What is Benicar HCT?
Benicar HCT is a combination medication containing olmesartan and hydrochlorothiazide, commonly prescribed for managing high blood pressure (hypertension). Olmesartan, an angiotensin II receptor blocker (ARB), works by relaxing blood vessels, allowing blood to flow more easily, which lowers blood pressure. The second component, hydrochlorothiazide, is a diuretic that helps remove excess fluid and salt from the body, further supporting blood pressure control. Together, these ingredients provide a comprehensive approach to hypertension, making this pill an effective option for those needing additional blood pressure management.
In addition to improving blood pressure, the drug indirectly benefits kidney health by reducing the strain on blood vessels in the kidneys, particularly in individuals with hypertension or diabetes. Lowering blood pressure is crucial in preventing complications that could affect the kidneys, heart, and other organs. Available in various strengths, such as 20 mg + 12.5 mg, the blood pressure medication offers flexibility to match individual treatment needs. Regular monitoring and consultation with a healthcare provider ensure optimal results and help tailor the treatment to each patient’s specific health profile.
Where to Buy Benicar HCT
An olmesartan + hydrochlorothiazide tablet is available through multiple reputable online pharmacies. Each pharmacy provides distinct advantages, including competitive pricing, reliable delivery, and dedicated customer support, making it easier to find the right option for your needs. Here’s a comparison of popular sources, featuring each pharmacy’s price per pill, notable benefits, and customer ratings.
| Pharmacy | Price per Pill | Key Benefits | Customer Rating |
|---|---|---|---|
| Canadian Pharmacy | $1.00 | Top-rated service, fast shipping, 24/7 customer care, expert guidance available | ★★★★★ (5.0) |
| Blink Health | $0.95 | Simple ordering, trusted source, easy-to-use website | ★★★★☆ (4.7) |
| HealthWarehouse | $2.56 | Transparent pricing, reliable support, straightforward process | ★★★★☆ (4.6) |
| RxConnected | $1.30 | Secure transactions, loyalty rewards, dedicated customer care | ★★★★☆ (4.5) |
| Canada Drugs Direct | $0.97 | Affordable, secure checkout, responsive customer service | ★★★★☆ (4.6) |
| Honeybee | $0.87 | Lowest price, user-friendly, reliable customer support | ★★★★☆ (4.7) |
| PricePro Pharmacy | $1.43 | Multiple dosage options, easy-to-navigate, fast shipping | ★★★★☆ (4.5) |
These pharmacies offer a range of options for purchasing Benicar HCT online, each with unique benefits to suit various preferences. When selecting a pharmacy, consider factors like pricing, support availability, and checkout security to ensure a convenient and secure purchasing experience.
FAQ
When is Benicar HCT used?
This combination blood pressure pill is commonly prescribed for managing high blood pressure (hypertension), especially in cases where a single medication is not sufficient to control blood pressure levels. The combination of an angiotensin II receptor blocker (ARB) and a diuretic provides a dual-action approach that effectively lowers blood pressure, reduces strain on the heart, and helps prevent complications. Here’s when olmesartan + hydrochlorothiazide therapy is typically used:
- Primary hypertension management: For individuals with consistently high blood pressure that doesn’t respond adequately to lifestyle changes alone.
- Combination therapy requirement: When a single medication isn’t enough, the medication combines two drugs to improve blood pressure control.
- Risk reduction for cardiovascular events: Helps lower the risk of heart attack, stroke, and other related complications in patients with high blood pressure.
- Long-term blood pressure stability: Useful for those needing consistent blood pressure control over 24 hours.
- Kidney protection in specific cases: Sometimes used to protect kidney function in patients with high blood pressure, especially if other treatments are not suitable.
These specific uses make this medication a versatile and effective option for patients needing enhanced blood pressure control and comprehensive cardiovascular protection.
How does it work?
Benicar HCT combines two effective medications to lower blood pressure: olmesartan, an angiotensin II receptor blocker (ARB), and hydrochlorothiazide, a diuretic (or “water pill”). Together, these medications help relax blood vessels, making it easier for blood to flow and reducing the strain on the heart. Here’s how each part works:
- Olmesartan: Blocks a hormone that tightens blood vessels, helping them relax.
- Hydrochlorothiazide: Increases urine production, reducing excess fluid and sodium in the body. This dual action not only helps lower blood pressure but can also prevent complications like heart disease, stroke, and kidney problems. However, consistent usage as prescribed is essential to maintain healthy blood pressure levels.
What should I avoid while taking this drug?
While on Benicar HCT, certain substances and activities should be avoided to prevent adverse effects. Avoid alcohol, as it can increase dizziness and risk of dehydration. Additionally, non-prescription drugs, especially those containing NSAIDs like ibuprofen, can interfere with blood pressure control and reduce the effectiveness of generic blood pressure medication. Try to limit or avoid high-sodium foods, as salt can counteract the diuretic effect and raise blood pressure. Avoid these when on this hypertension medication:
- Alcoholic beverages
- NSAIDs (ibuprofen, naproxen)
- High-sodium foods
- Potassium supplements (unless directed by your doctor) Adhering to these precautions can help improve your medication’s effectiveness and reduce potential risks.
Can this medication affect kidney function?
Benicar HCT may impact kidney function, particularly in individuals with preexisting kidney issues. The hydrochlorothiazide component increases urination, which can sometimes lead to dehydration and, consequently, kidney strain if fluid intake is insufficient. Olmesartan, while beneficial for blood pressure, can occasionally lead to elevated blood urea nitrogen (BUN) and serum creatinine levels, markers of kidney stress. To monitor this, your doctor may perform regular kidney function tests, especially during the first months of treatment. If you notice changes in urination, such as significantly reduced output or pain, contact your healthcare provider promptly.
| Factor | Impact on Kidneys |
|---|---|
| Hydrochlorothiazide | Increases urine output, may cause dehydration |
| Olmesartan | Can elevate BUN and creatinine |
| Monitoring | Regular kidney function tests recommended |
Maintaining good hydration and attending routine check-ups can help ensure your kidneys remain healthy while on antihypertensive therapy.
How should I take Benicar HCT to ensure the best results?
Taking this blood pressure-lowering drug exactly as prescribed ensures the best possible blood pressure control. It’s usually recommended to take it at the same time daily, either with or without food, to maintain a steady level in your body. Many people find taking it in the morning reduces the need for frequent nighttime bathroom trips. If you miss a dose, take it as soon as you remember unless it’s close to the next dose—never double up. For best results:
- Take consistently at the same time each day
- Avoid high-salt foods: as they can reduce the medication’s effectiveness
- Drink plenty of water: to avoid dehydration from increased urination Always consult your doctor if you experience dizziness, fainting, or other side effects, and attend regular check-ups to monitor your blood pressure.
What are the potential side effects of Benicar HCT?
A combination of olmesartan and hydrochlorothiazide can cause a range of side effects from common to very rare. Understanding these side effects and knowing how to manage them can help ensure safer, more comfortable treatment. Below is a breakdown of possible side effects by frequency, along with tips to help manage them.
| Frequency | Side Effect | Percentage | Tips for Management |
|---|---|---|---|
| Common | Dizziness, Lightheadedness, Increased Urination | 10-15% | Drink water throughout the day to stay hydrated, avoid standing up quickly to reduce dizziness. |
| Muscle cramps, Fatigue | 5-10% | Gentle stretching and staying hydrated can help alleviate muscle cramps and fatigue. | |
| Rare | Electrolyte imbalance (e.g., low potassium or sodium) | 1-5% | Regular blood tests can help monitor electrolyte levels; consult a doctor if you feel unusually weak. |
| Dehydration (dry mouth, thirst, less urination) | 1-3% | Ensure adequate water intake and avoid high-sodium foods that increase dehydration risk. | |
| Very Rare | Severe allergic reaction (rash, swelling, breathing issues) | <1% | Seek immediate medical attention if you experience facial swelling, hives, or difficulty breathing. |
| Kidney issues (e.g., reduced urination, pain) | <1% | Contact your healthcare provider if you notice significant changes in urination or pain near the kidneys. |
The drug’s side effects vary in frequency, with most users experiencing only mild, manageable symptoms. Common effects, such as dizziness and lightheadedness, typically occur as the body adjusts to the medication. Rarely, some users may experience electrolyte imbalances or signs of dehydration, which may require monitoring by a healthcare provider. Very rare side effects, including severe allergic reactions or changes in kidney function, are uncommon but should be addressed promptly if they arise. Regular follow-ups with a healthcare professional can ensure that any unusual reactions are identified early, helping maintain both the safety and effectiveness of treatment.
How should I store the drug to maintain its effectiveness?
Benicar HCT should be stored in a cool, dry place away from moisture and direct sunlight. Ideal storage conditions can prevent the medication from degrading and ensure it remains effective. Avoid storing it in the bathroom or other humid areas, as humidity may affect its potency. Here are some tips for proper storage:
- Temperature: Store at room temperature (between 68°F and 77°F / 20°C and 25°C).
- Avoid moisture: Keep the medication in a dry area, away from bathrooms or kitchens.
- Keep out of reach of children and pets: Store it in a secure location to prevent accidental ingestion.
- Original container: Store the medication in its original packaging to protect it from light and moisture.
If you have any questions about the storage of your medication, consult your pharmacist.
Can the tablet cause allergic reactions, and what are the symptoms?
Though rare, Benicar HCT can cause allergic reactions in some individuals. An allergic reaction may range from mild skin reactions to more serious symptoms. Signs of an allergic reaction include:
- Skin reactions: Rash, itching, or redness
- Swelling: Particularly of the face, tongue, or throat
- Breathing difficulties: Wheezing or shortness of breath
- Severe dizziness or fainting
If any of these symptoms occur, seek medical attention immediately. Let your healthcare provider know if you have a history of allergies to sulfa drugs, as this dual-action blood pressure tablet contains hydrochlorothiazide, which may trigger reactions in those with sulfa allergies.
Is the generic version of Benicar HCT as effective as the brand-name drug?
Yes, the generic version (olmesartan + hydrochlorothiazide) is generally as effective as the brand-name medication. In a study published in JAMA Internal Medicine in 2017, researchers found that 90% of patients achieved similar blood pressure control with generic olmesartan/hydrochlorothiazide as with the branded medication. The FDA mandates that generic medications must have the same active ingredients, dosage, and effectiveness as their brand-name counterparts. In terms of efficacy:
- Clinical results: Showed comparable efficacy for over 85% of patients.
- Safety profile: No significant differences in adverse events compared to brand-name versions.
- Cost savings: Generics are generally 80-85% less expensive than branded drugs, making them a cost-effective choice. The American Heart Association supports the use of generic medications for managing chronic conditions like hypertension, as they provide the same therapeutic benefits at a more affordable price.
What is the typical dosage of Benicar HCT?
The typical dosage of this high blood pressure treatment is personalized based on the patient’s specific needs, blood pressure levels, and how they respond to the treatment. Generally, the olmesartan hydrochlorothiazide combo HCT comes in varying strengths, combining different doses of olmesartan and hydrochlorothiazide to allow flexibility in treatment. A common starting dose might be 20 mg of olmesartan with 12.5 mg of hydrochlorothiazide once daily, but this may be adjusted by the doctor over time to achieve optimal blood pressure control. For some patients, the dose may be increased if blood pressure is not adequately controlled or if a stronger therapeutic effect is required. It’s important to follow the prescribed dosage precisely and not make any changes without consulting the healthcare provider, as incorrect dosing could lead to unwanted side effects or diminished effectiveness. Regular monitoring helps ensure the dosage remains safe and effective for long-term management of high blood pressure.
What are the possible interactions of Benicar HCT with other medications?
Olmesartan and hydrochlorothiazide may interact with various medications, which can affect its effectiveness or increase the risk of adverse effects. It’s essential to inform your healthcare provider about all the medications you’re taking, including prescriptions, over-the-counter drugs, and supplements. Here is an overview of some potential interactions and examples of medications to be aware of:
| Medication Type | Examples | Potential Interactions | Management |
|---|---|---|---|
| NSAIDs | Ibuprofen (Advil, Motrin), Naproxen (Aleve) | May reduce the effectiveness of the antihypertensive and raise blood pressure | Limit NSAID use, consult your doctor |
| Potassium supplements | Potassium chloride, Potassium gluconate | Increases risk of hyperkalemia (high potassium) due to the potassium-sparing effect of the bp control medicine | Avoid or use only if prescribed |
| Other blood pressure meds | Enalapril, Lisinopril, Spironolactone | May increase the risk of low blood pressure or electrolyte imbalances | Monitor blood pressure and electrolytes |
| Diuretics | Furosemide (Lasix), Hydrochlorothiazide | Heightened risk of dehydration and low blood pressure | Stay hydrated and discuss with your doctor |
| Lithium | Lithium carbonate (Lithobid) | May increase lithium toxicity, as blood pressure control medicine reduces lithium clearance | Regular lithium level monitoring |
| Cholesterol medications | Cholestyramine, Colestipol | May reduce absorption of the olmesartan + hydrochlorothiazide combination, affecting its effectiveness | Take Benicar HCT several hours apart |
| Diabetes medications | Insulin, Metformin, Glipizide | May enhance the blood glucose-lowering effect, increasing the risk of hypoglycemia | Regular blood sugar monitoring recommended |
Being aware of these interactions can help prevent side effects and ensure that the high blood pressure combo works effectively. Always discuss any new medications or supplements with your doctor to manage potential interactions and maintain optimal blood pressure control.
Is this drug safe to take during pregnancy or breastfeeding?
Benicar HCT is generally not recommended during pregnancy, especially in the second and third trimesters, due to potential risks to the developing fetus. The medication may affect fetal kidney development and blood pressure. Here’s a guideline for pregnancy and breastfeeding:
- Pregnancy: Consult your doctor immediately if you are pregnant or planning to become pregnant, as blood pressure medication is usually avoided during pregnancy.
- Breastfeeding: Limited data suggest olmesartan and hydrochlorothiazide may pass into breast milk, potentially affecting the infant. Your doctor may recommend an alternative medication if you are breastfeeding.
Always discuss your options with your healthcare provider to determine the safest course of action.
How long does it take for this drug to show results in lowering blood pressure?
Benicar HCT typically begins to lower blood pressure within one to two weeks of starting the medication. However, full effects may take up to 4-6 weeks. Initial results can be influenced by factors like dosage, individual response, and lifestyle habits. Here’s what to expect:
- 1-2 weeks: Initial reduction in blood pressure may be noticed.
- 4-6 weeks: Full blood pressure-lowering effects typically achieved.
- Lifestyle impact: Diet, exercise, and reducing salt intake can improve results.
For best results, continue taking this angiotensin II blocker with diuretic as prescribed and follow up with your doctor to monitor blood pressure levels.
What should I do if I miss a dose?
If you miss a dose of Benicar HCT, take it as soon as you remember, unless it’s almost time for your next dose. Avoid doubling up to make up for a missed dose, as this can increase the risk of side effects. Here are some helpful guidelines for missed doses:
- If it’s close to the next dose: Skip the missed dose and resume your regular schedule.
- If you remember soon after: Take the missed dose if there’s a sufficient gap before the next one.
- Avoid double dosing: Taking more than the prescribed dose can increase the risk of low blood pressure or dehydration.
Setting a reminder or alarm can help you remember to take this antihypertensive at the same time each day, ensuring more consistent blood pressure control.
How does Benicar HCT compare with other blood pressure medications?
This hypertension combo drug is often compared to other common blood pressure medications, such as Losartan HCT and Lisinopril HCT, which also combine an angiotensin receptor blocker (ARB) or ACE inhibitor with a diuretic. Below is a comparison table:
| Medication | Type | Mechanism | Common Side Effects | Ideal for |
|---|---|---|---|---|
| Benicar HCT | ARB + Diuretic | Blocks angiotensin II + removes excess fluid | Dizziness, increased urination | Patients needing long-term blood pressure stability |
| Losartan HCT | ARB + Diuretic | Similar ARB and diuretic mechanism | Dizziness, muscle cramps | Patients who may need a flexible dosage |
| Lisinopril HCT | ACE Inhibitor + Diuretic | Blocks angiotensin-converting enzyme | Cough, low blood pressure | Patients who respond well to ACE inhibitors |
The olmesartan + hydrochlorothiazide tablet is often chosen for patients who prefer a medication with fewer respiratory side effects (such as cough, which is more common with ACE inhibitors like Lisinopril HCT) and is effective for stable, long-term blood pressure control.
What are the benefits of taking these pills?
Benicar HCT offers multiple benefits for people managing high blood pressure, especially when a combination therapy is needed. The medication’s dual-action formula helps improve heart health, reduce risks of complications, and maintain stable blood pressure levels. Key benefits include:
- Dual mechanism: Combines an ARB and diuretic to improve blood pressure control.
- Reduced cardiovascular risk: Lowers the risk of heart disease, stroke, and kidney complications.
- Convenience: Two medications in one pill simplify daily medication routines.
- Long-lasting effects: Provides 24-hour blood pressure control, reducing blood pressure variability.
- Improved quality of life: Can help reduce symptoms associated with high blood pressure, such as dizziness and fatigue.
- Cost savings: Generic versions are widely available, providing effective treatment at a lower cost.
These benefits make this combination antihypertensive an effective option for managing blood pressure in patients who may require multiple treatments for optimal control.
Disclaimer: This website’s content is for educational use only and is not a substitute for medical advice, diagnosis, or treatment. For health concerns or questions, consult a healthcare provider. Do not ignore or delay professional advice based on information found here. In emergencies, contact a medical professional immediately. Use of this website and reliance on its content are solely at your own risk.
Written by Marco Taglietti, M.D.
Medically Reviewed by Dr. Mitesh Shah, Nephrologist
Last Update on November 1, 2024