Twinstar Tablet 40/5 mg

Adult dose

The recommended dose for this medication is 1 tablet once a day, to be taken with water regardless of meals. It is recommended to take it at the same time daily (e.g., in the morning). For patients with severe renal impairment, treatment should be started at a lower dose and gradually increased. For patients with liver impairment, the daily dose of telmisartan should not exceed 40 mg. Elderly patients (75 years or older) should start at a lower dose.

Child dose

Safety and efficacy have not been established for pediatric patients under 18 years old, so the use of this medication is not recommended.

This drug should not be taken by pregnant women or women who may become pregnant, especially in the second and third trimesters, as it can have serious effects on the fetus. Additionally, it should not be administered to patients who have an allergy to any of the main ingredients or similar drugs, severe liver dysfunction, hypotension, or serious heart-related diseases. It is also advisable for patients with cholestatic disease or nursing mothers to avoid this medication. Patients with specific heart diseases, liver dysfunction, gastrointestinal diseases, and those with impaired kidney function should use this drug cautiously and require regular medical supervision. This medication lowers blood pressure, which may result in hypotension, necessitating appropriate action if this occurs. Moreover, there is a risk of elevated potassium levels in the blood, so potassium levels should be monitored through blood tests. This medication may impact heart or kidney function, requiring special caution for patients with related diseases. Caution is needed when driving or operating machinery, as dizziness or drowsiness may occur. Interactions with other medications may occur while taking this drug, so it is essential to inform healthcare providers of any current medications. In cases of overdose, severe hypotension or cardiac dysfunction may manifest, requiring immediate medical attention. Finally, store this product out of reach of children, and it is safest to open the packaging just before taking the medication.

Serious side effects

• Hives
• angioedema (with fatal outcomes)
• Stevens-Johnson syndrome
• exfoliative dermatitis
• photosensitivity reactions
• vasculitis
• sepsis (including fatal outcomes)
• anaphylaxis
• thrombocytopenia
• leukopenia

Mild side effects

• Dizziness
• peripheral edema
• anemia
• hyperkalemia
• hypoglycemia
• hyponatremia
• hyperglycemia
• depression
• insomnia
• mood changes

This drug is sensitive to light and should be stored in a container that protects from light. Additionally, it should be stored at room temperature between 1 degree and 30 degrees Celsius to maintain its efficacy.

Appearance

This is a biconvex oval dual tablet that is white and light blue.

Package unit

30 tablets (10 tablets/PTP x 3)