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Doctor insights on: Losartan Hctz Vs Benicar Hct

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Is Benicar HCT the same as Benicar HCTZ?

Is Benicar HCT the same as Benicar HCTZ?

Yes: Female? Age asks, Is Benicar HCT same as Benicar HCTZ?
Yes ...Read more

Losartan (Definition)

A blood pressure reducing medicine from the class of drugs called arbs. Acts on an enzyme in the kidney and lung to reduce the blood pressure. Can have some protective effects on the kidneys in high blood pressure and diabetes. Not recommended for patients ...Read more


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Taking Benicar/HCT, and concern about FDA ROADMAP trial study that it increased risk of cardiovascular death. How safe is it and how widely used?

Taking Benicar/HCT, and concern about FDA ROADMAP trial study that it increased risk of cardiovascular death. How safe is it and how widely used?

Still safe and used: Benicar (olmesartan) w/ and w/out HCT sells at 8.3 million Rxs/year, and it's in the Top 40 most prescribed. (See Medscape art. #829246.)

The most recent info from the FDA was in June 2014; it reported it "found no clear evidence of increased cardiovascular risks."

The increased deaths in ROADMAP came mostly in those with the lowest BP. It may be too aggressive BP control rather than the drug is the danger. ...Read more

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Benicar/hct drug info sheet shows little differences in antihypertensive effect between dosages 40/12.5=16/10 while 20/12.5 =17/8. Would 20/12.5 be ok?

Benicar/hct drug info sheet shows little differences in antihypertensive effect between dosages 40/12.5=16/10 while 20/12.5 =17/8. Would 20/12.5 be ok?

Response: Your BP goal should be <140/90. If you have heart disease, diabetes or kidney disease then it should be <130/80. Please go by response and use the smallest dose required to achieve the goals. Lifestyle modification with achieving ideal body weight, increasing exercise, watching salt intake, dash diet and moderation in alcohol intake will help decrease BP and minimize medication usage. ...Read more

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Been taking benicar hct for years and went to doctor 2 weeks ago & prescribed metoprolol 12.5 mg because bp was elevated, how can I come off this?

Been taking benicar hct for years and went to doctor 2 weeks ago & prescribed metoprolol 12.5 mg because bp was elevated, how can I come off this?

Most hypertensive: Patients require 3 or 4 different medications to obtain sufficient BP control as they get older. If you want to normalize your blood pressure without medications you will need to lose weight (BMI of 20) exercise daily and limit the sodium content of your diet to less than 1.5 grams a day. It takes very hard work but the benefits of being off medications is worth it. Good luck. ...Read more

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I am currently taking benicar-hct 40 12.5. Due to change in insurance I can't afford to fill prescriptions. Can I change to Benicar (olmesartan) w/OTc water pill?

I am currently taking benicar-hct 40 12.5. Due to change in insurance I can't afford to fill prescriptions. Can I change to Benicar (olmesartan) w/OTc water pill?

Follow close w/ doc: This is probably reasonable however I would recommend your be evaluated more frequently with your doctor until you both are sure this change is reasonable, ...Read more

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Is it safe to use pink Himalayan salt while taking benicar hct?

Is it safe to use pink Himalayan salt while taking benicar hct?

Himalayan salt: Yes but the total amout of salt you eat is what is important. Salt is salt is salt.

I would recommend getting the book below.
DASH Diet for Hypertension ISBN 9780743410076

read it
use it

BP will be lower in 2 weeks if you are salt sensitive. I call it DASH sensitive.

Tell your team.

Get the app myfitnesspal and track your current salt sodium intake should be <1, 500 mg sodium/d read labels ...Read more

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Dear MD, Pharma: How long it takes for Benicar/HCT to be completely out of your system. How long it continue to control BP after you stop it.?

Dear MD, Pharma: How long it takes for Benicar/HCT to be completely out of your system. How long it continue to control BP after you stop it.?

Variable: This a two drug combination the half live for Benicar (olmesartan) is 13 hr & hctz half live is variable 5.6-14.7 hr. That means that have the dose is metabolized on that time. Several days until it is completely eliminated ...Read more

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What is the peak time and half-life of amlodipine, pravachol, (pravastatin) and benicar/hct medicines respectively. Thanks for the help in advance.

What is the peak time and half-life of amlodipine, pravachol, (pravastatin) and benicar/hct medicines respectively. Thanks for the help in advance.

LookOnline & Empower: Search engines, esp google, can rapidly find these answers for you (& me), e.g. Search "amlodipine t½" & go to nih, fda or edu websites. Keep in mind that chemical t½ life & physiologic t½ life may be very different, data is only a small group average & there are many variables. Also keep in mind that your primary medical decision maker (primary physician, if you will) is always you, no one else. ...Read more

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Can coenzyme q10 reduce blood pressure, could it be use in pm along with benicar/hct am to replace CCB such as amlodipine.?

Can coenzyme q10 reduce blood pressure, could it be use in pm along with benicar/hct am to replace CCB such as amlodipine.?

Coenzyme Q1: Coenzyme q10 has very weak blood pressure lowering effects if any. It most likely will not be able to replace the benefits of amlodipine. ...Read more

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My morning blood pressure is highets. T averages 135/80. I take benicar/hct at 7 am. When should I take my 5 mg amlodipine if I wanted 24 BP control?

At night: Blood pressure is usually the highest in the morning, I suggest to continue to take Benicar (olmesartan) at 7 am and take amlodopine at night or 7 pm for better 24h coverage. ...Read more

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Dr switched me from Benicar (olmesartan) hct 20/12.5 to lisinopril hctz 20/12.5. Also take metoprolol 50mg 2x day and klorcon10 1x day. Bp is 81/49p48. No symptoms?

Dr switched me from Benicar (olmesartan) hct 20/12.5 to lisinopril hctz 20/12.5. Also take metoprolol 50mg 2x day and klorcon10 1x day. Bp is 81/49p48. No symptoms?

Over medication: You may not need that much meds -- I would recommend that you get for yourself an automatic arm BP machine and start recording your BP every morning for the next 2 weeks then report to your doctor. ...Read more

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Medlineplus site has warning: spironolactone has caused tumors in laboratory animals. How safe is it. Also can you use with bb bystolic (nebivolol) &benicar/hct?

Medlineplus site has warning: spironolactone has caused tumors in laboratory animals. How safe is it. Also can you use with bb bystolic (nebivolol) &benicar/hct?

Very safe: Spironolactone has been in use for decades, so I would not worry about the animal data. The drug is safe in people and that is all that matters. You can use it in any fashion as per your doctor recommendations. ...Read more

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Can using 0.3ml lidocaine with 1:100, 000 epinephrine during dental work interacts with bystolic, (nebivolol) benicar/hct or isosorbide mononitrate medicine.?

Probably not: Although Lidocaine is a vasodilator, there is no clinical evidence of any drug interactions or special precautions needed. However, if during the injection, some of the anesthetic were to be introduced directly into a blood vessel, the Epinephrine could cause a minor and short acting increase in heart rate. ...Read more

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Taking Benicar (olmesartan) 40/ hct 12.5 but my potassium is 3.0 as the diuretic is causing potassium loss. Any other meds to control htn & replace hctz diuretic?

Taking Benicar (olmesartan) 40/ hct 12.5 but my potassium is 3.0 as the diuretic is causing potassium loss. Any other meds to control htn & replace hctz diuretic?

Low potassium levels: Your low potassium (k) could be worsened by magnesium (m) loss due to hct. Your k won't be normal unless the m is repleted. At your age, with a history of cardiac disease, you may have some chronic kidney disease. Hct won't work if you've <50% of your kidney function left. If your BP isn't controlled on your meds, ask your doc to rx Furosemide (f) as a diuretic. F causes urine loss of m and k too. ...Read more

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Doctor wanted to use 25mg spironolactone to counter effect potassium lose by hct in ben/hct. I wonder why not use Benicar (olmesartan) without hctz. How effective.?

Doctor wanted to use 25mg spironolactone to counter effect potassium lose by hct in ben/hct. I wonder why not use Benicar (olmesartan) without hctz. How effective.?

A good option: Benicar (olmesartan) ; hctz work so well together that the combination tablet was formulated. Potassium levels are often sustained with this combination but some folks lose too much potassium even with this low dose of hctz. An alternative to spironolactone is potassium but it can irritate the stomach. Also spironolactone itself can help lower blood pressure. ...Read more

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I have uncontrollable blood pressure. I am currently on metoporol conodine Benicar and tekturna hct (aliskiren and hydrochlorothiazide). Still can't control it.

I have uncontrollable blood pressure. I am currently on metoporol conodine Benicar and tekturna hct (aliskiren and hydrochlorothiazide). Still can't control it.

Bp: When blood pressure is that difficult to control there is general some vascular, kidney or endocine problem making the BP so difficult to control. Should discuss with your doc, might need referral to BP specialist. ...Read more

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Which blood pressure medicine is better Benicar (olmesartan) or losartan?

Why bother with ARBs: They're both expensive. Can you not take an ace-inhibitor? They're better proven in evidence based studies, and Lisinopril is $4/month at walmart and a bunch of other places. That said, they're pretty comparable as BP meds. ...Read more

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What are the differences between losarta hctz (hydrochlorothiazide) and losartan potassium?

What are the differences between losarta hctz (hydrochlorothiazide) and losartan potassium?

A combo pill vs. ARB: Losartan HCTZ (hydrochlorothiazide) (= Hyzaar) is a combination pill that contains both losartan (angiotensin receptor blocker) and a diuretic (hydrocholorthiazide)--"water pill"-- whereas Loasartan potassium does not contain the diuretic. ...Read more

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My dr prescribed 50 mg of losartan and 25 mg of hctz (hydrochlorothiazide). is this a normal combination?

My dr prescribed 50 mg of losartan and 25 mg of hctz (hydrochlorothiazide). is this a normal combination?

Very normal: Sure is. Like peanut butter and jelly. Peas and carrots. Hugs and kisses. That combination is effective, safe, and used very commonly because the losartan helps cancel a troublesome side effect of hctz (hydrochlorothiazide) (potassium wasting) and hctz (hydrochlorothiazide) potentiates the effect of losartan. Your dr is on the ball. ...Read more

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Is losartan hctz (hydrochlorothiazide) same as valsartan hctz (hydrochlorothiazide)?

Is losartan hctz (hydrochlorothiazide) same as valsartan hctz (hydrochlorothiazide)?

Drug choices: Both losartan (l) and valsartan (v) are drug of the angiotensin receptor blocker class. Both have few side effects and reduce BP and proteinuria quite well. L should be given twice a day and v can be given once daily for maximum their maximum effect. ...Read more

Dr. Madhu Kandarpa
391 Doctors shared insights

Hydrochlorothiazide (Definition)

This is a diuretic often used to treat high blood pressure. It can be used alone or often in combination with ...Read more


Dr. Heidi Fowler
301 Doctors shared insights

Hctz (Definition)

HCTZ is a thiazide agent which is a kind of water pill or diuretic (heart ...Read more