Twinstar Tablets 40/10 mg

Adult dose

The recommended dosage for this medication is one tablet once daily, to be taken with water regardless of meals. It is advisable to take it at the same time each day (e.g., in the morning). Renal impairment patients: No dose adjustment is needed in cases of mild to moderate renal impairment, but in patients with severe renal impairment, treatment should start with a lower dose, gradually increasing the dose. Liver impairment patients: The daily dose for mild to moderate liver impairment

Child dose

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

This medication may pose serious risks to the fetus during pregnancy, especially in the second and third trimesters. Therefore, it should be discontinued immediately if pregnancy is confirmed. This medication should not be administered to patients with certain diseases, such as liver disorders, heart disease, hypotension, renal impairment, and women who are pregnant or breastfeeding. Patients with primary aldosteronism, certain heart valve diseases, liver impairment, gastrointestinal diseases, renal artery hypertension, dialysis patients, and the elderly should take extra caution when using this medication. Common side effects of this medication include dizziness and peripheral edema, but severe adverse reactions may occur rarely, so if any abnormal symptoms arise, immediate consultation with healthcare professionals is necessary. Use during pregnancy may harm the fetus, so alternative safe treatment options should be considered if planning to conceive or if currently pregnant, and it should be avoided during breastfeeding. This medication may affect renal function; therefore, patients with renal impairment should undergo regular blood tests to monitor their condition. There may be symptoms of hypotension with excessively low blood pressure; hence, especially in cases of dehydration or in patients taking diuretics, consultation with a physician before taking the medication is necessary, and appropriate measures should be taken if symptoms occur. This medication may interact with other drugs, so patients should inform healthcare professionals of any other medications they are taking, particularly caution is needed when combined with lithium, digoxin, warfarin, and non-steroidal anti-inflammatory drugs. Dizziness or drowsiness may occur while driving or operating machinery, so caution is advised. In cases of overdose, severe hypotension, dizziness, and cardiac anomalies may occur, necessitating immediate medical treatment. This medication is not recommended for children as safety and efficacy have not been established, and for the elderly, dose adjustment and careful observation are required. When storing, keep out of reach of children, maintain the product in its original packaging, and it is advisable to open the package just before consumption.

Serious side effects

Urticaria, severe swelling (angioedema), chest tightness, difficulty breathing, cold sweat, paleness, severe rash with high fever, blistering, skin peeling, pain in oral/ocular mucosa, shortness of breath or difficulty breathing, asthma attacks, breathing difficulties accompanied by cough and fever, yellowing of the skin or eyes (jaundice), extreme lethargy, sudden and severe headache, lightning-like headache, seizures, confusion, visual disturbances, paralysis,

Mild side effects

• Dizziness
• peripheral edema
• fainting
• headache
• drowsiness
• migraine
• paresthesia
• taste disturbance
• tremor
• visual impairment

This medication is sensitive to light; therefore, it should be stored in a tightly sealed container that prevents light exposure. Additionally, it is best to store the medication at room temperature between 1°C and 30°C. By storing it this way, the effectiveness of the medication can be maintained for a longer time.

Appearance

A white and light blue, double convex, oval-shaped dual tablet.

Package unit

30 tablets (10 tablets/PTP x 3)