Triolmesar 20 Tablet is an 'anti-hypertensives' medication primarily used for lowering high blood pressure (hypertension) by removing extra fluid (electrolytes) from the body. High blood pressure is a chronic condition in which the blood's force against the artery wall is high. As a result, it increases the risk of heart-related diseases like heart attack, heart failure, stroke, irregular heartbeat and other complications.

Triolmesar 20 Tablet is a combination of three medicines: Amlodipine, Hydrochlorothiazide and Olmesartan. Amlodipine is a calcium channel blocker that dilates (widens) blood vessels and increases blood flow. Altogether, it helps to lower high blood pressure, chest pain (angina) and other conditions caused by coronary artery disease. Hydrochlorothiazide is a diuretic or water pill that works by removing extra water/fluid and certain electrolyte overload from the body. Together, Triolmesar 20 Tablet lowers fluid overload, raises blood pressure, improves blood flow and reduces the future risk of a heart attack and stroke. On the other hand, Olmesartan is an angiotensin receptor blocker (ARB) that blocks the hormone angiotensin, thereby relaxing and widening the narrowed blood vessels. This allows the blood to flow more smoothly in the blood vessels, and the heart can pump more efficiently.

You can take Triolmesar 20 Tablet with food or without food with a glass of water. Do not chew, bite or break it. Your doctor will advise you on how often you take your tablets based on your medical condition. In some cases, you may experience nausea, upset stomach, dehydration, headache, diarrhoea, electrolyte imbalance, dizziness and decreased blood pressure. Most of these side effects of Triolmesar 20 Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Do not use potassium supplements or salt substitutes unless your doctor tells you. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Do not take this Triolmesar 20 Tablet if you have diabetes mellitus, liver and kidney problems and low blood pressure. If you notice unexplained muscle pain, dark colour urine, tenderness or weakness, especially if you also have a fever or unexplained tiredness, immediately contact the doctor. If you have any allergy to amlodipine, hydrochlorothiazide, and olmesartan, then do not take this Triolmesar 20 Tablet . Try not to stop taking this medicine of your own. Let your doctor know about this, as it may cause a rise in blood pressure and increase heart disease and stroke risk. Inform your doctor if you are suffering from kidney, liver, heart disease, or diabetes.

Triolmesar 20 Tablet is a combination of three medicines: Amlodipine, Hydrochlorothiazide, and Olmesartan. Amlodipine is a calcium channel blocker that dilates (widens) blood vessels and increases blood flow. Altogether, it helps to lower high blood pressure, chest pain (angina) and other conditions caused by coronary artery disease. Hydrochlorothiazide is a diuretic or water pill that works by removing extra water/fluid and certain electrolyte overload from the body. Together, Triolmesar 20 Tablet lowers fluid overload, raises blood pressure, improves blood flow and reduces the future risk of a heart attack and stroke. On the other hand, Olmesartan is an angiotensin receptor blocker (ARB) that blocks the hormone angiotensin, thereby relaxing and widening the narrowed blood vessels. This allows the blood to flow more smoothly in the blood vessels, and the heart can pump more efficiently.

• Nausea
• Stuffy nose/sore throat
• Upset stomach
• Diarrhoea
• Headache
• Dizziness
• High level of uric acid
• Electrolyte imbalance
• Dehydration.
• Decreased blood pressure

Do not use Triolmesar 20 Tablet if you are pregnant, planning for pregnancy, or unable to urinate (anuria). If you have diabetes and taking Triolmesar 20 Tablet with other blood pressure-lowering pills like 'aliskiren', immediately stop taking both together and consult a doctor. Besides this, it is contraindicated in low blood pressure (hypotension), cardiogenic shock (sudden stopping of blood flow to the heart) and aortic stenosis (heart valve problem). Triolmesar 20 Tablet may pass into breast milk, so before starting Triolmesar 20 Tablet , either you need to stop nursing or you should not take Triolmesar 20 Tablet while breastfeeding. Please inform your doctor before surgery if you are taking Triolmesar 20 Tablet as it needs to be stopped because it might lower the blood pressure further if taken along with local anaesthesia. Avoid potassium salt or its substitute intake while using Triolmesar 20 Tablet to avoid any electrolyte imbalance.

Drug-Drug interactions: Triolmesar 20 Tablet  may interact with an antidepressant (lithium), antidiabetic medicines (metformin, insulin), drugs used to treat erectile dysfunction (sildenafil), medications used to lower cholesterol levels (simvastatin), immunosuppressants (cyclosporine), other anti-hypertensive medicines (atenolol, aliskiren, enalapril, lisinopril, ramipril, metoprolol) and pain killers (ibuprofen).

Drug-Food Interactions: Minimize high potassium foods intake and avoid over-the-counter potassium supplements, grapefruit or grapefruit juice.

Drug-Disease Interactions: Triolmesar 20 Tablet may interact with disease conditions, including low blood pressure, heart, and kidney, difficulty in urination, liver problems or severe dehydration, hyperkalemia (high potassium levels in the blood), and diabetes should consult the doctor before taking Triolmesar 20 Tablet .

• LITHIUM
• METFORMIN
• INSULIN
• SILDENAFIL
• SIMVASTATIN
• CYCLOSPORINE
• ATENOLOL
• ALISKIREN
• ENALAPRIL
• LISINOPRIL
• RAMIPRIL
• METOPROLOL
• IBUPROFEN

• Consume antioxidant-rich food. Blueberries, cherries, tomatoes, squash, and bell peppers are highly antioxidants.
• Eat natural diuretic foods. Asparagus, beets, green beans, grapes, onion, leafy greens, pineapple, leeks, pumpkin, and garlic are all-natural diuretic foods.
• Use healthy cooking oils like soybean, olive, canola, and coconut oil.
• You should avoid refined foods such as white bread, spaghetti, sugar, and red meat.
• Reduce or eliminate Trans fatty acids, which are found in commercially baked items such as cookies, cakes, crackers, French fries, onion rings, doughnuts, and processed foods.
• Avoid the consumption of too much salt or salty food.
• Keep your weight under control with a BMI of 19.5-24.9.
• Regular physical activity or exercise like walking improves your blood flow.
• Elevate your legs or the swollen area on a chair or pillow.
• Avoid standing or sitting for extended periods.
• Avoid chronic stress, as it can raise your blood pressure.
• Spend time with your loved ones to cope with stress and practice mindfulness techniques.
• Quitting smoking and alcohol consumption is the best strategy to lower the risk of many health complications.

• Keep a check on your daily blood pressure, and if you notice any fluctuations, please consult a doctor. A low salt/sodium diet and regular exercise are recommended along with Triolmesar 20 Tablet for effective results.
• If you have diabetes and taking Triolmesar 20 Tablet with other blood pressure-lowering pills like 'aliskiren', immediately stop taking both together and consult a doctor, as it may cause serious complications.
• Use of Triolmesar 20 Tablet is not recommended during the 1st trimester of pregnancy and is contraindicated during the 2nd and 3rd trimesters.

Hypertension: The blood exerts increased pressure on the walls of blood vessels leading to hypertension. High blood pressure is expressed as systolic/diastolic pressure. Systolic pressure is the pressure in the arteries when the heart beats or pumps out blood. Diastolic pressure is the pressure in the arteries between the heartbeats. Blood pressure is measured in millimetres of mercury (mmHg) by a blood pressure monitor called a sphygmomanometer. Some of the symptoms are headache, dizziness, nosebleeds, altered vision, chest pain, weakness, and shortness of breath. However, most of the time, the signs and symptoms of hypertension are none.