Vascord

Quick links to important sections

Medically reviewed

Marina Burgos

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Vascord

Property Description
Active ingredients Amlodipine and Olmesartan Medoxomil
Form Film-coated tablet
Pharmacological Class Combination Antihypertensive Agent
Common Use Managing High Blood Pressure (Hypertension)
Origin Synthetic

Vascord: Defining the Combination Antihypertensive Agent

Vascord is a prescription-only synthetic medicine formally classified as a Combination Antihypertensive Agent. It is structured as a fixed-dose combination product, meaning the two distinct active ingredientsAmlodipine and Olmesartan Medoxomil—are integrated into a single preparation for the long-term management of high blood pressure (hypertension) in adults. This combination strategy is widely recognized in clinical practice to deliver more comprehensive and sustained blood pressure lowering control than using a single agent alone typically provides.


Composition and Pharmaceutical Form

Vascord’s composition is defined by the pairing of its two active ingredients, each belonging to a major pharmacological class for treating hypertension. Amlodipine is classified as a Calcium Channel Blocker (CCB), while Olmesartan Medoxomil is a prodrug that rapidly converts to the active Olmesartan metabolite, which functions as an Angiotensin II Receptor Blocker (ARB). The medication is provided as a film-coated tablet, representing an oral dosage form, consisting of these two compounds alongside necessary solid pharmaceutical excipients.

The Dual Approach and General Purpose

The general purpose of Vascord is to provide effective control of hypertension by employing two separate and complementary physiological actions. The Amlodipine component facilitates Vascular Relaxation by acting on the blood vessels, while the Olmesartan component provides Hormonal Blockade by regulating the body's pressure-elevating pathways, specifically the Renin-Angiotensin System (RAS). The use of these two distinct mechanisms is intended to stabilize blood pressure. This dual therapeutic strategy, combining a CCB and an ARB, is an established approach intended to maintain cardiovascular stability by minimizing the persistent force exerted on the artery walls over the long term.

What side effects are possible with Vascord?

Vascord’s regulatory safety profile is defined by the documented adverse reactions and warnings associated with its two active components, Amlodipine and Olmesartan Medoxomil. Official regulatory documents classify potential side effects by frequency and System-Organ Class (SOC).

Frequency-Classified Adverse Reactions

The most frequently reported adverse reaction is edema (swelling), which is often classified as very common or common, primarily due to the Amlodipine component. Other common effects documented in the Nervous System Disorders and General Disorders SOCs include dizziness, headache, and fatigue. Less common reactions listed include hypotension (low blood pressure), palpitations, and nausea.

Serious Warnings and Population Constraints

The most serious safety constraint is the Boxed Warning for Fetal Toxicity associated with the Olmesartan component. Its use is contraindicated during the second and third trimesters of pregnancy due to the risk of injury and death to the developing fetus. Other documented serious adverse reactions include Sprue-like Enteropathy, a severe form of chronic diarrhea that may manifest months to years after starting treatment, and the potential for Acute Renal Failure in susceptible individuals.

Safety notes also indicate that the medicine is not recommended for initial use in older adults (age 75 and above) or those with severe hepatic impairment. An increased risk of hypotension and potential for increased angina or myocardial infarction are documented to occur upon the initiation of treatment or dose escalation, particularly in volume-depleted patients.

Overdose and Emergency Response

Overdose and When to Seek Help

Vascord overdose is officially documented to result primarily in profound systemic hypotension (extremely low blood pressure) due to the combined effects of its two components. This condition may manifest initially as dizziness, faintness, or lightheadedness. Other severe, documented clinical signs include changes in heart rhythm, such as tachycardia (rapid heartbeat) or bradycardia (slow heartbeat). The systemic hypotension may progress to life-threatening shock, which is classified by regulatory authorities as a severe outcome. There is also a documented risk of developing pulmonary oedema (fluid in the lungs) that may require observation for up to 48 hours.


Official Emergency Action

Immediate and urgent medical attention is required in all suspected cases of overdose. The regulatory guidance mandates that you seek immediate medical attention or go to the nearest emergency department without delay. If symptomatic hypotension occurs, the regulatory procedure involves placing the individual in the supine position (lying on the back).

No specific antidote for Vascord is known. Treatment is purely symptomatic and supportive. Medical management described in official documents may include procedures such as intravenous fluid administration or the use of vasopressor therapy to help manage blood pressure. Close medical supervision and monitoring of vital signs are required to manage the sustained effects of the medicine.

Therapeutic Uses of Vascord

What Vascord Treats: Main Uses and Benefits

Vascord is an oral medication that is commonly used to help with the management of conditions where symptoms may intensify temporarily. Its primary therapeutic purpose is relevant for easing symptoms associated with acute or episodic changes, such as angina pectoris (chest pain).

The medication may assist with easing the overall symptom burden. Vascord is intended to contribute to improved comfort during periods of heightened symptoms. This supportive relief is considered relevant in clinical settings that involve acute or unstable symptom patterns.

Quick Fact

Quick Fact: Relief for Angina Pectoris


Symptom Management

Vascord is considered relevant for easing symptoms related to physical discomfort. Its use is focused on managing symptoms related to physical discomfort in conditions characterized by periods of heightened symptoms. It may help patients cope more steadily with symptom fluctuations and assists with maintaining functional stability.

Eligibility and Restrictions for Use

This section explains the officially documented eligibility status for Vascord (amlodipine and olmesartan medoxomil) as defined by government regulatory agencies.

Eligibility Status Population/Condition
Approved for Use Adults with Hypertension.
Contraindicated Pregnant patients; must be discontinued immediately upon detection of pregnancy.
Patients with Diabetes Mellitus who are concomitantly taking Aliskiren.
Patients with Severe Hepatic Insufficiency, Shock, or Severe Hypotension.
Not Recommended Children and Adolescents below 18 years of age (safety/efficacy not established).
Patients 75 years and older (not for initial therapy).
Patients with Severe Renal Impairment (creatinine clearance < 20 mL/min).
Conditional Use Patients with Mild to Moderate Hepatic Impairment or those who are Volume- or Salt-Depleted require special caution and close medical supervision as per regulatory documentation.

The official profile establishes clear boundaries for use: absolute exclusions cover pregnancy and specific clinical states, while use is restricted or conditional for age groups outside of general adult use and for those with impaired organ function.

What should I know about interactions with other medicines?

Interactions with other medicines and products

The interaction profile for Vascord (Amlodipine and Olmesartan Medoxomil) details official restrictions and outcomes documented by regulatory authorities. These interaction patterns are classified based on their potential to alter drug exposure or cause additive physiological effects.

Formal Restrictions and Contraindicated Combinations

Co-administration of Aliskiren is formally contraindicated in patients with Diabetes Mellitus or with Renal Impairment (GFR less than 60 mL/min/1.73 m^2). This restriction applies due to an increased risk of hypotension and worsening kidney function.

Documented Exposure-Modifying Interactions

The Amlodipine component is subject to pharmacokinetic interaction via the CYP3A4 enzyme system. Co-administration with strong CYP3A4 inhibitors (such as Ketoconazole or Itraconazole) increases the systemic exposure of Amlodipine. Conversely, co-administration with strong CYP3A4 inducers (such as Rifampicin or St. John's Wort) may reduce Amlodipine plasma concentration. Furthermore, the exposure of Simvastatin must be restricted to a maximum of 20 mg daily when co-administered.

Pharmacodynamic and Additive Effects

Co-administration with Potassium-sparing diuretics (e.g., Spironolactone) or potassium supplements may result in additive effects leading to an increase in serum potassium levels. Taking Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) may reduce the blood pressure lowering effect of Olmesartan and poses a heightened risk of worsening renal function in populations such as the elderly. Officially, food does not significantly affect the absorption or systemic exposure of either Amlodipine or Olmesartan.

Mechanism of Action

How Vascord Works: Mechanism of Action

Vascord's action is defined by a dual-mechanism approach that targets and modulates two primary systems responsible for regulating the constriction and relaxation of blood vessels.


Targeting the Body's Constriction Signals

Vascord acts by directly blocking the Angiotensin II Type 1 ( AT1) receptor, a key molecular switch that triggers the contraction of blood vessel walls. This action interrupts a major hormonal pathway ( RAAS) that signals the body to increase vascular resistance and promotes undesirable tissue changes. The resulting physiological effect is the modulation of vasoconstrictive signaling, which contributes to a reduction in the resistance the heart must overcome.


Boosting Natural Relaxation Pathways

Simultaneously, Vascord is a selective inhibitor of the Phosphodiesterase-5 ( PDE5) enzyme. By blocking PDE5 from breaking down the chemical messenger cGMP, Vascord prolongs the activity of a signaling cascade that causes smooth muscle cells in the blood vessels to relax. This leads to the physiological outcome of increasing vessel lumen diameter and reducing vascular tone.

Dosage and Administration Information

Vascord is administered as a fixed-dose combination, film-coated tablet for oral use, following a standardized, once-daily regimen. Its use is governed by specific instructions detailed in prescribing information, which focus on consistent intake and careful dose adjustment over time.

Usage Parameter Usage Detail
Route of Administration The medicine is taken orally.
Standard Adult Dose Initial dose is typically 5 mg/20 mg (Amlodipine/Olmesartan) once daily, with a maximum recommended dose of 10 mg/40 mg.
Dose Titration The dosage may be increased only after a minimum period of 1 to 2 weeks has passed since the last dose change.
Frequency Dosing is strictly once daily.

The tablet should be swallowed whole with fluid and should not be chewed. The medicine may be taken with or without food, but patients are instructed to take it at the same time each day to maintain a consistent administration schedule.

Special instructions apply to certain populations. Initial treatment with the fixed combination is not recommended for older adults (age geq 75 years) or for patients with hepatic impairment, and its use is not recommended in individuals with severe renal impairment (CrCl < 20 mL/min). This procedural structure ensures that the medicine is used in alignment with label specifications.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Vascord

Evidence for Use in Essential Hypertension

Vascord was studied for the management of high blood pressure (essential hypertension) across numerous clinical trials. The primary research approach involved randomized controlled trials (RCTs), where researchers compared the patterns observed in groups receiving Vascord to those receiving an inactive placebo or an active comparator. These trials primarily research examined outcomes related to changes in measured blood pressure levels, specifically the seated systolic and diastolic blood pressure (SBP and DBP). These outcomes relate to systemic or functional imbalance, which was measured in the studies and are relevant in evidence describing how symptoms are measured. The populations included in these studies consisted primarily of adults diagnosed with mild-to-moderate high blood pressure.

What the studies reported: Research highlights changes measured during the study period for blood pressure readings across the different groups. Data show patterns related to the time it took for these changes to be observed. Findings describe patterns observed in the studies regarding the proportion of participants who reached predefined blood pressure targets within the observation period.

Evidence for Use in Reducing Cardiovascular Risk

Beyond blood pressure measurement, Vascord was evaluated in large-scale studies specifically designed to track long-term health events in high-risk patients. These studies, often called outcomes trials, studies explored whether the observed changes was associated with differences in the occurrence of major cardiovascular events. The outcomes monitored included events like non-fatal heart attack, non-fatal stroke, and cardiovascular death, which are outcomes monitoring physiological strain or stress over time.

What Is Still Uncertain About Vascord Research

Despite the existing body of evidence, several key areas remain uncertain. There is limited information for long-term outcomes beyond the five-year mark, particularly concerning how Vascord may be associated with long-term health status. Evidence quality varies across studies, and findings were mixed in some of the smaller head-to-head comparisons against alternative medications. Overall, evidence is limited for many specific, less-common patient populations, as the sample sizes were modest in those dedicated subgroup analyses, indicating that data are still emerging in these areas.

Key Studies & References

  1. Randomized Controlled Trials of Blood Pressure Lowering in Hypertension
  2. Recent evidence on target blood pressure in patients with hypertension (Review of SPRINT, STEP, and ACCORD)

Frequently Asked Questions (FAQ)

Common questions about Vascord (FAQ)


Q: Why do some patient groups refer to Vascord as a 'maintenance' therapy?

Vascord is officially indicated for the long-term management of high blood pressure. Since it helps control the condition rather than curing it, the medication is intended to be taken long-term to maintain blood pressure control and help reduce cardiovascular risks over time. This approach of ongoing treatment is often referred to informally as maintenance therapy.


Q: What is the typical time frame to experience the full expected benefits of Vascord?

While the medicine begins to work quickly, the full blood pressure lowering effect may take several weeks to be fully realized. According to regulatory documents, dose adjustments, if needed, are typically evaluated after a minimum of 1 to 2 weeks of treatment to allow the drug concentration in the body to stabilize.


Q: Are there any common mild side effects of Vascord that usually go away after the first week?

Official product information identifies common side effects such as edema (swelling), dizziness, and sleepiness. However, regulatory documents do not explicitly detail the typical time frame for the resolution of these effects, so whether they go away after the first week is not stated in the label.


Q: What are the signs of a serious adverse reaction to Vascord mentioned in the patient information leaflet?

The label includes warnings about several serious adverse reactions. These include signs of severe, chronic diarrhea accompanied by substantial weight loss (known as Sprue-like Enteropathy). The labeling advises that monitoring may be necessary for potential signs of worsening chest pain or new symptoms suggestive of a heart problem upon starting the medication or increasing the dose.


Q: What does the evidence say about Vascord use during pregnancy or while breastfeeding?

Official documents state that Vascord is contraindicated (forbidden) during the second and third trimesters of pregnancy due to the risk of injury and death to the developing fetus. If pregnancy is detected, regulatory requirements state that the medicine should be discontinued as soon as possible. For breastfeeding, the medicine is generally not recommended due to limited data on the safety of the olmesartan component in nursing infants.


Q: Are there any major studies that show Vascord has been examined for long-term safety?

Studies related to the drug's safety profile have revealed findings, such as the serious adverse reaction of Sprue-like Enteropathy, which only developed months to years after patients started treatment. The documentation of such delayed effects indicates that the product's safety has been continuously monitored over long periods.


Q: Why is Vascord sometimes given as a combination therapy with other medicines?

Vascord is indicated for use alone or in combination with other blood pressure medicines. This strategy is recommended when a single agent is not enough to control high blood pressure, and patients are likely to need multiple agents to reach their treatment goals.


Q: Are there any high-profile clinical trials for Vascord that have been published recently?

Major studies, such as the COACH trial, have been published and are part of the core evidence base demonstrating the combination's effectiveness in reaching blood pressure goals. These studies are the basis of the drug's approved indications, but specific recency of publication is not detailed in the label.


Q: Can someone with a history of heart arrhythmia be prescribed Vascord?

Official labeling advises caution when Vascord is used in patients with a history of certain heart problems, including heart failure and angina (chest pain). This specific caution means that use in patients with other cardiac issues requires special monitoring by a healthcare professional.


Q: How long does Vascord take to start having an effect?

According to the clinical pharmacology data, the medicine begins working to help lower blood pressure on the day treatment is started. The active components reach their maximum blood concentrations within hours of taking a dose.


Q: What is the official advice if a patient misses a Vascord dose?

Official patient labeling provides instructions for a missed dose. Regulatory guidance suggests taking the missed dose as soon as it is remembered. However, if it is almost time for the next scheduled dose, the official instruction is to skip the missed dose entirely to avoid taking two doses close together.


Q: Does Vascord carry a risk of causing long-term side effects?

Yes, official documents have confirmed a risk of serious adverse reactions that are considered long-term. For example, the severe bowel condition known as Sprue-like Enteropathy has been reported to develop months to years after starting the treatment.


Q: Is it true that Vascord can cause a change in body weight?

Official product information lists rapid weight gain as a more common adverse reaction, which is often related to fluid retention (edema). Conversely, substantial weight loss is also a documented symptom of the serious condition Sprue-like Enteropathy, which is mentioned in the drug's safety information.


Q: Can Vascord cause difficulty with sleep or insomnia?

The label lists sleepiness or unusual drowsiness as a less common adverse reaction linked to the drug's effect on the central nervous system. The prescribing information does not explicitly list insomnia (difficulty sleeping) as a common side effect of the medicine.


Q: Is alcohol completely forbidden when taking Vascord? (High-level informational question)

Alcohol may have additive effects with this medicine in lowering blood pressure. This increased lowering of blood pressure can heighten the risk of side effects such as dizziness and fainting. The regulatory documents state that caution is necessary due to this potential interaction.


Q: What does the official documentation say about taking Vascord with grapefruit juice?

Grapefruit products are listed as a potential interaction in the official drug documentation. This interaction may increase the amount of the drug in the blood, and may require the patient's dose to be changed or monitored by a healthcare professional.


Q: Is Vascord a controlled substance?

No, Vascord is not classified as a controlled substance by the federal government. It is formally classified as a prescription-only medicine.


Q: What happens if a patient stops taking Vascord suddenly? (General, non-advisory)

Because Vascord treats a chronic condition like hypertension, discontinuation is typically managed under medical supervision. Official guidance emphasizes that due to the chronic nature of the treated condition, any decision to discontinue should be supervised by a healthcare professional.


Q: Is Vascord a drug that accumulates in the body over time?

Yes, after a patient begins taking the medicine once daily, the active ingredients gradually accumulate in the body. This process continues until steady-state plasma levels (a consistent therapeutic level) are reached after approximately 7 to 8 days of continuous dosing.


Q: Does Vascord require any specific lab tests to monitor its effects?

Official warnings and precautions indicate that certain monitoring may be required. This can include regular checks of blood pressure, kidney function, and potassium levels in the blood, particularly for patients who may be susceptible to changes in these areas.


Q: What is the official information regarding Vascord and the ability to drive?

Official patient information states that the medicine can affect alertness or coordination due to the potential for dizziness or fatigue. Regulatory warnings state that driving or operating hazardous machinery should be avoided until the patient knows how the drug affects them.

How should Vascord be stored and disposed of?

How to Store and Dispose of Vascord (Amlodipine and Olmesartan Medoxomil Tablets)

Storage Requirements

Vascord tablets must be stored at Controlled Room Temperature, defined as 25 C (77 F), with acceptable excursions between 15 C and 30 C (59 F and 86 F). The medication must be kept in its original container, which should be tightly closed, to protect the tablets from moisture and excessive heat. Freezing of the tablets must be avoided. In compliance with safety regulations, Vascord must be kept out of the reach of children.


Official Disposal Instructions

Disposal of unused or expired Vascord must follow federal, state, and local disposal regulations. Health authorities recommend using a formal drug take-back program whenever possible. If a take-back program is unavailable, the tablets should be mixed with an unappealing substance, placed in a sealed bag or container, and discarded in the household trash to prevent misuse and environmental release.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

Available in countries:

Equivalent of Vascord found in:

A-Z Index: