Triolmesar 20 Tablet (Amlodipine)

Triolmesar 20 Tablet

TriOlmesar 20 Tablet is a combination of Hydrochlorothiazide, Amlodipine and Olmesartan. It is used in the treatment of high blood pressure. This medicine works by relaxing the heart muscles and blood vessels. It also increases the water and sodium excretion from the body. Thus, it promotes the smooth flow of blood throughout the body.

TriOlmesar 20 Tablet has some side effects like swelling in your ankles or feet, headache, sleepiness, dizziness, cough, nausea, and upset stomach. This medicine may cause you to urinate more often as it works by removing extra water from your body. If any of these side effects do not resolve with time or get worse, consult your doctor immediately. Avoid taking this medicine if you are allergic to it.

TriOlmesar 20 Tablet can be taken with or without food. The dose will be decided by your doctor depending on your health condition. Take this medicine at the same time every day to maintain a constant level in the blood. Avoid the discontinuation of this medicine without your doctor’s consultation as it can cause your blood pressure to rise, thereby increasing the risk of heart attack and stroke (a condition that occurs due to reduced blood supply to the brain).

TriOlmesar 20 Tablet should be used with caution if you have kidney or liver problems, or diabetes. Inform your doctor if you are taking any other medicine before starting the treatment. TriOlmesar 20 Tablet is not recommended for use in children below 18 years of age. Consult your doctor if you are pregnant, planning a pregnancy, or are breastfeeding.

Side effects

Major & minor side effects for TriOlmesar 20 Tablet
Dizziness
Headache
Fatigue
Nausea and Vomiting
Diarrhoea
Increased urination
Joint pain
Swelling of ankles or feet
Upset stomach
Uses of TriOlmesar 20 Tablet
What is it prescribed for?
Hypertension
Hypertension or high blood pressure is a condition in which the force exerted by the circulating blood on the walls of the blood vessel is high. TriOlmesar 20 Tablet is used to control high blood pressure.

Dosage

Triolmesar 20 Tablet
Triolmesar 40 Tablet
Triolmesar CH 40 Tablet

When not to use?

Allergy
Avoid taking TriOlmesar 20 Tablet if you are allergic to it. Seek immediate medical attention if you notice any symptoms such as skin rash, itching/swelling of the face/tongue/throat, breathing difficulty, etc.
Aliskiren
Coadministration of TriOlmesar 20 Tablet and Aliskiren (a medicine used to reduce blood pressure) is not recommended if you have diabetes (high blood sugar levels) and/or moderate to severe kidney impairment as it may increase the risk of kidney damage.
Anuria
Anuria is a condition in which the kidneys are unable to produce urine. TriOlmesar 20 Tablet is not recommended for use if you have anuria as it may further damage your kidneys.
Moderate to Severe Hepatic Impairment
TriOlmesar 20 Tablet should be used with caution if you have moderate to severe liver problems as it may further worsen your condition.
Severe kidney impairment
TriOlmesar 20 Tablet is not recommended for use if you have severe kidney problems as it may increase the risk of accumulation of this medicine in the body. It may also cause further kidney damage.

Warnings

Warnings for special population
Pregnancy
TriOlmesar 20 Tablet is not recommended for use during pregnancy as it may harm your foetus. Consult your doctor if you are pregnant.
Breast-feeding
TriOlmesar 20 Tablet is not recommended for use while breastfeeding as it may pass into breastmilk. Hence, consult your doctor if you are breastfeeding.
General warnings
Systemic lupus erythematosus
Systemic lupus erythematosus is an autoimmune disorder in which the immune system attacks its own tissues, causing swelling and tissue damage. It can affect the joints, skin, brain, lungs, kidneys, and blood vessels. TriOlmesar 20 Tablet should be used with caution if you have systemic lupus erythematosus as it may worsen your condition.
Driving and operating machines
TriOlmesar 20 Tablet may cause dizziness and a decrease in blood pressure. Avoid performing activities that require high mental alertness like driving vehicles or operating machines if you experience such symptoms.
Use in athletes
TriOlmesar 20 Tablet is not recommended to be used by athletes as per the World Anti-Doping Agency (WADA).
Volume and electrolyte depletion
TriOlmesar 20 Tablet may alter the blood volume and electrolyte levels. This may cause dizziness, dry mouth, thirst, weakness, acid-base imbalance (abnormality in the human body to balance between acid and base), etc. Hence, your blood pressure and electrolyte levels will be periodically monitored by your doctor while you are taking this medication.
Use in children
TriOlmesar 20 Tablet is not recommended for use in children and adolescents below 18 years of age as the safety and efficacy data are not clinically established.
Hypotension
TriOlmesar 20 Tablet should be used with caution as it may cause symptomatic hypotension (low blood pressure), especially if you have volume depletion (excess loss of salt and fluid from the body due to severe diarrhoea, vomiting, burns and kidney problems leading to reduced fluid volume). Your doctor may correct this condition before initiating treatment with TriOlmesar 20 Tablet.
Aortic stenosis
Aortic stenosis is the narrowing of the valves of the heart that regulates the blood flow from the heart to the body. TriOlmesar 20 Tablet should be used with caution if you have aortic stenosis. This medicine affects the contraction of the heart and may worsen your condition.
Hyperkalaemia
TriOlmesar 20 Tablet should be used with caution as it may cause hyperkalaemia (high potassium levels in the blood). Your doctor may suggest a test to monitor the potassium levels regularly. Avoid potassium-rich foods (potatoes, bananas) and potassium supplements during treatment with this medicine.
Liver problems
TriOlmesar 20 Tablet is broken down in the liver. Hence, this medicine should be used with caution if you have liver problems as it may increase the risk of liver damage. Your doctor may suggest tests to monitor your liver functions and/or recommend dose adjustments based on your clinical condition.
Kidney problems
TriOlmesar 20 Tablet should be used with caution if you have kidney problems as this medicine may alter kidney functions. Your doctor may suggest tests to closely monitor your kidney function or adjust the dose based on your clinical condition.

Dosage

Missed Dose
If you miss a dose of TriOlmesar 20 Tablet, take it as soon as you remember. If it is time for your next scheduled dose, then skip the missed dose. Do not double your dose to make up for the missed one.
Overdose
Never take more than the prescribed dose of TriOlmesar 20 Tablet. If you suspect that you might have taken an overdose of this medicine, seek immediate medical attention.

Interactions

All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol
Description
N/A
Instructions
Avoid consumption of alcohol while you are taking TriOlmesar 20 Tablet as it may further lower your blood pressure and make you feel dizzy or lightheaded.
Interaction with Medicine
Dexamethasone
Insulin
Itraconazole
Rifampicin
Diclofenac
Disease interactions
Cardiogenic shock
TriOlmesar 20 Tablet is not recommended for use in case of cardiogenic shock (a life-threatening situation in which your heart suddenly stops pumping enough blood to the body) as it may worsen your condition.
Diabetes
TriOlmesar 20 Tablet should be used with caution if you have diabetes (high blood sugar levels) as this medicine may alter blood sugar levels.
Hyperuricaemia
TriOlmesar 20 Tablet should be used with caution if you have hyperuricaemia (increased uric acid levels in the blood). This medicine decreases uric acid excretion and may further increase the levels of uric acid in your blood.
Congestive heart failure
TriOlmesar 20 Tablet should be used with caution if you have congestive heart failure (a condition in which your heart is unable to pump a sufficient amount of blood) due to the increased risk of kidney damage and worsening of your condition. Consult your doctor before taking this medicine.
Food interactions
Consumption of grapefruit juice is not recommended during treatment with TriOlmesar 20 Tablet as grapefruit juice can increase the absorption of this medicine in your body. This could lead to excessive lowering of your blood pressure and increased risk of side effects.
Lab interactions
Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.

General Instructions

Take TriOlmesar 20 Tablet exactly as advised by your doctor. Try taking this medicine during the daytime to avoid frequent urination at night.
Drink plenty of water to avoid dehydration. Do not break, chew or crush the tablet.

Take TriOlmesar 20 Tablet around the same time every day so that it is easy to remember.

TriOlmesar 20 Tablet may cause swelling in your ankles and feet, therefore, avoid sitting for long hours and try raising your legs on a low stool when you are sitting.

Avoid driving vehicles or operating machines and rise up slowly from a sitting or lying position if you feel dizzy during treatment with TriOlmesar 20 Tablet.

To get maximum benefits from the treatment, you should also adopt lifestyle changes like eating a low sodium and low-fat diet, exercising regularly, quitting smoking, etc.

Avoid potassium-rich foods like bananas, oranges, etc. while taking this medicine.