Background pattern

Olmesartan/amlodipino/hidroclorotiazida combix 20 mg/5 mg/12,5 mg comprimidos recubiertos con pelicula efg

About the medication

Introduction

Leaflet: information for the user

Olmesartán/Amlodipino/Hidroclorotiazida Combix 20 mg/5 mg/12,5 mg film-coated tablets

Olmesartán/Amlodipino/Hidroclorotiazida Combix40 mg/5 mg/12,5 mg film-coated tablets

Olmesartán/Amlodipino/Hidroclorotiazida Combix40 mg/10 mg/12,5 mg film-coated tablets

Olmesartán/Amlodipino/Hidroclorotiazida Combix40 mg/5 mg/25 mg film-coated tablets

Olmesartán/Amlodipino/Hidroclorotiazida Combix40 mg/10 mg/25 mg film-coated tablets

Olmesartán medoxomilo / Amlodipino / Hidroclorotiazida

Read this leaflet carefully before you start taking this medicine, because it contains important information for you.

  • Keep this leaflet, as you may need to read it again.
  • If you have any questions, consult your doctor or pharmacist.
  • This medicine has been prescribed for you only, and you must not give it to others even if they have the same symptoms as you, as it may harm them.
  • If you experience any side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.

1. What is Olmesartán/Amlodipino/Hidroclorotiazida Combixand for what it is used

2. What you need to know before starting to take Olmesartán/Amlodipino/Hidroclorotiazida Combix

3. How to take Olmesartán/Amlodipino/Hidroclorotiazida Combix

4. Possible side effects

5. Storage of Olmesartán/Amlodipino/Hidroclorotiazida Combix

6. Contents of the pack and additional information

1. What is Olmesartan / Amlodipino / Hidroclorotiazida Combix and what is it used for

This medication contains three active substances called olmesartan medoxomilo, amlodipine (as amlodipine besylate) and hydrochlorothiazide. The three substances help control high blood pressure.

  • Olmesartan medoxomilo belongs to a group of medications called “angiotensin II receptor antagonists”, which decrease blood pressure by relaxing blood vessels.
  • Amlodipine belongs to a group of medications called “calcium channel blockers”. Amlodipine also decreases blood pressure by relaxing blood vessels.
  • Hydrochlorothiazide belongs to a group of medications called thiazide diuretics. It decreases blood pressure by contributing to the elimination of excess fluids, increasing urine production by the kidneys.

The action of these substances contributes to decreasing blood pressure. Olmesartan/hydrochlorothiazide/amlodipine is used to treat high blood pressure:

  • in adult patients whose blood pressure is not adequately controlled with the combination of olmesartan medoxomilo and amlodipine, taken as a fixed-dose combination, or
  • in patients already taking a fixed-dose combination of olmesartan medoxomilo and hydrochlorothiazide, along with tablets containing only amlodipine, or a fixed-dose combination of olmesartan medoxomilo and amlodipine, along with tablets containing only hydrochlorothiazide.

2. What you need to know before taking Olmesartan / Amlodipino / Hidroclorotiazida Combix

Do not take Olmesartán/Amlodipino/HidroclorotiazidaCombix

  • If you are allergic to olmesartán medoxomilo, amlodipino, or a group of calcium channel blockers (dihidropiridinas), hidroclorotiazida, or substances similar to hidroclorotiazida (sulfonamidas), or any of the other components of this medication (listed in section 6). If you think you may be allergic, inform your doctor before taking olmesartán/amlodipino/hidroclorotiazida.
  • If you have severe kidney problems.
  • If you have diabetes or kidney insufficiency and are being treated with a medication to lower blood pressure that contains aliskirén.
  • If you have low levels of potassium or sodium in your blood, high levels of calcium or uric acid (with symptoms of gout or kidney stones) in your blood, that do not improve with treatment.
  • If you are more than 3 months pregnant. (It is also best to avoid olmesartán/amlodipino/hidroclorotiazida at the beginning of pregnancy - see section “Pregnancy and breastfeeding”).
  • If you have severe liver problems, bile secretion problems, or obstruction of bile drainage from the gallbladder (e.g., due to gallstones), or have jaundice (yellow skin and eyes).
  • If you have inadequate blood supply to your tissues, with symptoms such as low blood pressure, weak pulse, rapid heart rate, or shock (including cardiogenic shock, which means shock due to severe heart problems).
  • If you have very low blood pressure.
  • If the blood flow to your heart is slow or blocked. This can occur if the blood vessels or valves that capture blood from the heart become narrowed (aortic stenosis).
  • If you have low cardiac output after a heart attack (acute myocardial infarction). Low cardiac output can make you feel short of breath or have swelling in your feet and ankles.

Do not take olmesartán/amlodipino/hidroclorotiazida if any of these cases apply to you.

Warnings and precautions

Consult your doctor or pharmacist before starting to take Olmesartán/Amlodipino/HidroclorotiazidaCombix:

If you have had respiratory or pulmonary problems (such as inflammation or fluid in the lungs) after taking hidroclorotiazida in the past. If you experience severe shortness of breath or difficulty breathing after takingOlmesartán/Amlodipino/Hidroclorotiazida Combix, see your doctor immediately.

Tell your doctorif you are taking any of the following medications used to treat high blood pressure (hypertension):

  • A converting enzyme inhibitor (ACEI) (e.g., enalapril, lisinopril, ramipril), particularly if you have kidney problems related to diabetes.
  • Aliskirén.

Your doctor may monitor your kidney function, blood pressure, and electrolyte levels (e.g., potassium) at regular intervals.

See also the information under the heading “Do not take Olmesartán/Amlodipino/HidroclorotiazidaCombix”.

Tell your doctorif you have any of the following health problems:

  • Kidney problems or a kidney transplant.
  • Liver disease.
  • Heart failure or problems with heart valves or cardiac muscle.
  • Severe vomiting, diarrhea, treatment with high doses of medications that increase urine production (diuretics), or if you are on a low-sodium diet.
  • High levels of potassium in your blood.
  • Problems with the adrenal glands (glands that produce hormones located above the kidneys).
  • Diabetes.
  • Lupus erythematosus (an autoimmune disease).
  • Allergy or asthma.
  • Skin reactions such as sunburn or rash after being in the sun or in a tanning bed.
  • If you have had skin cancer or if you develop an unexpected skin lesion during treatment. Treatment with hidroclorotiazida, particularly long-term use at high doses, may increase the risk of certain types of skin cancer and lip cancer (non-melanoma skin cancer). Protect your skin from sun exposure and UV rays while taking this medication.

Contact your doctor if you experience any of the following symptoms:

  • Severe, persistent diarrhea that causes significant weight loss. Your doctor will evaluate your symptoms and decide how to continue your blood pressure treatment.
  • Decreased vision or eye pain. These may be symptoms of fluid accumulation in the vascular layer of the eye (choroidal effusion) or increased eye pressure, which can occur from a few hours to several weeks after taking olmesartán/amlodipino/hidroclorotiazida. This can lead to permanent vision loss if not treated.

Like any other medication that lowers blood pressure, excessive lowering of blood pressure in patients with heart or brain blood flow abnormalities can cause a heart attack or stroke. Therefore, your doctor will closely monitor your blood pressure.

Olmesartán/amlodipino/hidroclorotiazida may cause an increase in lipid and uric acid levels in your blood. Your doctor will likely want to perform blood tests from time to time to monitor these possible changes.

You may experience changes in the levels of certain chemicals in your blood called electrolytes. Your doctor will likely want to perform blood tests from time to time to monitor this possible change. Some signs of electrolyte changes are: thirst, dry mouth, muscle pain or cramps, tired muscles, low blood pressure (hypotension), feeling weak, slow, tired, drowsy, or restless, nausea, vomiting, decreased need to urinate, rapid heart rate.Tell your doctor if you notice any of these symptoms.

If you are undergoing parathyroid function tests, you should stop taking olmesartán/amlodipino/hidroclorotiazida before the tests are performed.

It is reported to athletes that this medication contains a component that can result in a positive analytical control for doping as positive.

Inform your doctor if you are pregnant (or think you may be). Olmesartán/amlodipino/hidroclorotiazida is not recommended for use at the beginning of pregnancy, and it should not be taken if you are more than 3 months pregnant, as it can cause serious harm to your baby if taken during this stage (see section “Pregnancy and breastfeeding”).

Children and adolescents (under 18 years)

Olmesartán/amlodipino/hidroclorotiazida is not recommended for use in children and adolescents under 18 years.

Olmesartán/Amlodipino/HidroclorotiazidaCombixwith other medications

Inform your doctor or pharmacist if you are taking, have taken recently, or may need to take any of the following medications:

  • Other blood pressure-lowering medications, as they may increase the effect of olmesartán/amlodipino/hidroclorotiazida.

Your doctor may need to adjust your dose and/or take other precautions:

If you are taking an ACEI or aliskirén (see also the information under the headings “Do not take Olmesartán/Amlodipino/HidroclorotiazidaCombix” and “Warnings and precautions”).

  • Lithium (medication used to treat mood changes and certain types of depression) when used with olmesartán/amlodipino/hidroclorotiazida may increase its toxicity. If you need to take lithium, your doctor will measure your lithium levels in your blood.
  • Diltiazem, verapamil, used for heart rhythm and high blood pressure problems.
  • Rifampicin, erythromycin, clarithromycin, tetracyclines, or ciprofloxacin, antibiotics used for tuberculosis and other infections.
  • St. John's Wort (Hypericum perforatum), herbal remedy for depression treatment.
  • Cisaprida, used to increase stomach and intestinal movement.
  • Difemanilo, used for slow heart rate or to reduce sweating.
  • Halofantrina, used for malaria.
  • Vincamina IV, used to improve blood circulation in the nervous system.
  • Amantadina, used for Parkinson's disease.
  • Potassium supplements, salt substitutes containing potassium, medications that increase urine production (diuretics), heparin (to thin blood and prevent blood clots), ACEIs (to lower blood pressure), laxatives, steroids, adrenocorticotropic hormone (ACTH), carbenoxolona (medication for mouth and stomach ulcers), penicillin G sodium (antibiotic also called benzylpenicillin sodium), some pain relievers like aspirin or salicylates. Using these medications with olmesartán/amlodipino/hidroclorotiazida may alter your potassium levels in your blood.
  • Non-steroidal anti-inflammatory drugs (NSAIDs) (medications used to relieve pain, swelling, and other symptoms of inflammation, including arthritis), used at the same time as olmesartán/amlodipino/hidroclorotiazida may increase the risk of kidney failure. The effect of olmesartán/amlodipino/hidroclorotiazida may decrease with NSAIDs. High doses of salicylates may increase the toxic effect on the central nervous system.
  • Sedatives, antidepressants, and sleep-inducing medications, used with olmesartán/amlodipino/hidroclorotiazida may cause a sudden drop in blood pressure when standing up.
  • Colesevelam hydrochloride, a medication that lowers cholesterol levels in the blood, as it may decrease the effect of olmesartán/amlodipino/hidroclorotiazida. Your doctor may advise you to take olmesartán/amlodipino/hidroclorotiazida at least 4 hours before colesevelam hydrochloride.
  • Certain antacids (remedies for indigestion and heartburn), as they may slightly decrease the effect of olmesartán/amlodipino/hidroclorotiazida.
  • Some muscle relaxants, such as baclofen and tubocurarine.
  • Anticholinergic medications, such as atropine and biperiden.
  • Calcium supplements.
  • Dantrolene (in infusion for severe body temperature abnormalities).
  • Simvastatina, used to lower cholesterol and triglyceride levels in the blood.
  • Medications used to control the body's immune response (e.g., tacrolimus, sirolimus, temsirolimus, everolimus, and ciclosporin), which allows your body to accept the transplanted organ.

Inform your doctor or pharmacist if you are taking, have taken recently, or may need to take any of the following medications for:

  • Treating certain mental disorders, such as thioridazine, chlorpromazine, levomepromazine, trifluoperazine, ciamemazine, sulpiride, amisulpride, pimozide, sultopride, tiapride, droperidol, or haloperidol.
  • Treating low blood sugar (e.g., diazoxide) or high blood pressure (e.g., beta-blockers, methyldopa), as olmesartán/amlodipino/hidroclorotiazida may affect the mechanism of action of these medications.
  • Treating heart rhythm problems, such as mizolastine, pentamidine, terfenadine, dofetilide, ibutilide, or erythromycin injections.
  • Treating HIV/AIDS (e.g., ritonavir, indinavir, nelfinavir).
  • Treating fungal infections (e.g., ketoconazole, itraconazole, amphotericin).
  • Treating heart problems, such as quinidine, hydroquinidine, disopyramide, amiodarone, sotalol, bepridil, or digital.
  • Treating cancer, such as amifostine, cyclophosphamide, or methotrexate.
  • Increasing blood pressure and decreasing heart rate, such as norepinephrine.
  • Treating gout, such as probenecid, sulfinpyrazone, and allopurinol.
  • Lowering cholesterol levels in the blood, such as cholestyramine and colestipol.
  • Lowering blood sugar levels, such as metformin or insulin.

Inform your doctor or pharmacist if you are taking, have taken recently, or may need to take any other medication.

Olmesartán/Amlodipino/HidroclorotiazidaCombixwith food and drinks

Olmesartán/amlodipino/hidroclorotiazida can be taken with or without food.

People taking olmesartán/amlodipino/hidroclorotiazida should not consume grapefruit or grapefruit juice. This is because grapefruit and grapefruit juice may cause an increase in the levels of the active ingredient amlodipino in your blood, which may cause an unpredictable increase in the effect of lowering blood pressure of olmesartán/amlodipino/hidroclorotiazida.

Be careful when drinking alcohol while taking olmesartán/amlodipino/hidroclorotiazida, as some people may feel dizzy or nauseous. If this happens, do not drink any alcohol.

Older patients

If you are over 65 years old, your doctor will regularly monitor your blood pressure whenever your dose is increased, to ensure that your blood pressure does not drop too low.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, or think you may be pregnant, consult your doctor or pharmacist before using this medication.

Pregnancy

Inform your doctor if you are pregnant, or if you think you may be. Your doctor will advise you to stop taking olmesartán/amlodipino/hidroclorotiazida before becoming pregnant or as soon as you know you are pregnant, and will advise you to take another medication instead of olmesartán/amlodipino/hidroclorotiazida. Olmesartán/amlodipino/hidroclorotiazida is not recommended for use during pregnancy, and it should not be taken if you are more than 3 months pregnant, as it can cause serious harm to your baby if used from the third month of pregnancy.

If you become pregnant while taking olmesartán/amlodipino/hidroclorotiazida, inform and see your doctor immediately.

Breastfeeding

Inform your doctor if you are breastfeeding or about to start breastfeeding. It has been shown that amlodipino and hidroclorotiazida pass into breast milk in small amounts. Olmesartán/amlodipino/hidroclorotiazida is not recommended for use in mothers who are breastfeeding, and your doctor may choose another treatment if you wish to breastfeed.

If you are pregnant or breastfeeding, or think you may be pregnant, consult your doctor or pharmacist before using this medication.

Driving and operating machinery

You may feel drowsy, nauseous, or dizzy, or experience headaches while taking blood pressure medication. If this happens, do not drive or operate machinery until the symptoms have disappeared. Consult your doctor.

This medication contains less than 23 mg of sodium (1 mmol) per coated tablet; it is essentially “sodium-free”.

3. How to Take Olmesartan / Amlodipino / Hidroclorotiazida Combix

Follow exactly the administration instructions for this medication as indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.

  • The recommended dose is one tablet per day.
  • Tablets can be taken with or without food. Take the tablets with a small amount of liquid (such as a glass of water). Do not chew the tablet. Do not take the tablets with grapefruit juice.
  • Try to take your daily dose at the same time each day, for example, at breakfast time.

If you take more Olmesartan/Amlodipino/Hidroclorotiazida Combix than you should

If you take more tablets than you should, you may experience a drop in blood pressure, accompanied by symptoms such as dizziness, and a rapid or slow heart rate.

If you take more tablets than you should or if a child accidentally ingests some tablets, contact your doctor immediately or go to the nearest emergency center and bring the medication packaging or this leaflet with you.

Excess fluid may accumulate in the lungs (pulmonary edema) causing breathing difficulties that may develop up to 24-48 hours after ingestion.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicological Information Service, phone 91 562 04 20.

If you forget to take Olmesartan/Amlodipino/Hidroclorotiazida Combix

If you forget to take a dose, take the usual dose the next day. Do not take a double dose to make up for the missed doses.

If you interrupt treatment with Olmesartan/Amlodipino/Hidroclorotiazida Combix

It is essential to continue taking this medication, unless your doctor tells you to stop treatment.

If you have any other questions about the use of this medication, ask your doctor or pharmacist.

4. Possible Adverse Effects

Like all medicines, this medicine can cause side effects, although not everyone will experience them. If they occur, they are often mild and do not require interrupting treatment.

The following side effects can be serious, although they may affect only a small group of people:

During treatment with olmesartan/amlodipine/hydrochlorothiazide, allergic reactions with inflammation of the face, mouth, and/or larynx (vocal cords), along with itching and skin rash can occur.If this happens, stop taking this medicine and consult your doctor immediately.

Olmesartan/amlodipine/hydrochlorothiazide can cause a pronounced drop in blood pressure in susceptible patients. This can cause severe dizziness or fainting.If this happens, stop taking this medicine, consult your doctor immediately, and remain lying down in a horizontal position.

Unknown frequency: If you experience yellowing of the white of the eyes, dark urine, skin itching, even if you started treatment withOlmesartan/Amlodipine/Hidroclorotiazida Combixsome time ago,contact your doctor immediatelywho will evaluate your symptoms and decide how to continue with the treatment for high blood pressure.

Olmesartan/amlodipine/hydrochlorothiazide is a combination of three active substances. The following information, first, describes the side effects reported so far with the combination olmesartan/amlodipine/hydrochlorothiazide (in addition to those already mentioned) and, secondly, the side effects known for each of the active substances separately, or when two of the substances are taken together.

To give you an idea of the number of patients who may experience side effects, they have been classified as frequent, infrequent, rare, and very rare.

These are other side effects known so far with olmesartan/amlodipine/hydrochlorothiazide:

If these side effects occur, they are often mild and it is not necessary to interrupt treatment.

Frequent(may affect up to 1 in 10 people)

Upper respiratory tract infection, sore throat, and/or nasal congestion, urinary tract infection, dizziness, headache, perception of heartbeats, low blood pressure, nausea, diarrhea, constipation, cramps, joint swelling, sensation of urgency to urinate, weakness, ankle swelling, fatigue, abnormal laboratory test results.

Infrequent(may affect up to 1 in 100 people)

Dizziness when standing up, vertigo, rapid heartbeat, sensation of fainting, flushing and sensation of heat in the face, cough, dry mouth, muscle weakness, inability to have or maintain an erection.

These are the side effects known for each of the active substances separately or when two of the substances are taken together:

They may be side effects due to olmesartan/amlodipine/hydrochlorothiazide, even if they have not been observed so far with olmesartan/amlodipine/hydrochlorothiazide.

Very frequent(may affect more than 1 in 10 people)

Edema (fluid retention).

Frequent(may affect up to 1 in 10 people)

Bronchitis, stomach and intestinal infection, vomiting, increased blood sugar, sugar in urine, confusion, drowsiness, visual disturbances (including double vision and blurred vision), nasal secretion or congestion, sore throat, difficulty breathing, cough, abdominal pain, stomach burning, stomach discomfort, flatulence, joint or bone pain, back pain, bone pain, blood in urine, flu-like symptoms, chest pain, pain.

Infrequent(may affect up to 1 in 100 people)

Reduction in the number of a type of blood cell called platelets, which can cause easy bruising or prolong bleeding time, anaphylactic reactions, abnormal decrease in appetite (anorexia), difficulty sleeping, irritability, mood changes including anxiety, sensation of depression, chills, sleep disorders, alteration of taste, loss of consciousness, decrease in sense of touch, sensation of numbness, worsening of myopia, ringing in the ears (tinnitus), angina (pain or uncomfortable sensation in the chest, known as angina pectoris), irregular heartbeat, rash, hair loss, allergic skin inflammation, skin redness, purple patches or spots on the skin due to small hemorrhages (purpura), skin discoloration, red itchy patches (urticaria), increased sweating, pruritus, skin rash, skin reactions to light, such as sunburn or skin eruption, muscle pain, difficulty urinating, sensation of needing to urinate at night, breast enlargement in men, decreased libido, swelling of the face, sensation of discomfort, weight gain or loss, fatigue.

Rare(may affect up to 1 in 1,000 people)

Salivary gland inflammation and pain, decrease in the number of white blood cells in the blood, which could increase the risk of infections, decrease in the number of red blood cells (anemia), bone marrow damage, restlessness, sensation of loss of interest (apathy), seizures (convulsions), yellowish perception of objects when looking at them, dry eyes, blood clots (thrombosis, embolism), fluid accumulation in the lungs, pneumonia, inflammation of small blood vessels and small blood vessels in the skin, pancreatitis, yellowing of the skin and eyes, acute inflammation of the gallbladder, symptoms of lupus erythematosus such as skin rash, joint pain and cold hands and fingers, severe skin reactions including intense skin eruption, urticaria, skin redness, severe itching, blisters, skin peeling, and inflammation of mucous membranes (Stevens-Johnson syndrome, toxic epidermal necrolysis), sometimes very severe, movement impairment, acute kidney failure, non-infectious kidney inflammation, kidney function decrease, fever.

Very rare(may affect up to 1 in 10,000 people)

High muscle tension, numbness of hands or feet, heart attack, stomach inflammation, gum thickening, intestinal obstruction, liver inflammation.

Acute respiratory distress (symptoms include severe difficulty breathing, fever, weakness, and confusion).

Unknown frequency(cannot be estimated from available data)

Decreased vision or eye pain (possible signs of fluid accumulation in the vascular layer of the eye (choroidal hemorrhage) or acute angle-closure glaucoma).

Tremors, rigid posture, mask-like face, slow movements, and unsteady gait dragging the feet.

Skin and lip cancer (non-melanoma skin cancer).

Reporting of side effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect that does not appear in this leaflet. You can also report them directly through the Spanish System for the Vigilance of Medicines for Human Use:www.notificaram.es.By reporting side effects, you can contribute to providing more information on the safety of this medicine.

5. Conservation of Olmesartán/Amlodipino/Hidroclorotiazida Combix

Keep this medication out of the sight and reach of children.

Do not use this medication after the expiration date that appears on the packaging and in the blister (after “CAD”). The expiration date is the last day of the month indicated.

Do not store at a temperature above 30°C

Medicines should not be disposed of through drains or in the trash. Dispose of the packaging and medications you no longer need at the SIGRE collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. By doing so, you will help protect the environment.

6. Contents of the packaging and additional information

Composition of Olmesartán Combix:

The active principles are olmesartan medoxomil, amlodipine (as amlodipine besylate) 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.

The other components are:

Tablet core:Maize pregelatinised starch, sodium croscarmellose, colloidal silicon dioxide, magnesium stearate, microcrystalline cellulose.

Film coating: Polyvinyl alcohol, titanium dioxide (E171), macrogol, talc, yellow iron oxide (E172), red iron oxide (E172) (Only film-coated tablets 20/5/12.5; 40/10/12.5; 40/10/25), black iron oxide (E172) (Only film-coated tablets 20/5/12.5)

Appearance of the product and contents of the package

Olmesartán/Amlodipino/HidroclorotiazidaCombix20 mg/5 mg/12.5 mg film-coated tablets EFG

Film-coated tablets of light orange colour, round, biconvex, with the inscription “T 21” on one face and smooth on the other face.

Olmesartán/Amlodipino/HidroclorotiazidaCombix40 mg/5 mg/12.5 mg film-coated tablets EFG

Film-coated tablets of light yellow colour, round, biconvex, with the inscription “T 22” on one face and smooth on the other face.

Olmesartán/Amlodipino/HidroclorotiazidaCombix40 mg/10 mg/12.5 mg film-coated tablets EFG

Film-coated tablets of pink colour, round, biconvex, with the inscription “T 24” on one face and smooth on the other face.

Olmesartán/Amlodipino/HidroclorotiazidaCombix40 mg/5 mg/25 mg film-coated tablets EFG

Film-coated tablets of light yellow colour, oval, biconvex, with the inscription “T 29” on one face and smooth on the other face.

Olmesartán/Amlodipino/HidroclorotiazidaCombix40 mg/10 mg/25 mg film-coated tablets EFG

Film-coated tablets of pink colour, oval, biconvex, with the inscription “T 30” on one face and smooth on the other face.

Package sizes

Blister pack OPA/AL/PVC and aluminium foil.

Package sizes of 28, 56 and 98 tablets.

Only some package sizes may be marketed.

Marketing authorisation holder and manufacturer

Marketing authorisation holder

Combix, S.L.U.

C/ Badajoz 2, Edificio 2

28223 Pozuelo de Alarcón (Madrid)

Spain

Manufacturer

Synoptis Industrial Sp. z.o.o.

ul.Rabowicka 15, 62-020

Swarzedz,

Poland

or

FUNDACIO DAU

C/ De la letra C, 12-14,

Poligono Industrial de la Zona Franca,

08040 Barcelona,

Spain

Last review date of this leaflet: June 2022

Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS) http://www.aemps.gob.es/

Country of registration
Prescription required
Yes
Composition
Croscarmelosa sodica (12 mg mg)
This information is for reference only and does not constitute medical advice. Always consult a licensed doctor before taking any medication. Oladoctor is not responsible for medical decisions based on this content.

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5.01 review
Doctor

Анна Морет

Дерматология18 years of experience

Анна Морет — врач-дерматолог и дерматовенеролог с международной сертификацией. Специализируется на дерматологии взрослых и детей, венерологии, эстетическом уходе за кожей и общей медицине. Проводит онлайн-консультации, опираясь на доказательную медицину и индивидуальные потребности каждого пациента.

Сфера помощи включает: • кожные заболевания: экзема, акне, розацеа, дерматиты, псориаз • проблемы с волосами и кожей головы: выпадение волос, перхоть, себорейный дерматит • детская дерматология — от новорождённых до подростков • венерология и ЗППП (заболевания, передающиеся половым путём) • эстетические запросы: возрастные изменения кожи, неинвазивные косметологические процедуры • аллергические реакции и повышенная чувствительность кожи • проверка родинок, оценка новообразований, скрининг рака кожи • рекомендации по уходу за кожей и подбор индивидуальной космецевтики

Объединяя дерматологию с клиническим опытом в общей медицине, Анна Морет оказывает комплексную помощь, охватывая не только состояние кожи, но и сопутствующие проблемы со здоровьем. Имеет сертификацию Канадского совета эстетической медицины, что подтверждает международный уровень подготовки в сфере эстетической дерматологии.

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Алина Цуркан

Семейная медицина12 years of experience

Алина Цуркан — лицензированный врач семейной медицины в Португалии. Проводит онлайн-консультации для взрослых и детей, помогая пациентам решать широкий круг повседневных медицинских вопросов с профессиональным подходом и вниманием к деталям.

Обращаться можно по следующим поводам: • респираторные инфекции: простуда, грипп, бронхит, пневмония • глазные заболевания: конъюнктивит (инфекционный и аллергический) • ЛОР-заболевания: синусит, отит, тонзиллит • проблемы с пищеварением: гастрит, кислотный рефлюкс, синдром раздражённого кишечника (СРК) • инфекции мочевыводящих путей и другие распространённые инфекции • хронические заболевания: артериальная гипертензия, диабет, нарушения работы щитовидной железы • головная боль и мигрень

Помимо лечения симптомов, Алина Цуркан уделяет особое внимание профилактике и раннему выявлению заболеваний. Проводит плановые осмотры, даёт медицинские рекомендации, проводит повторные консультации и выписывает рецепты — с учётом индивидуальных потребностей каждого пациента.

Её подход — комплексный, внимательный и адаптированный к каждому этапу жизни пациента: от острых состояний до долгосрочного контроля здоровья.

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Андрей Попов

Терапия6 years of experience

Андрей Попов — лицензированный в Испании терапевт и специалист по лечению боли. Проводит онлайн-консультации для взрослых, помогая справляться как с хронической, так и с острой болью, а также с широким кругом общетерапевтических запросов. Специализируется на диагностике и лечении болевых состояний, продолжающихся более 3 месяцев или существенно влияющих на повседневную активность.

Работает со следующими жалобами: • хроническая боль любого происхождения • мигрени и повторяющиеся головные боли • боли в шее, спине, пояснице и суставах • посттравматическая боль (после травм, растяжений, операций) • невропатическая боль, фибромиалгия, невралгии Помимо работы с болевыми синдромами, Андрей Попов помогает в ведении: • респираторных инфекций (ОРВИ, бронхит, пневмония) • артериальной гипертензии и метаболических нарушений (включая диабет) • профилактических осмотров и общего контроля состояния здоровья

Онлайн-консультация длится до 30 минут и включает разбор симптомов, рекомендации по обследованиям, формирование плана лечения и дальнейшее сопровождение при необходимости.

Андрей Попов придерживается принципов доказательной медицины и предлагает индивидуальный подход с учётом симптомов, истории болезни и образа жизни каждого пациента.

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Евгений Яковенко

Общая хирургия11 years of experience

Евгений Яковенко — лицензированный хирург и терапевт в Испании. Специализируется на общей и детской хирургии, внутренней медицине и лечении боли. Проводит онлайн-консультации для взрослых и детей, сочетая хирургическую практику с терапевтическим сопровождением.

Сфера медицинской помощи включает: • диагностику и лечение острой и хронической боли • пред- и послеоперационное ведение, оценку рисков, контроль состояния • хирургические заболевания: грыжи, желчнокаменная болезнь, аппендицит • консультации по детской хирургии: врождённые состояния, малые вмешательства • травмы: переломы, повреждения мягких тканей, обработка ран • онкохирургия: консультации, планирование, ведение после лечения • внутренние заболевания: патологии сердечно-сосудистой и дыхательной систем • ортопедические состояния, реабилитация после травм • интерпретация результатов визуализации для хирургического планирования

Евгений Яковенко активно занимается научной деятельностью и международным сотрудничеством. Член Ассоциации хирургов Германии (BDC), сотрудничает с Ассоциацией семейных врачей Лас-Пальмаса и Генеральным консульством Германии на Канарских островах. Регулярно участвует в международных медицинских конференциях и публикует научные статьи.

Объединяя многопрофильный опыт с принципами доказательной медицины, он оказывает точную и индивидуализированную помощь пациентам с различными медицинскими запросами.

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