Balzak -

A drug that contains two substances called olmesartan medoxomil and amlodipine (such as amlodipine besilate). Both substances help control high blood pressure

General

Olmesartan medoxomil belongs to a group of medicines called “angiotensin II receptor antagonists”, which lower blood pressure by relaxing the blood vessels .

Amlodipine belongs to a group of medicines called “calcium channel blockers”. Amlodipine prevents calcium from penetrating the blood vessel wall, which prevents the blood vessels from narrowing, thereby also lowering blood pressure.

Mechanism of action

The action of both substances helps to stop the narrowing of the blood vessels , so that they relax and blood pressure decreases.

Use

Balzak is used to treat high blood pressure in patients whose blood pressure is not adequately controlled on olmesartan medoxomil or amlodipine alone.

Before taking Balzak

If you are allergic (hypersensitive) to olmesartan medoxomil, or to amlodipine, or to a special group of calcium channel blockers , called dihydropyridines, or to any of the other ingredients mentioned in section 6.
If you think you may be allergic, tell your doctor before taking Balzak.
If you are more than 3 months pregnant. It is best to avoid Balzak in early pregnancy.
If you have severe liver problems , such as jaundice (yellow skin and eyes), or have gallstones.
If you suffer from poor cardiac output due to a serious heart problem , or a heart attack, or if you have had a heart attack (acute myocardial infarction) in the last four weeks.
If you have pain or discomfort in the chest at rest or at night (unstable angina).

Take special care with Balzak

Before taking the tablets, tell your doctor if you have any of the following health problems:

Kidney problems or a kidney transplant.
Liver disease
Heart failure or problems with the heart valves or the heart muscle.
Severe vomiting, diarrhea, treatment with high doses of medicines that increase urine output (diuretics), or if you are taking a low-salt diet.
Elevated levels of potassium in the blood.
Problems with the adrenal glands (hormone-producing glands located above the kidneys).

As with any other medicine that lowers blood pressure, an excessive decrease in blood pressure in patients with impaired blood flow to the heart or brain can lead to a heart attack or stroke. This is why your doctor will carefully monitor your blood pressure. You should tell your doctor if you are pregnant or think you might be. The use of Balzak is not recommended in early pregnancy, and should not be taken if you are more than 3 months pregnant, as it may cause serious harm to your baby if taken at this stage.

Pregnancy and breastfeeding

You should tell your doctor if you are pregnant, or if you think you might be. Your doctor will advise you to stop taking Balzak before you become pregnant or as soon as you know you are pregnant, and will advise you to take another medicine instead of Balzak. The use of Balzak is not recommended in early pregnancy, and must not be taken when more than 3 months pregnant, as it may cause serious harm to your baby if used after the third month of pregnancy. If you become pregnant while taking Balzak, please inform and see your doctor immediately.

Driving and using machines

During treatment for high blood pressure, you may feel sleepy or dizzy. If this happens, do not drive or use machines until the symptoms have disappeared. Consult your doctor.

Possible side effects

Like all medicines, Balzak can cause side effects, although not everyone gets them. If these do occur, they are often mild and do not require stopping treatment. Allergic reactions with swelling of the face, mouth and / or larynx (vocal cords) may occur during treatment with Balzak, together with itching and skin rash. If this happens to you, stop taking Balzak and contact your doctor immediately. Balzak can cause a pronounced drop in blood pressure in susceptible patients. This can cause severe light-headedness or fainting. If this happens to you, stop taking Balzak, see your doctor immediately and lie flat.

Other possible side effects with Balzak

Dizziness; headache; swelling of the ankles, feet, legs, hands, or arms; fatigue. Dizziness when getting up; lack of energy; tingling or numbness in the hands or feet; Vertigo; fast and pounding heartbeat; low blood pressure with symptoms such as dizziness, lightheadedness; difficulty breathing; cough; sickness; vomiting; indigestion; diarrhea; constipation; dry mouth; pain in the upper abdomen; acne; muscle spasms; arm and leg pain; Back pain; feeling of urge to urinate; sexual inactivity; inability to have or maintain an erection; soft spot.

Some changes have also been observed in the results of certain blood analytical tests: Increase, as well as decrease in blood potassium levels, increase in blood creatinine levels, increase in uric acid levels , increase in blood levels liver function tests (gamma glutamyl transferase levels).

Olmesartan medoxomil or amlodipine side effects

Olmesartan medoxomil

Angina (pain or discomfort in the chest, known as angina pectoris); bronchitis; throat pain; stuffy and runny nose; pain in the abdomen; stomach ache; joint and bone pain; blood in the urine; urinary tract infection; chest pain; flu-like symptoms; pain. Changes in blood test results, such as increased levels of a type of fat (hypertriglyceridaemia) and increases in liver and muscle function tests. Other side effects, very rare: Reduction in the number of a type of blood cell called platelets, which can easily bruise or prolong bleeding time; itching; skin rash; swelling of the tongue or face; allergic skin rash; Muscle pain; acute kidney failure and kidney failure; increased urea in the blood; Feeling unwell.

Amlodipine

Redness and a feeling of warmth on the face; pain in the abdomen; reduction in the number of white blood cells, which could increase the risk of infections; reduction in the number of platelets in the blood; growth of the mammary glands in man; increased blood glucose; sleep disturbances; irritability; depression; confusion; mood changes including feelings of anxiety; Feeling unwell; shaking; excessive sweating; changes in taste; tingling or numbness in the hands or feet; vision problems; ringing in the ears (tinnitus); chest pain; worsening of angina pectoris (chest pain or discomfort); inflammation of the blood vessels; stuffy and runny nose; thickening of the gums; inflammation of the stomach wall; elevated liver enzymes; yellowish skin and eyes; inflammation of the liver or pancreas; skin rash; itching; hair loss; skin discoloration; purple spots or patches on the skin due to small bleeds (purpura); isolated cases of allergic reactions (itching, rash, swelling of the face, mouth and / or larynx (vocal cords), together with itching and rash, and other allergy problems with inflammation and peeling of the skin, sometimes very serious); muscle or joint pain; weight gain or loss. Isolated cases of heart attack, irregular heartbeat and angina (pain or discomfort in the chest, known as angina pectoris) have been reported in patients with coronary artery disease, but a clear association with amlodipine. inflammation of the liver or pancreas; skin rash; itching; hair loss; skin discoloration; purple spots or patches on the skin due to small bleeds (purpura); isolated cases of allergic reactions (itching, rash, swelling of the face, mouth and / or larynx (vocal cords), together with itching and rash, and other allergy problems with inflammation and peeling of the skin, sometimes very serious); muscle or joint pain; weight gain or loss. Isolated cases of heart attack, irregular heartbeat and angina (pain or discomfort in the chest, known as angina pectoris) have been reported in patients with coronary artery disease, but a clear association with amlodipine. inflammation of the liver or pancreas; skin rash; itching; hair loss; skin discoloration; purple spots or patches on the skin due to small bleeds (purpura); isolated cases of allergic reactions (itching, rash, swelling of the face, mouth and / or larynx (vocal cords), together with itching and rash, and other allergy problems with inflammation and peeling of the skin, sometimes very serious); muscle or joint pain; weight gain or loss. Isolated cases of heart attack, irregular heartbeat and angina (pain or discomfort in the chest, known as angina pectoris) have been reported in patients with coronary artery disease, but a clear association with amlodipine. skin discoloration; purple spots or patches on the skin due to small bleeds (purpura); isolated cases of allergic reactions (itching, rash, swelling of the face, mouth and / or larynx (vocal cords), together with itching and rash, and other allergy problems with inflammation and peeling of the skin, sometimes very serious); muscle or joint pain; weight gain or loss. Isolated cases of heart attack, irregular heart beat and angina (pain or discomfort in the chest, known as angina pectoris) have been reported in patients with coronary artery disease, but a clear association with amlodipine. skin discoloration; purple spots or patches on the skin due to small bleeds (purpura); isolated cases of allergic reactions (itching, rash, swelling of the face, mouth and / or larynx (vocal cords), together with itching and rash, and other allergy problems with inflammation and peeling of the skin, sometimes very serious); muscle or joint pain; weight gain or loss. Isolated cases of heart attack, irregular heart beat and angina (pain or discomfort in the chest, known as angina pectoris) have been reported in patients with coronary artery disease, but a clear association with amlodipine. mouth and / or larynx (vocal cords), along with itching and rash, and other allergy problems with inflammation and peeling of the skin, sometimes very serious); muscle or joint pain; weight gain or loss. Isolated cases of heart attack, irregular heart beat and angina (pain or discomfort in the chest, known as angina pectoris) have been reported in patients with coronary artery disease, but a clear association with amlodipine. mouth and / or larynx (vocal cords), along with itching and rash, and other allergy problems with inflammation and peeling of the skin, sometimes very serious); muscle or joint pain; weight gain or loss. Isolated cases of heart attack, irregular heart beat and angina (pain or discomfort in the chest, known as angina pectoris) have been reported in patients with coronary artery disease, but a clear association with amlodipine.

How to store Balzak

Keep out of the reach and sight of children.
Do not use Balzak after the expiry date which is stated on the carton. The expiration date is the last day of the month indicated.
This medicine does not require any special storage conditions.
Medicines must not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of unnecessary medicine and containers. This way you will help to protect the environment.

What the product looks like and contents of the pack

Balzak 20 mg / 5 mg film-coated tablets are white, round tablets with the inscription C73 on one side. Balzak film-coated tablets are available in packs of 14, 28, 30, 56, 90, 98, 10 x 28, 10 x 30 film-coated tablets, and in packs with perforated unit dose blisters of 10, 50 and 500.