Hanbika Tablet 10/40mg

Adult dose

This medication is administered once daily, with one tablet, regardless of meals, taking it with water. If possible, it is recommended to take it at the same time every day (e.g., in the morning). The recommended dosages are: - 5/20mg: Administered to patients whose blood pressure is not adequately controlled with Amlodipine 5mg or Olmesartan medoxomil 20mg alone. - 10/20mg: Administered to patients not adequately controlled with Olmesartan medoxomil 20mg alone.

Child dose

Safety and efficacy for pediatric patients under 18 years have not been established.

This medication 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. It should not be used in patients who are allergic to any of the active substances or similar ingredients, in pregnant or breastfeeding women, or in patients with severe liver disease or certain heart and kidney diseases. Patients with fluid or salt depletion, or with hypotension may experience initial hypotension after starting the medication; therefore, careful monitoring of their condition is necessary. Patients with severe aortic stenosis should be particularly cautious because rapid vasodilation could lead to hypotension. Patients with severe obstructive coronary artery disease may have an increased risk of angina or myocardial infarction while taking this medication, so caution is advised. In patients with heart failure, this medication should be administered very carefully, as worsening of kidney function could occur in patients sensitive to the drug. In patients with reduced liver function, metabolism of this medication may slow down; hence, dose adjustments and careful monitoring are needed. While taking this medication, various side effects such as dizziness, headache, drowsiness, hypotension, swelling, etc. may occur; if any unusual symptoms arise, contact a doctor immediately. Particularly, potassium levels may increase in the blood; therefore, when taken with other medications that can affect potassium levels, regular blood tests should be done. This medication can enhance its blood pressure-lowering effect when taken with grapefruit juice, so it is advisable to avoid grapefruit juice. Women who are pregnant or breastfeeding should avoid taking this medication; if breastfeeding, they should either stop breastfeeding or discontinue the medication. It is not recommended for children under 18 years of age, as safety and efficacy have not been established. In elderly patients, considering diminished kidney and liver function, start with a low dose and closely monitor their condition. In case of overdose, severe hypotension and tachycardia due to vasodilation can occur, requiring immediate medical attention. This medication should be stored away from moisture, heat, and direct sunlight, and kept out of reach of children.

Serious side effects

Hives, severe swelling, difficulty breathing, respiratory distress, seizures, altered consciousness, visual disturbances, paralysis, yellowing of the skin or eyes (jaundice), severe rashes, blisters, skin peeling, oral/ocular mucosal pain, markedly reduced urine output, swelling associated with increased blood pressure, severe allergic reactions, severe skin reactions, respiratory problems, liver abnormalities, serious neurological symptoms, severe swelling or urinary disturbances.

Mild side effects

• Dizziness
• headache
• decreased libido
• drowsiness
• sensory abnormalities
• numbness
• lightheadedness
• palpitations
• rapid heartbeat
• hypotension

This medication may be sensitive to air or moisture, so it should be stored in a tightly sealed container. The recommended storage temperature is between 1 degree and 30 degrees Celsius at room temperature. This helps in maintaining the medication's effectiveness and safety.

Appearance

Brownish-red round film-coated tablet

Package unit

30 tablets/ PTP [(10 tablets/PTP X 3)]