Selmistar Tablet 40/5 mg

Adult dose

The recommended dose for adults 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 (for example, in the morning). In patients with severe renal impairment, treatment should begin with a lower dose and gradually increase. In patients with liver impairment, the daily dose of telmisartan should not exceed 40 mg. Elderly patients should start with a lower dose and gradually increase.

Child dose

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

This medication can pose serious risks to the fetus, especially during the second and third trimesters of pregnancy; therefore, it must be discontinued immediately if pregnancy is confirmed. This medication is contraindicated in patients with certain diseases or hypersensitivity to drugs, in pregnant or possibly pregnant women, nursing mothers, and patients with severely impaired liver or heart function. Additionally, patients with primary aldosteronism, specific heart valve diseases, liver impairment, gastrointestinal disorders, renal artery hypertension, patients on dialysis, and the elderly should use this medication cautiously. Those taking this drug may commonly experience side effects such as dizziness or peripheral edema, so caution is needed, and severe side effects may occur infrequently; if any unusual symptoms arise, it is important to consult medical personnel immediately. This medication lowers blood pressure, which can cause hypotension in patients with fluid or salt depletion; therefore, their status should be corrected, or dosage adjusted before administration. As there is a risk of increased potassium levels in the blood, patients at risk for hyperkalemia should have regular blood tests, and caution is particularly advised when using potassium supplements concurrently. Patients with impaired kidney function may experience further deterioration in kidney function while taking this medication; therefore, blood tests to monitor kidney function and electrolyte status should be conducted periodically. Patients with cardiovascular diseases may have an increased risk of angina or myocardial infarction when taking this medication, so careful observation of symptoms is required. This medication can cause drowsiness or dizziness, so caution should be exercised when driving or operating dangerous machinery. There may be interactions when this medication is used in combination with other antihypertensive agents, so it is essential to inform healthcare providers of any other medications being taken. Women who are pregnant or nursing should not use this medication, and those planning to become pregnant should consider alternative treatments. In pediatric patients, safety and efficacy have not been established adequately, so its use is not recommended. In case of overdose, symptoms like hypotension, dizziness, and cardiac arrhythmias may occur, requiring immediate medical attention. This medication should be kept out of reach of children and maintained in a sealed state until just prior to administration.

Serious side effects

Hives, angioedema (with potentially fatal outcomes), Stevens-Johnson syndrome, photosensitivity reactions, thrombocytopenia, leukopenia, anaphylactic reactions, hyperkalemia, liver dysfunction, hepatic impairment, hepatitis, jaundice, elevated liver enzymes, syncope, severe edema, dyspnea, myocardial infarction, ventricular tachycardia, arrhythmia, atrial fibrillation, hypotension, vasculitis, angioedema, intestinal angioedema, acute renal failure, renal dysfunction, severe edema accompanied by increased blood pressure.

Mild side effects

Dizziness, peripheral edema, headache, drowsiness, migraine, sensory disturbances, taste disturbances, tremors, visual disturbances (including double vision), lightheadedness, tinnitus, palpitations, bradycardia, flushing, orthostatic hypotension, cough, changes in bowel habits (including diarrhea and constipation), abdominal pain, indigestion, nausea, vomiting, dry mouth, itching, sweating, rash, hair loss, purpura, skin discoloration, eczema, erythema, joint swelling, muscle cramps, joint pain, back pain, muscle pain, erectile dysfunction.

This medication is sensitive to light, so it should be stored in a container that does not allow light to enter. Additionally, it is recommended to store it at room temperature between 1 degree and 30 degrees Celsius. This ensures the medication's effectiveness is maintained for a longer period.

Appearance

This is a white and light gray, biconvex, oval-shaped double-coated tablet.

Package unit

30 tablets (10 tablets/PTP X 3)