Olmesartan medoxomil + Amlodipine + Hydrochlorothiazide
Amolisa HCT contains three active substances called olmesartan medoxomil, amlodipine (as amlodipine besylate), and hydrochlorothiazide. All three substances help to lower high blood pressure.
The action of these substances results in a decrease in blood pressure. Amolisa HCT is used to treat high blood pressure:
Amolisa HCT should not be taken if any of the above situations apply to the patient.
If the patient has previously experienced breathing or lung problems (including pneumonia or fluid accumulation in the lungs) after taking hydrochlorothiazide. If the patient experiences severe shortness of breath or difficulty breathing after taking Amolisa HCT, they should seek medical help immediately.
The patient should tell their doctorif they are taking any of the following medicines used to treat high blood pressure:
The doctor may recommend regular monitoring of kidney function, blood pressure, and electrolyte levels (e.g., potassium) in the blood.
See also the "When not to take Amolisa HCT" section.
The patient should tell their doctorif they have any of the following conditions:
The patient should contact their doctorif they experience any of the following symptoms:
Like other blood pressure-lowering medicines, excessive lowering of blood pressure in patients with circulatory problems in the heart or brain may lead to heart attack or stroke. Therefore, the doctor will recommend careful monitoring of blood pressure in such patients.
Amolisa HCT may cause increased lipid and uric acid levels in the blood (a cause of gout - painful joint swelling). The doctor will likely recommend periodic blood tests to measure these levels.
Taking Amolisa HCT may affect the patient's electrolyte balance. The doctor will likely recommend periodic blood tests to measure electrolyte levels. Symptoms of electrolyte disturbances include thirst, dry mouth, muscle pain or cramps, muscle fatigue, low blood pressure (hypotension), weakness, apathy, fatigue, drowsiness or restlessness, nausea, vomiting, decreased urine output, rapid heartbeat. If such symptoms occur, the patient should inform their doctor.
Amolisa HCT should be discontinued before parathyroid function tests are performed.
The patient should inform their doctor if they suspect (or plan) pregnancy. Amolisa HCT is not recommended during pregnancy and should not be taken after the third month of pregnancy, as it may seriously harm the fetus (see "Pregnancy and breastfeeding").
If the patient experiences stomach pain, nausea, vomiting, or diarrhea after taking Amolisa HCT, they should discuss it with their doctor. The doctor will decide on further treatment. The patient should not stop taking Amolisa HCT on their own.
Amolisa HCT is not recommended for children and adolescents under 18 years of age.
In patients over 65 years of age, the doctor will monitor blood pressure during each dose increase to ensure that it does not decrease too much.
The patient should tell their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take:
The patient should also tell their doctor or pharmacist about any other medicines they are currently taking or have recently taken, as well as any medicines they plan to take:
The patient should tell their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.
Amolisa HCT can be taken with or without food.
Patients taking Amolisa HCT should not consume grapefruit juice or grapefruits, as they may cause an increase in the level of the active substance amlodipine in the blood, which may result in unpredictable enhancement of Amolisa HCT's blood pressure-lowering effect.
The patient should be cautious when drinking alcohol while taking Amolisa HCT, as it may cause dizziness or fainting in some individuals. If such symptoms occur, the patient should not consume alcohol.
The patient should inform their doctor if they suspect (or plan) pregnancy. The doctor will usually recommend stopping Amolisa HCT before planned pregnancy or immediately after confirming pregnancy and recommend taking a different medicine instead of Amolisa HCT. Amolisa HCT is not recommended during pregnancy and should not be taken after the third month of pregnancy, as it may seriously harm the fetus.
If the patient becomes pregnant while taking Amolisa HCT, they should immediately consult their doctor.
The patient should inform their doctor if they are breastfeeding or plan to breastfeed. It has been shown that small amounts of amlodipine and hydrochlorothiazide pass into human milk. Amolisa HCT is not recommended during breastfeeding. The doctor may recommend a different medicine.
If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a child, they should consult their doctor or pharmacist before taking this medicine.
During treatment for high blood pressure, dizziness, nausea, dizziness, or headache may occur. In such cases, the patient should not drive vehicles or operate machines until the symptoms have resolved. The patient should consult their doctor for advice.
Amolisa HCT contains lactose
If the patient has previously been diagnosed with intolerance to some sugars, they should contact their doctor before taking this medicine.
Amolisa HCT contains sodium
This medicine contains less than 1 mmol (23 mg) of sodium per film-coated tablet, which means it is essentially "sodium-free".
This medicine should always be taken exactly as prescribed by the doctor or pharmacist. If the patient has any doubts, they should consult their doctor or pharmacist.
If the patient takes more tablets than recommended, they may experience excessive lowering of blood pressure with symptoms such as dizziness, rapid or slow heartbeat.
If the patient takes a higher dose than recommended or accidentally swallows any amount of the medicine, they should immediately consult their doctor or the emergency department of the nearest hospital, taking the medicine packaging or this leaflet with them.
Even 24-48 hours after taking the medicine, shortness of breath caused by excessive fluid accumulation in the lungs (pulmonary edema) may occur.
If the patient misses a dose, they should take their usual dose the next day. They should not take a double dose to make up for the missed dose.
It is important to continue taking Amolisa HCT until the doctor recommends stopping it.
If the patient has any further doubts about taking this medicine, they should consult their doctor or pharmacist.
Like all medicines, Amolisa HCT can cause side effects, although not everybody gets them.
Side effects are often mild and do not require treatment to be stopped.
Amolisa HCT is a combination of three active substances. The following information refers to side effects that have been reported so far during treatment with Amolisa HCT (in addition to those listed above) and those side effects that have been observed with individual substances or two substances taken together:
If the patient experiences the following side effects, they are usually mild and do not require treatment to be stopped.
Common(may affect up to 1 in 10 people)
Upper respiratory tract infection; sore throat; nasal congestion; urinary tract infection; dizziness; headache; palpitations; low blood pressure; nausea; diarrhea; constipation; muscle spasms; joint swelling; increased urine output; feeling of weakness; ankle swelling; feeling of tiredness; abnormal laboratory test results.
Uncommon(may affect up to 1 in 100 people)
Orthostatic dizziness; vertigo; rapid heartbeat; fainting; flushing; cough; dry mouth; muscle weakness; impotence.
The following side effects may occur during treatment with Amolisa HCT, even if they have not been observed so far:
Very common(may affect more than 1 in 10 people)
Edema (fluid retention in the body).
Common(may affect up to 1 in 10 people)
Bronchitis; gastrointestinal infection; vomiting; increased blood sugar levels; presence of sugar in the urine; confusion; drowsiness; visual disturbances (including double vision and blurred vision); nasal congestion; sore throat; difficulty breathing; cough; abdominal pain; heartburn; discomfort in the stomach; bloating; back pain; muscle or joint pain; blood in the urine; flu-like symptoms; chest pain; pain.
Uncommon(may affect up to 1 in 100 people)
Decreased white blood cell count, which may increase the risk of infection; decreased platelet count, which may cause easy bruising or prolonged bleeding; anemia; bone marrow damage; restlessness; apathy; seizures; yellow vision; dry eye; blood clots (thrombosis, embolism); inflammation of blood vessels and small blood vessels in the skin; pancreatitis; jaundice; acute gallbladder inflammation; symptoms of lupus, such as rash, joint pain, and finger or toe numbness; severe skin reactions, including intense skin rash, hives, redness of the skin, severe itching, blistering, and peeling, sometimes life-threatening; movement disorders; acute kidney failure; non-infectious kidney inflammation; kidney impairment; fever.
Rare(may affect up to 1 in 1,000 people)
Swollen and painful salivary glands; decreased white blood cell count, which may increase the risk of infection; anemia; bone marrow damage; restlessness; apathy; seizures; visual disturbances; ringing in the ears (tinnitus); angina pectoris (chest pain or discomfort, known as angina attack); heart rhythm disorders; skin rash; hair loss; allergic skin inflammation; skin redness; purple spots on the skin due to small bleeding (purpura); skin discoloration; red, itchy bumps (hives); increased sweating; itching; skin rash; skin reactions to sunlight, such as sunburn or rash; muscle pain; difficulty urinating; need to urinate at night; breast enlargement in men; decreased libido; facial swelling; malaise; weight gain or loss; exhaustion.
Very rare(may affect up to 1 in 10,000 people)
Muscle stiffness; numbness or tingling of the hands or feet; heart attack; stomach inflammation; intestinal obstruction; liver inflammation.
Acute respiratory failure (symptoms include severe shortness of breath, fever, weakness, and confusion).
Frequency not known(cannot be estimated from the available data)
Sudden worsening of distant vision (acute angle-closure glaucoma), blurred vision, or eye pain due to increased pressure in the eye (possible symptoms of fluid accumulation in the vascular layer surrounding the eye - excessive fluid accumulation between the choroid and sclera - or acute angle-closure glaucoma). Worsening of vision or eye pain (possible symptoms of acute angle-closure glaucoma).
Tremors, stiff posture, mask-like face, slow movements, and shuffling gait.
Malignant skin tumors and lip cancer (non-melanoma skin cancer).
If the patient experiences any side effects, including any not listed in this leaflet, they should tell their doctor or pharmacist. Side effects can be reported directly to the Department of Drug Safety Monitoring, Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181C, 02-222 Warsaw, tel.: +48 22 49 21 301, fax: +48 22 49 21 309, website: https://smz.ezdrowie.gov.pl
By reporting side effects, more information can be gathered on the safety of this medicine.
Side effects can also be reported to the marketing authorization holder.
The medicine should be stored out of sight and reach of children.
Do not use this medicine after the expiry date stated on the carton and blister after EXP.
The expiry date refers to the last day of that month.
Store at a temperature below 30°C.
Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines they no longer need. This will help protect the environment.
The active substances of Amolisa HCT are olmesartan medoxomil, amlodipine, and hydrochlorothiazide.
Each film-coated tablet contains 20 mg of olmesartan medoxomil, 5 mg of amlodipine (as amlodipine besylate), and 12.5 mg of hydrochlorothiazide.
Each film-coated tablet contains 40 mg of olmesartan medoxomil, 5 mg of amlodipine (as amlodipine besylate), and 12.5 mg of hydrochlorothiazide.
Each film-coated tablet contains 40 mg of olmesartan medoxomil, 10 mg of amlodipine (as amlodipine besylate), and 12.5 mg of hydrochlorothiazide.
Each film-coated tablet contains 40 mg of olmesartan medoxomil, 5 mg of amlodipine (as amlodipine besylate), and 25 mg of hydrochlorothiazide.
Each film-coated tablet contains 40 mg of olmesartan medoxomil, 10 mg of amlodipine (as amlodipine besylate), and 25 mg of hydrochlorothiazide.
Tablet core: microcrystalline cellulose (PH-101 and PH-102), corn starch, colloidal anhydrous silica, sodium croscarmellose, lactose, magnesium stearate
Tablet coating: polyvinyl alcohol (E 1203), titanium dioxide (E 171), macrogol 4000, talc, yellow iron oxide (E 172), red iron oxide (E 172) (only in tablets coated in doses: 20 mg + 5 mg + 12.5 mg, 40 mg + 10 mg + 12.5 mg, 40 mg + 10 mg + 25 mg), black iron oxide (E 172) (only in tablets coated in a dose of 20 mg + 5 mg + 12.5 mg)
Film-coated tablet.
Amolisa HCT, 20 mg + 5 mg + 12.5 mg, film-coated tablets: [Size: about 8 mm]
Light orange, round, biconvex film-coated tablets with the symbol "S1" embossed on one side and smooth on the other side.
Amolisa HCT, 40 mg + 5 mg + 12.5 mg, film-coated tablets: [Size: about 10.5 mm]
Light yellow, round, biconvex film-coated tablets with the symbol "S2" embossed on one side and smooth on the other side.
Amolisa HCT, 40 mg + 10 mg + 12.5 mg, film-coated tablets: [Size: about 10.5 mm]
Gray-red, round, biconvex film-coated tablets with the symbol "S3" embossed on one side and smooth on the other side.
Amolisa HCT, 40 mg + 5 mg + 25 mg, film-coated tablets: [Size: about 15 x 7 mm]
Light yellow, oval, biconvex film-coated tablets with the symbol "S4" embossed on one side and smooth on the other side.
Amolisa HCT, 40 mg + 10 mg + 25 mg, film-coated tablets: [Size: about 15 x 7 mm]
Gray-red, oval, biconvex film-coated tablets with the symbol "S5" embossed on one side and smooth on the other side.
Pack sizes: 14, 28, 30, 56, 60, 98, and 100 film-coated tablets.
Not all pack sizes may be marketed.
Aurovitas Pharma Polska Sp. z o.o.
ul. Sokratesa 13D lokal 27
01-909 Warsaw
e-mail: medicalinformation@aurovitas.pl
APL Swift Services (Malta) Ltd.
HF26, Hal Far Industrial Estate, Hal Far
Birzebuggia, BBG 3000
Malta
Generis Farmacêutica, S.A.
Rua João de Deus 19, Venda Nova
2700-487 Amadora
Portugal
OlmeAmlodipinHCT PUREN 20 mg/5 mg/12.5 mg - 40 mg/5 mg/12.5 mg - 40 mg/10 mg/12.5 mg - 40 mg/5 mg/25 mg - 40 mg/10mg/25 mg Filmtabletten
Amolisa HCT
Amlodipine + Olmesartan medoxomil + Hydrochlorothiazide Generis
Olmesartán/Amlodipino/Hidroclorotiazida Aurovitas 20 mg/5 mg/12.5 mg, 40 mg/5 mg/12.5 mg, 40 mg/10 mg/12.5 mg, 40 mg/5 mg/25 mg and 40 mg/10 mg/25 mg comprimidos recubiertos con película EFG
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