Olmetic Plus (Tablet)
Manufactured by: Drug International Ltd.
Hydrochlorothiazide + Olmesartan Medoxomil Similar medicine
Olmetic Plus is indicated for
- 高血壓、糖尿病腎病變
Precautions and warnings
如果在懷孕中期或晚期服用影響腎素-血管張力素系統的藥物，可能會傷害甚至導致未出生嬰兒死亡。 如果發現懷孕，請盡快停止服用奧美沙坦酯。 體液低或鹽分低的人可能會感到頭暈或血壓低。 在極少數情況下，該藥物可能會導致尿量很少或沒有，血液中的廢物增加，或突然出現腎衰竭。 腎臟動脈狹窄（腎動脈狹窄）的人罹患嚴重低血壓和腎臟問題的風險較高。 有腎臟問題的人慎用；定期檢查腎功能和鉀水平。 請勿用於有嚴重腎臟（肌酸酐清除率低於 20 mL/min）或嚴重肝臟問題的人士。 患有心臟瓣膜疾病或心肌增厚的患者要小心。 該藥對於原發性醛固酮增多症患者可能效果不佳。 也不建議在哺乳期間使用。
Side-effects
- 頭暈、頭痛、腹痛、消化不良、腹瀉、胃腸炎、噁心、胸痛、支氣管炎、咳嗽、咽炎、鼻炎、關節炎、背痛、疲勞、流感樣症狀、低血壓、週邊水腫、血尿、泌尿道感染、高血鉀症、高三酸甘油脂血症、高尿酸血症、肝酵素升高、臉部水腫、血管性水腫、橫紋肌腫、血管性水腫、高尿酸血症、血管性水腫、臉部水腫、血管性水腫、橫紋肌酸血症。 潛在致命：急性腎衰竭。
Drug Interactions
**奧美沙坦酯：**
- 與阿利吉崙一起服用這種藥物會增加低血壓、高鉀水平和腎臟問題的風險。
- 同時使用非類固醇抗發炎藥物可能會導致您的腎功能惡化。
- 非類固醇抗發炎藥也會降低奧美沙坦的降血壓效果。
- 鹽酸考來維崙可以降低奧美沙坦吸收到體內的量並降低其峰值水平。
**氫氯噻嗪：**
- 當與酒精、安眠藥或麻醉劑一起服用時，這種藥物會增加頭暈和低血壓的風險。
- 它可以與糖尿病藥物相互作用。
- 與其他同類藥物一起使用，降血壓作用較強。
- 考來烯胺和考來替泊樹脂可以減少身體吸收的氫氯噻嗪量。
- 類固醇和 ACTH 可能會讓您失去更多電解質。
- 某些升血壓藥物（如去甲腎上腺素）的作用可能會減弱。
- 您可能對肌肉鬆弛劑（如筒箭毒鹼）有更強的反應。
- 它還會降低鋰從體內排出的速度，增加副作用的風險。
Contraindications
懷孕（第二和第三三個月）；膽道阻塞。
Mode of actions
氫氯噻嗪的作用是阻止腎臟遠端小管鈉和氯的再吸收。 這會導致身體從尿液中排出更多的鈉、水、鉀和氫離子。
奧美沙坦是一種阻斷血管張力素 II 特定受體 (AT1) 的藥物，血管張力素 II 是一種縮小血管並升高血壓的物質。 透過阻斷這種效應，奧美沙坦可以放鬆血管，降低血壓，並幫助心臟獲得更多的血液和氧氣。
Dosage & Administration
成人：PO 初始：20 mg/12.5 mg 每日一次，如有需要可增加至 40 mg/25 mg 每日一次。
Pregnancy & Lactation
懷孕期間不允許使用這種藥物。 如果您懷孕了，請勿使用它。 它可以透過皮膚和肺部吸收，從而損害未出生孩子的器官並導致先天性殘疾。 治療期間及停藥後六個月內嚴格有效的節育。 如果您確實懷孕了，請停止服用此藥並立即與您的醫生討論。
沒有關於這種藥物是否會進入母乳的具體資訊。 考慮到兒童可能存在的風險，不建議在使用該藥物時進行母乳喂養，並且至少在最後一次用藥後兩週進行母乳喂養。 哺乳前請先諮詢您的醫生。
Pack Size & Price
30's pack Price : ৳240
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