


Ask a doctor about a prescription for OLMESARTAN/AMLODIPINE/HYDROCHLOROTHIAZIDE KERN PHARMA 40 mg/10 mg/25 mg FILM-COATED TABLETS
Package Leaflet: Information for the Patient
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma 20 mg/5 mg/12.5 mg film-coated tablets EFG
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma 40 mg/5 mg/12.5 mg film-coated tablets EFG
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma 40 mg/10 mg/12.5 mg film-coated tablets EFG
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma 40 mg/5 mg/25 mg film-coated tablets EFG
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma 40 mg/10 mg/25 mg film-coated tablets EFG
Olmesartan medoxomil / Amlodipine / Hydrochlorothiazide
Read the entire package leaflet carefully before starting to take this medication, as it contains important information for you.
Contents of the Package Leaflet
This medication contains three active substances called olmesartan medoxomil, amlodipine (as amlodipine besylate), and hydrochlorothiazide. These three substances help control high blood pressure.
The action of these substances contributes to lowering your blood pressure. Olmesartan/hydrochlorothiazide/amlodipine is used to treat high blood pressure:
Do not take Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma
If you think you may be allergic, inform your doctor before taking this medicine.
Do not take olmesartan/amlodipine/hydrochlorothiazide if any of these cases apply to you.
Warnings and precautions
Consult your doctor or pharmacist before starting to take Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma:
Tell your doctorif you are taking any of the following medicines used to treat high blood pressure (hypertension):
Your doctor may monitor your kidney function, blood pressure, and blood electrolyte levels (e.g., potassium) at regular intervals.
See also the information under the heading "Do not take Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma".
Tell your doctorif you have any of the following health problems:
Contact your doctor if you experience any of the following symptoms:
Consult your doctor if you experience abdominal pain, nausea, vomiting, or diarrhea after taking Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma. Your doctor will decide whether to continue treatment. Do not stop taking Olmesartan/Amlodipine/Hydrochlorothiazide on your own.
As with any other medicine that lowers blood pressure, an excessive decrease in blood pressure in patients with altered blood flow in the heart or brain may cause a heart attack or stroke. Therefore, your doctor will carefully monitor your blood pressure.
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma may cause an increase in lipid and uric acid levels in the blood. Your doctor will likely want to perform a blood test from time to time to monitor these potential changes.
A change in blood levels of certain chemicals called electrolytes may occur. Your doctor will likely want to perform a blood test from time to time to monitor this potential change. Some signs of electrolyte changes are: thirst, dry mouth, muscle pain or cramps, tired muscles, low blood pressure (hypotension), feeling of weakness, slowness, fatigue, drowsiness or restlessness, nausea, vomiting, decreased need to urinate, rapid heartbeat. Tell your doctor if you notice any of these symptoms.
If you are going to have parathyroid function tests, you should stop taking this medicine before these tests are performed.
Athletes are informed that this medicine contains a component that may result in a positive doping test.
You must inform your doctor if you are pregnant (or think you might be). The use of olmesartan/amlodipine/hydrochlorothiazide is not recommended at the start of pregnancy, and it should not be taken if you are pregnant for more than 3 months, as it may cause serious harm to your baby if taken at this stage (see section "Pregnancy and breastfeeding").
Children and adolescents (under 18 years)
The use of olmesartan/amlodipine/hydrochlorothiazide is not recommended in children and adolescents under 18 years.
Taking Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma with other medicines
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any of the following medicines:
Your doctor may need to adjust your dose and/or take other precautions:
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicine.
Taking Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma with food and drinks
Olmesartan/amlodipine/hydrochlorothiazide can be taken with or without food.
People taking olmesartan/amlodipine/hydrochlorothiazide should not consume grapefruit or grapefruit juice. This is because grapefruit and grapefruit juice can lead to an increase in the levels of the active ingredient amlodipine in the blood, which may cause an unpredictable increase in the blood pressure-lowering effect of olmesartan/amlodipine/hydrochlorothiazide.
Be careful when drinking alcohol while taking olmesartan/amlodipine/hydrochlorothiazide, as some people feel faint or dizzy. If this happens, do not drink any alcohol.
Elderly patients
If you are over 65 years old, your doctor will regularly monitor your blood pressure each time your dose is increased, to ensure that your blood pressure does not drop too much.
Pregnancy and breastfeeding
Pregnancy
You must inform your doctor if you are pregnant, or if you think you might be. Your doctor will advise you to stop taking olmesartan/amlodipine/hydrochlorothiazide before you become pregnant or as soon as you know you are pregnant, and will advise you to take another medicine instead of olmesartan/amlodipine/hydrochlorothiazide. The use of olmesartan/amlodipine/hydrochlorothiazide is not recommended during pregnancy, and it should not be taken if you are pregnant for more than 3 months, as it may cause serious harm to your baby if used from the third month of pregnancy onwards.
If you become pregnant while taking olmesartan/amlodipine/hydrochlorothiazide, inform and consult your doctor immediately.
Breastfeeding
Tell your doctor if you are breastfeeding or about to start breastfeeding. It has been shown that amlodipine and hydrochlorothiazide pass into breast milk in small amounts. Olmesartan/amlodipine/hydrochlorothiazide is not recommended in breastfeeding mothers, and your doctor may choose another treatment if you wish to breastfeed.
If you are pregnant or breastfeeding, think you might be pregnant, or are planning to become pregnant, consult your doctor or pharmacist before using this medicine.
Driving and using machines
You may feel drowsy, sick, or dizzy, or have a headache while being treated for high blood pressure. If this happens, do not drive or use machines until the symptoms have disappeared. Consult your doctor.
This medicine contains less than 23 mg of sodium (1mmol) per film-coated tablet; it is essentially "sodium-free".
If you take more Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma than you should
If you take more tablets than you should, you will probably experience a drop in blood pressure, accompanied by symptoms such as dizziness, and rapid or slow heartbeat.
If you take more tablets than you should, or if a child accidentally ingests some tablets, contact your doctor or go to the nearest emergency center immediately and take the medicine package or this leaflet with you.
Excess fluid may accumulate in the lungs (pulmonary edema) causing difficulty breathing, which 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 Toxicology Information Service, phone 91 562 04 20.
If you forget to take Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma
If you forget to take a dose, take the usual dose the next day. Do not take a double dose to make up for forgotten doses.
If you stop taking Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma
It is important to continue taking this medicine, unless your doctor tells you to stop.
If you have any other questions about the use of this medicine, ask your doctor or pharmacist.
Like all medicines, this medicine can cause adverse effects, although not all people suffer from them. If they occur, they are often mild and do not require discontinuation of treatment.
The following adverse effects may be serious, although they 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, may occur. If this happens to you, stop taking this medicine and consult your doctor immediately.
Olmesartan/amlodipine/hydrochlorothiazide may cause a pronounced decrease in blood pressure in susceptible patients. This can cause fainting or severe dizziness. If this happens to you, stop taking this medicine, consult your doctor immediately, and remain lying down in a horizontal position.
Frequency not known: If you experience yellowing of the whites of the eyes, dark urine, itching of the skin, even if you started treatment with Olmesartan/amlodipine/hydrochlorothiazide a long time ago, contact your doctor immediatelywho will evaluate your symptoms and decide how to continue treatment for blood pressure.
Olmesartan/amlodipine/hydrochlorothiazide is a combination of three active substances. The following information describes the adverse effects reported so far with the combination olmesartan/amlodipine/hydrochlorothiazide (in addition to those already mentioned) and the adverse 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 have adverse effects, they have been classified as frequent, infrequent, rare, and very rare.
These are other known adverse effects of olmesartan/amlodipine/hydrochlorothiazide:
If these effects occur, they are often mild and do not require discontinuation of treatment.
Frequent(may affect up to 1 in 10 people)
Upper respiratory tract infection, sore throat and nose, urinary tract infection, dizziness, headache, perception of heartbeats, low blood pressure, nausea, diarrhea, constipation, cramps, joint swelling, urge to urinate, weakness, ankle swelling, fatigue, abnormal laboratory test values.
Infrequent(may affect up to 1 in 100 people)
Dizziness when standing up, vertigo, rapid heartbeat, feeling of fainting, flushing and feeling of heat in the face, cough, dry mouth, muscle weakness, inability to have or maintain an erection.
Rare(may affect up to 1 in 1,000 people)
Intestinal angioedema: swelling in the intestine that presents symptoms such as abdominal pain, nausea, vomiting, and diarrhea
These are the known adverse effects for each of the active substances separately or when two of the substances are taken together:
They may be adverse 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 intestine infection, vomiting, increased blood sugar, sugar in urine, confusion, somnolence, visual disturbances (including double vision and blurred vision), nasal secretion or congestion, sore throat, difficulty breathing, cough, abdominal pain, heartburn, 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 cells called platelets, which can easily cause bruising or prolong bleeding time, anaphylactic reactions, abnormal decrease in appetite (anorexia), sleep disorders, irritability, mood changes including anxiety, feeling of depression, chills, sleep disorders, alteration of taste, loss of consciousness, decreased sense of touch, tingling sensation, worsening of myopia, ringing in the ears (tinnitus), angina (pain or unpleasant sensation in the chest, known as angina pectoris), irregular heartbeats, rash, hair loss, allergic skin inflammation, skin redness, purple spots or patches on the skin due to small hemorrhages (purpura), skin discoloration, red itchy patches (urticaria), increased sweating, itching, skin rash, skin reactions to light, such as sunburn or skin rash, muscle pain, urination problems, feeling of need to urinate at night, increased breast size in men, decreased sexual desire, facial swelling, feeling of discomfort, weight gain or loss, exhaustion.
Rare(may affect up to 1 in 1,000 people)
Intestinal angioedema: swelling in the intestine that presents symptoms such as abdominal pain, nausea, vomiting, and diarrhea
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 difficulty (signs include severe respiratory difficulty, fever, weakness, and confusion).
Adverse effects of 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 effusion) or acute angle-closure glaucoma]. Tremors, rigid posture, mask-like face, slow movements, and unsteady gait. Skin and lip cancer (non-melanoma skin cancer).
Reporting of adverse effects
If you experience any type of adverse effect, consult your doctor or pharmacist, even if it is a possible adverse effect that is not listed in this leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: www.notificaram.es. By reporting adverse effects, you can contribute to providing more information on the safety of this medicine.
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiration date that appears on the packaging and blister after "CAD.". The expiration date is the last day of the month indicated.
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma 20 mg/5 mg/12.5 mg
Store below 30°C.
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma 40 mg/5 mg/12.5 mg, 40 mg/5 mg/25 mg, 40 mg/10 mg/12.5 mg, 40 mg/10 mg/25 mg:
This medicine does not require special storage conditions.
Medicines should not be disposed of via wastewater or household waste. Deposit the packaging and medicines you no longer need at the SIGRE Point in the pharmacy. In case of doubt, ask your pharmacist how to dispose of the packaging and medicines you no longer need. This will help protect the environment.
Composition of Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma 20 mg/5 mg/12.5 mg: Each film-coated tablet contains 20 mg of olmesartan medoxomil, 5 mg of amlodipine (as amlodipine besylate), and 12.5 mg of hydrochlorothiazide.
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma 40 mg/5 mg/12.5 mg: Each film-coated tablet contains 40 mg of olmesartan medoxomil, 5 mg of amlodipine (as amlodipine besylate), and 12.5 mg of hydrochlorothiazide.
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma 40 mg/10 mg/12.5 mg: Each film-coated tablet contains 40 mg of olmesartan medoxomil, 10 mg of amlodipine (as amlodipine besylate), and 12.5 mg of hydrochlorothiazide.
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma 40 mg/5 mg/25 mg: Each film-coated tablet contains 40 mg of olmesartan medoxomil, 5 mg of amlodipine (as amlodipine besylate), and 25 mg of hydrochlorothiazide.
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma 40 mg/10 mg/25 mg: Each film-coated tablet contains 40 mg of olmesartan medoxomil, 10 mg of amlodipine (as amlodipine besylate), and 25 mg of hydrochlorothiazide.
Tablet core: Pregelatinized corn starch, silified microcrystalline cellulose (microcrystalline cellulose with anhydrous colloidal silicon dioxide), sodium croscarmellose, and magnesium stearate.
Tablet coating: Poly(vinyl alcohol), macrogol, talc, titanium dioxide (E-171), yellow iron oxide (E-172), red iron oxide (E-172) (20 mg/5 mg/12.5 mg, 40 mg/10 mg/12.5 mg, 40 mg/10 mg/25 mg tablets) and black iron oxide (E-172) (20 mg/5 mg/12.5 mg, 40 mg/10 mg/12.5 mg, 40 mg/10 mg/25 mg tablets).
Appearance of the product and package contents:
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma 20 mg/5 mg/12.5 mg: film-coated tablets, round and light brown in color.
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma 40 mg/5 mg/12.5 mg: film-coated tablets, round and yellow in color.
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma 40 mg/10 mg/12.5 mg: film-coated tablets, round and pink in color.
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma 40 mg/5 mg/25 mg: film-coated tablets, oblong and yellow in color.
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma 40 mg/10 mg/25 mg: film-coated tablets, oblong and pink in color.
Olmesartan/Amlodipine/Hydrochlorothiazide Kern Pharma film-coated tablets are presented in packages containing Al/Al blisters of 28 film-coated tablets and a clinical package of 500 film-coated tablets.
Marketing authorization holder
Kern Pharma, S.L.
Venus, 72 - Pol. Ind. Colón II
08228 Terrassa - Barcelona
Spain
Manufacturer
LACER S.A.
Boters, 5 - Parc Tecnològic del Vallès
08290 Cerdanyola del Vallès - Barcelona
Spain
Date of the last revision of this leaflet: February 2025
Other sources of information
Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/
The average price of OLMESARTAN/AMLODIPINE/HYDROCHLOROTHIAZIDE KERN PHARMA 40 mg/10 mg/25 mg FILM-COATED TABLETS in December, 2025 is around 22.62 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.
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