Last Updated on February 19, 2017 by Dr.Derek Fhisher
Most popular brand: Micardis
Active ingredient: Telmisartan
Available dosage forms: 20, 40, 80 mg
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Telmisartan general information
Having a big family, you’d think I’d have options out there for a kidney transplant. Don’t utilize telmisartan if you’re pregnant. When you have diabetes, don’t use hydrochlorothiazide and telmisartan together who has any medication containing aliskiren (Amturnide, Tekturna, Tekamlo, Valturna). The cytochrome P450 isoenzymes aren’t involved within the metabolism of telmisartan.
Don’t utilize hydrochlorothiazide and telmisartan in case you are pregnant. You ought not use this medication in case you are allergic to telmisartan. Don’t stop utilizing the medicine prior to asking your doctor, even should you feel well. Don’t offer this medication to anybody else, even if they got the very same symptoms as you do. It may be harmful that people take this medication if their doctor hasn’t prescribed it. Some side effects might occur that usually don’t need medical attention.
I want to be ready for kidney dialysis once the time comes. Telmisartan belongs to a category of medications generally known as angiotensin II receptor antagonists. I’m anxious to contact the specialist and ask further questions, and possibly even get into some type of research group. I have also been trying to track down a support group linked to FGN but have had no actual luck. I’d actually like to track down a neighborhood research facility.
Complacency and also a false awareness of security. Their precise mechanisms aren’t fully understood. With my case being `unusual’ I want to really know what’s going on. Take telmisartan completely as directed.
In rare situations, telmisartan can result in a condition that results within the breakdown of skeletal muscle tissue, resulting in kidney failure. In rather specific cases, physicians also have tried plasmapheresis, a procedure at which blood is filtered beyond the body (such as dialysis) in an effort to remove proteins.The treatment course must ultimately be set after testing for associated circumstances, like Lupus or Hepatitis, evaluation of kidney function, together with a detailed overview of the kidney biopsy findings. It is vital that you take this medication regularly and also to follow your physician’s instructions regarding blood pressure monitoring to ensure which you’re getting the utmost enjoy the medication. If you miss a dose, forget the missed dose and keep with your common dosing schedule. Hydrochlorothiazide and telmisartan might also be used for purposes not listed within this medication guide. Recent studies imply that telmisartan might also have PPAR-gamma agonistic properties which could potentially confer beneficial metabolic consequences.
As of currently I am seeing little signals of related symptoms. Because we don’t know precisely what causes the disease, we aren’t able to predict who’ll develop it. Don’t take telmisartan should you be pregnant. You may take telmisartan before or following meals. You wonder, thinking constantly.
You might need to utilize blood pressure medication for the remainder of your whole life. Don’t utilize potassium supplements or salt substitutes while you’re taking telmisartan, unless your physician has told you to. Telmisartan is metabolized within the liver to a glucuronide that’s excreted within the urine. The most usual side effect is just a dry cough. It normally happens when the immune system was compromised. You must avoid alcohol when taking telmisartan.
This list isn’t complete and there could be other drugs that could interact with Micardis (Telmisartan). Ask your pharmacist first if it’s safe to utilize the products in combination with Micardis (Telmisartan). Use Altace as instructed by your doctor. If you’re close to your own next scheduled dose, forget the missed dose and take the following dose as scheduled.
In case you are seeking medical advice you’re advised to ask your own physician. It shouldn’t be construed the taking of the medication is secure, appropriate or effective for you. It is very important to carry on taking the medication even should you feel well. It is very important to keep on taking this medication even should you feel good. Tell your physician if you have any side effect which bothers you or that doesn’t go away. Some medicines aren’t suitable for those who have certain circumstances, and at times a medicine may just be used if extra care is taken.
Ask your wellbeing care provider any questions which may have concerning the way to use Hydrochlorothiazide. Ask your wellbeing care provider any questions that may have concerning just how to utilize Micardis. Ask your wellbeing care provider any questions that may have regarding the best way to utilize Altace. Keep all of your appointments with your wellbeing care provider. This website serves as an information source only and doesn’t dispense medical advice or any additional sort of advice. If you believe worthwhile a little donation would be appreciated.
Don’t begin employing a different medication without telling your own doctor. Inform your doctor prior to taking this medication should you be breastfeeding. Call your physician for medical advice regarding side effects. Make certain to communicate to your physician if you have diabetes as well as spend the drug Tekturna (aliskiren). Use Micardis as instructed by your doctor. Use Hydrochlorothiazide as instructed by your doctor.
For adults, the daily dose is 20 – 40 mg (1 times / day). In some patients, the hypotensive effect can be achieved at a dose of 20 mg / day. If necessary, the dose can be increased to 80 mg / day.
Patients with impaired renal function, as well as elderly patients dose adjustment is not required.
For patients with impaired hepatic function a daily dose of 40 mg.
CNS: headache, dizziness, fatigue, insomnia, anxiety, depression, convulsions.
From the digestive system: abdominal pain, dyspepsia, nausea, diarrhea, elevated liver transaminases.
The respiratory system: cough, pharyngitis, upper respiratory tract infection.
From the hematopoietic system: a decrease in hemoglobin level.
Allergic reactions: rash; in rare cases – angioedema.
From the urinary system: peripheral edema, urinary tract infection, increased levels of uric acid, hypercreatininemia.
Cardio – vascular system: marked reduction in blood pressure, palpitations, chest pain.
From the bone – muscular system: back pain, myalgia, arthralgia.
From the laboratory parameters: hyperkalemia, anemia, hyperuricemia.
Other: flu-like syndrome.
Obstruction of biliary tract, severe violations of the liver and kidney failure, pregnancy, lactation (breastfeeding), hypersensitivity to telmisartan.
Pregnancy and breastfeeding
Telmisartan is contraindicated during pregnancy and lactation (breastfeeding).
Application for violations of liver function
is contraindicated in severe hepatic dysfunction.
Application for violations of renal function
is contraindicated in severe renal impairment.
Use in children
Data on the safety and efficacy of telmisartan in children and adolescents missing.
The use in elderly patients
Elderly patients No dose adjustment is required.
C careful use of telmisartan in the human liver, gastric ulcer and duodenal ulcer in the acute stage, other diseases of the gastrointestinal tract, aortic stenosis and mitral valve, obstructive hypertrophic cardiomyopathy, coronary artery disease, congestive heart failure.
In patients with bilateral renal artery stenosis or stenosis of the renal artery only functioning kidney telmisartan increases the risk of severe hypotension and renal insufficiency. Therefore, caution should be used telmisartan in this category of patients.
During the period of telmisartan in patients with impaired renal function is necessary to control the content of potassium and creatinine in the blood plasma.
There is currently no data on the use of telmisartan in patients with a recent kidney transplant carried out.
In patients with reduced BCC and / or hyponatremia may occur symptomatic hypotension, especially after the first dose of telmisartan. Therefore, prior to therapy should be adjusted in such conditions.
It is not recommended to use telmisartan in patients with primary aldosteronism because these patients are not sensitive to the drugs have effects on the renin – angiotensin system.
The use of telmisartan is possible in combination with thiazide diuretics because this combination provides additional blood pressure reduction.
When considering the possibility of increasing the dose of telmisartan to be remembered that the maximum antihypertensive effect is usually achieved within 4 – 8 weeks after initiation of treatment.
Use in pediatrics
Data on the safety and efficacy of telmisartan in children and adolescents missing.
Effects on ability to drive vehicles and management mechanisms
The question of the possible classes of potentially hazardous activities that require increased attention and rapid psychomotor reactions should be addressed only after an assessment of an individual reaction to telmisartan.
In an application with antihypertensive drugs may increase antihypertensive action.
While the use of potassium-sparing diuretics, heparin, dietary supplements, salt substitutes containing potassium may develop hyperkalemia.
In an application with drugs lithium may increase the concentration of lithium in blood plasma.
In an application may increase the concentration of digoxin in the blood plasma.
Materials for Specialists in avtivnomu substance “telmisartan» 3