Mikartelmi Tablet 40 mg (Telmisartan)

Adult dose

Telmisartan should be taken orally once a day at a dose of 40 mg with water, regardless of meals. It may be effective at 20 mg once daily for some patients, and if necessary, the dose can be increased to 80 mg once daily. Maximum blood pressure-lowering effects are noted 4 to 8 weeks after beginning treatment. For reduction of cardiovascular disease risk, an oral dose of 80 mg taken once daily with water is recommended.

This medication can pose serious risks, particularly to the fetus and newborn if used during pregnancy, so it must be discontinued immediately once pregnancy is confirmed. This medication should not be used by individuals who have had allergic reactions to this drug or its ingredients, pregnant or nursing women, patients with severe liver dysfunction or bile duct obstruction, patients with hereditary angioedema, and patients with diabetes or severe kidney impairment. Elderly patients, patients with hyperkalemia, those with mild to moderate liver dysfunction, patients with heart valve disease, patients with cardiovascular diseases, gastrointestinal disease patients, patients with renal artery hypertension, and those with severe kidney impairment should use this drug cautiously. Various side effects such as infections, anemia, hypersensitivity reactions, hyperkalemia, hypoglycemia, dizziness, blood pressure drop, breathing difficulties, liver dysfunction, rashes, myalgia, and kidney impairment may occur during the use of this medication, so symptoms should be closely monitored. Especially severe adverse reactions such as angioedema, hyperkalemia, renal dysfunction, shock, liver dysfunction, interstitial pneumonia, and rhabdomyolysis may occur, so consult your doctor immediately if any unusual symptoms appear. Patients with kidney impairment or those who have had a kidney transplant should have potassium and creatinine levels checked regularly, and patients with sodium depletion or low blood volume may be at risk of hypotension, so caution is necessary. Combined use with other antihypertensive drugs may increase the blood pressure-lowering effect, so it should be taken according to a doctor's instructions, and it is essential to inform the doctor about any concomitant medications, as there may be drug interactions. Women who are pregnant or planning to become pregnant should not use this medication, and nursing mothers should avoid it or stop breastfeeding. Safety in children under 18 years of age has not been established, so its use is not recommended. In case of overdose, symptoms like hypotension, dizziness, and acute kidney failure may occur, so dosage should be adhered to strictly, and if any unusual symptoms occur, consult healthcare professionals immediately. When storing, keep this medication in a tightly sealed container away from children's reach, and open the packaging only right before use, avoiding transfer to other containers. This medication may cause fainting or dizziness while driving or operating machinery, so caution is advised.

Serious side effects

• Hives
• severe swelling
• chest tightness
• difficulty breathing
• cold sweat
• paleness
• severe allergic reactions
• severe skin reactions
• angioedema
• laryngeal edema

Mild side effects

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

This medication is susceptible to air and moisture, so it should be stored in a tightly sealed container. It is best to maintain a storage temperature between 1 and 30 degrees Celsius. This will help preserve the medication's efficacy for a longer period.

Appearance

White or off-white oval tablet

Package unit

30 tablets (10 tablets/PTP packaging x 3)