高血壓 (ARB) 高血壓 (CCB) Management of hypertension (monotherapy or with other antihypertensive agents).
藥理
Amlodipine: Directly acts on vascular smooth muscle to produce peripheral arterial vasodilation reducing peripheral vascular resistance and blood pressure.
Olmesartan: Blocks the vasoconstrictor and aldosterone-secreting effects of angiotensin II.(UTD)
藥動學
See individual agents.
禁忌症
Concomitant use with aliskiren in patients with diabetes mellitus
Documentation of allergenic cross-reactivity for angiotensin receptor blockers is limited. However, because of similarities in chemical structure and/or pharmacologic actions, the possibility of cross-sensitivity cannot be ruled out with certainty.
懷孕分類
[US Boxed Warning]: Drugs that act on the renin-angiotensin system can cause injury and death to the developing fetus. Discontinue as soon as possible once pregnancy is detected. See individual agents.(UTD)
哺乳分類
Amlodipine is excreted in breast milk ; excretion of olmesartan is unknown. Due to the potential for serious adverse reactions in the nursing infant, the manufacturer recommends a decision be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of treatment to the mother.
副作用
>10%: Cardiovascular: Peripheral edema (dose related: 18% to 26%).
劑量和給藥方法
Dosage is individualized. Initial: Amlodipine 5 mg/olmesartan 20 mg once daily; dose may be increased after 1 to 2 weeks of therapy. Maximum dose: Amlodipine 10 mg/olmesartan 40 mg per day.
小兒調整劑量
腎功能調整劑量
There are no dosage adjustments provided in the manufacturer’s labeling (has not been studied).(UTD)
肝功能調整劑量
There are no dosage adjustments provided in the manufacturer’s labeling (has not been studied).(UTD)