Culmi H 12.5mg/20mg Tablet is a combination of two medicines. It helps to control high blood pressure in different ways. If high blood pressure is not treated it can lead to heart attacks, strokes and kidney failure.
You can take Culmi H 12.5mg/20mg Tablet with or without food. The dose will depend on your condition and how you respond to the medicine. Try to take it at the same time each day. It is important to keep taking this medicine until your doctor tells you not to. It contains a diuretic (water pill) and will make you urinate more so, it is best to avoid taking this medicine within four hours of going to bed. Use this medicine regularly to get the most benefit from it even if you feel well. High blood pressure does not usually have symptoms and if you stop taking it your risk of heart attack or stroke may increase.
The most common side effect is dizziness. Other side effects include weakness, headache, tiredness, chest pain, and edema. Frequent urination is not a side effect of this drug. You may experience other possible side effects, but most are rare. It may occasionally lead to an increase in pressure in your eye and lead to permanent eye damage if not treated. Make sure you read the leaflet that comes with your medicines and tell your doctor if you are bothered by side effects or they do not go away. It may be possible to adjust your dose or try a different medicine.
This drug is not recommended during pregnancy or while breastfeeding and you should ask your doctor before taking it if you have kidney or liver disease, heart trouble or diabetes. Drinking alcohol can further lower your blood pressure and may cause side effects.
Culmi H 12.5mg/20mg Tablet is a combination of two medicines namely Olmesartan and Hydrochlorothiazide. It is generally used when one medicine alone is not controlling your blood pressure effectively. Olmesartan works by relaxing and widening your blood vessels so your blood can flow more easily. This will lower your blood pressure. Hydrochlorothiazide is known as a diuretic (water pill) which increases urine output thereby lowering blood pressure. If your blood pressure is controlled you are less at risk of having a heart attack, stroke, or kidney problems. The medicine must be taken regularly as prescribed to be effective. You do not usually feel any direct benefit from taking this medicine, but it works in the long term to keep you well.
Side effects of Culmi H Tablet
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Culmi H
Dizziness
Weakness
Tiredness
Edema (swelling)
Chest pain
Upper respiratory tract infection
Headache
Increased triglyceride level in blood
Increased uric acid level in blood
Abdominal pain
Back pain
Skeletal pain
Blood in urine
Increased liver enzymes
Increased blood urea
How to use Culmi H Tablet
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Culmi H 12.5mg/20mg Tablet may be taken with or without food, but it is better to take it at a fixed time.
How Culmi H Tablet works
Culmi H 12.5mg/20mg Tablet is a combination of two medicines:.
Safety advice
Alcohol
UNSAFE
Culmi H 12.5mg/20mg Tablet may cause excessive drowsiness with alcohol.
Pregnancy
CONSULT YOUR DOCTOR
Culmi H 12.5mg/20mg Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Breast feeding
SAFE IF PRESCRIBED
Culmi H 12.5mg/20mg Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Driving
UNSAFE
Culmi H 12.5mg/20mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Culmi H 12.5mg/20mg Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Culmi H 12.5mg/20mg Tablet may be needed. Please consult your doctor. Regular monitoring of blood pressure is advisable for dose adjustment.
Liver
CAUTION
Culmi H 12.5mg/20mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Culmi H 12.5mg/20mg Tablet may be needed. Please consult your doctor.
What if you forget to take Culmi H Tablet?
If you miss a dose of Culmi H 12.5mg/20mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
You have been prescribed Culmi H 12.5mg/20mg Tablet for the treatment of high blood pressure.
It can be taken with or without food.
Culmi H 12.5mg/20mg Tablet may cause dehydration. Drink plenty of fluids and inform your doctor if you develop extreme thirst, very dry mouth or muscle weakness.
It may cause dizziness. Get up slowly when rising from a sitting or lying position.
Use of Culmi H 12.5mg/20mg Tablet during pregnancy or breastfeeding is unsafe.
It may also decrease the risk of stroke and heart attacks.
Fact Box
Habit Forming
No
Therapeutic Class
CARDIAC
Patient concerns
I am a patient of hypertension
Dr. Jyoti Kapoor Madan
Psychiatry
Hypertension is clinal condition of high blood pressure. Please see a physician.
Hypertension is clinically high blood pressure. Persistent high arterial blood pressure above 120/80 mm HG is termed as pre-hypertension or hypertension, but the point to be emphasized is that this rise in blood pressure is persistent. Transient increase in BP occurs in stress and anxiety and needs to be treated accordingly.
I'm type 2 diabetic patient with hypertension, l am taking following medicines Tezloc 40 - OD Glimisave Max-1 forte. BBF Glimisave Max-2 forte Cd Rozavel -5. Hs My usual blood pressure -80/145 Usual Blood glucose levels :fasting -120 PP-180 Hba1c - 7.6 Pl suggest me whether I need any change in medicines etc. I'm taking Januvia-100 also
Dr. Nabajit Talukdar
Cardiology
seems ok basically need control of blood pressure and hypertension get an ecg n echo done
High blood sugar lavel. Gallstone. High blood pressure
Dr. Sanjay Bhatt
Physician
Need to proper investigate and examine. So plz consult doctor nearby.or you can consult me at snergy multiple speciality clinic RD CITY ,BALJEET COMPLEX NEAR SRS MARKET SECTOR 52 gurgaon 9XXXXXX .Advice to maintain calories intake as per weight ,regular walk or aerobic exercises ,on time take your medicines and once a month visit your diabetologist for routine examination and investigations. Will definitely controlled your sugar and u can live healthy life.
Need to proper investigate and examine. So plz consult doctor nearby.or you can consult me at snergy multiple speciality clinic RD CITY ,BALJEET COMPLEX NEAR SRS MARKET SECTOR 52 gurgaon 9XXXXXX .Advice to maintain calories intake as per weight ,regular walk or aerobic exercises ,on time take your medicines and once a month visit your diabetologist for routine examination and investigations. Will definitely controlled your sugar and u can live healthy life.
Q. How long does it take for Culmi H 12.5mg/20mg Tablet to work?
You may notice a decrease in your blood pressure effectively within 2 weeks of starting Culmi H 12.5mg/20mg Tablet. However, it may take about 8 weeks to see the full benefits of this medicine.
Q. At what time of the day should you take Culmi H 12.5mg/20mg Tablet?
Your doctor may suggest to take your first dose before bedtime, considering that this medicine can make you feel dizzy. After the very first dose you can take Culmi H 12.5mg/20mg Tablet at any time of the day. It is important to take this medicine at the same time every day.
Q. Can I feel dizzy after taking Culmi H 12.5mg/20mg Tablet?
Yes, the use of Culmi H 12.5mg/20mg Tablet can make you feel dizzy. This may occur when you suddenly get up from a lying or sitting position. To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
Q. What are the other lifestyle changes I should make while using Culmi H 12.5mg/20mg Tablet?
Lifestyle changes play a major role in keeping you healthy if you are taking Culmi H 12.5mg/20mg Tablet. Avoid taking excess salt in your diet and find ways to reduce or manage stress in your life. Practice yoga or meditation or take up a hobby. Ensure that you have a sound sleep every night as this also helps to reduce stress levels and helps to keep your blood pressure normal. Stop smoking and alcohol consumption as this helps in lowering your blood pressure and preventing heart problems. Exercise regularly and take a balanced diet that includes whole grains, fresh fruits, vegetables and fat-free products. Consult your doctor if you need any further guidance to get the maximum benefit of Culmi H 12.5mg/20mg Tablet and to keep yourself healthy.
Q. Can Culmi H 12.5mg/20mg Tablet cause weight gain?
No, Culmi H 12.5mg/20mg Tablet does not cause weight gain. However, in very rare cases, chronic diarrhea with substantial weight loss may occur. If a patient develops diarrhea while taking Culmi H 12.5mg/20mg Tablet and no other cause of diarrhea can be deduced, then the doctor may advise the patient to discontinue it immediately and recommend another medicine.
Q. What are the serious side effects of Culmi H 12.5mg/20mg Tablet?
The serious side effects of Culmi H 12.5mg/20mg Tablet include skin rash or itchiness, painful joints, fast heart beat, shortness of breath or tightness in the chest. Serious side effects may also include aching, tender or weak muscles not caused by exercise and swelling of the hands, feet or ankles. Culmi H 12.5mg/20mg Tablet may also cause symptoms that may indicate high potassium levels in the blood, such as nausea, diarrhea, muscle weakness and change in heart rhythm. If you experience any of these symptoms, call your doctor immediately.
Q. Can Culmi H 12.5mg/20mg Tablet affect my fertility or sex life?
Some blood pressure medicines (including water pills like hydrochlorothiazide) may affect a man’s ability to gain or maintain an erection (erectile dysfunction). However, it is thought that other blood pressure medicines can actually improve erectile dysfunction. If you are worried or notice some changes, talk to your doctor. There is no firm evidence which suggests any effect on the fertility of either men or women with the use of Culmi H 12.5mg/20mg Tablet.
Q. For how long do I need to take Culmi H 12.5mg/20mg Tablet? Is it safe to take long term?
You may have to take Culmi H 12.5mg/20mg Tablet life long. Culmi H 12.5mg/20mg Tablet controls high blood pressure but does not cure it. Do not stop taking it even if your blood pressure is well controlled. Culmi H 12.5mg/20mg Tablet is generally considered safe to be taken for long term. In some cases, long-term use may adversely affect the kidneys and the kidneys may not function as they should. Therefore, your doctor may prescribe regular blood tests to check urea, creatinine and potassium levels to keep a track of how well your kidneys are working.
Q. Can I take Culmi H 12.5mg/20mg Tablet before surgery?
Your doctor may advise you to stop taking Culmi H 12.5mg/20mg Tablet 24 hours before surgery. This is because Culmi H 12.5mg/20mg Tablet can further reduce your blood pressure when used with anesthetics. So, inform your doctor that you are taking Culmi H 12.5mg/20mg Tablet if you will be given general anesthetics (medicines that put you to sleep) or are scheduled to have any surgery.
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References
Olmesartan medoxomil/hydrochlorothiazide. Pfaffenhofen, Germany: Daiichi Sankyo Europe GmbH; 2018. [Accessed 11 Apr. 2019] (online) Available from:
Olmesartan medoxomil + hydrochlorothiazide. Parsippany, New Jersey: Daiichi Sankyo, Inc; 2006. [Accessed 10 Apr. 2019] (online) Available from:
DailyMed. Olmesartan medoxomil-hydrochlorothiazide. [Accessed 11 Apr. 2019] (online) Available from:
Olmesartan medoxomil+hydrochlorothiazide. Pfaffenhofen, Germany: Daiichi Sankyo Europe GmbH; 2018. [Accessed 11 Apr. 2019] (online) Available from:
Olmesartan medoxomil/hydrochlorothiazide. Pfaffenhofen, Germany: Daiichi Sankyo Europe GmbH; 2018. [Accessed 22 Apr. 2019] (online) Available from:
Country of origin: India Expires on or after: December, 2024
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