Nulong-Trio 40 Tablet

Nulong-Trio 40 Tablet is a combination of medicines used to treat hypertension (high blood pressure) when a single medication is not effective. It helps to lower high blood pressure thus reduces chances of future heart attack and stroke. Nulong-Trio 40 Tablet should be taken with food. The dose will depend on your condition and how you respond to the medicine. Try to take it at the same time each day. It is important to keep taking this medicine until your doctor tells you not to. It contains a diuretic (water pill) and will make you urinate more so, it is best to avoid taking this medicine within four hours of going to bed. Use this medicine regularly to get the most benefit from it even if you feel well. High blood pressure does not usually have symptoms and if you stop taking it your risk of heart attack or stroke may increase. The most common side effects of this medicine include ankle swelling, headache, dizziness, tiredness, and taste change. Consult your doctor If any of these bother you, or get worse, or won't go away. Drink plenty of fluids while taking medicine to overcome muscle weakness, dry mouth, and extreme thirst. Before taking it, let your doctor know if you have any liver or kidney problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking especially those used to treat high blood pressure or heart conditions. You should have your blood pressure, kidney function, level of electrolytes, and blood sugar level checked regularly to make sure that this medicine is working properly.

• Hypertension (high blood pressure)

Nulong-Trio 40 Tablet is a combination of three medicines: Olmesartan Medoxomil, Cilnidipine and Chlorthalidone. Olmesartan Medoxomil is an angiotensin receptor blocker (ARB) and Cilnidipine is a calcium channel blocker (CCB). They work by widening and relaxing the blood vessels, thereby lowering blood pressure. Chlorthalidone is a diuretic which removes extra water and certain electrolytes from the body through urine. Over time it also works by relaxing blood vessels and improving blood flow.

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Nulong-Trio 40 Tablet is to be taken with food.

• Ankle swelling
• Headache
• Dizziness
• Tiredness
• Palpitations
• Sleepiness
• Increased blood uric acid
• Glucose intolerance
• Taste change
• Flushing (sense of warmth in the face, ears, neck and trunk)
• Upset stomach
• Altered blood lipid level

AlcoholUNSAFE

Nulong-Trio 40 Tablet may cause excessive drowsiness with alcohol.

PregnancyCONSULT YOUR DOCTOR

Nulong-Trio 40 Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.

Breast feedingCONSULT YOUR DOCTOR

Information regarding the use of Nulong-Trio 40 Tablet during breastfeeding is not available. Please consult your doctor.

DrivingUNSAFE

Nulong-Trio 40 Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

KidneyCAUTION

Nulong-Trio 40 Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Nulong-Trio 40 Tablet may be needed. Please consult your doctor. Use of Nulong-Trio 40 Tablet is not recommended in these patients.

LiverCAUTION

Nulong-Trio 40 Tablet should be used with caution in patients with liver disease. Dose adjustment of Nulong-Trio 40 Tablet may be needed. Please consult your doctor. Use of Nulong-Trio 40 Tablet is not recommended in patients with severe liver disease.

If you miss a dose of Nulong-Trio 40 Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Habit Forming

No

Therapeutic Class

Cardiac