Adco Telmisartan Tablets
Clinical Summary
Quick overview from the medicine insert
Indication
Management of hypertension and reduction of cardiovascular risk in patients unable to take ACE inhibitors.
Dosage (summary)
Initial dose is 40 mg once daily; may be increased to 80 mg once daily based on blood pressure response.
Onset of Action / Duration
Antihypertensive effect typically observed within 3 to 6 hours, with peak effect at 4 to 6 weeks.
Special Populations
- Elderly patients may require dose adjustment.
- Patients with renal impairment should be monitored for renal function.
- Patients with hepatic impairment should use with caution.
Pregnancy & Breastfeeding
Not recommended during pregnancy; contraindicated in the second and third trimesters. Caution advised during lactation.
Key Drug Interactions
- Potassium-sparing diuretics may increase the risk of hyperkalemia.
- Non-steroidal anti-inflammatory drugs (NSAIDs) may reduce the antihypertensive effect.
- Other antihypertensive agents may have additive effects.
Contraindications
- Hypersensitivity to telmisartan or any component of the formulation.
- Pregnancy (especially in the second and third trimesters).
- Severe hepatic impairment.
Common side effects
- Dizziness
- Fatigue
- Headache
- Nausea
- Hyperkalemia
Counselling Points
- Take the medication at the same time each day.
- Monitor blood pressure regularly.
- Report any signs of allergic reactions or severe side effects.
- Maintain adequate hydration.
Serious warnings
- Use with caution in patients with renal artery stenosis.
- Monitor for signs of hypotension, especially after initiation or dose increase.
- Discontinue if pregnancy is detected.
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