ARB-S Tablets 20 mg (Olmesartan Medoxomil)

Adult dose

The recommended initial adult dosage is 10 mg once daily, administered regardless of meals. If blood pressure is not adequately controlled, the dosage may be increased to 20 mg once daily. If further blood pressure reduction is needed, the dosage may be titrated up to a maximum of 40 mg once daily. It is recommended to start treatment at lower doses in patients who may have reduced intravascular effective blood volume. In elderly patients (65 years and older), dosage adjustment is important.

Child dose

The safety and efficacy in children have not been established.

This drug can cause serious harm or death to the fetus and newborn if taken during the second and third trimesters of pregnancy, so it should be discontinued immediately if pregnancy is confirmed. People who are allergic to any of the ingredients in this drug, pregnant or breastfeeding women, patients undergoing kidney dialysis, patients with severe liver dysfunction, patients with bile duct obstruction, and certain genetically lactose intolerant patients should not take this drug. Patients with reduced blood volume or sodium may experience hypotension, so it is important to check their condition before taking this drug and take appropriate measures immediately if symptoms of hypotension occur. Patients with severe heart failure or impaired kidney function may experience changes in kidney function, so regular blood tests should be performed to monitor kidney status. During treatment with this drug, serum potassium levels may increase, so patients with heart disease or kidney disease should regularly check their potassium levels. Dizziness may occur, so it is advisable to avoid hazardous operations such as working at heights or driving vehicles. Various adverse reactions have been reported with this drug, mainly dizziness, headache, indigestion, muscle pain, rash, and rarely angioedema or liver function abnormalities. If gastrointestinal symptoms such as chronic diarrhea or weight loss persist, stop taking this drug and consult a doctor. When used with other antihypertensives, potassium-sparing diuretics, lithium drugs, and non-steroidal anti-inflammatory drugs, drug interactions may occur, so it is essential to inform the doctor or pharmacist. Pregnant women should refrain from using this drug due to risks to the fetus, and breastfeeding mothers should carefully decide whether to take it as it may cause adverse reactions in infants. The safety of this drug has not been established for children, so caution is needed in its use. In elderly patients, the concentration of the drug may increase in the body, so dose adjustment and monitoring of condition are important. In case of overdose, symptoms such as low blood pressure, palpitations, and bradycardia may occur, and appropriate treatment should be received immediately at a medical institution. This drug has not been reported to have carcinogenic or genotoxic effects with long-term use, but in some cell experiments, the possibility of chromosomal mutations has been observed, so caution is needed with long-term use.

Serious side effects

Hives, severe swelling (edema), angioedema, anaphylactic reactions, severe allergic reactions, severe rash with high fever, blisters, exfoliation of skin, pain in mucous membranes of mouth/eyes, severe skin reactions, difficulty breathing or shortness of breath, respiratory issues accompanying cough + fever, jaundice (yellowing of skin or eyes), profound lethargy, liver abnormalities (jaundice), sudden and very severe headache

Mild side effects

• Dizziness
• headache
• palpitations
• lower back pain
• cough
• nosebleed
• upper respiratory infections
• asthma
• vomiting
• abdominal pain

This drug may be sensitive to air and moisture, so it should be stored in a tightly sealed container. It is advisable to maintain a storage temperature between 1 degree and 25 degrees Celsius. Storing it this way can help preserve the drug's effectiveness and safety for a long time.

Appearance

White round film-coated tablets

Package unit

30 tablets/bottle