMENORM 20MG H TABLET with food or without food with a glass of water. Do not chew, bite, or break it. Your doctor will advise you how often you take your tablets based on your medical condition. You may experience nausea, upset stomach, dehydration, headache, diarrhoea, electrolyte imbalance, dizziness, and decreased blood pressure in some cases. Most of these side effects of OLMENORM 20MG H TABLET do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Do not use potassium supplements or salt substitutes unless the doctor has told you. In rare cases, OLMENORM 20MG H TABLET can cause a condition that results in the skeletal muscle problem, leading to further kidney failure. If you notice unexplained muscle pain, dark colour urine, tenderness, or weakness, especially if you also have a fever or unexplained tiredness, immediately contact the doctor.

Try not to stop taking this medicine of your own. Let your doctor know about this, as it may cause a rise in blood pressure and increase heart disease and stroke risk. Inform your doctor if you are suffering from any kidney or liver or heart disease or are diabetic. If you are pregnant or breastfeeding, do not take OLMENORM 20MG H TABLET as it is category D pregnancy drug and can harm the baby. Do not use OLMENORM 20MG H TABLET if you cannot urinate, are dehydrated, have low blood pressure (hypotension), and have or have had cardiogenic shock (sudden stopping of blood flow to the heart). Please tell your doctor if you are taking any other medicines or are allergic to this medicine. Reducing table salt (sodium chloride) in your food often helps lower blood pressure.

OLMENORM 20MG H TABLET is primarily used to reduce high blood pressure. It is a combination of two medicines, namely: Olmesartan and Hydrochlorothiazide. Olmesartan is an angiotensin receptor blocker (ARB) that blocks the hormone angiotensin, thereby relaxing and widening the narrowed blood vessels. This allows the blood to flow more smoothly in the blood vessels, and the heart can pump more efficiently. On the other hand, Hydrochlorothiazide is a diuretic or water pill that works by removing extra water/fluid and certain electrolytes overload from the body. Together, OLMENORM 20MG H TABLET lowers the fluid overload, raised blood pressure, improves blood flow, and reduce the future risk of a heart attack and stroke.

• Stuffy nose/sore throat
• Nausea
• Upset stomach
• Headache
• High level of uric acid
• Diarrhea
• Electrolyte imbalance
• Dehydration
• Dizziness

Do not use OLMENORM 20MG H TABLET if you are pregnant, planning for pregnancy or unable to urinate (anuria). If you have diabetes and taking OLMENORM 20MG H TABLET with other blood pressure-lowering pills like 'aliskiren' immediately stop taking both together and consult a doctor. Besides this, it is contraindicated in low blood pressure (hypotension), cardiogenic shock (sudden stopping of blood flow to the heart) and aortic stenosis (heart valve problem). OLMENORM 20MG H TABLET may pass into breast milk, so before starting OLMENORM 20MG H TABLET, either you need to stop nursing or you should not take OLMENORM 20MG H TABLET while breastfeeding. Please inform your doctor before surgery if you are taking OLMENORM 20MG H TABLET as it needs to be stopped because it might lower the blood pressure further if taken along with local anesthesia. Avoid intake of potassium salt or its substitute while using OLMENORM 20MG H TABLET to avoid any electrolytes imbalance. 

Drug-drug interaction: This medicine may interact with an antidepressant (lithium), heart rhythm controlling medicines (digoxin), blood thinner (aspirin), antidiabetic medicines (metformin, insulin), medicines used to treat erectile dysfunction (sildenafil), medicines used to lower cholesterol levels (simvastatin), immunosuppressants (cyclosporine), and other anti-hypertensive medicines (atenolol, aliskiren, enalapril, lisinopril, ramipril, metoprolol), pain killers (ibuprofen), medicines for treating stomach ulcers (carbenoxolone).

Drug-food Interaction: OLMENORM 20MG H TABLET may interact with high potassium-containing food and drinks. So, if you are using any of the OTC items, please tell your doctor. Also, alcohol should not be consumed while taking OLMENORM 20MG H TABLET.

Drug-Disease Interaction: The efficacy of OLMENORM 20MG H TABLET is affected, and the disease condition may even worsen if taken in patients with a recent or history of heart attack, low blood pressure, low potassium level, low electrolytes (sodium, potassium, calcium, etc.), anuria (non-passage of urine), angioedema (an allergic condition with swelling under the skin), lupus (an autoimmune disease), kidney disease, liver disease, asthma, diabetes.

• LITHIUM
• DIGOXIN
• ASPIRIN
• METFORMIN
• INSULIN
• SILDENAFIL
• SIMVASTATIN
• CYCLOSPORINE
• ALISKIREN
• ENALAPRIL
• RAMIPRIL
• METOPROLOL
• IBUPROFEN
• CARBENOXOLONE

• Keep your weight under control with BMI 19.5-24.9.
• Do regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week. Doing this can help you to lower your raised blood pressure by about 5 mm of Hg.
• Limit intake of sodium chloride (table salt) in your daily diet to 2300 mg per day or less than 1500 mg is ideal for most adults.
• If you are taking alcohol, then only one serving for women and two servings for men is advisable.
• Quitting smoking is the best strategy to lower the risk of heart disease.
• Avoid chronic stress as it can raise your blood pressure. Try to enjoy and spent time with your loved ones to cope with stress and practice mindfulness techniques.
• Monitor your blood pressure daily and if there is too much fluctuation, then immediately contact your doctor.
• Try to include heart-healthy omega 3 fatty acids containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil and coconut oil to lower your elevated blood pressure.

• Do not use OLMENORM 20MG H TABLET if you are pregnant, planning for pregnancy or unable to urinate.
• If you have diabetes and taking OLMENORM 20MG H TABLET with other blood pressure-lowering pills like 'aliskiren,' immediately stop taking both together and consult a doctor, as it may cause serious complications.
• Do not use potassium supplements or salt substitutes while using OLMENORM 20MG H TABLET unless your doctor has told you to do so.
• If you are taking medicines for lowering raised cholesterol or fat like 'cholestyramine,' avoid taking OLMENORM 20MG H TABLET within 4 hours before or after you take OLMENORM 20MG H TABLET to avoid drug interaction.
• If you have diabetes, this product may affect your bloos sugar. Check your blood sugar regularly as directed by your doctor.

Hypertension: It is a chronic condition when blood pressure is too high. This condition can lead to hardened arteries (blood vessels), decreasing the blood and oxygen flow to the heart. Blood pressure is the measurement of the force that our heart uses to pump blood to all parts of the body. Raised blood pressure can cause chest pain (angina) and heart attack (when blood supply to the heart is blocked). Additionally, high blood pressure also causes brain damage (stroke) and kidney failure. High blood pressure can be diagnosed with the help of a blood pressure monitor or sphygmomanometer. Systolic pressure is the pressure when the heart pumps blood out. On the other hand, diastolic pressure is when your heart is at the resting stage between heartbeats. If your blood pressure is 140/90 mm of Hg, it means the systolic pressure is 140 mm of Hg, and diastolic pressure is 90 mm of Hg. Ideal blood pressure should be between 90/60 mm of Hg and 120/80 mm of Hg.