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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Olmesartan Pharmacology

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5716 Ratings

🗓️ 28 July 2022

⏱️ 14 minutes

🧾️ Download transcript

Summary

On this episode, I discuss olmesartan (Benicar) pharmacology, adverse effects, drug interactions, and pharmacokinetics.



Olmesartan can cause a unique GI adverse effect called enteropathy. I discuss this on this podcast episode.



Important monitoring parameters for olmesartan include potassium, renal function, and blood pressure.



Olmesartan has a longer half-life than losartan. I discuss how this might be advantageous in clinical practice.

Transcript

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0:00.0

Hey all, welcome back to the Real Life Pharmacology podcast. I'm your host pharmacist, Eric Christensen.

0:05.3

Thank you for listening today. As always, go sign up at real life pharmacology.com. Get your free 31 page

0:11.7

study guide. It's on the top 200 drugs, lots of clinical practice pearls, lots of things that are going to

0:18.3

show up on board exams as well.

0:24.1

So go check that out absolutely for free, simply an email.

0:28.9

I'll also get you updates when we've got new podcasts and content available.

0:32.6

The drug of the day today is Olmosartan.

0:35.8

Brand name of this medication is Benicar.

0:38.3

And if you follow the podcast closely,

0:41.7

we have covered LOSARTAN in the past.

0:44.4

However, there definitely are some,

0:50.8

a couple of differences for sure that we should recognize with Olmosartin.

0:56.7

So I'll go through this drug individually as well. First off mechanistically,

1:05.0

similar to LOSARTN, it is an angio-1 and 2 receptor blocker, angiotensin 1-2 receptor blocker,

1:13.9

also known as an ARB, or abbreviated as ARB. Now angiotens, too, plays a role in the body by causing vasoconstriction, as well as causing elastodosterone secretion. So essentially, we are blocking

1:21.5

those two things. In addition, just of note, Omisartan compared to, let's say, ACE inhibitors like lysinepro, they have less Brady-Kinin effects.

1:34.5

So this is potentially going to lead to, or theorized, to lead to less incidence of cough as a potential side effect.

1:44.8

So if a patient is not taking an ACE inhibitor, they have a cough,

1:48.5

they still should be able to try an ARB like Olmasartin.

1:54.3

Uses, hypertension, ACS, proteuric renal disease.

2:00.7

These are definitely all common indications there.

2:03.6

Dosing, we've got 5, 20, and 40 milligram dosage forms.

...

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