Telmitan Plus 40 mg+12.5 mg (Tablet)

Unit Price: ৳ 12.50 (2 x 14: ৳ 350.00)
Strip Price: ৳ 175.00

Medicine Details

Indications

  • Treatment of hypertension
  • Lowering blood pressure
  • Reducing the risk of cardiovascular events
  • Can be used alone or with other antihypertensive agents

Pharmacology

  • Telmisartan blocks the vasoconstrictor and aldosterone-secreting effects of angiotensin II
  • Blocks the binding of angiotensin II to the AT1 receptor
  • Does not inhibit ACE (kininase II)
  • Hydrochlorothiazide affects renal tubular mechanisms of electrolyte reabsorption

Dosage & Administration

  • Initial dose: Telmisartan monotherapy 80 mg or Hydrochlorothiazide 25 mg once daily
  • Can be titrated up to Telmisartan and Hydrochlorothiazide 160 mg/25 mg after 2 to 4 weeks
  • May be administered with other antihypertensive drugs

Interaction

  • Caution with aliskiren, digoxin, lithium, other high blood pressure medicines
  • Potential interference with certain laboratory tests

Contraindications

  • Hypersensitivity to Telmisartan, Hydrochlorothiazide, or any other component
  • Do not co-administer with Aliskiren in diabetic patients

Side Effects

  • Dizziness
  • Drowsiness
  • Flushing
  • Back pain
  • Nausea
  • Diarrhea
  • Allergy
  • Fever
  • Leg pain
  • Chest pain
  • Insomnia
  • Elevations of liver enzymes
  • Leg cramps

Pregnancy & Lactation

  • Pregnancy Category D
  • Discontinue use during pregnancy as soon as possible
  • Presence in human milk
  • Thiazides appear in human milk

Precautions & Warnings

  • Medical history consideration
  • Effect on blood sugar
  • Effect on potassium levels
  • Potential dizziness
  • Report prolonged diarrhea or vomiting

Use in Special Populations

  • Safety and effectiveness not established in pediatric patients
  • Caution in dose selection for elderly patients
  • Close medical supervision for patients with biliary obstructive disorders or hepatic insufficiency
  • Not recommended in severe renal impairment

Overdose Effects

  • Manifestations of overdosage: hypertension, dizziness, tachycardia
  • Not removed by hemodialysis

Therapeutic Class

  • Combined antihypertensive preparations

Storage Conditions

  • Keep out of the reach of children
  • Keep in a cool and dry place
  • Protect from light

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