Biolsar 20 Tablet: Complete Guide to Uses, Side Effects, and Safety
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe dizziness or fainting
- Decreased urine output or swelling in legs
- Irregular heartbeat or palpitations
- Muscle weakness or cramps
- Swelling of face, lips, or throat
- Severe abdominal pain
- Yellowing of skin or eyes
If experiencing severe symptoms, call emergency services immediately.
What is ibolme ct ld 20mg/6.25mg tablet used for?
This medicine is a combination of Olmesartan Medoxomil 20 mg and Chlorthalidone 6.25 mg used to treat high blood pressure. It works by relaxing blood vessels and removing excess fluid. Take it once daily as prescribed.
- Generic Name: Olmesartan Medoxomil (20mg) + Chlorthalidone (6.25mg)
- Manufacturer: Indiabulls pharmaceutical ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ibolme ct ld 20mg/6.25mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा उच्च रक्तचाप (हाइपरटेंशन) के इलाज के लिए इस्तेमाल की जाती है। यह ओल्मेसार्टन मेडोक्सोमिल और क्लोर्थालिडोन का संयोजन है। यह रक्त वाहिकाओं को आराम देकर और शरीर से अतिरिक्त नमक और पानी को बाहर निकालकर रक्तचाप को कम करती है। यह दवा स्ट्रोक, दिल के दौरे और गुर्दे की समस्याओं के जोखिम को कम करने में मदद करती है। इसे डॉक्टर के निर्देशानुसार ही लें।
साइड इफेक्ट्स: आम दुष्प्रभावों में चक्कर आना, सिरदर्द, थकान और बार-बार पेशाब आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें गंभीर निर्जलीकरण, इलेक्ट्रोलाइट असंतुलन, गुर्दे की समस्या, एलर्जी और बहुत कम रक्तचाप शामिल हो सकते हैं। यदि आपको मांसपेशियों में कमजोरी, अनियमित दिल की धड़कन या सूजन महसूस हो तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। डॉक्टर से पूछे बिना दवा बंद या मात्रा न बदलें। पर्याप्त पानी पिएं, खासकर गर्म मौसम में। शराब से बचें क्योंकि इससे चक्कर और कम रक्तचाप बढ़ सकता है। धीरे-धीरे उठें ताकि गिरने से बचें। यदि आपको गुर्दे या लीवर की बीमारी, मधुमेह या गाउट है तो डॉक्टर को बताएं। नियमित रूप से गुर्दे की कार्यप्रणाली और इलेक्ट्रोलाइट्स की जांच कराएं। गर्भावस्था में यह दवा नुकसानदायक हो सकती है, इसलिए गर्भनिरोधक का उपयोग करें और गर्भवती होने पर डॉक्टर को बताएं।
💊 ibolme ct ld 20mg/6.25mg tablet Uses & Benefits
[{"condition":"Hypertension","description":"Used to lower high blood pressure when monotherapy is insufficient, reducing cardiovascular and renal risk.","evidence":"Well-established"}]
Off-label uses: []
Primary treatment for: Hypertension
Also treats: Heart failure, Diabetic nephropathy, Stroke prevention
📋 Drug Information
| Generic Name(s) | Olmesartan Medoxomil (20mg) + Chlorthalidone (6.25mg) |
| Brand Name | ibolme ct ld 20mg/6.25mg tablet |
| Manufacturer | Indiabulls pharmaceutical ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
Olmesartan medoxomil blocks angiotensin II type 1 (AT1) receptors, preventing angiotensin II from causing vasoconstriction and aldosterone release, thereby lowering blood pressure. Chlorthalidone inhibits sodium reabsorption in the distal convoluted tubule, increasing excretion of sodium, chloride, and water, which reduces plasma volume and peripheral resistance. Together they provide complementary blood pressure reduction.
Mechanism Steps
💡 How to Take ibolme ct ld 20mg/6.25mg tablet
Strength: Tablet containing Olmesartan Medoxomil 20 mg and Chlorthalidone 6.25 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet once daily, taken orally with or without food. The dose may be adjusted by your doctor based on your blood pressure response and tolerability. Do not exceed the recommended dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the blood pressure-lowering effects. Start with a lower dose and monitor closely for dizziness and falls. Dose must be individualized by a qualified clinician. |
| Renal Impairment | In patients with mild to moderate renal impairment, no dose adjustment is usually needed, but monitor kidney function and electrolytes. In severe renal impairment (eGFR <30 mL/min/1.73 m2), use is not recommended. Dose must be individualized by a qualified clinician. |
| Hepatic Impairment | In patients with mild to moderate hepatic impairment, no dose adjustment is usually needed. In severe hepatic impairment, use is not recommended. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | One tablet (Olmesartan 20 mg + Chlorthalidone 6.25 mg) once daily. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ibolme ct ld 20mg/6.25mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Lithium | Major | |
| NSAIDs | Major | |
| Corticosteroids | Moderate | |
| Digoxin | Moderate | |
| Oral hypoglycemics | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Lithium
- NSAIDs
- Other diuretics
⚡ Moderate Interactions
- Corticosteroids
- Digoxin
- Oral hypoglycemics
🍷 Alcohol Interaction
Alcohol may enhance the blood pressure-lowering effect and increase the risk of dizziness, fainting, and falls. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Pregnancy","Anuria","Hypersensitivity to olmesartan, chlorthalidone, or sulfonamide-derived drugs","Severe renal impairment (eGFR
⚠️ Warnings & Precautions
["May cause symptomatic hypotension, especially in volume-depleted patients.","Monitor electrolytes regularly; hypokalemia may occur.","May worsen renal function; monitor kidney function.","Can cause dizziness; avoid driving or operating machinery until you know how it affects you.","Not recommended during pregnancy; can cause fetal harm.","May increase uric acid levels and precipitate gout.","May cause photosensitivity; use sun protection."]
🤱 Lactation Safety
It is not known whether olmesartan or chlorthalidone are excreted in human breast milk. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or discontinue the medicine, taking into account the importance of the medicine to the mother.
💊 Overdose Management
Overdose may cause severe hypotension, electrolyte imbalance, and dehydration. Treatment is supportive and symptomatic. If overdose is suspected, contact a poison control center or emergency room immediately. Induce vomiting only if advised by a healthcare professional. Monitor vital signs and electrolytes closely.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed. Do not stop or change the dose without consulting your doctor. Drink enough water to stay hydrated, especially in hot weather or during exercise. Avoid alcohol as it can worsen dizziness and low blood pressure. Stand up slowly to prevent falls. Inform your doctor if you have kidney or liver disease, diabetes, or gout. Regular blood tests for kidney function and electrolytes are important. This medicine can harm an unborn baby; use effective contraception and tell your doctor if you plan to become pregnant or are pregnant.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the blood pressure-lowering effects and are at higher risk of dizziness and falls. Start with a lower dose and monitor closely.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended during pregnancy as it can harm the unborn baby. Use effective contraception while taking this medicine. If you plan to become pregnant, consult your doctor to switch to a safer alternative.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine. It may need to be temporarily stopped before surgery to prevent low blood pressure during the procedure.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine. It may cause dry mouth or dizziness during dental procedures. Maintain good oral hygiene.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Exercise is generally safe, but avoid strenuous activity in hot weather to prevent dehydration. Stay hydrated and monitor for dizziness.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness, especially when standing up quickly. Avoid driving or operating heavy machinery until you know how it affects you. Take breaks and stay hydrated during work.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects, contact your doctor immediately. Your doctor may adjust the dose or switch to another medicine.
📅 Long-Term Use Effects
Long-term use may lead to electrolyte imbalances, kidney function changes, and increased uric acid levels. Regular monitoring of blood pressure, kidney function, and electrolytes is essential. Do not stop the medicine without consulting your doctor.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Diet, exercise, and weight loss can help lower blood pressure.
Evidence: Well-establishedACE inhibitors, calcium channel blockers, or beta-blockers may be alternatives.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. Continue routine vaccinations as recommended by your doctor.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from moisture. If traveling across time zones, take your dose at the usual local time. Keep enough supply for the entire trip. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Blood pressure begins to lower within 1-2 weeks, with maximal effect after 4-8 weeks.
A: Yes, you can take it with or without food. Taking it at the same time daily is important.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
🤔 Common Patient Concerns
🔄 Substitutes for ibolme ct ld 20mg/6.25mg tablet
View AllAlternative brands with exact same active ingredient:
-
olmeglare ch 20 mg/6.25 mg tabletIpca Laboratories Ltd ₹65.63 13.6% CHEAPER
-
omen ct 20mg/6.25mg tabletMedley Pharmaceuticals ₹84.38 11.1% COSTLIER
-
olmesar ch 20 mg/6.25 mg tabletMacleods Pharmaceuticals Pvt Ltd ₹88.00 15.9% COSTLIER
-
zione o 20mg/6.25mg tabletUnichem Laboratories Ltd ₹89.06 17.3% COSTLIER
-
biolsar 20 tabletTorrent Pharmaceuticals Ltd ₹89.22 17.5% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be stopped once blood pressure is normal.
Fact: High blood pressure often has no symptoms and requires long-term treatment. Stopping suddenly can cause dangerous increases in blood pressure. - Myth: This medicine damages the kidneys.
Fact: When used appropriately, this medicine can protect kidney function, especially in diabetes. Regular monitoring is important.
🔄 Alternative Options
Generic Alternatives
- Olmesartan Medoxomil + Chlorthalidone (generic)
Brand Alternatives
- Olmetor-CH 20 Tablet
- Olmesar-CH 20 Tablet
- Olmat-CH 20 Tablet