TRIBENZOR SUMMARY
Tribenzor provided as a tablet for oral administration, is a fixed combination of olmesartan medoxomil (ARB), amlodipine (CCB), and hydrochlorothiazide (thiazide diuretic).
Olmesartan medoxomil, a prodrug, is hydrolyzed to olmesartan during absorption from the gastrointestinal tract.
Tribenzor (olmesartan medoxomil, amlodipine, hydrochlorothiazide) is indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. These benefits have been seen in controlled trials of antihypertensive drugs from a wide variety of pharmacologic classes including the class to which this drug principally belongs. There are no controlled trials demonstrating risk reduction with Tribenzor.
Control of high blood pressure should be part of comprehensive cardiovascular risk management, including, as appropriate, lipid control, diabetes management, antithrombotic therapy, smoking cessation, exercise, and limited sodium intake. Many patients will require more than one drug to achieve blood pressure goals. For specific advice on goals and management, see published guidelines, such as those of the National High Blood Pressure Education Programâs Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC).
Numerous antihypertensive drugs, from a variety of pharmacologic classes and with different mechanisms of action, have been shown in randomized controlled trials to reduce cardiovascular morbidity and mortality, and it can be concluded that it is blood pressure reduction, and not some other pharmacologic property of the drugs, that is largely responsible for those benefits. The largest and most consistent cardiovascular outcome benefit has been a reduction in the risk of stroke, but reductions in myocardial infarction and cardiovascular mortality also have been seen regularly.
Elevated systolic or diastolic pressure causes increased cardiovascular risk, and the absolute risk increase per mmHg is greater at higher blood pressures, so that even modest reductions of severe hypertension can provide substantial benefit. Relative risk reduction from blood pressure reduction is similar across populations with varying absolute risk, so the absolute benefit is greater in patients who are at higher risk independent of their hypertension (for example, patients with diabetes or hyperlipidemia), and such patients would be expected to benefit from more aggressive treatment to a lower blood pressure goal.
Some antihypertensive drugs have smaller blood pressure effects (as monotherapy) in black patients, and many antihypertensive drugs have additional approved indications and effects (e.g., on angina, heart failure, or diabetic kidney disease). These considerations may guide selection of therapy.
This fixed combination drug is not indicated for the initial therapy of hypertension
[see Dosage and Administration (2)].
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NEWS HIGHLIGHTS
Published Studies Related to Tribenzor (Olmesartan / Amlodipine / Hydrochlorothiazide)
Efficacy and safety of olmesartan/amlodipine/hydrochlorothiazide in patients with
hypertension not at goal with mono, dual or triple drug therapy: results of the
CHAMPiOn study. [2014] with hypertension not at goal with mono, dual or triple drug therapy... CONCLUSION: Treatment with OM/AM/HCTZ achieved superior (SBP) ABPM reductions
Efficacy and safety of olmesartan/amlodipine/hydrochlorothiazide in patients with
hypertension not at goal with mono, dual or triple drug therapy: results of the
CHAMPiOn study. [2014] with hypertension not at goal with mono, dual or triple drug therapy... CONCLUSION: Treatment with OM/AM/HCTZ achieved superior (SBP) ABPM reductions
Clinical Trials Related to Tribenzor (Olmesartan / Amlodipine / Hydrochlorothiazide)
Changes in Endothelial Function and Biomarkers in African Americans (AA) With Metabolic Syndrome [Active, not recruiting]
The purpose of the study is to compare the effects of Azor (a combination of amlodipine and
olmesartan) with Hyzaar ( a combination of losartan and hydrochlorothiazide) on the thin
lining on the inside of blood vessels. These cells help keep blood vessels healthy and
blood pressure normal.
A Dose Escalation Study of a Combination Antihypertensive Drug in the Treatment of Various Groups of Patients Who do Not Respond to Single Drug Treatment of Their High Blood Pressure [Completed]
The initial 12 week portion of this 20 week study will examine the ability of a combination
of olmesartan medoxomil and amlodipine to lower the blood pressure of patients with high
blood pressure who have not had sufficient blood pressure reduction using one
anti-hypertension drug (monotherapy). The final 8 weeks of this 20 week study will examine
the ability of a combination of olmesartan medoxomil, amlodipine and hydrochlorothiazide to
lower blood pressure in the same patient population. All three medications being tested
have been approved by the FDA for the treatment of high blood pressure, but only amlodipine
and olmesartan are currently approved for use in combination form.
Amlodipine And Olmesartan Medoxomil In Hypertensive Filipino Patients [Completed]
Parallel-Group Comparison of Olmesartan (OLM), Amlodipine (AML) and Hydrochlorothiazid (HCTZ) in Hypertension [Completed]
This study is to determine the change in blood pressure from the administration of
Olmesartan/Amlodipine/Hydrochlorothiazide triple combinations compared to dual combinations
with Olmesartan/Amlodipine.
18 Week Study Evaluating Safety and Efficacy of Olmesartan, Amlodipine, and Hydrochlorothiazide, in Type 2 Diabetics [Completed]
To determine if olmesartan plus amlodipine combination therapy alone and with
hydrochlorothiazide will be safe and effective to reduce high blood pressure in
hypertensive, type 2 diabetic subjects.
Reports of Suspected Tribenzor (Olmesartan / Amlodipine / Hydrochlorothiazide) Side Effects
Syncope (3),
Oedema Peripheral (2),
Vomiting (2),
Joint Swelling (2),
Dehydration (2),
Confusional State (1),
Fatigue (1),
Neuropathy Peripheral (1),
Neck Pain (1),
Lung Neoplasm Malignant (1), more >>
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