Rivika Tablet 5/20 mg

Adult dose

The recommended dosage for adults is one tablet daily, taken with water, regardless of meals. It is advisable to take it at the same time every day (e.g., morning). The recommended doses are as follows: 5/20 mg: For patients whose blood pressure is not adequately controlled by monotherapy with Amlodipine 5 mg or Olmesartan medoxomil 20 mg. 10/20 mg: For patients whose blood pressure is not adequately controlled by monotherapy with Olmesartan medoxomil 20 mg.

Child dose

The safety and efficacy in pediatric patients under 18 years have not been established.

This medication may cause serious harm to the fetus and newborn if taken during pregnancy, especially in the second and third trimesters; therefore, it should be discontinued immediately upon confirmation of pregnancy. Patients with allergies to this medication's active ingredients or similar classes of drugs, those who are pregnant or breastfeeding, individuals with severe liver disease or heart valve diseases, patients undergoing kidney dialysis, those in shock, and certain diabetic patients should not take this medication. Patients with low blood pressure due to dehydration or salt deficiency, patients at risk of rapidly dropping blood pressure due to sudden vasodilation, individuals with severe heart diseases, patients with compromised kidney function, and those with reduced liver function should use this medication with caution and have their conditions closely monitored at the treatment's onset. Side effects may include dizziness, headache, low blood pressure, swelling, indigestion, skin rash, among others; if symptoms are severe or persistent, consult a doctor. Especially, since potassium levels in the blood can increase, routine blood tests should be carried out to check potassium levels if taken with potassium-containing medications. Women planning pregnancy or who are pregnant are recommended to transition to other treatments with proven safety instead of this medication, and breastfeeding mothers may need to stop breastfeeding or discontinue the medication due to potential adverse reactions in the infant. Safety and efficacy in children or adolescents under 18 years of age have not been established, thus it is not recommended. Elderly patients may have decreased kidney and liver function, so it is advisable to start with a low dose and carefully adjust the dosage. In cases of overdose, severe hypotension and problems with cardiac function may occur due to vasodilation; immediate hospitalization and monitoring of blood pressure and cardiac status are necessary. This medication should be stored in a sealed container, avoiding moisture, heat, and direct sunlight, out of reach of children, and should not be transferred to another container. Additionally, taking this medication with grapefruit juice can increase blood pressure-lowering effects, so it is advisable to avoid. This medication may interact with several other drugs, so if taking other medications, it is essential to notify a doctor or pharmacist.

Serious side effects

Hives, severe swelling (edema), difficulty breathing, severe allergic reactions, severe rash with high fever, blisters, skin peeling, pain in oral or ocular mucous membranes, severe skin reactions, shortness of breath or difficulty breathing, asthma attacks, atypical respiratory symptoms associated with cough and fever, jaundice (yellowing of skin or eyes), extreme lethargy, liver abnormalities (jaundice), sudden and severe headaches, seizures, confusional states, visual disturbances.

Mild side effects

Dizziness, headache, decreased libido, drowsiness, altered sensation, reduced perception, palpitations, low blood pressure, orthostatic hypotension, cough, nausea, vomiting, indigestion, diarrhea, constipation, dry mouth, upper abdominal pain, rash, muscle tension, limb pain, back pain, frequent urination, erectile dysfunction, peripheral edema, edema, pitting edema, fatigue, asthenia, facial swelling, decreased potassium levels, increased serum creatinine, increased uric acid levels, and elevated gamma-glutamyl transferase levels.

This medication should be stored in a sealed container to prevent air and moisture exposure at room temperature between 1°C and 30°C. Storing in this way can help maintain the medication's effectiveness for a longer duration.

Appearance

White round film-coated tablet

Package unit

30 tablets/box [10 tablets/PTP x 3]