Buy Tribenzor
Tribenzor

1.95
Tribenzor (olmesartan, amlodipine, and hydrochlorothiazide) is a comprehensive triple-combination medication for managing high blood pressure. It integrates an angiotensin II receptor blocker, a calcium channel blocker, and a diuretic. This approach helps relax blood vessels and reduce excess fluid, effectively supporting cardiovascular health in adults with hypertension.


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, Hydrochlorothiazide
Reference Brand
Sevikar HCT
Manufacturer
Daiichi Sankyo
Product Form
Tablet
Regulatory Classification
Rx
Primary Category
Heart & Blood Pressure
Product Category
Antihypertensives, Triple Combination Therapy
Pharmacological Class
ARB, Calcium Channel Blocker, Thiazide Diuretic
Manufacturer Description
A combination medication used when two different blood pressure medicines have not adequately controlled hypertension.
Mechanism of Action
This 3-in-1 medicine works by relaxing blood vessels (Amlodipine), blocking vessel-narrowing hormones (Olmesartan), and removing excess salt and water through urine (Hydrochlorothiazide) to lower blood pressure.
Route of Administration
Oral
Onset Time
1-2 hours
Duration
24 hours
Contraindications
Pregnancy, Anuria (inability to urinate), Severe kidney or liver disease
Severe Adverse Events
Kidney dysfunction, Electrolyte imbalance, Angioedema
Common Side Effects
Dizziness, Headache, Tiredness
Uncommon Side Effects
Swelling of ankles, Low blood pressure, Nausea
Drug Interactions
Lithium, NSAIDs, Potassium supplements
Pregnancy Safety Warnings
Do not use; high risk of foetal injury or death.
Age Restrictions
Adults only
Storage Guidelines
Store at room temperature away from moisture.
Related Products
Sevikar HCT, Exforge HCT

Tribenzor FAQ

Can Tribenzor be taken with other blood-pressure medicines?

Tribenzor already contains three antihypertensive classes, so additional agents are usually unnecessary. If another drug is required, a healthcare professional will assess potential interactions, especially with other ARBs, ACE inhibitors, or potassium-sparing diuretics.

What should I know about Tribenzor and travel security checks?

The tablet form is acceptable for airport security. Keep it in its original labelled container, carry a copy of the prescription, and declare it if asked. There are no special restrictions for UK travellers.

Does the appearance of Tribenzor tablets vary by region?

Yes. In the UK, the 20/5/12.5 mg tablet is typically round, white with a blue imprint, while the 40/5/12.5 mg tablet is round, white with a green imprint. Imprint codes help verify authenticity.

Are there any known drug-testing implications for athletes?

Tribenzor’s components are not on the World Anti-Doping Agency (WADA) prohibited list. However, athletes should disclose all medications to their sport’s medical team to avoid inadvertent violations.

How does Tribenzor compare with a separate combo of olmesartan and amlodipine?

Adding hydrochlorothiazide provides a diuretic effect that can improve blood-pressure control in patients who need volume reduction. Clinical guidelines often recommend a triple-therapy pill for resistant hypertension, but individual response varies.

What is the risk of developing gout while on Tribenzor?

Thiazide diuretics can raise serum uric acid, potentially precipitating gout attacks in susceptible individuals. Monitoring uric acid levels and discussing preventive strategies with a clinician is advisable.

Can I split or crush a Tribenzor tablet?

The tablet should be swallowed whole. Splitting or crushing may alter the release profile of amlodipine and affect absorption, reducing efficacy and increasing side-effect risk.

Is Tribenzor safe for patients with a history of heart failure?

Tribenzor can be used in certain heart-failure patients, but the diuretic component may need careful titration. Cardiologists typically decide on individual suitability based on ejection fraction and fluid status.

What should I do if I miss several doses?

Contact a pharmacist or prescriber for guidance. Generally, do not double up doses; a healthcare professional may advise restarting at a lower dose and monitoring blood pressure closely.

How does storage temperature affect Tribenzor’s effectiveness?

Extreme heat or freezing can degrade the active ingredients, especially amlodipine. Keep the medication at a stable room temperature and avoid leaving it in a hot car or refrigerator unless the label specifically permits it.

What is Tribenzor?

Tribenzor is a prescription-only pill that combines three active ingredients-olmesartan, amlodipine, and hydrochlorothiazide-to treat high blood pressure. The medication is available in two strength combinations: 20 mg olmesartan / 5 mg amlodipine / 12.5 mg hydrochlorothiazide and 40 mg olmesartan / 5 mg amlodipine / 12.5 mg hydrochlorothiazide. In the United Kingdom, Tribenzor is regulated by the Medicines and Healthcare products Regulatory Agency (MHRA) and is supplied only with a doctor's prescription.

The tablet form is designed for oral administration and should be taken whole with water, unless otherwise directed by a healthcare professional.

How Tribenzor Works in the Body

Tribenzor targets blood pressure through three complementary mechanisms:

  • Olmesartan blocks the angiotensin II type 1 (AT₁) receptor, preventing angiotensin II from causing blood vessels to constrict. This results in vasodilation and reduced sodium-water retention.
  • Amlodipine is a calcium-channel blocker that relaxes smooth muscle in arterial walls, further widening vessels and lowering peripheral resistance.
  • Hydrochlorothiazide is a thiazide-type diuretic that promotes the excretion of sodium and water via the kidneys, decreasing blood volume and cardiac output.

Together, these actions provide a rapid onset of blood-pressure reduction, a steady peak effect within 4-6 hours, and a duration that typically lasts 24 hours, supporting once-daily dosing.

Conditions Treated by Tribenzor

Tribenzor is approved by the MHRA for the treatment of essential (primary) hypertension when monotherapy does not achieve target blood-pressure goals. It is intended for adult patients who need more than one antihypertensive class to control their pressure readings.

Typical candidates include individuals with:

  • Persistently elevated systolic or diastolic measurements despite lifestyle changes.
  • Co-existing conditions that benefit from diuretic therapy, such as mild peripheral edema.
  • A need for a single-pill regimen to improve adherence.

Who Should Not Use Tribenzor?

Absolute Contra-indications

  • Known hypersensitivity to olmesartan, amlodipine, hydrochlorothiazide, or any of the pill’s inactive ingredients.
  • Pregnancy (Category D) - the drug can impair fetal kidney development and should be stopped as soon as pregnancy is confirmed.
  • Severe renal impairment (creatinine clearance < 30 mL/min) when hydrochlorothiazide is required.
  • Severe hepatic impairment for amlodipine-containing products.
  • Uncontrolled electrolyte disturbances, especially hyperkalemia, that could be worsened by the ARB component.

Relative Contra-indications

  • Moderate renal impairment (creatinine clearance 30-60 mL/min); dose adjustment or monitoring may be needed.
  • History of gallstones or biliary colic, which may be triggered by amlodipine.
  • Gout or hyperuricemia, as thiazide diuretics can raise serum uric acid.
  • Elderly patients (> 75 years) because of increased sensitivity to blood-pressure changes and electrolyte shifts.

Special Populations

  • Pregnancy & Breastfeeding: Tribenzor is contraindicated in pregnancy. Limited data exist for lactation; safe use is not established.
  • Pediatrics: The combination is not approved for use in children or adolescents.
  • Geriatrics: Initiate at the lower dose (20/5/12.5 mg) and monitor closely for orthostatic hypotension and electrolyte disturbances.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Dizziness or light-headedness (often related to postural blood-pressure changes).
  • Peripheral edema (most commonly from amlodipine).
  • Increased urination or mild dehydration (hydrochlorothiazide effect).
  • Headache and mild fatigue.

These effects are usually transient and improve with continued therapy or dose adjustment.

Serious Adverse Events

  • Severe hypotension - marked drop in blood pressure leading to fainting or shock.
  • Electrolyte abnormalities such as hyponatremia, hypokalemia, or hyperkalemia (from the ARB and diuretic components).
  • Renal function decline - especially in patients with pre-existing kidney disease.
  • Angioedema - rare but potentially life-threatening swelling of the lips, tongue, or airway.

If any of these symptoms occur, seek immediate medical attention.

Drug Interactions

  • Major interactions

  • Potassium-sparing diuretics or supplements (e.g., spironolactone, potassium chloride) can raise serum potassium when combined with olmesartan.

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole) may increase amlodipine levels, heightening the risk of hypotension.

  • Moderate interactions

  • Non-steroidal anti-inflammatory drugs (NSAIDs) may reduce the antihypertensive effect of the ARB and diuretic.

  • Lithium - concurrent use can raise lithium concentrations and precipitate toxicity.

Patients should disclose all prescription medicines, over-the-counter drugs, herbal products, and supplements before starting Tribenzor.

Food and Lifestyle Interactions

  • Alcohol - excessive intake can amplify blood-pressure lowering and increase dizziness.
  • High-salt diet - may counteract the diuretic component and blunt therapeutic benefit.
  • Driving or operating machinery - avoid until you know how Tribenzor affects you, especially after the first few doses.

How to Take Tribenzor

  • Standard dosing - The usual starting dose for most adults is the 20 mg/5 mg/12.5 mg tablet taken once daily. If blood pressure remains above target after 2-4 weeks, the prescriber may increase the dose to 40 mg/5 mg/12.5 mg.
  • Timing - Take the pill at the same time each day, preferably in the morning with or without food.
  • Renal or Hepatic Adjustments - In patients with moderate renal impairment, the lower dose is preferred and renal function should be checked after 2 weeks. For severe hepatic impairment, amlodipine-containing products may require dose reduction or alternative therapy.
  • Missed dose - Take the missed tablet as soon as you remember, unless it is almost time for the next dose. Do not double the dose.
  • Overdose - Symptoms may include profound hypotension, rapid heartbeat, severe weakness, or electrolyte imbalance. Seek emergency medical care; gastric lavage and supportive measures are standard.
  • Discontinuation - Abrupt stopping is generally safe, but a gradual taper may be advised if blood pressure has been well-controlled for a long period, to avoid rebound hypertension.

Monitoring and Follow-Up

  • Blood-pressure readings - Check at least once weekly until stable, then at each routine clinic visit (typically every 3-6 months).
  • Renal function and electrolytes - Baseline serum creatinine, eGFR, potassium, and sodium should be measured before initiation, then 2 weeks after any dose change, and periodically thereafter.
  • Liver enzymes - Evaluate at baseline for patients with liver disease; repeat if clinically indicated.
  • Signs of adverse effects - Promptly report new swelling, persistent dizziness, or changes in urine output.

Regular follow-up enables dose optimisation and early detection of complications.

Storage and Handling

  • Store tablets at room temperature (15-25 °C), protected from excess moisture and light.
  • Keep the container tightly closed and out of reach of children.
  • Do not use the medication after the expiry date printed on the packaging.
  • For safe disposal, return unused tablets to a pharmacy or follow local waste-medicine guidelines.

Medication-Specific Glossary

Angiotensin II Receptor Blocker (ARB)
A drug class that inhibits the action of angiotensin II on AT₁ receptors, leading to vasodilation and reduced blood-pressure elevation.
Calcium-Channel Blocker
Agents that prevent calcium influx into vascular smooth-muscle cells, causing relaxation of arteries and lowering peripheral resistance.
Thiazide Diuretic
A kidney-acting medication that promotes the excretion of sodium and water, decreasing blood volume and helping to control hypertension.

Medical Disclaimer

This article provides educational information about Tribenzor and is not a substitute for professional medical advice. Treatment decisions, including use for 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 Tribenzor 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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