Mirtol 40 mg (Telmisartan)

Adult dose

Administer 40 mg of Telmisartan orally once daily with water, without regard to meals. Depending on patient response, 20 mg once daily may be effective. If necessary, the dosage may be increased up to 80 mg once daily, and the maximum antihypertensive effect occurs 4 to 8 weeks after dosage increase. For risk reduction of cardiovascular diseases, 80 mg once daily is recommended.

This medication can cause serious harm to the fetus and newborn, especially during pregnancy, so it should be discontinued immediately if pregnancy is confirmed. Women who are pregnant or may become pregnant and nursing mothers should not take this medication. It is also advisable for patients with severely impaired liver function or issues with bile excretion to avoid this medication. Patients who have had allergic reactions or have a history of hereditary angioedema should also not take it. Diabetic patients or those with moderate to severe renal impairment should not take this medication alongside specific drugs. Caution is also advised for elderly patients, those with hyperkalemia, mild liver impairment, and patients with heart valve diseases or cardiac hypertrophy. It is important to regularly monitor blood pressure, renal function, and serum potassium levels when taking this medication. Blood pressure may drop too low, and symptoms like dizziness or fainting may occur, especially in patients on diuretics or high-dose diuretics. This medication may increase the effect when taken with other antihypertensive agents, and the risk of side effects may rise when taken with specific drugs; thus, consultation with a physician is mandatory. Caution is necessary while driving or operating machinery due to potential dizziness or fainting. Overdosage may lead to hypotension, dizziness, acute renal failure, etc., necessitating immediate medical attention. Safety and efficacy have not been established for children and adolescents under 18 years of age and are therefore not recommended. Store the medication out of reach of children, take care to avoid moisture, and it is best to open the packaging just before use.

Serious side effects

Hives, severe swelling (edema), chest tightness, difficulty breathing, cold sweat, pallor, severe rash with high fever, blisters, skin peeling, pain in oral/ocular mucosa, difficulty breathing or shortness of breath, asthma attacks, respiratory abnormalities with cough and fever, yellowing of the skin or eyes (jaundice), extreme lethargy, sudden and severe headache, thunderclap headache, seizures, confusion, visual disturbances, paralysis, urination issues

Mild side effects

• Upper respiratory infection
• pharyngitis
• sinusitis
• urinary tract infection
• cystitis
• anemia
• thrombocytopenia
• eosinophilia
• hypersensitivity
• hyperkalemia

This medication should be stored in a sealed container, protected from air and moisture, at room temperature between 1 to 30 degrees Celsius. Proper storage helps maintain the drug's efficacy and prevents deterioration.

Appearance

White round tablet

Package unit

30 tablets/bottle