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Gaduar 20 mg/5 mg/12,5 mg comprimidos recubiertos con pelicula efg

About the medicine

Como usar Gaduar 20 mg/5 mg/12,5 mg comprimidos recubiertos con pelicula efg

Introduction

Label: information for the user

Gaduar 20mg/5mg/12,5mg film-coated tablets

Gaduar 40mg/5mg/12,5mg film-coated tablets

Gaduar 40mg/5mg/25mg film-coated tablets

Gaduar 40mg/10mg/12,5mg film-coated tablets

Gaduar40mg/10mg/25mg film-coated tablets

olmesartán medoxomilo/amlodipino/hidroclorotiazida

Read this label carefully before starting to take this medication, as it contains important information for you.

-Keep this label, as you may need to read it again.

-If you have any questions, consult your doctor or pharmacist.

-This medication has been prescribed only for you, and you should not give it to others who have the same symptoms as you, as it may harm them.

-If you experience any adverse effects, consult your doctor or pharmacist, even if they are not listed in this label. See section4.

1.What is Gaduar and for what it is used

2.What you need to know before starting to take Gaduar

3.How to take Gaduar

4.Possible adverse effects

5.Storage of Gaduar

6.Contents of the package and additional information

1. What is Gaduar and what is it used for

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

  • Olmesartan medoxomil 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 medoxomil and amlodipine, taken as a fixed-dose combination, or
  • in patients who are already taking a fixed-dose combination of olmesartan medoxomil and hydrochlorothiazide, along with tablets containing only amlodipine, or a fixed-dose combination of olmesartan medoxomil and amlodipine, along with tablets containing only hydrochlorothiazide.

2. What you need to know before starting to take Gaduar

Do not takeGaduar:

  • If you are allergic to olmesartan medoxomil, amlodipine, or a specific group of calcium channel blockers (dihydropyridines), hydrochlorothiazide, or substances similar to hydrochlorothiazide (sulfonamides), or any of the other components of this medication (listed in section6). If you think you may be allergic, inform your doctor before taking Gaduar.
  • 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 aliskiren.
  • 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 3months pregnant. (It is also best to avoid this medication 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 your heart's blood flow is slow or blocked. This can occur if the blood vessels or heart 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 this medication if any of these cases occur.

Warnings and precautions

Consult your doctor or pharmacist before starting to take Gaduar.

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

  • An angiotensin-converting enzyme inhibitor (ACE inhibitor) (e.g., enalapril, lisinopril, ramipril), particularly if you have kidney problems related to diabetes;
  • Aliskiren.

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

See also the information under the heading “Do not take Gaduar”.

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 heart 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. The treatment with hydrochlorothiazide, 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.
  • If you experience a decrease in vision or eye pain, which may be symptoms of fluid accumulation in the vascular layer of the eye (choroidal effusion) or increased eye pressure, which can occur within hours to weeks after taking this medication. This can lead to permanent vision loss if not treated. You are at higher risk of developing it if you have had an allergic reaction to penicillin or sulfonamide in the past.
  • If you have had respiratory or pulmonary problems (such as inflammation or fluid in the lungs) after taking hydrochlorothiazide in the past. If you experience severe shortness of breath or difficulty breathing after taking Gaduar, seek medical attention immediately.

Contact your doctorif 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.
  • Abdominal pain, nausea, vomiting, or diarrhea after taking this medication. Your doctor will decide whether to continue treatment. Do not stop taking Gaduar on your own.

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

This medication may cause an increase in lipid and uric acid levels in the blood. Your doctor may 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 may 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, stop taking this medication before the tests are performed.

Use in athletes

Inform athletes that this medication contains a component (hydrochlorothiazide) that may result in a positive analytical result for doping control.

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

Children and adolescents

This medication is not recommended for use in children and adolescents under 18years.

Other medications andGaduar

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

  • Other blood pressure-lowering medications, as they may increase the effect of Gaduar. Your doctor may need to adjust your dose and/or take other precautions:
  • ACE inhibitors or aliskiren (see also the information under the headings “Do not take Gaduar” and “Warnings and precautions”).
  • Lithium (a medication used to treat mood changes and certain types of depression) if used at the same time as Gaduar may increase its toxicity. If you need to take lithium, your doctor will measure your lithium levels in the 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), a herbal remedy for depression.
  • Cisapride, used to increase stomach and intestinal movement.
  • Difemanil, used to treat slow heart rhythm or to reduce sweating.
  • Halofantrine, used for malaria.
  • Vincamine IV, used to improve blood flow to the nervous system.
  • Amantadine, used for Parkinson's disease.
  • Potassium supplements, salt substitutes containing potassium, medications that increase urine production(diuretics),heparin(to thin the blood and prevent blood clots), ACE inhibitors (to lower blood pressure), laxatives, steroids, adrenocorticotropic hormone (ACTH), carbenoxolone (a medication for mouth and stomach ulcers), penicillin G sodium (an antibiotic also called benzylpenicillin sodium), some pain relievers such as aspirin or salicylates. The use of these medications at the same time as Gaduar may alter potassium levels in the blood.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) (medications used to relieve pain, swelling, and other symptoms of inflammation, including arthritis), used at the same time as Gaduar may increase the risk of kidney problems. The effect of Gaduar may decrease with NSAIDs. High doses of salicylates may increase the toxic effect on the central nervous system.
  • Sedatives, sleep-inducing medications, and antidepressants, used with Gaduar may cause a sudden drop in blood pressure when standing.
  • Colesevelam hydrochloride, a medication that lowers cholesterol levels in the blood, as it may decrease the effect of Gaduar. Your doctor may advise you to take Gaduar at least 4hours before colesevelam hydrochloride.
  • Certain antacids(remedies for indigestion and heartburn), as they may slightly decrease the effect of Gaduar.
  • 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).
  • Simvastatin, 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) orhigh blood pressure(e.g., beta-blockers, methyldopa), as Gaduar may affect the mechanism of action of these medications.
  • Treating heart rhythm problems, such as mizolastine, pentamidine, terfenadine, dofetilide, ibutilide, or intravenous erythromycin.
  • 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 pressureanddecreasing heart rate, such as norepinephrine.
  • Treating gout, such as probenecid, sulfinpyrazone, and allopurinol.
  • Lowering cholesterol and triglyceride 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.

TakingGaduarwith food, drinks, and alcohol

This medication can be taken with or without food.

People taking this medication 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 amlodipine in the blood, which may lead to an unpredictable increase in the effect of Gaduar to lower blood pressure.

Be careful when drinking alcohol while taking this medication, as some people may feel dizzy, nauseous, or experience headaches. If this happens, do not drink any alcohol.

Older patients

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

Pregnancy and breastfeeding

Pregnancy

Inform your doctor if you are pregnant, or if you think you may be. Your doctor will advise you to stop taking Gaduar before becoming pregnant or as soon as you know you are pregnant, and will recommend another medication in place of Gaduar. This medication is not recommended for use during pregnancy, and it should not be taken if you are more than 3months pregnant, as it may cause serious harm to your baby if taken during this period.

If you become pregnant while taking Gaduar, inform and visit your doctor immediately.

Breastfeeding

Inform your doctor if you are breastfeeding or plan to start breastfeeding. It has been shown that amlodipine and hydrochlorothiazide pass into breast milk in small amounts. Gaduar is not recommended for use in breastfeeding mothers, and your doctor may choose another treatment if you wish to breastfeed.

If you are pregnant, breastfeeding, or plan to become pregnant, consult your doctor or pharmacist before using this medication.

Driving and operating machinery

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

Gaduar contains lactose

If your doctor has told you that you have a certain sugar intolerance, consult with them before taking this medication.

3. How to Take Gaduar

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 little 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 Gaduar 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 a rapid or slow heart rate.

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

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

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 Gaduar

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 Gaduar

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 may cause side effects, although not everyone will experience them. If they do occur, they are often mild and do not require interrupting treatment.

The following side 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, stop taking this medicine and consult your doctor immediately..

-Olmesartan/amlodipine/hydrochlorothiazide may 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.

-If you experience yellowing of the whites of the eyes, dark urine, skin itching, even if you started treatment with Olmesartan/amlodipine/hydrochlorothiazide some time ago, contact your doctor immediately, who will evaluate your symptoms and decide how to continue your treatment. Blood pressure medications (unknown frequency).

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, second, the known side effects of 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 nose, 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 intestine 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), sleep problems, 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 nearsightedness, 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, urination problems, 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, Stevens-Johnson syndrome, toxic epidermal necrolysis, sometimes very severe, movement impairment, acute kidney failure, non-infectious kidney inflammation, kidney function decrease, fever, 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,acute respiratory distress (signs include severe difficulty breathing, fever, weakness, and confusion), stomach inflammation, gum thickening, intestinal obstruction, liver inflammation.

Side effects of unknown frequency(cannot be estimated from available data)

Decreased vision or eye pain due to high pressure (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 Pharmacovigilance 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. Gaduar Conservation

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

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

This medication does not require special storage conditions.

Medications should not be disposed of through drains or in the trash. Dispose of 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 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 ofGaduar

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

  • Gaduar20mg/5mg/12,5mg: each film-coated tablet contains 20mg of olmesartan medoxomil, 5mg of amlodipine (as amlodipine besylate) and 12,5mg of hydrochlorothiazide.
  • Gaduar40mg/5mg/12,5mg: each film-coated tablet contains 40mg of olmesartan medoxomil, 5mg of amlodipine (as amlodipine besylate) and 12,5mg of hydrochlorothiazide.
  • Gaduar40mg/5mg/25mg: each film-coated tablet contains 40mg of olmesartan medoxomil, 5mg of amlodipine (as amlodipine besylate) and 25mg of hydrochlorothiazide.
  • Gaduar40mg/10mg/12,5mg: each film-coated tablet contains 40mg of olmesartan medoxomil, 10mg of amlodipine (as amlodipine besylate) and 12,5mg of hydrochlorothiazide.
  • Gaduar40mg/10mg/25mg: each film-coated tablet contains 40mg of olmesartan medoxomil, 10mg of amlodipine (as amlodipine besylate) and 25mg of hydrochlorothiazide

The other components of the tablets are:

  • Core of the tablet: povidone, pregelatinized cornstarch, microcrystalline cellulose, anhydrous colloidal silica, lactose monohydrate and magnesium stearate.
  • Coating of the tablet:polyvinyl alcohol (E1203), titanium dioxide (E171), macrogol (E1521), talc (E553b), yellow iron oxide (E172), black iron oxide (E172) (only the film-coated tablets of 20mg/5mg/12,5mg) and red iron oxide (E172) (only the film-coated tablets of 20mg/5mg/12,5mg, 40mg/10mg/12,5mg and 40mg/10mg/25mg).

Appearance of the product and contents of the package

Gaduar20mg/5mg/12,5mg film-coated tablets are white to peach-colored, round, approximately 8mm in diameter, with a beveled edge and with the inscription “OC1” on one face and smooth on the other.

Gaduar40mg/5mg/12,5mg film-coated tablets are light yellow, round, approximately 9,5mm in diameter, with a beveled edge and with the inscription “OC2” on one face and smooth on the other.

Gaduar40mg/5mg/25mg film-coated tablets are light yellow, oval, approximately 15mm in length and 7mm in width, with a beveled edge and with the inscription “OC3” on one face and smooth on the other.

Gaduar40mg/10mg/12,5mg film-coated tablets are terracotta red, round, approximately 9,5mm in diameter, with a beveled edge and with the inscription “OC4” on one face and smooth on the other.

Gaduar40mg/10mg/25mg film-coated tablets are terracotta red, oval, approximately 15mm in length and 7mm in width, with a beveled edge and with the inscription “OC5” on one face and smooth on the other.

The blisters of aluminum-aluminum contain 28 film-coated tablets, 56 film-coated tablets and 98film-coated tablets in the box.

Only some package sizes may be marketed.

Marketing Authorization Holder

Zentiva k.s.

U Kabelovny 130

102 37 Prague 10

Czech Republic

Responsible for manufacturing

LABORATORI FUNDACIÓ DAU

C/ C, 12-14 Pol. Ind. Zona Franca, Barcelona,

08040 Barcelona, Spain

For more information about this medication, please contact the local representative of the marketing authorization holder:

Zentiva Spain S.L.U.

Avenida de Europa, 19, Edificio 3, Planta 1.

28224 Pozuelo de Alarcón, Madrid

Spain

This medication is authorized in the member states of the European Economic Area with the following names:

Spain: Gaduar 20 mg/5 mg/ 12,5 mg film-coated tablets EFG

Gaduar40mg/5mg/12,5mg film-coated tablets EFG

Gaduar40mg/5mg/25mg film-coated tablets EFG

Gaduar40mg/10mg/12,5mg film-coated tablets EFG

Gaduar40mg/10mg/25mg film-coated tablets EFG

Latvia, Lithuania, Estonia:Gaduar

Germany: Olmesartan Amlodipin HCT Zentiva 20 mg/5 mg/12,5 mg Filmtabletten

Olmesartan Amlodipin HCT Zentiva 40 mg/5 mg/12,5 mg Filmtabletten

Olmesartan Amlodipin HCT Zentiva 40 mg/5 mg/25 mg Filmtabletten

Olmesartan Amlodipin HCT Zentiva 40 mg/10 mg/12,5 mg Filmtabletten

Olmesartan Amlodipin HCT Zentiva 40 mg/10 mg/25 mg Filmtabletten

Bulgaria: ???????

Last review date of this leaflet: January 2025

For detailed and updated information about this medication, please visit the website of the Spanish Agency of Medicines and Medical Products (AEMPS)http://www.aemps.gob.es/

About the medicine

Quanto custa o Gaduar 20 mg/5 mg/12,5 mg comprimidos recubiertos con pelicula efg em Espanha em 2025?

O preço médio do Gaduar 20 mg/5 mg/12,5 mg comprimidos recubiertos con pelicula efg em julho de 2025 é de cerca de 15.52 EUR. Os valores podem variar consoante a região, a farmácia e a necessidade de receita. Confirme sempre com uma farmácia local ou fonte online para obter informações atualizadas.

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Anna Moret

Dermatologia18 anos de experiência

A Dra. Anna Moret é dermatologista e dermatovenerologista certificada, especializada em dermatologia para adultos e crianças, venereologia, cuidados estéticos com a pele e medicina geral. As suas consultas são baseadas em evidências e adaptadas às necessidades dermatológicas individuais de cada paciente.

A Dra. Moret realiza avaliação e tratamento especializado para:

• Problemas de pele como eczema, acne, rosácea, dermatite e psoríase • Queda de cabelo, caspa e dermatite seborreica do couro cabeludo • Dermatologia pediátrica — do recém-nascido à adolescência • Infeções sexualmente transmissíveis (DSTs) e dermatovenereologia • Envelhecimento da pele e tratamentos estéticos não invasivos • Alergias cutâneas e reações de hipersensibilidade • Avaliação de sinais, lesões cutâneas e rastreio de cancro de pele • Aconselhamento sobre cuidados com a pele e rotinas personalizadas com dermocosméticos

Combinando conhecimentos em dermatologia e medicina geral, a Dra. Moret oferece um cuidado abrangente, focado tanto na saúde da pele como nas possíveis causas associadas. Possui também certificação do Canadian Board of Aesthetic Medicine, assegurando uma abordagem estética alinhada com os padrões internacionais.

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Alina Thurman

Medicina familiar12 anos de experiência

A Dra. Alina Tsurkan é médica de clínica geral e familiar licenciada em Portugal, oferecendo consultas online para adultos e crianças. O seu trabalho centra-se na prevenção, diagnóstico preciso e acompanhamento a longo prazo de condições agudas e crónicas, com base em medicina baseada na evidência.

A Dra. Tsurkan acompanha pacientes com uma ampla variedade de queixas de saúde, incluindo: • Infeções respiratórias: constipações, gripe, bronquite, pneumonia, tosse persistente • Problemas otorrinolaringológicos: sinusite, amigdalite, otite, dor de garganta, rinite alérgica • Queixas oftalmológicas: conjuntivite alérgica ou infeciosa, olhos vermelhos, irritação ocular • Problemas digestivos: refluxo ácido (DRGE), gastrite, síndrome do intestino irritável (SII), obstipação, inchaço abdominal, náuseas • Saúde urinária e reprodutiva: infeções urinárias, cistite, prevenção de infeções recorrentes • Doenças crónicas: hipertensão, colesterol elevado, controlo de peso • Queixas neurológicas: dores de cabeça, enxaquecas, distúrbios do sono, fadiga, fraqueza geral • Saúde infantil: febre, infeções, problemas digestivos, seguimento clínico, orientação sobre vacinação

Outros serviços disponíveis: • Atestados médicos para a carta de condução (IMT) em Portugal • Aconselhamento preventivo e consultas de bem-estar personalizadas • Análise de resultados de exames e relatórios médicos • Acompanhamento clínico e revisão de medicação • Gestão de comorbilidades e situações clínicas complexas • Prescrições e documentação médica à distância

A abordagem da Dra. Tsurkan é humanizada, holística e baseada na ciência. Trabalha lado a lado com cada paciente para desenvolver um plano de cuidados personalizado, centrado tanto nos sintomas como nas causas subjacentes. O seu objetivo é ajudar cada pessoa a assumir o controlo da sua saúde com acompanhamento contínuo, prevenção e mudanças sustentáveis no estilo de vida.

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Doctor

Andrei Popov

Clínica geral6 anos de experiência

O Dr. Andrei Popov é um médico licenciado em medicina geral e especialista em controlo da dor, com prática clínica em Espanha. Oferece consultas online para adultos com dor aguda ou crónica, bem como para uma variedade de queixas médicas comuns.

É especializado no diagnóstico e tratamento de condições dolorosas que afetam a qualidade de vida, incluindo: • Dor crónica com duração superior a 3 meses • Enxaquecas e dores de cabeça recorrentes • Dores no pescoço, costas, região lombar e articulações • Dor pós-traumática após lesões ou cirurgias • Dor neuropática, fibromialgia e nevralgias

Além do controlo da dor, o Dr. Popov também presta cuidados médicos em casos como: • Infeções respiratórias (constipações, bronquite, pneumonia) • Hipertensão arterial e condições metabólicas, como a diabetes • Acompanhamento preventivo e check-ups de rotina

As consultas online duram até 30 minutos e incluem uma avaliação detalhada dos sintomas, plano de tratamento personalizado e seguimento médico, se necessário.

A abordagem do Dr. Popov baseia-se na medicina baseada na evidência, com atenção individualizada à história clínica, estilo de vida e necessidades específicas de cada paciente.

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Doctor

Yevgen Yakovenko

Cirurgia geral11 anos de experiência

Dr. Yevgen Yakovenko é um cirurgião e clínico geral licenciado em Espanha e Alemanha. É especializado em cirurgia geral, pediátrica e oncológica, medicina interna e controlo da dor. Oferece consultas online para adultos e crianças, combinando precisão cirúrgica com acompanhamento terapêutico. O Dr. Yakovenko acompanha pacientes de vários países e presta cuidados médicos em ucraniano, russo, inglês e espanhol.

Áreas de especialização médica: • Dor aguda e crónica: cefaleias, dores musculares e articulares, dores nas costas, dores abdominais, dor pós-operatória. Identificação da causa, plano de tratamento e seguimento. • Medicina interna: coração, pulmões, trato gastrointestinal, sistema urinário. Controlo de doenças crónicas, alívio de sintomas, segunda opinião. • Cuidados pré e pós-operatórios: avaliação de riscos, apoio na tomada de decisão, acompanhamento após cirurgia, estratégias de reabilitação. • Cirurgia geral e pediátrica: hérnias, apendicite, doenças congénitas. Cirurgias programadas e de urgência. • Traumatologia: contusões, fraturas, entorses, lesões de tecidos moles, tratamento de feridas, pensos, encaminhamento para cuidados presenciais quando necessário. • Cirurgia oncológica: revisão diagnóstica, planeamento do tratamento, acompanhamento a longo prazo. • Interpretação de exames: análise de ecografias, TAC, ressonâncias magnéticas e radiografias. Planeamento cirúrgico com base nos resultados. • Segundas opiniões e navegação médica: esclarecimento de diagnósticos, revisão de tratamentos atuais, apoio na escolha do melhor caminho terapêutico.

Experiência e formação: • Mais de 12 anos de experiência clínica em hospitais universitários na Alemanha e em Espanha • Formação internacional: Ucrânia – Alemanha – Espanha • Membro da Sociedade Alemã de Cirurgiões (BDC) • Certificação em diagnóstico por imagem e cirurgia robótica • Participação ativa em congressos médicos e investigação científica internacionais

O Dr. Yakovenko explica temas médicos complexos de forma clara e acessível. Trabalha em parceria com os pacientes para analisar situações clínicas e tomar decisões fundamentadas. A sua abordagem baseia-se na excelência clínica, rigor científico e respeito individual.

Se tem dúvidas sobre um diagnóstico, está a preparar-se para uma cirurgia ou quer discutir resultados de exames, o Dr. Yakovenko pode ajudá-lo a avaliar as suas opções e avançar com confiança.

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