Consumer Information for: ACH-OLMESARTAN

Consumer Information

Information about the product including what the product is used for, dosage, warnings, proper use and side effects. This summary will not tell you everything about the product. Contact your healthcare professional if you have any questions about the product.


What the medication is used for

ACH-Olmesartan is an angiotensin receptor blocker (ARB) used to lower blood pressure in adults and children above 6 years old.

High blood pressure increases the workload of the heart and arteries. If this condition continues for a long time, damage to the blood vessels of the brain, heart, and kidneys can occur, and may eventually result in a stroke, heart or kidney failure. High blood pressure also increases the risk of heart attacks. Reducing your blood pressure decreases your risk of developing these illnesses.

What it does

ACH-Olmesartan contains olmesartan medoxomil which is a drug that prevents the hormone, in your body that causes the blood vessels to constrict. ACH-Olmesartan lowers blood pressure by relaxing your blood vessels

ACH-Olmesartan does not cure your high blood pressure. It helps to control it. Therefore, it is important to continue taking ACH-Olmesartan regularly even if you feel fine.

When it should not be used

Do not use ACH-Olmesartan if you:

  • are allergic to olmesartan medoxomil or to any of the other ingredients of ACH-Olmesartan
  • have experienced an allergic reaction with swelling of the hands, feet, or ankles, face, lips, tongue, throat, or sudden difficulty breathing or swallowing, to any ARB. (You can recognize an ARB because its medicinal ingredient ends in “-SARTAN”)Be sure to tell your doctor, nurse, or pharmacist that this has happened to you.
  • are pregnant or intend to become pregnant. If this is the case, talk to your doctor as soon as possible. Taking ACH-Olmesartan during pregnancy can cause harmand even death to your baby.
  • are breastfeeding. It is possible that ACH-Olmesartan passes into breast milk.
  • have diabetes or kidney disease and are already taking a medicine that contains aliskiren (such as Rasilez) used to lower high blood pressure

ACH-Olmesartan is not recommended for use in children below the age of 6 years

What the medicinal ingredient is

olmesartan medoxomil

What the non-medicinal ingredients are

hydroxypropyl cellulose, hypromellose, lactose monohydrate, low-substituted hydroxypropyl cellulose, magnesium stearate, microcrystalline cellulose, purified talc, and titanium dioxide.

What dosage form it comes in

ACH-Olmesartan film-coated tablets: 20 mg (white to off white, round, biconvex) or 40 mg (white to off white, oval, biconvex)

Warnings and precautions

Serious Warnings and Precautions

ACH-Olmesartan should not be used during pregnancy. Taking ACH-Olmesartan during pregnancy can cause harm and even death to your baby. If you discover that you are pregnant while taking ACH-Olmesartan, stop the medication as soon as possible and contact your doctor.

To help avoid side effects and ensure proper use, talk to your healthcare professional before you take ACH-Olmesartan. Talk about any health conditions or problems you may have, including if you:

  • have experienced an allergic reaction to any drug used to lower blood pressure.
  • have a narrow heart valve or arteries.
  • had a heart attack or have heart or blood vessel disease.
  • had a stroke or have a condition that affects the blood supply to the brain
  • have liver or kidney disease.
  • have blocked bile ducts
  • have diabetes
  • are dehydrated or suffer from excessive vomiting, diarrhea, or sweating.
  • are on a low-salt diet.
  • are taking a salt substitute that contains potassium, potassium supplements, or a potassium-sparing diuretic (a specific kind of “water pill” that makes your body keep potassium).
  • are taking a medicine that contains aliskiren, such as Rasilez, used to lower high blood pressure.
  • are taking an angiotensin converting enzyme inhibitor (ACEI). You can recognize ACEIs because their medicinal ingredient ends in “-PRIL”.
  • are less than 18 years old or the drug is for your child

Other warnings you should know about

ACH-Olmesartancan prevent the normal growth of your baby’s kidneys and skull if you take the drug during the second and third trimester. Your doctor may recommend an ultrasound.

ACH-Olmesartan can cause severe chronic diarrhea with substantial weight loss (sprue-like enteropathy). It can take months to years for symptoms to develop.

Driving and using machines: Before you perform tasks which may require special attention, wait until you know how you respond to ACH-Olmesartan. Dizziness, lightheadedness, or fainting can occur when you take the drug for the first time and when your dosage is increased.

Interactions with this medication

Tell your healthcare professional about all the medicines you take, including any drugs, vitamins, minerals, natural supplements, or alternative medicines.

The following may interact with ACH-Olmesartan:

  • Agents increasing serum potassium, such as a salt substitute that contains potassium, potassium supplements, or a potassium-sparing diuretic (a specific kind of “water pill”).
  • Blood pressure lowering drugs, including diuretics (“water pills”), aliskiren-containing products (e.g. Rasilez), or angiotensin converting enzyme inhibitors (ACE Inhibitors).
  • Diuretics
  • Lithium used to treat bipolar disease.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs), used to reduce pain and swelling. Examples include ibuprofen, naproxen, and celecoxib (COX-2 Inhibitor).
Proper use of this medication

How to take ACH-Olmesartan

  • ACH-Olmesartan may be taken with or without food.
  • Take exactly as directed by your doctor. Do NOT take more of it than prescribed.

Usual Dose

For adult patients

  • 20 mg tablet once daily.
  • Can be increasedto 40 mg once daily by your doctor if your blood pressure is not well controlled after two weeks of treatment

For pediatric patientsage (6 to 16 years old)

Weight between 20 kg to less than 35 kg:

  • 10mg once daily.
  • Can be increased to 20mg once daily by the doctor if blood pressure is not well controlled, after two weeks of treatment

Weight of 35 kg or more:

  • 20 mg once daily.
  • Can be increased to 40 mg once daily if blood pressure is not well controlled after two weeks of treatment.

Overdose

If you think you, or a person you are caring for, have taken too much ACH-Olmesartan, contact a healthcare professional, hospital emergency department, or regional poison control centre immediately, even if there are no symptoms.

Missed Dose

If you have forgottento take your dose during the day, carry on with the next one at the usual time. Do not double dose.

Side effects and what to do about them

These are not all the possible side effects you may feel when taking ACH-Olmesartan. If you experience any side effects not listed here, contact your doctor.
Any medicine may have unintended or undesirable effects, so-called side effects.

Side effects may include:

  • Back pain
  • Decreased appetite
  • Dizziness and headache
  • Gastrointestinal problems
    • Constipation
    • Diarrhea
    • Nausea
    • Upset stomach
    • Vomiting
  • Joint pain
  • Muscle cramps,spasms and pain
  • Rash, red itchy patches on skin
  • Restlessness and weakness
  • Upper respiratory infection
    • Congested and runny nose
    • Cough
    • Sore throat

ACH-Olmesartan can cause abnormal blood test results. Your doctor will decide when to perform blood tests and will interpret the results.

Serious side effects and what to do about them
Symptom / effect Talk to your healthcare professional Only if severe Talk to your healthcare professional In all cases Stop taking drug and get immediate medical help
Common
Low Blood Pressure: dizziness, fainting, lightheadedness    
Bronchitis: shortness of breath, weakness, high fever, coughing, fatigue, wheezing or whistling sound when breathing    
Hematuria (blood in urine): pink, red or very dark urine.    
Uncommon
Ear Disorder (Vertigo): a sense of dizziness, spinning.    
Tachycardia (abnormally fast heartbeat): dizziness, light headedness, shortness of breath, racing heart.    
Hyperuricaemia (Increased levels of uric acid in the blood): swelling and redness in the joints.    
Chest Pain: : Pressure or tightness in your chest    
Edema: unusual swelling of the arms, hands, legs, feet and ankles.    
Kidney Disorder: change in frequency of urination, nausea, vomiting, swelling of extremities, fatigue    
Liver Disorder: yellowing of the skin or eyes, dark urine, abdominal pain, nausea, vomiting, loss of appetite    
RARE
Acute Kidney Failure decrease or absence of urine, generalized swelling, weakness, shortness of breath, or irregular heartbeats, loss of appetite, lethargy and fatigue.    
Allergic Reaction: rash, hives, swelling of the face, lips, tongue or throat, difficulty swallowing or breathing .    
Rhabdomyolysis: muscle pain that you cannot explain, muscle tenderness or weakness, dark brown urine.    
Increased levels of potassium in the blood: irregular heartbeats, muscle weakness and generally feeling unwell.    
UNKNOWN
Sprue-like enteropathy: severe chronic diarrhea with substantial weight loss.    

If you have a troublesome symptom or side effect that is not listed here or becomes bad enough to interfere with your daily activities, talk to your healthcare professional.

How to store

The tablets should be stored at room temperature between 15°C to 30°C.

Keep out of sight and reach of children and pets.

Reporting side effects

Reporting Side Effects

You can report any suspected side effects associated with the use of health products to Health Canada by:

NOTE: Contact your health professional if you need information about how tomanage your side effects. The Canada Vigilance Programdoes not provide medical advice

More information

If you want more information about ACH-Olmesartan:

This leaflet was prepared by
Accord Healthcare Inc.
3535 boul. St-Charles, Suite 704
Kirkland, QC, H9H 5B9

Last revised: October 6, 2021