Culmi Ch Tablet 10

Cubit Healthcare

Strip of 10 Units

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Composition

Chlorthalidone (12.5 Mg) + Olmesartan Medoxomil (20 Mg)

Culmi Ch Tablet 10 is primarily used to manage high blood pressure. This medicine is a fixed-dose combination medication, part of the antihypertensive class of medicines.

It can be beneficial as an initial therapy for patients who may require multiple medications to control their blood pressure. It can also serve as a second-line treatment for those whose blood pressure isn't adequately managed with olmesartan alone.

Before starting this medication, it's essential to consult your doctor for the correct dosage and frequency. When talking with your doctor, make sure to inform them of any pre-existing conditions or ongoing medications you're currently taking. If you experience any severe side effects, consult your doctor immediately. For optimal results, continue taking the medicine for the duration prescribed by your doctor.

Culmi Ch Tablet 10 is used for managing the following conditions:

High blood pressure (Hypertension)
Initial therapy with Culmi Ch Tablet 10 is recommended for patients who likely require multiple medications to control their blood pressure.
Second-line treatment when blood pressure isn't adequately controlled by olmesartan alone.

Here's how you should take Culmi Ch Tablet 10:

Swallow the tablet whole with a glass of water.
Do not chew, divide, or crush the tablet.
This medicine can be taken with or without food.
Never exceed the recommended dose without consulting your doctor.
Do not abruptly stop taking this medicine; always consult your doctor first.

Culmi Ch Tablet 10 is taken orally.

Culmi Ch Tablet 10 may lead to the following side effects:

Dizziness
Headache
Fatigue
Nausea
Hyperuricemia: This is a condition where there is an excessive amount of uric acid in your blood. It can cause gout or kidney stones.
Hypokalaemia: This term refers to lower-than-normal levels of potassium in your bloodstream.
Hyponatraemia: This means that the level of sodium in your blood is lower than normal.
Hypochloremia: In this condition, there is a low level of chloride in your blood.
Impotence

Managing the Side Effects:

Most side effects are temporary and generally harmless, which resolve upon discontinuing the use of Culmi Ch Tablet 10. However, if you experience any serious side effects or worsening of any of the symptoms, please consult your doctor.

Here are some tips to manage two common side effects:

Nausea: You can try taking Culmi Ch Tablet 10 with a light meal or snack.
Fatigue: If this medicine makes you feel tired during the day, consider taking it in the evening before going to bed.

Culmi Ch Tablet 10 comprises two active ingredients that work together in different ways:

Chlorthalidone (12.5 mg): As a thiazide-like diuretic, chlorthalidone works on the kidneys to increase the excretion of sodium and water. This action reduces blood volume, leading to a decrease in cardiac output and consequently a reduction in blood pressure.
Olmesartan medoxomil (20 mg): This ingredient is an angiotensin II receptor blocker (ARB). By selectively blocking angiotensin II's binding to AT1 receptors in the vascular smooth muscle, olmesartan medoxomil prevents the blood pressure-increasing effects of angiotensin II. As a result, it causes blood vessels to relax, allowing blood to flow more easily and thus lowering blood pressure.

Pregnancy

Culmi Ch Tablet 10 is contraindicated during the latter half of pregnancy. If you are pregnant or planning to conceive, ask your doctor before starting this medicine.

Breastfeeding

Caution is advised before taking Culmi Ch Tablet 10 while breastfeeding. You should consult your doctor to understand the potential risks and benefits.

Alcohol

Intake of alcohol may intensify the blood pressure-lowering effects of this medicine and increase the risk of orthostatic hypotension (sudden drop in blood pressure when standing). It's best to consult your doctor on this.

Liver

If you have liver health issues, you need to exercise caution while taking Culmi Ch Tablet 10. Discuss your liver health with your doctor before starting this medicine, as it may affect liver function.

Kidney

Culmi Ch Tablet 10 should be used with caution if you have kidney problems. Discuss these concerns with your doctor before starting this medicine.

Using Machines & Driving

As dizziness is a common side effect of Culmi Ch Tablet 10, caution is advised when driving or operating machinery until you know how this medicine affects you.

Allergy

This medicine is contraindicated if you have an allergy to any component of Culmi Ch Tablet 10 or sulfonamide-derived drugs. Always let your doctor know about your allergies before starting on a new medication.

Children

Culmi Ch Tablet 10 is intended for use in adults. Caution should be exercised if considering giving this medicine to children under 18 years. Always consult a doctor before providing any medication to a child.

Older Patients

Older patients should use Culmi Ch Tablet 10 under medical supervision. They may be more susceptible to its side effects, especially if they have liver or kidney issues or are on other medication. Your doctor will guide you based on your health status.

Drug-Drug Interactions

Culmi Ch Tablet 10 interacts with the following medicines:

Lithium: When taken together with Culmi Ch Tablet 10, lithium levels in your blood could rise, potentially leading to lithium toxicity.
Non-steroidal Anti-Inflammatory Drugs (NSAIDs): Medicines like ibuprofen and naproxen could potentially reduce the blood pressure-lowering effect of Culmi Ch Tablet 10 and increase the risk of kidney problems.
Dual blockade of the Renin-Angiotensin system: Medicines like enalapril or lisinopril may interact with Culmi Ch Tablet 10, potentially leading to an increased risk of low blood pressure, kidney problems, and high potassium levels in your blood.
Corticosteroids and ACTH: Medicines like prednisolone or corticotropin can intensify the loss of potassium from your body when taken with Culmi Ch Tablet 10.
Alcohol, barbiturates, or narcotics: These substances can boost the effect of lower blood pressure when combined with Culmi Ch Tablet 10.

Drug-Food Interactions

There are no specific food interactions known with Culmi Ch Tablet 10.

Drug-Disease Interactions

Culmi Ch Tablet 10 interacts with the following diseases:

Liver disease: If you have liver disease, you should exercise caution as Culmi Ch Tablet 10 could worsen your condition.
Kidney disease: Patients with kidney disease might experience more side effects due to increased levels of this medicine in their body.
Gout: If you have gout, you may experience increased uric acid levels due to this medicine.

Daily Dose

The daily dose of Culmi Ch Tablet 10 should be as prescribed by your doctor. The dosage might change based on individual factors like how severe your condition is and how you respond to treatment. It's crucial to stick to the prescribed dosage and avoid exceeding it without consulting your doctor.

Over Dose

If you accidentally take more than the prescribed dose of Culmi Ch Tablet 10, you may experience symptoms such as feeling dizzy or excessively tired. In such a situation, it's important to inform your doctor.

Missed Dose

If you forget to take your scheduled dose of Culmi Ch Tablet 10, take it as soon as you recall. However, if it's nearly time for your next dose, skip the one you missed and go back to your regular schedule. Never double up on doses without consulting with your doctor.

Store Culmi Ch Tablet 10 at room temperature, ideally between 20 °C and 25 °C.
Keep the medicine away from excessive light and moisture.
Always maintain it safely out of children's reach.
Remember to use the tablet before its expiration date.

Reduce your salt intake: Consuming less salt can help manage high blood pressure, which is what Culmi Ch Tablet 10 helps in controlling.
Stay hydrated: Dehydration can affect your blood pressure and kidney function. Make sure you drink plenty of fluids throughout the day.

Fact Box

Available Dosage Types	Tablet
Habit Forming	No
Ailment	Hypertension
Drug Category	Thiazide-like diuretic, Angiotensin II receptor blocker
Therapeutic Category	Antihypertensive

What is Culmi Ch Tablet 10 used for?

Culmi Ch Tablet 10 is used to manage hypertension or high blood pressure. It's typically used when multiple medications are needed to control blood pressure.

Can Culmi Ch Tablet 10 be used during pregnancy?

No, Culmi Ch Tablet 10 should not be used during the second and third trimesters of pregnancy as it can harm the developing baby.

How does Culmi Ch Tablet 10 work in the body?

Culmi Ch Tablet 10 has two active ingredients that reduce blood pressure by increasing urine production and relaxing blood vessels, allowing blood to flow more easily.

Can I consume alcohol while taking Culmi Ch Tablet 10?

Drinking alcohol while taking this medicine may increase your risk of orthostatic hypotension, a sudden drop in blood pressure when standing up.

Is it safe to drive after taking Culmi Ch Tablet 10?

This medicine can cause side effects like dizziness, which may affect your ability to drive or operate machinery. Avoid such activities if affected.

What should I do if I forget to take a dose?

If you miss a dose, take it as soon as you remember. If it's near the time for your next dose, skip the missed one.

Can Culmi Ch Tablet 10 be taken along with other medicines?

Certain medicines can interact with Culmi Ch Tablet 10 leading to undesirable effects. Always inform your doctor about all medicines you're currently taking.

Last Updated On 13 May. 2025 | 11:17AM (IST)

Certified Content

Written by

Dr. Michelle Frank

Medical Content Writer | 9 years

Doctor of Medicine

Reviewed by

Dr. Saniya K Mulla

Medical Content Writer | 6 years

MBBS

Check out Editorial Policy

Manufacturer details

13/369, Panchratna Estate,, B/h Ankoor Oil Factory,, Changodar, opp. Bhagyoday Hotel, Ahmedabad, Gujarat 382210

Country of origin: INDIA

Expiry on or after: February 2026

In case of any issues, contact us:

support@truemeds.in|09240250346

Address: 6th floor, Urmi Corporate Park Solaris, Saki Vihar Road, Andheri East, Mumbai 400071

References

U.S. National Library of Medicine. (n.d.). DailyMed - OLMESARTAN MEDOXOMIL tablet, film-coated. Retrieved 1 April 2024, from https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=ef8023a3-b2be-436e-9085-576781950665
U.S. National Library of Medicine. (n.d.). DailyMed - OLMESARTAN MEDOXOMIL AND HYDROCHLOROTHIAZIDE- olmesartan medoxomil and hydrochlorothiazide tablet, film coated. Retrieved 1 April 2024, from https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=c42da0af-84dd-4220-bd40-139be51e8c00
U.S. Food and Drug Administration. (n.d.). PSG_012283.pdf. Retrieved 1 April 2024, from https://www.accessdata.fda.gov/drugsatfda_docs/psg/PSG_012283.pdf
U.S. Food and Drug Administration. (2002). 21286lbl.pdf. Retrieved 1 April 2024, from https://www.accessdata.fda.gov/drugsatfda_docs/label/2002/21286lbl.pdf
Kerndt, C. C., Patel, P., & Patel, J. B. (2024, May 1). Chlorthalidone. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK553174/

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Disclaimer

We, at Truemeds make a diligent attempt to deliver accurate, expert- drafted and thoroughly reviewed medicine related information to our consumers. However, it should, by no means, be considered a substitute for prescription from a certified doctor or a trustworthy doctor-patient relationship. In fact we detest any form of self medication without expert advice. The sole purpose of the information on our portal is to educate our consumers, which helps improve the communication between a doctor and a patient. The information by no means is complete in its entirety and should not be used to diagnose or treat any medical condition. No amount of information can replace the experience and expertise of a doctor, therefore his/her advice always holds priority and should be followed appropriately.

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