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Olmesartan medoxomil-based therapy for the management of hypertension
1South Hills Cardiology Associates, 2000 Oxford Drive, Ste. 680, Bethel Park, Pittsburgh, PA 15102, USA. greathouse@earthlink.net.
Insights
Olmesartan medoxomil effectively manages hypertension, alone or combined with other drugs. This review covers its chemistry, efficacy, and safety for achieving blood pressure goals.
Area of Science:
- Cardiology
- Pharmacology
- Nephrology
Background:
- Current hypertension guidelines recommend specific blood pressure (BP) goals: <140/90 mmHg for general hypertension and <130/80 mmHg for patients with diabetes or chronic kidney disease.
- Achieving these BP goals often necessitates combination therapy with agents possessing complementary mechanisms of action.
Purpose of the Study:
- To review the chemistry, efficacy, and safety of olmesartan medoxomil-based therapies for hypertension management.
- To evaluate the expanding role of olmesartan medoxomil in diverse patient populations.
Main Methods:
- Review of existing literature, including large, randomized clinical trials.
- Evaluation of olmesartan medoxomil's efficacy and safety in monotherapy and combination therapy.
Main Results:
- Olmesartan medoxomil, an angiotensin receptor blocker, demonstrates good BP-lowering efficacy and goal attainment in stage 1 and 2 hypertension.
- Established comparative antihypertensive efficacy and safety profiles for olmesartan medoxomil in various treatment regimens.
Conclusions:
- Olmesartan medoxomil-based therapy is effective for managing hypertension across different patient types.
- Combination therapy with olmesartan medoxomil is a valuable strategy for achieving target blood pressure goals.
Abstract:
Contemporary practice guidelines for hypertension recommend a goal systolic/diastolic blood pressure (BP) of less than 140/90 mmHg for patients with hypertension and less than 130/80 mmHg for patients with diabetes mellitus or chronic kidney disease. Current guidelines recognize that most patients will require combination therapy to achieve these BP goals and recommend that the agents used in such therapy should have complementary mechanisms of action. Olmesartan medoxomil is an angiotensin receptor blocker approved for the treatment of hypertension as monotherapy or in combination with antihypertensive agents. It is also approved in a fixed-dose combination with hydrochlorothiazide or amlodipine. Olmesartan medoxomil-based therapy can manage hypertension across a range of patient types and has demonstrated good BP-lowering efficacy and goal attainment in individuals with stage 1 or stage 2 hypertension. The comparative antihypertensive efficacy and safety of olmesartan medoxomil, as monotherapy and as part of combination therapy, has been established in several large, randomized clinical trials. This review evaluates the chemistry, efficacy and safety of olmesartan medoxomil-based therapy and its expanding role in hypertension management.
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