Pinom (olmesartan) and Metosartan (telmisartan and metoprolol) are different blood pressure medications and are not direct substitutes. Metosartan contains an extra medication that actively slows your heart rate, so swapping them without medical supervision could be unsafe. Please do not take the Metosartan. Instead, contact your local pharmacy for an emergency refill of Pinom, or visit a nearby clinic. They can easily help you get the correct prescription safely.

Pinom 20, which contains the generic medication olmesartan, is generally safe to use and is not commonly known to cause severe liver issues. Your ALT level of 101 is only mildly elevated, which is quite common and usually not a cause for immediate alarm. However, because your liver plays a role in processing medications, it is best to consult your prescribing doctor before continuing. They can easily evaluate this mild elevation and ensure Pinom 20 remains the safest and most effective option for managing your health.

If used as directed by your physician, pinom 20 can reduce blood pressure. Although your current blood pressure of 120/85 is normally healthy, keep an eye out for any swelling, lethargy, or dizziness. Continue only as directed by your physician, since you may need to modify your dosage.

Both Pinom H and Pinom A contain the same primary blood pressure medicine, olmesartan. The difference is the second medicine: Pinom H includes a mild diuretic (hydrochlorothiazide) to remove extra fluid, while Pinom A includes amlodipine, which relaxes blood vessels. Taking Pinom A for a week is generally not harmful, as both keep blood pressure controlled. He might just experience mild dizziness or slight ankle swelling. It is safe to switch back to his prescribed Pinom H now. Please monitor his blood pressure and inform his doctor about this temporary mix-up to be safe.