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Micardis, |telmisartan

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telmisartan

Generic Name: telmisartan (TELL mi sar tan)
Brand Names: Micardis

What is telmisartan?

Telmisartan is in a class of drugs called angiotensin II receptor antagonists. Telmisartan prevents the constriction (narrowing) of blood vessels (veins and arteries).

Telmisartan is used to treat hypertension (high blood pressure).

Telmisartan may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about telmisartan?

Do not take telmisartan if you are pregnant or planning a pregnancy. When used during the second and third trimesters of pregnancy, telmisartan can cause injury and even death to the developing baby. Notify your doctor immediately if you think you might be pregnant. Use caution when driving, operating machinery, or performing other hazardous activities. Rarely, telmisartan may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Also use caution when rising from a sitting or lying position. Use alcohol cautiously. Alcohol may further lower blood pressure and increase drowsiness and dizziness while you are taking telmisartan.

Who should not take telmisartan?

Before taking telmisartan, tell your doctor if you

have kidney disease;
have liver disease; or
are taking a potassium supplement (e.g., K-Dur, Klor-Con, others) or a potassium-sparing diuretic such as amiloride (Midamor), triamterene (Dyrenium, Dyazide, Maxzide), or spironolactone (Aldactone).

You may not be able to take telmisartan, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

Telmisartan is in the FDA pregnancy category D. This means that telmisartan is known to be harmful to an unborn baby. When used during the second and third trimesters of pregnancy, telmisartan can cause injury and even death of the developing baby.Do not take this medication without first talking to your doctor if you are pregnant or planning to become pregnant. It is not known whether telmisartan passes into breast milk. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

How should I take telmisartan?

Take your medication exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water.

Telmisartan can be taken with or without food.

Store telmisartan at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?

Seek emergency medical attention.

Symptoms of a telmisartan overdose are not well known, but might include dizziness, weakness, fainting, and a fast heartbeat.

What should I avoid while taking telmisartan?

Use caution when driving, operating machinery, or performing other hazardous activities. Rarely, telmisartan may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Also use caution when rising from a sitting or lying position. Use alcohol cautiously. Alcohol may further lower blood pressure and increase drowsiness and dizziness while you are taking telmisartan. Do not use salt substitutes or take potassium supplements without first talking to your doctor. Telmisartan can affect potassium levels in the body.

Telmisartan side effects

If you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives), stop taking telmisartan and seek emergency medical attention.

Other less serious side effects may also occur. Continue to take your medication and talk to your doctor if you experience

diarrhea or upset stomach;
muscle pain or a backache;
dizziness;
headache; or
congestion or a cough.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect telmisartan?

Before taking telmisartan, tell your doctor if you are taking or using:

digoxin (Lanoxin);
warfarin (Coumadin); or
a potassium supplement such as K-Dur, Klor-Con, and others;
a potassium-sparing diuretic (water pill) such as amiloride (Midamor), spironolactone (Aldactone), or triamterene (Dyrenium, Dyazide, Maxzide); or
a salt substitute.

You may not be able to telmisartan, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the products listed above.

Tell your doctor about any other medicines you take to treat high blood pressure or other heart conditions. Telmisartan may cause very low blood pressure if it is taken with other heart medications.

Drugs other than those listed here may also interact with telmisartan or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Where can I get more information?

Your pharmacist has additional information about telmisartan written for health professionals that you may read.

What does my medication look like?

Telmisartan is available with a prescription under the brand name Micardis. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

Micardis 40 mg-white, oblong-shaped tablets
Micardis 80 mg-white, oblong-shaped tablets

Remember, 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.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ("Multum") is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum"s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum"s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2006 Cerner Multum, Inc. Version: 1.04. Revision Date: 2/13/04 4:07:44 PM.

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