Sevitense Plus 40/5/12.5 mg 28 tablets

Olmesartan Midoxomil / Amlodipine / Hydrochlorothiazide 40 mg / 5 mg / 25 mg film-coated tablets What are the indications for use of Olmesartan / Amlodipine / Hydrochlorothiazide Olmesartan / Amlodipine / Hydrochlorothiazide contains three active substances called Olmesartan Midoxomil, Amlodipine Besylate, and Hydrochlorothiazide. All three help in controlling high blood pressure. • Olmesartan Midoxomil belongs to a group of medicines called "Angiotensin II receptor antagonists" • Amlodipine belongs to a group of substances called "Calcium channel blockers" • Hydrochlorothiazide is one of a group of medicines called thiazide diuretics Do not take Olmesartan / Amlodipine / Hydrochlorothiazide: • If you are allergic to Olmesartan Midoxomil or Amlodipine or a specific group of calcium channel blockers (Dihydropyridines) or Hydrochlorothiazide or similar substances to Hydrochlorothiazide (Sulfonamides) or any other component of this medicine • If you have diabetes or kidney impairment and are treated with a blood pressure-lowering medicine containing Spironolactone • You have severe kidney problems • If you have serious liver problems, or if bile secretion is poor, or if there is a blockage in bile drainage from the gallbladder, or if you have jaundice • If you have severe low blood pressure • If you have decreased blood flow to your tissues with symptoms such as low blood pressure, low pulse, rapid heartbeat • If blood flow from your heart is obstructed • If you have decreased cardiac output (leading to shortness of breath or peripheral swelling) after a heart attack Precautions and warnings: Tell your doctor if you have any of the following health problems: • Kidney problems or kidney transplant • Liver disease • Heart failure or problems with heart valves or myocardium • Severe vomiting, diarrhea, high-dose water tablets, or if you follow a low-salt diet • Increased potassium levels in the blood • Adrenal gland problems • Diabetes • Lupus erythematosus • Allergies or asthma • Skin reactions such as sunburn or rash after sun exposure or use of a tanning bed • If you have had skin cancer or an unexpected skin lesion during treatment Possible side effects: Like all medicines, this medicine can cause side effects, although not everyone experiences them. When they occur, they are often mild and do not require stopping treatment. Although many people are not affected, the following side effects can be serious: allergic reactions and low blood pressure. Other possible side effects include: • Dizziness, headache; swelling in ankles, feet, legs, hands, or arms; fatigue • Lack of energy; tingling or numbness in hands or feet; dizziness; awareness of heartbeat; rapid heartbeat • Some changes in blood test results • Bronchitis; sore throat; runny or blocked nose; cough; stomach pain; stomach flu; diarrhea; indigestion; nausea; joint or bone pain; back pain; blood in urine; urinary tract infection; chest pain; flu-like symptoms; pain • Decreased platelet count and angina (chest discomfort) • Itching; skin rash; allergic rash with hives; facial swelling; muscle pain; feeling unwell • Swelling of the face, mouth, and/or throat; acute kidney failure and kidney impairment; lethargy • Edema (fluid retention) • Abdominal pain; nausea; ankle swelling; drowsiness; redness and warmth in the face; visual disturbances (including double vision and blurred vision); awareness of heartbeat; diarrhea; constipation; indigestion; cramps; weakness; difficulty breathing • Sleep difficulties; sleep disturbances; mood changes including anxiety; depression; irritability; chills; taste changes; fainting; ringing in the ears; hair loss; increased need to urinate; enlarged breasts in men; weight gain or loss • Confusion Other medicines and Olmesartan / Amlodipine / Hydrochlorothiazide: Tell your doctor or pharmacist if you are taking or have recently taken any of the following medicines for: • Blood pressure • Depression • Pain • Lipids • AIDS • Fungal infections • Heart problems • Bacterial infections • Body temperature disorders • Transplanted organ • Sleep • Cancer • Psychiatric disorders • Heart problems • Diabetes • Gout • Viruses • Stomach acid • Movement of food in stomach and intestines • Malaria How to take Olmesartan / Amlodipine / Hydrochlorothiazide: • Always take this medicine exactly as your doctor or pharmacist has told you. Ask your doctor or pharmacist if you are not sure. • The recommended dose of Olmesartan / Amlodipine / Hydrochlorothiazide is one tablet per day. • The tablet can be taken with or without food. Swallow the tablet with some liquids (such as a glass of water). Do not chew the tablet. Do not take the tablet with grapefruit juice. • If possible, take your daily dose at the same time each day, for example, at breakfast. How to store Olmesartan / Amlodipine / Hydrochlorothiazide: • Keep this medicine out of sight and reach of children • Do not use this medicine after the expiry date printed on the carton after EXP. The expiry date refers to the last day of that month. • This medical product does not require special storage conditions • Do not dispose of medicines in wastewater or household waste. Ask your pharmacist how to dispose of medicines you no longer use. These measures will help protect the environment. Product details: Brand: Sevitin Product model: Tablets