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{{drugbox
#REDIRECT [[Olmesartan]]
| IUPAC_name = (5-methyl-2-oxo-1,3-dioxol-4-yl)methyl 5-(2-hydroxypropan-2-yl)-2-propyl-3-[ [4-[2-(2H-tetrazol-5-yl)phenyl]phenyl]methyl]imidazole-4-carboxylate
| image = olmesartan.png
| CAS_number = 144689-63-4
| ATC_prefix = C09
| ATC_suffix = CA08
| ATC_supplemental =
| PubChem = 130881
| DrugBank = APRD00223
| C=29 | H=30 | N=6 | O=6
| molecular_weight = 558.585 g/mol
| bioavailability = Rapid and complete absorption
| protein_bound =
| metabolism = Hepatic (cannot be removed by hemodialysis)
| elimination_half-life = 13 hours
| pregnancy_category = C (D if used in second or third trimester)
| legal_status = Rx-only
| routes_of_administration = Oral
| excretion = Primarily fecal, 35%-50% in urine
}}
{{CMG}}
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==[[Olmesartan (patient information)|For patient information, click here]]==
 
==Overview==
'''Olmesartan''' (Benicar®,Olmetec®) belongs to the class of medicines called [[angiotensin II receptor antagonist]]s to treat [[hypertension|high blood pressure]]. It is marketed worldwide by Daiichi Sankyo, Ltd. and in the [[United States]] by Daiichi Sankyo, Inc. and [[Forest Laboratories]]. Olmesartan works by blocking the binding of [[Angiotensin|angiotension II]] to the AT<sub>1</sub> receptors in vascular muscle; it is therefore independent of angiotension II synthesis pathways, unlike [[ACE inhibitor]]s.  By blocking binding rather than synthesis of angiotension II, olmesartan inhibits the negative regulatory feedback on [[renin]] secretion.  As a result of this blockage, olmesartan restricts [[vasoconstriction]] and the secretion of [[aldosterone]]. This lowers blood pressure by producing [[vasodilation]], and decreasing peripheral resistance.
 
==Administration==
Olmesartan is available in 5, 20, and 40 mg tablets. A normal dose for an adult (including the elderly and mild renal or hepatic impairment) is 20 mg/day in one dosage. This may be increased after two weeks to 40 mg/day if further blood pressure reduction is needed.
 
==Side effects==
Side effects include:
*[[Dizziness]]
*[[Headache]]
*[[Diarrhea]]
*[[Upper respiratory tract infection]]
 
==References==
Hodgson, Barbara B., and Kizior, Robert J. ''Saunders Nursing Drug Handbook 2006''. St. Louis, MO: Elsevier, Saunders, 2006.
 
==External links==
*[http://www.frx.com/products/benicar.aspx Forest Laboratories Benicar page]
 
{{Angiotensin II receptor antagonists}}
 
[[Category:Angiotensin II receptor antagonists]]
[[Category:Imidazoles]]
[[Category:Drugs]]
 
[[de:Olmesartan]]
[[hu:Olmesartan]]
[[pt:Olmesartan]]
 
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Latest revision as of 20:22, 23 July 2014

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