While Triolmesar 40 (containing olmesartan, amlodipine, and hydrochlorothiazide) effectively manages blood pressure, these symptoms during exertion could be related to dehydration, electrolyte shifts from the medication's diuretic component, or a benign heart rhythm variation. To ensure your safety while staying active, please consult your healthcare provider. They may suggest a wearable heart monitor or an exercise stress test to safely evaluate your heart's rhythm during physical activity.