Olmetime-AMH 20 Tablet

Olmetime-AMH 20 Tablet is a prescription combination tablet that contains olmesartan medoxomil, amlodipine, and hydrochlorothiazide in the strength listed on the pack. It belongs to three blood pressure medicine classes at once: an angiotensin II receptor blocker, a calcium channel blocker, and a thiazide diuretic. This combination is used to treat high blood pressure (hypertension) when a doctor decides that more than one medicine is needed to control blood pressure better. Lowering blood pressure can also help reduce the risk of stroke, heart attack, and kidney problems over time.

How it works: Olmesartan medoxomil helps relax blood vessels so blood can flow more easily, amlodipine also relaxes tightened blood vessels, and hydrochlorothiazide helps the body get rid of extra salt and water. Together in this tablet, these three actions lower blood pressure from different angles.

Olmetime-AMH 20 Tablet is the lower listed sibling option compared with Olmetime-AMH 40 Tablet, so it may suit patients who need combination treatment but do not yet need the higher-strength version. Doctors may choose this tablet when they want to improve blood pressure control with a smaller overall strength, or when a patient is more sensitive to blood pressure-lowering effects such as dizziness or low blood pressure.

• Treatment of hypertension
• Combination therapy when one medicine is not enough
• Blood pressure control to help lower long-term cardiovascular risk
• May be used when a doctor wants three-drug therapy in one tablet

• Swallow the Olmetime-AMH 20 Tablet whole with water; do not crush, chew, or split unless your prescriber tells you to.
• Take it at the same time each day to help maintain steady blood pressure control.
• It can be taken with or without food, unless your doctor gives different directions.
• Because it contains a diuretic, many patients prefer taking it earlier in the day to reduce nighttime urination.
• Rise slowly from sitting or lying positions, especially when first starting Olmetime-AMH 20 Tablet or after a dose change.

This product provides the labelled strength of olmesartan medoxomil, amlodipine, and hydrochlorothiazide in each tablet, and it is a fixed-dose combination—not a medicine to self-adjust. It is usually taken once daily, but the exact dose, timing, and maximum daily amount are decided by the prescribing doctor based on blood pressure response, other medicines, and kidney function.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Olmesartan Medoxomil + Amlodipine + Hydrochlorothiazide may include:

• Dizziness or lightheadedness, especially when standing up
• Headache
• Swelling of the ankles or feet
• Increased urination
• Fatigue or weakness
• Nausea
• Muscle cramps or mild dehydration

• Olmetime-AMH 20 Tablet can cause dizziness, so be careful with driving or operating machinery until you know how it affects you.
• This tablet may lower blood pressure more strongly in people who are dehydrated, vomiting, have diarrhea, or use other diuretics.
• It should be used cautiously in people with kidney disease, liver disease, heart failure, or a history of electrolyte imbalance.
• Avoid getting dehydrated and ask your doctor about salt substitutes, which may affect potassium levels.
• Alcohol can increase the chance of dizziness or fainting when taken with this medicine.
• Tell your clinician if you are pregnant, planning pregnancy, or breastfeeding, because medicines in this combination may not be appropriate.
• Do not use it as a quick fix for sudden blood pressure spikes; it is meant for ongoing blood pressure management.

• Other blood pressure medicines, including ACE inhibitors, ARBs, beta-blockers, and other calcium channel blockers
• Diuretics or water pills, which can increase dehydration and low blood pressure risk
• NSAIDs such as ibuprofen or naproxen, which may reduce effect and affect kidney function
• Lithium, which can become more toxic when combined with hydrochlorothiazide
• Potassium supplements or potassium-containing salt substitutes, which may raise potassium too much

Store Olmetime-AMH 20 Tablet in its original strip or box at room temperature, away from moisture, heat, and direct light.