olkem trio 40 tablet - Olmesartan Medoxomil (40mg) + Cilnidipine (10mg) medicine

Olmin Trio 40 Tablet: Comprehensive Guide to Uses, Side Effects, and Safety

No reviews yet
🏭 Alkem Laboratories Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
⚠️ Nephrotoxicity Risk 🤰 Pregnancy Category Not recommended. This medicine is contraindicated in pregnancy as it can cause fetal harm, especially during the second and third trimesters. Use effective contraception while taking this medicine. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for hypertension.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe dizziness or fainting
  • Swelling of face, lips, tongue, or throat
  • Difficulty breathing
  • Decreased urine output or swelling in legs
  • Irregular heartbeat or palpitations
  • Severe abdominal pain
  • Yellowing of skin or eyes

If experiencing severe symptoms, call emergency services immediately.

What is olkem trio 40 tablet used for?

This medicine is a combination of Olmesartan Medoxomil 40 mg and Cilnidipine 10 mg used to treat high blood pressure. It works by relaxing blood vessels and reducing heart rate. Take it once daily as prescribed by your doctor.

  • Generic Name: Olmesartan Medoxomil (40mg) + Cilnidipine (10mg)
  • Manufacturer: Alkem Laboratories Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 olkem trio 40 tablet के बारे में (Hindi Summary)

उपयोग: यह दवा उच्च रक्तचाप (हाइपरटेंशन) के इलाज के लिए इस्तेमाल की जाती है। इसमें ओल्मेसार्टन मेडोक्सोमिल और सिल्निडिपिन दो सक्रिय तत्व हैं जो रक्त वाहिकाओं को आराम देकर और हृदय गति को कम करके रक्तचाप को नियंत्रित करते हैं। यह दवा स्ट्रोक, दिल के दौरे और गुर्दे की समस्याओं के जोखिम को कम करने में मदद करती है। इसे डॉक्टर के निर्देशानुसार प्रतिदिन एक बार लेना चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में चक्कर आना, सिरदर्द, थकान और पैरों में सूजन शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। गंभीर दुष्प्रभावों में अत्यधिक निम्न रक्तचाप, गुर्दे की समस्या, और एलर्जी प्रतिक्रियाएं जैसे चेहरे या गले में सूजन शामिल हैं। यदि आपको सांस लेने में कठिनाई, बेहोशी, या पेशाब में कमी महसूस हो तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपनी मर्जी से दवा की मात्रा न बदलें और न ही बंद करें। शराब का सेवन न करें क्योंकि इससे चक्कर आ सकते हैं। यदि आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर को बताएं। नियमित रूप से रक्तचाप, गुर्दे की कार्यप्रणाली और इलेक्ट्रोलाइट्स की जांच कराएं। पोटेशियम सप्लीमेंट या नमक के विकल्प बिना डॉक्टर की सलाह के न लें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 olkem trio 40 tablet Uses & Benefits

[{"condition":"Essential Hypertension","description":"This medicine is used to lower high blood pressure in adults, reducing the risk of stroke, heart attack, and kidney problems.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Diabetic Nephropathy","description":"May be used off-label to slow kidney damage in diabetic patients with hypertension and proteinuria, due to the renoprotective effects of ARBs and cilnidipine.","evidence":"Limited"}]

Primary treatment for: Hypertension

Also treats: Diabetic nephropathy, Chronic kidney disease, Cardiovascular risk reduction

📋 Drug Information

Generic Name(s)Olmesartan Medoxomil (40mg) + Cilnidipine (10mg)
Brand Nameolkem trio 40 tablet
ManufacturerAlkem Laboratories Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassCARDIAC
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine at the same time each day to maintain consistent blood levels.
2
Monitor your blood pressure regularly and keep a record to share with your doctor.
3
Avoid alcohol as it can enhance the blood pressure-lowering effect and cause dizziness.
4
Do not use potassium supplements or salt substitutes without consulting your doctor.
5
Report any swelling of face, lips, or throat immediately as it may be a sign of angioedema.
6
Stay hydrated, especially during hot weather or exercise, to prevent hypotension.
7
Do not stop this medicine abruptly without your doctor's advice.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

High blood pressure
This medicine is commonly prescribed for this.
Likely Use
Fever
This medicine is not a primary fever reducer.
Not Primary
Headache
This medicine may cause headache as a side effect, but is not used to treat it.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionOlmesartan Medoxomil is rapidly absorbed after oral administration, with peak plasma concentrations reached in 1-2 hours. Cilnidipine is also well absorbed, with peak levels at 1-2 hours. Food does not significantly affect the absorption of either component.
DistributionBoth drugs are highly protein-bound and distribute widely into tissues. Olmesartan has a volume of distribution of approximately 17 liters. Cilnidipine is highly lipophilic and accumulates in vascular tissues.
Protein BindingOlmesartan: >99% bound to plasma proteins; Cilnidipine: >90% bound to plasma proteins.
MetabolismOlmesartan is minimally metabolized and is primarily excreted unchanged in bile and urine. Cilnidipine is extensively metabolized in the liver by CYP3A4 and CYP2C19 enzymes.
Half-LifeOlmesartan: 10-15 hours; Cilnidipine: 2-5 hours.
ExcretionOlmesartan is excreted mainly in feces (via bile) and urine. Cilnidipine is excreted primarily in urine as metabolites.
BioavailabilityOlmesartan: approximately 26%; Cilnidipine: approximately 10-20%.
Onset of ActionAntihypertensive effect begins within 1-2 hours after oral administration, with maximum effect within 2-4 weeks of continuous therapy.
Peak Plasma TimeOlmesartan: 1-2 hours; Cilnidipine: 1-2 hours.
Duration of Action24 hours, allowing once-daily dosing.

How It Works

This medicine combines two antihypertensive agents with complementary mechanisms. Olmesartan Medoxomil is an angiotensin II receptor blocker (ARB) that selectively blocks the AT1 receptor, preventing angiotensin II from causing vasoconstriction and aldosterone release. Cilnidipine is a dual L-type and N-type calcium channel blocker that inhibits calcium influx into vascular smooth muscle cells and sympathetic nerve terminals, leading to vasodilation and reduced heart rate. Together, they effectively lower blood pressure and may provide additional organ protection.

Mechanism Steps

1
Olmesartan blocks AT1 receptors: Olmesartan Medoxomil is converted to its active metabolite, olmesartan, which selectively blocks angiotensin II at the AT1 receptor, preventing vasoconstriction and aldosterone release.
2
Cilnidipine blocks calcium channels: Cilnidipine inhibits L-type calcium channels in vascular smooth muscle and N-type calcium channels in sympathetic neurons, reducing calcium influx and causing vasodilation.
3
Combined vasodilation: The dual action leads to relaxation of blood vessels, decreased peripheral resistance, and lowered blood pressure.
4
Reduced sympathetic activity: Cilnidipine's N-type channel blockade decreases norepinephrine release, which may reduce reflex tachycardia and provide additional cardiovascular benefits.

💡 How to Take olkem trio 40 tablet

Strength: Tablet containing Olmesartan Medoxomil 40 mg and Cilnidipine 10 mg.

1Take this medicine orally with a glass of water.
2Swallow the tablet whole. Do not crush or chew.
3Take it at the same time each day to maintain consistent blood levels.
4You can take it with or without food.
5If you miss a dose, follow the missed dose instructions.
6Do not stop taking this medicine without consulting your doctor.

Dosage Information

Adult DosageThe usual adult dose is one tablet (Olmesartan Medoxomil 40 mg + Cilnidipine 10 mg) taken orally once daily, with or without food. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and response to therapy. Do not exceed the recommended dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the blood pressure-lowering effects. Start with a lower dose and titrate slowly. Monitor renal function and electrolytes regularly.
Renal ImpairmentNo dose adjustment is required for mild to moderate renal impairment. In severe renal impairment (eGFR <30 mL/min), use with caution and monitor renal function closely. Dose must be individualized by a qualified clinician.
Hepatic ImpairmentNo dose adjustment is required for mild to moderate hepatic impairment. In severe hepatic impairment, use is contraindicated. Dose must be individualized by a qualified clinician.
Maximum Daily DoseOne tablet (Olmesartan Medoxomil 40 mg + Cilnidipine 10 mg) once daily. Do not exceed the recommended dose.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With or without food
Take at the same time daily
Food does not significantly affect absorption.
Grapefruit
Avoid
May increase cilnidipine levels and risk of side effects.
Potassium-rich foods
Moderate intake
May increase potassium levels; monitor if on potassium-sparing diuretics.

⏰ What to Do If You Miss a Dose

📌 Less than 12 hours have passed since the missed dose
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than 12 hours have passed since the missed dose
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of olkem trio 40 tablet

✅ Common Side Effects

Dizziness (Common (5-10%))
Rise slowly from sitting or lying positions. Avoid driving if dizzy. Consult doctor if persistent.
Headache (Common (5-10%))
Usually resolves on its own. Take rest and stay hydrated. Consult doctor if severe.
Fatigue (Common (5-10%))
Ensure adequate sleep. If fatigue interferes with daily activities, consult your doctor.
Peripheral edema (Common (5-10%))
Elevate legs while sitting. Reduce salt intake. Consult doctor if swelling worsens.

🚨 Serious Side Effects

Severe hypotension (Rare (<0.1%))
Seek immediate medical attention if you experience fainting, severe dizziness, or blurred vision.
Acute kidney injury (Rare (<0.1%))
Report decreased urine output, swelling, or fatigue to your doctor immediately.
Angioedema (Rare (<0.1%))
Seek emergency care if you develop swelling of face, lips, tongue, or throat, or difficulty breathing.
Hyperkalemia (Uncommon (0.1-1%))
Regular blood tests are needed. Report muscle weakness or irregular heartbeat.

⚠️ Rare Side Effects

Rhabdomyolysis
Seek immediate care if you experience muscle pain, tenderness, or dark urine.
Pancreatitis
Go to the emergency room if you have severe abdominal pain radiating to the back.
Hepatic impairment
Report yellowing of skin or eyes, dark urine, or right upper abdominal pain.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Aliskiren Major
Spironolactone Major
NSAIDs Major
Lithium Major
Ketoconazole Moderate
Rifampicin Moderate
Beta-blockers Moderate
Antacids Minor
Grapefruit juice Minor
Potassium supplements Moderate

🚨 Major Interactions

  • Aliskiren
  • Potassium-sparing diuretics (e.g., spironolactone)
  • NSAIDs
  • Lithium

⚡ Moderate Interactions

  • CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
  • CYP3A4 inducers (e.g., rifampicin, carbamazepine)
  • Beta-blockers

🍷 Alcohol Interaction

Alcohol may enhance the blood pressure-lowering effect of this medicine, leading to dizziness, lightheadedness, and increased risk of fainting. It is advisable to avoid or limit alcohol consumption while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Pregnancy","Hypersensitivity to olmesartan, cilnidipine, or any component of the formulation","Severe hepatic impairment","Bilateral renal artery stenosis","Concomitant use with aliskiren in patients with diabetes"]

⚠️ Warnings & Precautions

["May cause symptomatic hypotension, especially in volume-depleted patients. Correct volume depletion before starting therapy.","Monitor renal function periodically. Risk of acute kidney injury is increased with NSAIDs, dehydration, or pre-existing renal impairment.","Hyperkalemia may occur, particularly in patients with renal impairment, diabetes, or those taking potassium supplements or potassium-sparing diuretics.","Avoid use in pregnancy. If pregnancy is detected, discontinue immediately and consult your doctor.","May cause dizziness; avoid driving or operating machinery until you know how this medicine affects you.","Do not use potassium supplements or salt substitutes containing potassium without consulting your doctor."]

🤱 Lactation Safety

Not established from the available information. It is not known whether this medicine passes into breast milk. Consult your doctor before breastfeeding.

💊 Overdose Management

Overdose may cause severe hypotension, dizziness, and fainting. If you suspect an overdose, seek immediate medical attention. Treatment is supportive and symptomatic. Gastric lavage may be considered if taken recently. Monitor vital signs and electrolytes. There is no specific antidote.

⏰ 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

General Safety

Take this medicine exactly as prescribed by your doctor. Do not change the dose or stop taking it without medical advice. Avoid alcohol as it can enhance the blood pressure-lowering effect and cause dizziness. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Regular monitoring of blood pressure, kidney function, and electrolytes is recommended. Do not use potassium supplements or salt substitutes containing potassium without consulting your doctor. If you experience symptoms of low blood pressure such as dizziness or lightheadedness, lie down and contact your doctor. Keep this medicine out of reach of children.

👴 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. Regular assessment of renal function and electrolytes is recommended.

🤰 Pregnancy Planning (TTC)

This medicine is contraindicated in pregnancy. If you are planning to become pregnant, consult your doctor to switch to a safer alternative before conception. Use effective contraception while taking this medicine.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist that you are taking this medicine. It may need to be temporarily stopped before surgery to avoid hypotension during the procedure. Follow your doctor's instructions.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine, as it may cause dry mouth or dizziness during dental procedures. Maintain good oral hygiene and stay hydrated.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to help control blood pressure.
🥗
Engage in regular physical activity like walking, swimming, or cycling.
😴
Reduce salt intake to less than 5 grams per day.
💧
Limit alcohol consumption and avoid smoking.
🧘
Manage stress through relaxation techniques like yoga or meditation.
🌞
Get adequate sleep (7-8 hours per night).

🏋️ Exercise Considerations

Exercise is generally safe while taking this medicine, but avoid sudden strenuous activities that may cause dizziness or fainting. Stay hydrated and rise slowly from sitting or lying positions. If you experience chest pain, shortness of breath, or severe dizziness during exercise, stop and seek medical attention.

🥗 Diet Recommendations

Follow a DASH diet rich in fruits, vegetables, and whole grains.
Reduce sodium intake to less than 5 grams per day.
Include potassium-rich foods like bananas, oranges, and spinach (unless advised otherwise).
Limit saturated fats and cholesterol.
Avoid excessive caffeine and sugary drinks.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue, especially when you first start taking it. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their normal activities once their body adjusts to the medication.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience severe side effects or your blood pressure is well-controlled for a long time, your doctor may adjust or stop the medication. Abrupt withdrawal can lead to a dangerous increase in blood pressure.

📅 Long-Term Use Effects

Long-term use of this medicine is generally safe and effective for managing hypertension. Regular monitoring of blood pressure, kidney function, and electrolytes is recommended. It may reduce the risk of cardiovascular events and slow the progression of kidney disease in diabetic patients. Do not stop the medicine without consulting your doctor.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Lifestyle modifications

Diet, exercise, weight loss, and stress reduction can help lower blood pressure and complement medication.

Evidence: Well-established
Other antihypertensive classes

ACE inhibitors, beta-blockers, or diuretics may be alternatives if this medicine is not suitable.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are known. However, consult your doctor before receiving any vaccine while on this medicine.

📦 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 it in a cool, dry place away from direct sunlight. If traveling across time zones, consult your doctor about adjusting the dosing schedule. 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.

👤 A 55-year-old man with a history of hypertension and diabetes
He was prescribed this medicine after his blood pressure remained high on a single drug. Within a month, his blood pressure stabilized, and he noticed fewer headaches. He was advised to monitor his kidney function regularly, which remained normal.
💡 Lesson: Combination therapy can effectively control blood pressure when monotherapy fails. Regular monitoring is key to safety.
👤 A 62-year-old woman with hypertension and mild ankle swelling
She started this medicine and initially experienced mild ankle swelling, which subsided after a few weeks. Her blood pressure improved significantly, and she was able to reduce her salt intake. She was advised to elevate her legs when sitting.
💡 Lesson: Side effects like ankle swelling are often temporary and can be managed with lifestyle adjustments. Adherence to therapy leads to better outcomes.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts lowering blood pressure within 1-2 hours, but the full effect may take 2-4 weeks of regular use.

Q: Can I take this medicine with other blood pressure medicines?

A: Only if prescribed by your doctor. Combining with other antihypertensives may increase the risk of low blood pressure.

Q: What should I do if I miss a dose?

A: If you remember within 12 hours, take it. Otherwise, skip the missed dose and continue with your regular schedule. Do not double dose.

Q: Is this medicine safe for my kidneys?

A: When used appropriately, it may protect the kidneys. However, regular monitoring of kidney function is important, especially if you have kidney disease or take other medications.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for olkem trio 40 tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure high blood pressure permanently.
    Fact: This medicine controls blood pressure but does not cure hypertension. Lifestyle changes and long-term medication are often needed.
  • Myth: You can stop taking this medicine once your blood pressure is normal.
    Fact: Stopping suddenly can cause a dangerous rise in blood pressure. Always consult your doctor before stopping.
  • Myth: This medicine causes kidney damage.
    Fact: When used appropriately, this medicine may actually protect the kidneys. Regular monitoring is important.

🔄 Alternative Options

Generic Alternatives

  • Olmesartan Medoxomil + Cilnidipine (generic)

Brand Alternatives

  • Olmin Trio 40 Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Olmesartan + Cilnidipine","composition":"Olmesartan Medoxomil 40 mg + Cilnidipine 10 mg","class":"ARB + CCB","key_difference":"Dual L/N-type calcium channel blockade may reduce reflex tachycardia."},{"medicine":"Telmisartan + Cilnidipine","composition":"Telmisartan 40 mg + Cilnidipine 10 mg","class":"ARB + CCB","key_difference":"Telmisartan has a longer half-life and may offer additional PPAR-gamma benefits."},{"medicine":"Olmesartan + Amlodipine","composition":"Olmesartan Medoxomil 40 mg + Amlodipine 5 mg","class":"ARB + CCB","key_difference":"Amlodipine is a longer-acting L-type calcium channel blocker; may cause more edema."}]

😊 Was this information helpful?

Browse Medicines A-Z

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Back to Medicines Directory