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Telmisartan is used to treat high blood pressure (hypertension), sometimes in combination with other blood pressure medications.
Telmisartan is also used to reduce the risk of stroke, heart attack, or death from heart problems in people who are at least 55 years old with risk factors for serious heart disorders.
Telmisartan may also be used for purposes not listed in this medication guide.
Do not use if you are pregnant, and tell your doctor right away if you become pregnant.
If you have diabetes, do not use telmisartan together with any medication that contains aliskiren (a blood pressure medicine).
You should not use telmisartan if you are allergic to it.
If you have diabetes, do not use telmisartan together with any medication that contains aliskiren (a blood pressure medicine).
You may also need to avoid taking telmisartan with aliskiren if you have kidney disease.
Tell your doctor if you have ever had:
heart problems;
kidney disease (or if you are on dialysis);
liver disease; or
if you are on a low-salt diet.
Do not use if you are pregnant, and tell your doctor right away if you become pregnant. Telmisartan can cause injury or death to the unborn baby if you take the medicine during your second or third trimester.
If you plan to get pregnant, ask your doctor for a safer medicine to use before and during pregnancy.
You should not breast-feed while using telmisartan.
Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.
You may take telmisartan with or without food.
Swallow the tablet whole and do not crush, chew, or break it.
Keep each tablet in its blister pack until you are ready to take it. Tear or cut the blister apart from the rest of the package and peel back the paper liner. Push the tablet through the foil to remove it.
Your blood pressure will need to be checked often.
You may have very low blood pressure while taking telmisartan. Call your doctor if you are sick with vomiting or diarrhea, or if you are sweating more than usual.
It may take 2 to 4 weeks before you receive the full benefit of taking telmisartan. Your doctor will determine how long to treat you with this medicine.
If you have high blood pressure, keep using this medicine even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.
Store telmisartan tablets in their original package at room temperature, away from moisture and heat.
Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Avoid getting up too fast from a sitting or lying position, or you may feel dizzy.
Do not use potassium supplements or salt substitutes, unless your doctor has told you to.
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
In rare cases, telmisartan can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. Call your doctor right away if you have unexplained muscle pain, tenderness, or weakness especially if you also have fever, unusual tiredness, or dark colored urine.
Also call your doctor at once if you have:
a light-headed feeling, like you might pass out;
swelling, rapid weight gain; or
high potassium level--nausea, weakness, tingly feeling, chest pain, irregular heartbeats, loss of movement.
Common side effects may include:
stuffy nose, sinus pain;
back pain; or
diarrhea.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Usual Adult Dose for Hypertension:
Initial dose: 40 mg orally once a day
Maintenance dose: 40 to 80 mg orally once a day
Comments: Most of the antihypertensive effect is present within 2 weeks; maximum blood pressure reduction at a given dose is generally observed within 4 weeks of starting that dose.
Usual Adult Dose for Cardiovascular Risk Reduction:
80 mg orally once a day
Comments:
-It is unknown whether doses lower than 80 mg are effective in reducing the risk of cardiovascular morbidity and mortality.
-When initiating this drug for cardiovascular risk reduction, monitoring of blood pressure is recommended, and if appropriate, adjustment of other medications that lower blood pressure.
Use: Reduction of risk of myocardial infarction, stroke, or death from cardiovascular causes in patients 55 years or older at high risk of developing major cardiovascular events who are unable to take angiotensin-converting enzyme (ACE) inhibitors. High risk for cardiovascular events can be evidenced by a history of coronary artery disease, peripheral arterial disease, stroke, transient ischemic attack, or high-risk diabetes (insulin-dependent or non-insulin dependent) with evidence of end-organ damage.
Tell your doctor about all your other medicines, especially:
digoxin;
lithium;
a diuretic or "water pill";
NSAIDs (non-steroidal anti-inflammatory drugs)--aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, or meloxicam, and others; or
ramipril or other blood pressure medicines.
This list is not complete. Other drugs may affect telmisartan, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.
Further informationRemember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Medically reviewed by USARx EDITORIAL TEAM Last updated on 1/1/2020.
Source: Drugs.com Telmisartan (www.drugs.com/mtm/telmisartan.html).
Applies to telmisartan: oral tablet
Oral route (Tablet)
Drugs with direct action on the renin-angiotensin system can cause injury or death to the developing fetus. Stop therapy as soon as possible when pregnancy is detected.
Along with its needed effects, telmisartan may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking telmisartan:
Rare
Incidence not known
Some side effects of telmisartan may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Less common
Incidence not known
For Healthcare Professionals
Applies to telmisartan: oral tablet
GeneralThe most common adverse events reported in hypertension trials were back pain, sinusitis, and diarrhea. The most common adverse events reported in cardiovascular risk reduction trials were intermittent claudication and skin ulcer.
GastrointestinalCommon (1% to 10%): Diarrhea, dyspepsia, nausea, abdominal pain
Uncommon (0.1% to 1%): Flatulence, vomiting, dry mouth, stomach discomfort, constipation, gastritis, hemorrhoids, gastroenteritis, enteritis, gastroesophageal reflux, toothache
CardiovascularCommon (1% to 10%): Hypotension, palpitation, intermittent claudication, hypertension
Uncommon (0.1% to 1%): Bradycardia, orthostatic hypotension, tachycardia, angina pectoris, flushing, dependent edema, abnormal ECG
Postmarketing reports: Atrial fibrillation, congestive heart failure, myocardial infarction, blood pressure increased, hypertension aggravated
RespiratoryCommon (1% to 10%): Coughing, upper respiratory tract infection, sinusitis, pharyngitis, bronchitis
Uncommon (0.1% to 1%): Dyspnea, asthma, epistaxis, rhinitis
Very rare (less than 0.01%): Interstitial lung disease
MusculoskeletalCommon (1% to 10%): Back pain, myalgia, arthralgia, muscle spasms
Uncommon (0.1% to 1%): Gout, pain in extremity, arthritis
Rare (less than 0.1%): Tendon pain, blood creatine phosphokinase increased
Postmarketing reports: Rhabdomyolysis
PsychiatricCommon (1% to 10%): Insomnia, anxiety, depression
Uncommon (0.1% to 1%): Nervousness
Nervous systemCommon (1% to 10%): Headache, dizziness
Uncommon (0.1% to 1%): Syncope, somnolence, migraine, paresthesia, hypoesthesia, cerebrovascular disorder
Rare (less than 0.1%): Dysgeusia
DermatologicCommon (1% to 10%): Rash, skin ulcer
Uncommon (0.1% to 1%): Pruritus, hyperhidrosis, eczema, dermatitis, sweating increased
Rare (less than 0.1%): Erythema, urticaria, drug eruption, toxic skin eruption
GenitourinaryCommon (1% to 10%): Urinary tract infection
Uncommon (0.1% to 1%): Micturition frequency, impotence, cystitis
Postmarketing reports: Erectile dysfunction
OtherCommon (1% to 10%): Pain, fatigue, influenza-like illness, chest pain, peripheral edema
Uncommon (0.1% to 1%): Vertigo, asthenia, tinnitus, earache, malaise, fever, leg edema
Postmarketing reports: Face edema
ImmunologicUncommon (0.1% to 1%): Infection, fungal infection, abscess, otitis media, allergy, sepsis
Rare (less than 0.1%): Anaphylactic reaction, angioedema, hypersensitivity
Postmarketing reports: Angioneurotic edema
MetabolicUncommon (0.1% to 1%): Hyperkalemia, hypercholesterolemia, diabetes mellitus
Rare (less than 0.1%): Hypoglycemia in diabetic patients
HematologicUncommon (0.1% to 1%): Anemia, hemoglobin decreased
Rare (less than 0.1%): Eosinophilia, thrombocytopenia
RenalUncommon (0.1% to 1%): Renal impairment including acute renal failure, blood creatinine increased
Rare (less than 0.1%): Blood uric acid increased
Frequency not reported: Acute renal failure
OcularUncommon (0.1% to 1%): Conjunctivitis, visual disturbance
HepaticRare (less than 0.1%): Hepatic function abnormal/liver disorder, hepatic enzyme increased
Medically reviewed by USARx EDITORIAL TEAM Last updated on 1/1/2020.
Source: Drugs.com Telmisartan (www.drugs.com/mtm/telmisartan.html).
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