Introduction About TRILOPACE TABLET

TRILOPACE TABLET is a combination of Amlodipine, Hydrochlorothiazide and Losartan which belongs to the group of medicines called Antihypertensive agents. It is used to manage hypertension (high blood pressure) when management with single agents is not effective.

It also helps in reducing the risk of heart attack, heart failure or stroke and can protect the function of kidneys particularly in patients who have both hypertension and type II diabetes mellitus.

During management with TRILOPACE TABLET your doctor will constantly monitor your kidney functions, blood pressure, electrolyte levels and blood sugar levels to avoid the risk of unwanted side effects. Avoid eating grapefruit or drinking grapefruit juice while taking TRILOPACE TABLET as it may severely decrease your blood pressure.

Before taking TRILOPACE TABLET inform your doctor if you have any heart, liver or kidney problems. You must also inform your doctor if you have diabetes, low blood pressure or are severely dehydrated due to excessive vomiting or diarrhea.

TRILOPACE TABLET is also not suitable for use in pregnant or breastfeeding women as it may cause serious harm to the growing baby. Stop taking TRILOPACE TABLET and inform your doctor immediately if you become pregnant while undergoing therapy with this medicine.

The most common side effects of taking TRILOPACE TABLET are low blood pressure, dizziness, tiredness, headache, sleepiness, swollen ankles and flushing. Contact your doctor if any of these side effect worsens.

Uses Of TRILOPACE TABLET

• Manage hypertension (high blood pressure)
• Prevents the risk of heart attack or stroke
• Protects kidney functions in patients who have both hypertension and type II diabetes

How TRILOPACE TABLET Works

TRILOPACE TABLET is an antihypertensive medicine. It relaxes your blood vessels and improves blood flow across them. It also reduces thickness of the blood by removing excess fluids from the body in the form of urine. Collectively, these actions reduce the strain on the heart and helps the heart to pump blood more smoothly with less pressure. It also protects kidney functions by improving blood supply to the kidneys.

How to use TRILOPACE TABLET

Take TRILOPACE TABLET as directed by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Try to take TRILOPACE TABLET at the same time each day. TRILOPACE TABLET can be taken with or without food.

Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and health condition.

Continue to take TRILOPACE TABLET for the stipulated duration instructed by your doctor without any interruption to achieve better results.

Side Effects Of TRILOPACE TABLET

How To Manage Side Effects

Nausea and vomiting:

Take TRILOPACE TABLET with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if your nausea worsens.

Dizziness:

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.

Headache:

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.

Warning & Precautions

Pregnancy

TRILOPACE TABLET is not recommended for use in pregnant women as it may cause serious harm to the growing fetus. Therefore, inform your doctor before taking TRILOPACE TABLET if you are pregnant, think you may be pregnant or planning to have a baby. If you become pregnant while undergoing therapy with TRILOPACE TABLET, stop taking it and consult your doctor immediately.

Breastfeeding

TRILOPACE TABLET is not recommended for use in breastfeeding women. Therefore, consult your doctor before taking it.

Driving and Using Machines

Do not drive or handle any heavy tools or machines if you experience dizziness or drowsiness after taking TRILOPACE TABLET.

Alcohol

Avoid consumption of alcohol while taking TRILOPACE TABLET as it might make you feel dizzier and drowsier.

Kidney

TRILOPACE TABLET is not recommended for use in patients with severe kidney problems. It should be used with caution in patients with other kidney problems (such as kidney transplant, narrowing of renal arteries). Therefore, consult your doctor before taking it.

Liver

TRILOPACE TABLET is not recommended for use in patients with severe liver impairment (such as cholestasis, jaundice, biliary obstruction). It should be used with caution in patients with mild to moderate liver problems. Therefore, consult your doctor before taking it.

Allergy

Do not take TRILOPACE TABLET if you are allergic to Amlodipine, Losartan or Hydrochlorothiazide.

Lungs

TRILOPACE TABLET should be used with caution in patients with breathing problems. Therefore, consult your doctor before taking it.

Heart Disease

TRILOPACE TABLET is not recommended for use in patients with serious heart problem (such as heart failure or heart attack). It should be used with caution in patients with heart problems (such as irregular heart rhythm and problems with heart muscles or valves). Therefore, consult your doctor before taking it.

Interactions

A. Drug - Drug interactions:

• medicines used to manage bacterial infections (Ex. erythromycin, clarithromycin, telithromycin, trimethoprim)
• medicine used to manage HIV infection (Ex. indinavir, ritonavir, saquinavir)
• medicines used to manage fungal infections (Ex. itraconazole, ketoconazole and fluconazole)
• medicines used for heart problems (such as verapamil, diltiazem)
• dantrolene (a medicine used to manage muscle spasms)
• medicines to suppress immune system (Ex. cyclosporin, tacrolimus, sirolimus, temsirolimus and everolimus)
• simvastatin, cholestyramine and colestipol (medicines to lower the cholesterol)
• potassium supplements or potassium-sparing diuretics such as spironolactone, triamterene or amiloride (used to retain or increase potassium levels in the body)
• antidepressants such as lithium, citalopram, fluoxetine, paroxetine, nefazodone, St. John’s wort (herbal medicine used to manage depression)
• other medicines used to manage elevated blood pressure (such as aliskiren, bosentan, methyldopa, guanethidine, captopril, enalapril, lisinopril, verapamil, diltiazem, losartan, valsartan)
• other diuretics (used to reduce edema) Ex. furosemide, bumetanide
• adrenaline or nor-adrenaline (used for low blood pressure, shock, cardiac failure, asthma or allergies)
• medicines used to manage gout (such as probenecid, sulfinpyrazone and allopurinol)
• laxatives (used to manage constipation) Ex. lactulose
• glycyrrhizin (a medicine used to reduce bronchitis)
• anti-diabetic medicines and insulin (used to lower the blood glucose level) Ex. vildagliptin, metformin
• corticosteroids (used to manage inflammation) Ex. prednisolone
• iodinated contrast agents (used during X-ray procedures)
• atropine (a medicine used to improve heart rate)
• biperiden (a medicine used to manage parkinsonism)
• antipsychotics (used to manage serious mental illnesses) Ex. clozapine, risperidone
• medicines used to relieve pain (Ex. morphine, aspirin, diclofenac, diflunisal, celecoxib, valdecoxib)

B. Drug-Food interactions:

Do not eat grapefruit or drink grapefruit juice while taking TRILOPACE TABLET as it may increase the risk of side effects

Overdosage:

If you or anyone else accidentally took more TRILOPACE TABLET, consult your doctor immediately. Overdosage may cause low blood pressure, abnormal heartbeat and dizziness.

Synopsis

More Information

• Keep TRILOPACE TABLET out of reach of children
• Store TRILOPACE TABLET at room temperature

FAQs About TRILOPACE TABLET

What are the uses of TRILOPACE TABLET?

TRILOPACE TABLET is used to manage hypertension. It can also be used to manage the risk of heart attack or stroke and can protect kidney functions among diabetic patients.

What type of a medicine is TRILOPACE TABLET?

TRILOPACE TABLET is an antihypertensive medicine. It relaxes your blood vessels and improves blood flow across them. It also reduces thickness of the blood by removing excess fluids from the body in the form of urine. Collectively, these actions reduce the strain on the heart and helps the heart to pump blood more smoothly with less pressure. It also protects kidney functions by improving blood supply to the kidneys.

What happens when I stop taking TRILOPACE TABLET?

Do not stop taking TRILOPACE TABLET without consulting your doctor as your blood pressure may raise once again. Make sure to take TRILOPACE TABLET for the stipulated duration recommended by your doctor to achieve maximum results.

What is the best time to take TRILOPACE TABLET?

TRILOPACE TABLET can be taken with or without meals. Your doctor will decide the best time for you to take TRILOPACE TABLET based on your age, body weight and disease condition.

What to do if I forgot to take a dose of TRILOPACE TABLET?

If you forgot to take a dose of TRILOPACE TABLET, take it as soon as you remember. However, if it is time for the next dose of TRILOPACE TABLET, skip the missed dose and take the next one regularly. Do not take a double dose of TRILOPACE TABLET to compensate the missed ones.

What precautions should be followed while taking TRILOPACE TABLET?

Before taking TRILOPACE TABLET, inform your doctor if you have any heart, liver or kidney problems. You must also inform your doctor if you have diabetes, low blood pressure or are severely dehydrated. Stop taking TRILOPACE TABLET and consult your doctor immediately if you become pregnant. Regularly visit your doctor and take all the necessary blood test recommended by your doctor without fail.

Can I consume alcohol while taking TRILOPACE TABLET?

Avoid consumption of alcohol while taking TRILOPACE TABLET as it might make you feel dizzier and drowsier.

What happens if I accidentally take more TRILOPACE TABLET?

If you or anyone else accidentally took more TRILOPACE TABLET, consult your doctor immediately. Overdosage may cause low blood pressure, abnormal heartbeat, fainting, drowsiness, nausea, vomiting or confusion.

Can I take TRILOPACE TABLET daily?

Take TRILOPACE TABLET as advised by your physician. Your doctor will evaluate your health condition and suggests whether can you take TRILOPACE TABLET every day or not.

Is TRILOPACE TABLET safe to use in diabetic patients?

TRILOPACE TABLET may alter the blood sugar levels in your body. Therefore, it is necessary to inform your doctor if you have diabetes before taking TRILOPACE TABLET as a precaution. Your doctor will closely monitor you blood sugar levels to avoid the risk of side effects.

What are the side effects of TRILOPACE TABLET?

The most common side effects of taking TRILOPACE TABLET are low blood pressure, dizziness, tiredness, headache, sleepiness, swollen ankles and flushing. Contact your doctor if any of these side effect worsens.

Can I stop taking TRILOPACE TABLET once my symptoms subside?

No. Do not stop taking TRILOPACE TABLET without consulting your doctor. As hypertension is a chronic condition, long term management may be necessary to control its symptoms. Therefore, take TRILOPACE TABLET as advised by your doctor for the stipulated duration. Premature discontinuation of therapy may increase your blood pressure once again.

Can TRILOPACE TABLET be taken during pregnancy?

TRILOPACE TABLET is not recommended for use in pregnant women as it may cause serious harm to the growing fetus. Therefore, inform your doctor before taking TRILOPACE TABLET if you are pregnant, think you may be pregnant or planning to have a baby. If you become pregnant while undergoing therapy with TRILOPACE TABLET, stop taking it and consult your doctor immediately.

Is TRILOPACE TABLET safe to use in kidney disease?

TRILOPACE TABLET is not recommended for use in patients with severe kidney problems. It should be used with caution in patients with other kidney problems (such as kidney transplant, narrowing of renal arteries). Your doctor will access your health condition and suggest a suitable dose for you. Therefore, it is important to inform your doctor if you have any kidney problems before taking TRILOPACE TABLET as a precaution.

Can the use of TRILOPACE TABLET affect the liver?

Yes. TRILOPACE TABLET may affect the way your liver work. It can elevate the levels of certain liver enzymes in your body. Therefore, it is strictly not recommended for use in patients with severe liver diseases. It should be used with caution in patients with other minor liver problems. Consult your doctor before taking it.

References

1. KD. Tripathi. Antihypertensive Drugs. Drugs Affecting Renin-Angiotensin System and Plasma Kinins. Essentials of medical pharmacology. Seventh edition. 2013. Page – 559, 505-508, & 561 &562.

2. Alberto F. Rubio-Guerra, Ana K. Garro-Almendaro and Montserrat B. Duran-Salgado. Effect of losartan combined with amlodipine or with a thiazide on uric acid levels in hypertensive patients. Therapeutic Advances in Cardiovascular Disease. December 2016. [Accessed on 13th December 2022]. https://journals.sagepub.com/doi/10.1177/1753944716678538

3. Dr. Reddy’s Laboratories (UK) Ltd. Electronic Medicines Compendium (EMC). [Revised in August 2018] [Accessed on 13th December 2022]. https://www.medicines.org.uk/emc/files/pil.3478.pdf

4. Bristol Laboratories Ltd. Electronic Medicines Compendium (EMC). [Revised in August 2018] [Accessed on 13th December 2022]. https://www.medicines.org.uk/emc/product/11442/smpc#DOCREVISION

5. Dexcel Pharma Ltd. Electronic Medicines Compendium (EMC). [Revised in July 2019] [Accessed on 13th December 2022]. https://www.medicines.org.uk/emc/files/pil.9045.pdf

6. Mylan Pharmaceuticals Inc. U.S. Food and Drug Administration. HYDROCHLOROTHIAZIDE TABLETS, USP 12.5 mg, 25 mg and 50 mg. [Revised in May 2011] [Accessed on 13th December 2022]. https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/040735s004,040770s003lbl.pdf

7. Accord Healthcare Polska Sp.z.o.o. Electronic Medicines Compendium (EMC). Losartan potassium/Hydrochlorothiazide 50/12.5mg and 100/25mg Tablets. Revised in April 2022] [Accessed on 13th December 2022]. https://www.medicines.org.uk/emc/files/pil.2909.pdf

8. Central Drugs Standard Control Organization. Each film coated tablet contains: Losartan Potassium IP 50mg, Amlodipine Besylate IP Eq. to Amlodipine 5mg, Hydrochlorothiazide IP 12.5mg Tablet. September 2017. [Accessed on 13th December 2022]. https://cdsco.gov.in/opencms/resources/UploadCDSCOWeb/2018/UploadApprovalNewDrugs/dciApprovedfdc.pdf

Useful Diagnostic Tests

• Kidney Function Test

Author Details

Written By Srilekha. R - B.Pharm

Reviewed By Dr. Sankara Babu Gorle - MBBS, MD(Pharmacology) View profile

Last updated on 14 Dec 2022 | 10:23 AM(IST)