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Azor

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Azor (amlodipine and olmesartan) is a combination antihypertensive medication used to treat high blood pressure. It works by relaxing the blood vessels through two different mechanisms, allowing blood to flow more easily. Lowering blood pressure helps reduce the risk of strokes and heart attacks in adults.


Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Olmesartan, Amlodipine
Reference Brand
Sevikar
Manufacturer
Daiichi Sankyo
Product Form
Tablet
Regulatory Classification
Rx
Primary Category
Heart & Blood Pressure, Hypertension Treatment
Product Category
Antihypertensives, Angiotensin II antagonists and calcium channel blockers
Pharmacological Class
ARB and Calcium Channel Blocker combination
Manufacturer Description
A combination blood pressure medication used when a single drug is not enough to control hypertension.
Mechanism of Action
This combination relaxes blood vessels in two ways: Olmesartan blocks a hormone that narrows vessels, while Amlodipine prevents calcium from entering vessel walls. Together they lower blood pressure effectively.
Route of Administration
Oral
Onset Time
30-60 minutes
Duration
24 hours
Contraindications
Pregnancy, Severe liver or kidney disease, Diabetes patients taking Aliskiren
Severe Adverse Events
Angioedema, Kidney dysfunction, Severe diarrhoea (Spruelike enteropathy)
Common Side Effects
Dizziness, Flushing, Fatigue
Uncommon Side Effects
Oedema (ankle swelling), Palpitations, Orthostatic hypotension
Drug Interactions
Lithium, Potassium supplements, NSAIDs
Pregnancy Safety Warnings
Contraindicated; can cause fetal injury
Age Restrictions
Adults over 18
Storage Guidelines
Store at room temperature
Related Products
Exforge, Twynsta

Azor FAQ

Can Azor be taken with other blood-pressure medicines?

Azor may be combined with additional antihypertensive agents when a single pill does not achieve target blood pressure, but the combination should be prescribed and monitored by a clinician to avoid excessive hypotension or drug interactions.

What should I do if I develop swelling in my ankles while on Azor?

Mild peripheral edema is a known effect of amlodipine. If swelling becomes uncomfortable or pronounced, discuss dosage adjustment or the addition of a diuretic with your prescriber; do not discontinue the medication without professional advice.

Does Azor affect laboratory test results, such as cholesterol or liver panels?

Azor does not directly alter cholesterol levels. Liver enzyme elevations are rare but may occur; routine monitoring is generally reserved for patients with pre-existing liver disease or if symptoms suggest hepatic involvement.

Is it safe to travel internationally with Azor tablets?

Yes, provided you carry the medication in its original labeled container, have a copy of the prescription, and are aware of any import restrictions for prescription drugs in the destination country. Keep the tablets in your carry-on luggage to avoid temperature extremes.

How can I tell if I am experiencing a serious side effect versus a mild one?

Serious side effects include angio-edema (swelling of lips, tongue, or throat), severe dizziness leading to fainting, or sudden, marked drops in blood pressure. These require immediate medical attention. Mild effects such as light-headedness or mild edema are usually transient but should still be reported.

Do I need to avoid grapefruit while taking Azor?

Grapefruit can inhibit CYP3A4 enzymes and modestly increase amlodipine concentrations. While occasional consumption is unlikely to cause problems, regular large amounts of grapefruit juice should be discussed with a healthcare professional.

Can Azor be used in patients with heart failure?

Azor is not specifically indicated for heart failure, but its components (especially olmesartan) are sometimes employed in the broader management of cardiovascular risk. Use in heart-failure patients should be guided by a cardiologist familiar with the individual’s overall treatment plan.

What imprint or visual identifiers are on the 20/5 mg Azor tablet?

In the UK, the 20 mg olmesartan / 5 mg amlodipine tablet is typically round, white, and bears the imprint “AZOR 20/5”. Appearance may vary slightly between manufacturers, so verify the imprint against the pharmacy label.

Are there cost-saving alternatives to Azor?

Generic versions of olmesartan and amlodipine are available separately. Some clinicians may prescribe the two drugs individually to tailor dosing. Cost considerations should be discussed with a pharmacist or prescriber, not based solely on online pricing information.

What is Azor?

Azor is a prescription medication that combines two active ingredients-olmesartan medoxomil and amlodipine besylate-into a single oral pill. The combination belongs to the therapeutic class of cardiovascular medicines used to manage high blood pressure (hypertension). In the United Kingdom Azor is regulated by the Medicines and Healthcare products Regulatory Agency (MHRA) and is available only with a prescription from a qualified healthcare professional. The currently marketed strength in the UK is a 20 mg olmesartan / 5 mg amlodipine tablet.

How Azor Works in the Body

Azor lowers blood pressure through the complementary actions of its two components:

  • Olmesartan is an angiotensin II receptor blocker (ARB). By selectively blocking the AT₁ receptor, it prevents angiotensin II-a potent vasoconstrictor-from tightening the walls of blood vessels. This leads to relaxation of the arterial smooth muscle, reduced peripheral resistance, and consequently lower blood pressure.

  • Amlodipine is a long-acting dihydropyridine calcium-channel blocker. It inhibits the influx of calcium ions into vascular smooth-muscle cells, which also promotes vasodilation, especially in the peripheral arterioles. The resulting decrease in vascular tone further contributes to blood-pressure reduction.

When combined, olmesartan and amlodipine address blood-pressure control via two distinct pathways, often achieving the desired reduction with a lower dose of each component than would be required if the drugs were taken separately. The onset of blood-pressure lowering typically begins within a few hours after ingestion, with peak effect reached after 1-2 weeks of consistent dosing. The duration of action covers a full 24-hour period, allowing once-daily administration.

Conditions Treated by Azor

Azor is approved in the United Kingdom for the treatment of primary (essential) hypertension, either when monotherapy with either component has proved insufficient or when a combination therapy is clinically appropriate from the outset. The medication is intended for adult patients who require a reduction in systolic and diastolic blood pressure to decrease the risk of cardiovascular events such as stroke, myocardial infarction, and heart failure.

Patient Suitability and Contraindications

Who Might Benefit from Azor?

  • Adults diagnosed with stage 1 or stage 2 hypertension who need additional blood-pressure control beyond what a single agent provides.
  • Patients who tolerate both an ARB and a calcium-channel blocker individually and have no contraindications to either class.

Absolute Contraindications

  • Known hypersensitivity to olmesartan, amlodipine, or any excipients in the tablet.
  • Pregnancy (particularly the second and third trimesters) and lactation, because ARBs can cause fetal renal toxicity and amlodipine is not recommended.
  • Severe aortic stenosis or hypertrophic obstructive cardiomyopathy, where abrupt vasodilation could precipitate hypotension.

Relative Contraindications / Cautions

  • Moderate to severe hepatic impairment (requires dose assessment by the prescriber).
  • Significant renal impairment (creatinine clearance < 30 mL/min); ARBs may need dose adjustment.
  • Concomitant use of strong CYP3A4 inhibitors (e.g., clarithromycin, itraconazole) may increase amlodipine exposure.
  • History of angio-edema related to previous ARB or ACE-inhibitor therapy.

Special Populations

  • Elderly patients often have altered pharmacokinetics; dose initiation should be cautious, and blood pressure should be monitored closely for orthostatic effects.
  • Patients with diabetes may benefit from the renal-protective properties of ARBs, but blood-glucose control should continue to be monitored.
  • Athletes and pilots should be aware that blood-pressure lowering agents can affect performance and may be subject to specific occupational medical standards.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Peripheral edema (especially due to amlodipine) - usually mild and may improve with dose adjustment.
  • Dizziness or light-headedness - often related to the blood-pressure-lowering effect, particularly after the first few doses.
  • Headache - transient and typically resolves as the body adapts.
  • Fatigue - reported by some patients during the titration period.

Serious Adverse Events

  • Angio-edema (swelling of the lips, tongue, or throat) - requires immediate medical attention.
  • Hypotension - severe drops in blood pressure can cause fainting or falls, especially in the elderly or when combined with other antihypertensives.
  • Elevated liver enzymes - rare but can occur with amlodipine; liver function should be checked if clinically indicated.

Drug Interactions

  • Major interactions
  • Co-administration with other potent antihypertensives (e.g., ACE inhibitors, beta-blockers) may enhance hypotensive effects.
  • Concurrent use of potassium-sparing diuretics or supplements can increase serum potassium when combined with an ARB.
  • Moderate interactions
  • CYP3A4 inhibitors (e.g., erythromycin, ketoconazole) may raise amlodipine levels, necessitating closer monitoring.
  • Non-steroidal anti-inflammatory drugs (NSAIDs) can blunt the antihypertensive effect of olmesartan and may affect renal function.
  • Food and lifestyle interactions
  • No significant food-drug interaction is known; the tablet may be taken with or without food.
  • Alcohol can potentiate blood-pressure-lowering effects and should be consumed cautiously.

Note: Patients should disclose all prescription medicines, over-the-counter products, herbal supplements, and lifestyle factors to their prescriber before starting Azor.

How to Take Azor

  • Standard dosing: The UK-approved tablet contains 20 mg olmesartan and 5 mg amlodipine. The usual regimen is one tablet taken once daily, at the same time each day.
  • Initiation: For most adults, therapy begins with the 20/5 mg tablet. Dose escalation (e.g., to a higher-strength combination) is considered only if blood-pressure targets are not met after several weeks, and only under medical supervision.
  • Special populations
  • Renal impairment: Dose may need reduction; prescribing clinician determines the appropriate adjustment.
  • Hepatic impairment: Caution is advised, but no specific dose reduction is mandated for mild to moderate dysfunction.
  • Elderly: Starting at the standard dose is acceptable, but clinicians may opt for a slower titration if orthostatic symptoms arise.
  • Administration: Swallow the tablet whole with a full glass of water. Crushing or chewing is not recommended because it may affect the controlled-release properties of amlodipine.
  • Missed dose: Take the missed tablet as soon as it is remembered unless it is close to the time of the next scheduled dose. Do not double the dose.
  • Overdose: Symptoms may include profound hypotension, dizziness, or syncope. Seek urgent medical care; treatment is primarily supportive with intravenous fluids and, if needed, vasopressor agents.
  • Discontinuation: Azor should not be stopped abruptly in patients with well-controlled hypertension. Gradual tapering, under medical guidance, reduces the risk of rebound hypertension.

Monitoring and Follow-Up

  • Blood pressure: Check initial response within 2 weeks of starting therapy, then at regular intervals (usually every 4-6 weeks) until target values are consistently achieved.
  • Renal function: Serum creatinine and electrolytes should be measured before initiation and periodically thereafter, especially in patients with pre-existing kidney disease or those on concomitant nephrotoxic agents.
  • Liver enzymes: Baseline liver function tests are reasonable for patients with a history of hepatic disease; repeat testing only if clinically indicated.
  • Peripheral edema: Evaluate at each visit; consider dose modification or addition of a low-dose diuretic if edema becomes problematic.

Storage and Handling

  • Store the tablets at room temperature (15 °C to 30 °C) in a dry place, protected from moisture and direct sunlight.
  • Keep the medication out of reach of children and pets.
  • Do not use tablets beyond the expiry date printed on the packaging.
  • If a tablet is damaged, discolored, or broken, discard it in accordance with local pharmacy disposal guidelines.

Medication-Specific Glossary

Angiotensin II Receptor Blocker (ARB)
A drug class that blocks the binding of angiotensin II to AT₁ receptors, preventing vasoconstriction and aldosterone secretion.
Calcium-Channel Blocker (CCB)
A medication that inhibits calcium influx into vascular smooth-muscle cells, leading to vasodilation and reduced blood pressure.
Peripheral Edema
Accumulation of fluid in the lower extremities, commonly observed with dihydropyridine CCBs due to vasodilatory effects on arterioles.
Therapeutic Window
The dosage range within which a drug provides efficacy without unacceptable toxicity; for Azor, the approved window is the 20/5 mg tablet for most adults.
Rebound Hypertension
A rapid increase in blood pressure that can occur after abrupt discontinuation of antihypertensive therapy.

Medical Disclaimer

This article provides educational information about Azor and is not a substitute for professional medical advice. Treatment decisions, including the use of any unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Azor is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
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