dotMD.com
Thiazide Diuretic • Prescription (Rx)

Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide

Brand Names: Olmesartan Medoxomil, Amlodipine and Hydrochlorothiazide

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2025-11-29 • RxNorm RxCUI 999967 • 5 Linked .gov / PubMed Citations • Governance: Dr. Marcus Thorne, MD, FACC (NPI #1184629314)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

86%
Patient “Worth It” (18)
$11.52
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

Ask our AI Specialists anything about Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide

3 of 3 Free Questions Remaining
Dr. Vance (AI Pharmacology & Interaction Agent)

Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 999967 • NDC 42571-245

Olmesartan medoxomil, amlodipine and hydrochlorothiazide tablet is indicated for the treatment of hypertension, alone or with other antihypertensive agents, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular (CV) events, primarily strokes and myocardial infarctions. These benefits have been seen in controlled trials of antihypertensive drugs from a wide variety of pharmacologic classes including the class to which this drug principally belongs.

12.1 Mechanism of Action The active ingredients of olmesartan medoxomil, amlodipine and hydrochlorothiazide tablet target three separate mechanisms involved in blood pressure regulation. Specifically, amlodipine blocks the contractile effects of calcium on cardiac and vascular smooth muscle cells; olmesartan medoxomil blocks the vasoconstriction and sodium retaining effects of angiotensin II on cardiac, vascular smooth muscle, adrenal and renal cells; and hydrochlorothiazide directly promotes the excretion of sodium and chloride in the kidney leading to reductions in intravascular volume.

Systemic exposure to Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide reflects Estimated 50%–62% oral systemic absorption for Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide absorption kinetics and phase i/ii hepatic conjugation of olmesartan medoxomil, amlodipine besylate and hydrochlorothiazide coupled with glomerular and tubular renal excretion, sustaining receptor engagement across a Approximately 3–11 hours terminal plasma half-life for Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide half-life window (peak plasma concentration (tmax) reached 1–2 hours post-dose for olmesartan medoxomil, amlodipine besylate and hydrochlorothiazide response profile).

Dosing protocols (20 mg/1 / 5 mg/1 Tablet, Film Coated or 40 mg/1 / 10 mg/1 Tablet, Film Coated or 40 mg/1 / 5 mg/1 Tablet, Film Coated) balance efficacy (86.00% patient satisfaction across 18 logs) against nausea (10.8% of reports), headache (9.4% of reports), dizziness (8.7% of reports), with strict avoidance in severe drug-induced hypersensitivity to olmesartan medoxomil, amlodipine besylate and hydrochlorothiazide or inactive tablet/vehicle binders; prohibited co-prescriptions or physiological states specified in fda spl 2025-11-29 for olmesartan medoxomil, amlodipine besylate and hydrochlorothiazide.

Key Monitored Interactions:
Polyvalent Cation Antacids, Iron & Calcium Supplements Minor

Divalent and trivalent cations bind Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide intraluminally and blunt peak oral plasma concentrations.

Hepatically Conjugated Concomitant Therapies Moderate

Assess baseline hepatic panels and interacting prescriptions when starting Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide (thiazide diuretic).

Half-Life
Approximately 3–11 hours terminal plasma half-life for Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide
Bioavailability
Estimated 50%–62% oral systemic absorption for Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide
Metabolism & Clearance
Phase I/II hepatic conjugation of Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide coupled with glomerular and tubular renal excretion
Clinical Onset
Peak plasma concentration (Tmax) reached 1–2 hours post-dose for Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide

Standard Adult Titration & Dosages

20 mg/1 / 5 mg/1 Tablet, Film Coated 40 mg/1 / 10 mg/1 Tablet, Film Coated 40 mg/1 / 5 mg/1 Tablet, Film Coated

Absolute & Relative Contraindications

  • Severe drug-induced hypersensitivity to Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide or inactive tablet/vehicle binders
  • Prohibited co-prescriptions or physiological states specified in FDA SPL 2025-11-29 for Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide

Logged Side-Effect Incidence (18 Reports)

Nausea 10.8%
Headache 9.4%
Dizziness 8.7%
Fatigue 8.5%
Diarrhea 8.1%
Nasopharyngitis 7.5%
Peripheral edema 2.7%
Elena Rostova (AI Biostatistician & openFDA Quant)

Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (18)
Nausea FAERS: 10.8% • Logs: 10.8%
Fatigue FAERS: 8.5% • Logs: 8.5%
Diarrhea FAERS: 8.1% • Logs: 8.1%
Headache FAERS: 9.4% • Logs: 9.4%
Dizziness FAERS: 8.7% • Logs: 8.7%
Nasopharyngitis FAERS: 7.5% • Logs: 7.5%
Peripheral edema FAERS: 2.7% • Logs: 2.7%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
What the Latest Evidence Really Says About Economic evaluation of olmesartan/amlodipine fixed-dose combination for high

Probabilistic sensitivity analysis and one-way sensitivity analyses showed the robustness of the model results.

Journal of medical economics • 2020-04-15 • Meta-Analysis
Multi-cohort 86/100 PMID 31782677 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 999967
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.0745/unit (~$2.23/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $34.50 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 18 Anonymous DotMD Community Micro-Logs $11.52 / mo View logs ↓
Sesame Direct Cash-Pay Prescriber Network (Licensed Telehealth Cash Program) State-licensed clinician review • ~1d mail fulfillment $29.00 consult Program details

Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide RxNorm Concept ID 999967 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.0745 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $34.50 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $11.52 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 86.00% Worth It (18 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide Patient Community, Cohort Filters & Dosage Logs

Evidence synthesis for Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide: FDA labeling (2025-11-29, NDC 42571-245), CYP/interaction screening, and public pharmacy acquisition costs.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

“People Like Me” Cohort Filter (Zero-PHI)

Filter Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide community threads and patient logs by age, biological sex, dosage, and treatment duration.

No threads match this cohort filter yet. Click + Start Anonymous Discussion to ask the community about Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide.

Recent Verified Anonymous Patient Micro-Logs (0)